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Part A: Extended answer questions (2 questions all of equal weighting)

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Part A: Extended answer questions (2 questions all of equal weighting)

Part A: Extended answer questions
(2 questions all of equal weighting)

Each question requires you to answer one or more parts to the question. You should aim to write approximately 300-500 words in total for each question.

  1. You work with an elderly client who is starting to displaying challenging behaviours towards you. On YouTube, search for Managing Behaviors of Concern and view the video on this topic. Review this and answer the following questions.

The full link for the YouTube is:
http://www.youtube.com/watch?v=Ib7dBDAhXFQ

 

  1. What reasons are provided that outline why some elderly people display challenging behaviours?
  2. What are the names given to this type of behaviour?
  3. What medical condition are they linked to?
  4. How have these symptoms been treated in the past? Do you think this manages the behaviour well? Why or why not?
  5. What has been done differently in recent years?
  6. Complete the table below where you need to list the behaviours of concern identified and how are they managed

 

Behaviours of concern How are these behaviours displayed (manifested)? What may be the triggers to these behaviours?
  · ·

 

  1. If you have concerns about changes such as these in a client you worked with, who would you report these concerns to and why?
  2. You are an Allied Health Assistant with an early intervention service for children with a disability. One of the young children you work with is Ben.  Ben is three years old and has mild cerebral palsy.  Jane aged 23 is his mum and is also a sole parent.  She brings Ben to your service each Friday to assist with helping Ben to meet his developmental milestones of other children his age.

 

Today Janearrived looking very tired and ‘hung over’.  You ask Jane if she is okay, as she looks a bit tired.  Jane tells you thatshe loves Ben very much but finds it hard that now she is a parentshe no longer has the freedom to go out and party with friends.  She continues with telling you that last night she went out partying until 3.00am.

 

You ask her who cares for Ben when she goes out.  Jane tells you that sometimes she gets her mother to look after him, but her mother drinks heavily, and Jane doesn’t get on with her well.  Other times Jane has asked a man she met at a park, a girl she met when she was looking for a flatmate, a 12-year-old neighbour, and Jane’s ex-boyfriend.

 

Based on the scenario, answer the following questions.

 

  1. Would you be concerned about this scenario? Why?
  2. What are at least two (2)situations from this scenario where Ben could be harmed?
  3. Would you report this situation to the Child Protection Helpline?
  4. What information from the case study do you think would be important to include if you reported of risk of significant harm to the Helpline?
  5. As an Allied Health Assistant, do you have a statutory requirement to report these concerns? Why?  If you don’t know what to do, whom should you discuss your concerns about this situation with?

 

Part B: Case study with extended written responses
(7 questions all of equal weighting)

Each question requires you to answer one or more parts to the question. You should aim to write approximately 300-500 words in total for each question.

Mrs Gladys Brewer-Jones is a 75 year old lady who lives independently in her own garden villa in a major town in rural Australia.  Gladys has one son, Brian, who lives in another state and is in regular contact with his mum but infrequently visits. Her husband, Jack, passed away five years ago.  She has no living relatives nearby but has a number of friends who are also aging. 

Gladys was diagnosed with Type 2 diabetes 16 years ago, and four years ago was diagnosed with Parkinson’s disease.  She also broke her wrist recently from a fall due to her unsteadiness.  She does drive but her General Practitioner (GP) has suggested to Gladys that she will need to start planning to not drive within a few months at most.  Her Parkinson’s is progressing and now she is having difficult with a number of areas including:

  • Unsteadiness on her feet and has had numerous falls including the last one which resulted in a broken wrist.
  • She shuffles her feet when she walks and is now having to use a walking stick to aid her mobility.
  • She has poor circulation in her feet and claw-like toes which is making it increasingly difficult for her to cut her toenails.
  • Gladys is finding it difficult to eat some of the normal foods she likes due to her Parkinson’s and sometimes feels like she is going to choke on her food. Due to this, she is eating less, which has meant she is loosing weight and her diabetes is not always stable.

Gladys has not had any modifications made to her home to assist her with any mobility issues.

Gladys has been referred to your organisation, the Mackay Independent Living Service by Gabriel, the Social Worker at the local hospital.  Gabriel supported Gladys while she was in hospital and has discussed with her the changes to her Parkinson’s and what additional supports she may need to continue to live independently.  Her GP, Dr Hany Georges, supports Gladys with her medical issues. 

Mackay Independent Living Service provides the following services to clients that meet their entry requirements:

  • physiotherapy
  • dietetics
  • occupational therapy
  • speech pathology
  • podiatry
  • Aged Care Assessment Team (ACAT)
  • audiology
  • optometry

Mackay Independent Living Service offers these supports to people who live independently in the community.  There is a small fee to use their services of $40 per month with the remainder charged through Medicare.

Gladys meets the entry requirements and is asked to attend the main office for a meeting to see how the service can support the needs.  You know Gladys as she is your own parent’s neighbour in the same complex of villas.

Case Study Questions

  1. On your first meeting with Gladys, you need to set the limits of your organisation’s role with her. What information do you tell Gladys about you and your organisation? Is there anything specific you need to discuss with her?Is there anything you would discuss with your manager about this situation?
  2. Complete the Case Plan Template for Gladys (see Appendix). You may add any information you do not know such as her address, date of birth, and GP details etc. The remaining information about the goals and support must be taken directly from the case study.
  3. What is the overall direction of the case plan that you are trying to achieve with Gladys? Provide a detailed answer as to why this is important.
  4. How will you provide the information from your case meeting and ongoing further feedback to the other relevant parties? You must think about both a formal and informal setting? Which parties would you also need to be presenting information to?
  5. Outline at least one organisation for each goal from your local area (where you live) that you could refer Gladys to. It does not need to be one (1) organisation that provides all of these services, it can be a service for each goal.Outline the following information for each service (in your own words):
  • Service Name
  • Service Address
  • Web address
  • Entry requirement
  • Cost or fee to use their service
  • Type of service they provide
  • How could Gladys benefit from these services.

How would you take appropriate action to refer Gladys to these services?

Case Study – continued

You and the team at Mackay Independent Living Centre have now met with Gladys on three (3) occasions.  She seems to be progressing well with the goals that were set and she is walking more confidently.

You also notice that Gladys has put on a little bit of weight.  The assistance from the dietician seems to have really been working.  Gladys now understands that she must have a sauce or gravy with her meals or to have some soft food with it too.  She has been keeping her regular meetings with the physiotherapy group and her house has now been modified with some handrails and grab rails.

Gladys would like to join the local Bridge group, as she knows it would be a good way for her to connect with people and keep her mind active.  Gladys is unsure how to do this and is feeling hesitant about contacting anyone about this?

  1. What is Gladys’ progress on the goals she has set? How is Gladys staying involved in the activities that have been organised?
  2. What are the barriers in her situation? How are we able to remove these barriers so our client is able to enhance their skills and improve her learning opportunities? What would you do or say to encourage Gladys and reinforce the learning she has undergone through this period of using your service?How can we continue to promote the skills and involvement of Gladys in this process?

 

 

Appendix

Case Plan Template

Name
Address
Contact number
Date of birth
General Practitioner
Family contact name and number
Current services/support being received
Date of referral
Reason for referral
Children

 

Problem Goal Action Who is responsible Date to complete P

 

 

 

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