1. CHC30212: Certificate III in Aged Care Interactive Care Plan: A

2. Case Scenario DaisyMaryNigel

3. Assessment: Scenario One Daisy is a 62 year old woman who has vision impairment, Parkinson’s Disease and at risk of falls. Daisy uses a walking frame to mobilise and wears glasses at all times. Develop a care plan with Daisy to minimise her risk of falls

4. Goals Maintain optimal mobility Maintain optimal vision Reduce risk of falls

5. Interventions: 1. Maintain optimal mobility Inform Daisy that she needs to be able to help herself Support Daisy by ensuring her walking frame is within reach and that she knows how to use it. Give Daisy’s walking frame to Molly as Daisy never uses it much

6. 1. Maintain optimal mobility Try Again!

7. 1. Maintain optimal mobility Well Done! Well Done!

8. Interventions: 2. Maintain optimal vision Store Daisy’s glasses in their case and leave in her locker Give Daisy her glasses and leave her to clean them as you are very busy Give Daisy her glasses and assist her with cleaning them, if required

9. 2. Maintain optimal vision Try Again! Try Again!

10. 2. Maintain optimal vision Well Done! Well Done!

11. Interventions: 3. Reduce risk of falls Encourage Daisy to use her walking frame when she goes for a walk Ensure that flooring is even and that Daisy’s walking frame is in good condition Daisy has chosen to include both of these interventions in her care plan

12. 3. Reduce risk of falls Well Done! Well Done!

13. Assessment: Scenario Two Mary is a 78-year-old woman who has hearing impairment. Mary is spending a lot of time in her room and avoiding group activities Develop a care plan with Mary to promote optimal communication, encourage participation in group activities

14. Goals: Scenario Two - Mary To achieve optimal communication Encourage participation in group activities Ensure hearing aids are in good repair

15. Interventions: 1. Achieve optimal communication Speak clearly and slowly when facing Mary Shout at Mary in a loud voice to ensure that she understands you Discuss your problems with Mary’s care to your co- worker as Mary can’t hear you anyway

16. 1. Achieve optimal communication: Try Again! Try Again!

17. 1. Maintain optimal communication: Well Done! Well Done!

18. Interventions: 2. Encourage participation in group activities Give Mary a choice of activities that she may like. Present in a written format, if required Close Mary’s door as she seems to like peace and quiet Tell Mary that there are no activities to suit her as most activities involve listening to music or watching movies or television

19. 2. Encourage participation in group activities: Try Again! Try Again!

20. 2. Encourage participation in group activities: Well Done! Well Done!

21. Interventions: 3. Ensure hearing aids are in good repair Inform Mary that the batteries for her hearing aid are out of stock and you don’t know when they will be available Tell Mary in a loud voice that it is important that she look after her hearing aids Support Mary in ensuring her hearing aids are clean and in good repair and that batteries are checked and replaced, if necessary

22. 3. Ensure hearing aids are in good repair: Try Again! Try Again!

23. 3. Ensure hearing aids are in good repair: Well Done! Well Done!

24. Assessment: Scenario Three Nigel is a 83-year-old man who has arthritis and osteoporosis. Nigel is unable to attend to his personal care as he has problems with fine motor skills and he suffers pain in his joints. Nigel likes a shower in the morning, every second day. He likes to have a shave every day. Develop a care plan with Nigel to support his personal care needs.

25. Goals: Scenario Three - Nigel Optimise personal hygiene and grooming needs Observe for signs of pain and act on reports of pain Maintain privacy and dignity

26. Interventions 1. Optimise personal hygiene and grooming needs Tell Nigel that, due to a heavy workload that he will be showered by afternoon staff until further notice Arrange a suitable time and days of the week to shower that meets with Nigel’s needs and document in the care plan Inform Nigel that he will be showered in the morning and days of his choice but do not document this in the care plan

27. 1. Optimise personal hygiene and grooming needs: Try Again! Try Again!

28. 1. Optimise personal hygiene and grooming needs: Well Done! Well Done!

29. 2. Observe for signs of pain and act on reports of pain You observe that Nigel frowns and gets very tense when he is being showered. You promptly inform the RN/Supervisor. When Nigel tells you he has pain you nod your head and continue with your tasks Nigel states he does not want to have a shower today as he has pain in his hips. You tell him that he needs a shower and don’t want to get into trouble from your supervisor.

30. 2. Observe for signs of pain and act on reports of pain: Try Again! Try Again!

31. 2. Observe for signs of pain and act on reports of pain: Well Done! Well Done!

32. 3. Maintain Privacy and Dignity You ensure that Nigel wears a dignity gown when being transported to the shower When attending to Nigel’s personal care you ensure that the door is closed and a ‘do not disturb’ sign is used Both of the above strategies are important. It is essential to respect all clients and maintain privacy and dignity

33. 3. Maintain Privacy and Dignity: Try Again! Try Again!

34. 3. Maintain Privacy and Dignity: Well Done! Well Done!