Module 7 – Care Planning/

Restorative Care/
Documentation/Working in the
Community Assignment

General Directions:

A. Take Home Assignment.

B. The assignment will count for 40% of your final mark in Module 7.
C. A minimum mark of 21 out of 30 (70%) must be achieved to pass.

Melody Ramos
Name: _________________________________________________________

November 10, 2024

Due Date: ______________________________________________________

©N A C C 2 0 1 5 V 5 Section IV. Module 7. Care Planning/Restorative

Care/Documentation/Working in the Community 1 | 5
 CASE #1

Mrs. Gregg is a 55-year-old widow who has had an active career as a lawyer. She is an avid
reader. She is an independent woman who has had to adapt to many changes in her life. She
enjoys crafts and sings in the choir at her church. She has an adult son and daughter, and two
grandchildren who visit her frequently. She lives in her own home, a small bungalow in the
city.

You are assigned to give care and support to Mrs. Gregg, who had a stroke two weeks ago.
She is paralyzed on the left side and has difficulty speaking. She is able to hear well and can
understand when you speak to her. The long-term goals for her care include:

 regaining mobility
 regaining speech
 being as independent as possible
 preventing complications such as contractures and pressure sores

You are required to assist her to participate fully in all activities of daily living, and assist to
meet her physical, safety, and psychosocial needs.

1. What information would you want to find out about Mrs. Gregg and her home before
beginning her care? (2 marks)

__________________________________________________________________
It discusses the importance of considering Mrs. Gregg's home environment, current level of
__________________________________________________________________
functioning, and support system when caring for someone with limited mobility, as well as the
involvement of family members or a primary caregiver.
__________________________________________________________________
__________________________________________________________________

2. List the types of information that you would expect to obtain from the care plan. (2 marks)
• Assessing home accessibility for limited mobility.
__________________________________________________________________
• Assessing need for modifications like ramps, grab bars, or wider doorways.
__________________________________________________________________
• Assessing daily activities and tasks that require assistance.
• Identifying support system in her life, including family or friends.
__________________________________________________________________
• Choosing primary caregiver or involving family or friends in care.
__________________________________________________________________

3. In the following problem, explain briefly the feeling expressed by the client and the actions
for the Personal Support Worker to take (2 marks each).

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 Situation 1

Mrs. Gregg continually uses her knife to eat with and is generally unable to choose the
correct utensil and unable to cut her meat. She has difficulty getting food to her
mouth. She resists help. One day she threw her plate across the room.

Client’s Feelings

Mrs. Gregg is struggling with her independence due to her inability

_________________________________________________________________
to use utensils and feed herself. She is resistant to help and throws
_________________________________________________________________
plates, indicating anger and a desire for control.
_________________________________________________________________
_________________________________________________________________

PSW Actions (physical and emotional help)

_________________________________________________________________
Assisting her with adaptive utensils and food positioning. Emotionally,
the PSW should approach Mrs. Gregg with empathy and patience,
_________________________________________________________________
offering gentle encouragement and validation of her experience.
_________________________________________________________________
_________________________________________________________________

Situation 2

Mrs. Gregg has expressed a desire to read, but she is unable to understand the text in
her old books. She asks you to help her practice words. She says that she has trouble
passing the time and that she expects to return to work in several weeks.

Client’s Feelings

___________________________________________________________________
Mrs. Gregg is experiencing feelings of loss, frustration, sadness, and depression
due___________________________________________________________________
to her stroke. She wants to return to work and engage in normal activities but
is limited by her stroke. She may feel isolated and bored.
___________________________________________________________________
___________________________________________________________________

PSW Actions (physical and emotional help)

___________________________________________________________________
A PSW can provide physical and emotional help, such as making reading
easier, practicing speech exercises, and offering encouragement and
___________________________________________________________________
activities that align with her interests.
___________________________________________________________________
___________________________________________________________________

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 Situation 3

One day when you approach Mrs. Gregg, she is crying and says she doesn’t want to
get up. She says, “None of this should have happened to me. What did I do to deserve
this?”

Client’s Feelings

Mrs. Gregg is experiencing overwhelming, hopeless, and guilt due

_________________________________________________________________
to her stroke, which has led to a loss of independence and physical
_________________________________________________________________
abilities. She may feel unfairly targeted or blaming herself.
_________________________________________________________________
_________________________________________________________________

PSW Actions (physical and emotional help)

Ensuring her comfort and reassurance of her natural grieving process.

_________________________________________________________________
They should validate her feelings, offer support without judgment, and
_________________________________________________________________
suggest coping strategies like relaxation techniques or quiet reflection.
_________________________________________________________________
_________________________________________________________________

Situation 4

Mrs. Gregg insists on getting up by herself and moving independently from her chair to
the bathroom. She uses a walker. Occasionally she falls. She is a private person and
does not want you to attend her in the bathroom.

Client’s Feelings

_________________________________________________________________
Mrs. Gregg desires independence, especially in private spaces, and may feel
frustrated by stroke limitations. Her insistence on independence reflects her
_________________________________________________________________
struggle to control her life and manage daily routines.
_________________________________________________________________
_________________________________________________________________

PSW Actions (physical and emotional help)

The_________________________________________________________________
PSW should provide physical and emotional support to Mrs. Gregg, ensuring her
_________________________________________________________________
independence and safety. They should provide assistive devices and supervision,
balancing support and autonomy. They should respect her privacy and autonomy,
_________________________________________________________________
emphasizing her ability to perform tasks with the right tools. They should reassure her
_________________________________________________________________
of safety and help availability.

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 4. Using all of the above information, describe how the following factors might affect Mrs.
Gregg’s relearning of speech and mobility. Use case study information to help answer
questions. ( 3 marks)

a. Age
Mrs. Gregg, a 55-year-old stroke survivor, has a higher chance of significant
_________________________________________________________________
recovery due to her younger age and better neuroplasticity. Despite
_________________________________________________________________
challenges in middle adulthood, her recovery potential is likely to be
_________________________________________________________________
significant. However, her age may also pose psychological challenges in
adjusting to life changes.
_________________________________________________________________

b. Individual characteristics: personality

_________________________________________________________________
Her independent personality and lawyer background can both support and
challenge her recovery. Her desire to regain independence motivates her, but
_________________________________________________________________
her frustration with stroke limitations may hinder her participation in certain
_________________________________________________________________
therapies. A PSW should balance encouraging independence with support,
and her social and intellectual engagement can help maintain motivation.
_________________________________________________________________

c. Environment
_________________________________________________________________
Her home environment significantly impacts her recovery. Providing a safe and
accessible space, with modifications like ramps and wider doorways, can reduce
_________________________________________________________________
physical barriers and encourage independence. A well-adapted environment can
_________________________________________________________________
provide emotional support and motivation, while a poorly adapted one may
cause frustration and safety risks.
_________________________________________________________________

5. Describe five (5) ways in which the PSW can promote Mrs. Gregg’s self-esteem and
motivation during her daily routines. (5 marks)
Encourage participation in decision-making: Allow her to make choices about her care,
a. fostering a sense of control and independence.
______________________________________________________________
Celebrate small achievements: Acknowledge every milestone, fostering motivation and accomplishment.
b. ______________________________________________________________
c. ______________________________________________________________
Offer choices and respect her preferences: Incorporate Mrs. Gregg's daily routine preferences to make her feel respected and valued.
Support her involvement in meaningful activities: Encourage Mrs. Gregg to continue with activities she enjoys, providing a sense of purpose and
d. ______________________________________________________________
connection to her past identity.

e. Empathize with Mrs. Gregg's feelings, validate her emotions, and encourage
______________________________________________________________
optimism to boost her motivation and help her feel heard and supported.
6. Define Restorative Care and what role it would play in helping with Mrs. Greg’s
rehabilitation. How could the PSW assist with this process? (2 marks)
__________________________________________________________________
Restorative Care aims to help individuals regain independence and function through
individualized treatment plans. In Mrs. Gregg's rehabilitation, the PSW can support
__________________________________________________________________
speech recovery, mobility recovery, and prevent complications by encouraging speech
__________________________________________________________________
exercises, promoting range-of-motion exercises, and ensuring comfort and safety.
__________________________________________________________________
©N A C C 2 0 1 5 V 5 Section IV. Module 7. Care Planning/Restorative
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