QuestionJenny is struggling with the care of her father. She has been caring for him in her home for

QuestionJenny is struggling with the care of her father. She has been caring for him in her home for two years now. Dad’s condition has deteriorated.  He has problems walking and because of his shuffling gait he often falls. The dementia caused by the Parkinson’s is getting worse. He sees things and is delusional.  His current delusions are around having to go to court because he did something wrong. He is very anxious about this and keeps wanting to go out and buy a suit for the hearing.  This is very upsetting for the family – he has never been in trouble with the police in his life.Jenny spends a long time each day with his care.  It’s great when the personal care worker comes three times a week to shower him, but there is still so much more to do. Also he tends to wander so he needs to be watched every day.He gets up at around 5 am each morning which disturbs the rest of the house and always likes to have a nap after lunch around 1.30pm He has become incontinent (urine and faeces) from time to time. Jenny has had to give up her job to care for him. Jenny is now working part time from home but it’s hard with all the interruptions from Dad. Jenny is receiving the carer’s pension.Jenny doesn’t want to put him into full time care as she feels it is her job to look after him.Jenny’s family life is falling apart.  The kids are in high school now – they love their grandfather but struggle with him living at home. They get embarrassed when he says silly things when their friends are around – and of course if he has been incontinent. Jenny doesn’t have much energy left at the end of the day to help them with their homework.Jenny’s husband has to work extra hours to make up for the work she is no longer able to do.  He resents this and thinks she should put him into full time care.Jenny is beside herself – she feels pulled between the responsibilities you feel to look after your father and the needs of your family.  Jenny has put on a lot of weight and feels terrible about herself. Jenny would like to find out what services are available that could help as she has no idea what is available.Have informed Jenny that I will send one of the staff to come speak to both her and her father When finished The organisations received a call from a concerned carer Jenny as she wants to discuss options for support for her father. You know Alfred, as he has personal care services provided at home. He has Parkinson’s Disease with dementia, which is worsening, he has Diabetes and currently is underweight. Jenny’s family have made appointment for Alfred to be assessedSee File Note  (notes of the conversation)                                                                                                               To prepare for this role play you must research services and community groups that can assist families and carers when caring for elderly people. Bring a list of these services and contact details and groups with you to the role play so you can discuss them with Jenny. If possible provide written information such as; handouts, brochure to show Jenny as this will provide Jenny information that can help her to make an informed decision. Your assessor will play the role of Jenny. You are to meet with Jenny to find out her challenges in caring for her father and provide support by letting her know what services she and her father could access.Identify and priorities the client’s needs, goals and preferences after consulting with the client and Jenny Using the services and support plan Alfred – Make a plan for the client to document services and activities to be provided The plan will document each service/activity, time and location, service provider, resources and arrangementsSupport the client to arrange and access services, activities and support agencies.Monitor if services and support workers can provide the level of services required and take action if services are no longer sufficient or relevant, commence a file for the client or place in current file book.   services and support plan – Alfred Part One – Comments Supervisor initialsWhat are the goals?       What needs does the client have for services and support activities?    Does the client have any particular preferences that need to be taken into account when coordinating services and support activities?    What are three priorities for this client?     Part Two:For each of the services and activities identified, list the support that the client will need to arrange and/or access the services, activities and/or support agencies.  If you need extra space either add lines electronically to this template or provide an attachment(An example has been provided for you)Name of service or activity Service provider What support will the client need to arrange or access?  Supervisor’s initialsDietitian Cares Australia Carelink Make appointment on client’s behalfArrange community services transport Remind client the day before by phone call                                                    Part three:For each of the services and activities identified, confirm with the service provider that they understand the client’s needs and preferences and confirm their roles and responsibilities(An example has been provided for you)Name of service or activity  Service provider  How did you confirm that they understood the clients needs and preferences  Roles and responsibilities of service provider  Supervisors intialsDietitian Cares Australia Carelink Phoned Jenny and discussed client’s needs – he has been losing weight and is underweight according to BMI Let them know that client prefers to have a morning appointment rather than afternoon as he likes to nap after lunch Provide advice on nutrition needs to manage complications of diabetes.Design a meal plan to help improve weight                                                                   Health ScienceScienceNursingNURSING CHCAGE003Share Question

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