QuestionAnswered step-by-stepClient 1 Margaret Brown. Date of birth 11/4//1928. MOBLILTY Status is m

QuestionAnswered step-by-stepClient 1 Margaret Brown. Date of birth 11/4//1928. MOBLILTY Status is mobile, but refuses to use her walking frame. The client is a falls risk. Allergies. Octopus, peanuts and shellfish. Sensory details vision loss, wears glasses. Medical diagnosis. Depression, mood and affective disorder, Neurotic, stress, obsessive-compulsive disorder. Pain, dementia. Problems. Routine. The client does not like to wake up early and likes to stay in bed till 12pm. Also the clients can refuse any personal care, if she does not know the carer. Problems Unpredictable. The client is very unpredictable, as she wander around the facility taking other client’s things and get very angry when staff members redirect her. Also, the client suffers from sun downing and is very confused around the hours of 4pm till 6 pm in the winter months and 7-9pm in the summer months and wants to go home. Problems Wandering: The client wanders around the facility and doesn’t like to be redirected by staff. Problem Sun downing: The client suffers from sun downing, and need to be motioned during these hours, as she become agitated. Behaviours of concern. ? The client wanders and will take other clients things. ? The client also wants to go home and tried to leave the facility. ? The client becomes agitated. And will try to hit out at the staff and other clients. Clients Strength ? Meals and drinks: The client is able to feed herself and doesn’t need any assistance from staff members. ? The client is able to communicate with the staff and once the client knows the carer will relax and let them assist her. Support. ? The client has a husband (Jerry) and 4 Children (Jane 35, Mary Kate 32, Tony 28, and Frank 21) ? The family visit the client a couple of time a week and are very happy with the care that the client receives. ? The husband is living with his daughter Mary Kate and comes in and sits with his wife daily. ? hey are still very much in love and the client is calmed by his visits. Client respond to care – given The client responds positivity to all care that is given, but at times due to her medical condition the client can become agitated. The client doesn’t like changes to her route and will become unsettled if she doesn’t know the carer  Client 2John WilsonDate of birth 03/05/1917Mobility status. N/AAllergies Penicillin, Panadeine forte,Sensory details. Very deaf, low vision.Diagnosis Heart disease, Stroke (CVA right side), Hypertension, disease of the intestine. Arthritis.Irritable bowel syndrome.Problems. Routine.? The client is unable to assist in any activities of daily living, to the client’s medical condition.? The client is unable to communicate any of his needs.Problems Unpredictable.? The client is very aggressive, and is resistive to all care given.Problem Meal and drinks.? The client needs the assistance of 1 staff member with all of his meals and drinks and is on avitamise diet and thicken drinks.Behaviours of concern? The client became frustrated and yells at the staff, also the clients at times tried to bites hestaff.Clients Strength.? The client tried to help the staff.? The clients is very pleasant at times and wants to help.Support.? The client is very close to his son, Jon and his son’s family. Jon wife Gina and the client arevery close and the client loves his grandchildren Betty- Jo, Frances, and baby Mary.? The family are very supportive and visit as often as they can.Client respond to care given? The client is very unhappy about needing care, and became very frustrated, because theclients is so used to doing things for himself and its only been a short time after his CVA? When the family comes to visit the client, it seems to calm him. Client 3Dorothy MorganDate of birth 01/04/1921Mobility good, no aids needed.Allergies. NIL Known.Sensory details Hearing loss, Visual defect, wears reading glasses.Diagnosis Heart disease, Phobic and anxiety disorder, nervous tension/ stress. Disorder of thethyroid gland. Bowel/ faeces incontinent, malaise and fatigue.Problems. Routine.? The client, will only let female cares assist her, and will refuse any assistance offered but anymale cares.Problems Unpredictable.? Due to the client medical condition the client will often open her bowels and finger paint allover herself and in her room.? And when the staff try to assist her she became aggressive, and is resistive to all care given.Behaviours of concern.? The client suffers from phobic and anxiety disorder and will often become unreasonable.? The client also withdrawal and refuses to come out of her room.Clients Strength.? The client is mobile and enjoys doing actives and having social interaction with the otherclients.? She is a very pleasant, and enjoys most thingsSupport? The client has a lots of family support, (Daughter Poppy and grandson William)? The family often take the client out on the weekends, which the client really enjoys, also theclient has a lot of friend visiting her on a regularly.? She is a member of the gardening group at the community centre  1) The problems that all of you have encountered with care relationships (that is, with families and/or carers): ? At least one must be a routine problem ? At least one must be an unpredictable problem. 2) The strength-based approach used for each problem 3) How the client responded to the approach 4) The effectiveness of the approach5) The types of support provided to work towards a solution. Solution and Response: Client 1 Problem (routine) Strength-based approach Client response Effectiveness Support                           Co-worker’s name:  Date: Solution and Response: Client 2Problem (routine) Strength-based approach Client response Effectiveness Support                           Co-worker’s name:  Date:Solution and Response: Client 3Problem (routine) Strength-based approach Client response Effectiveness Support                           Co-worker’s name:  Date: Health ScienceScienceNursingNURSING CHCCCS025Share Question

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