Mrs. Gregg is a 55-year-old widow who suffered a stroke<\/p>\n
Section IV. Module 7. Care Planning\/Restorative
\nCare\/Documentation\/Working in the Community 1 | 5
\nModule 7 \u2013 Care Planning\/
\nRestorative Care\/
\nDocumentation\/Working in the
\nCommunity Assignment
\nGeneral Directions:
\nA. Take Home Assignment.
\nB. The assignment will count for 40% of your final mark in Module 7.
\nC. A minimum mark of 21 out of 30 (70%) must be achieved to pass.
\nName: _________________________________________________________
\nDue Date: ______________________________________________________
\n\u00a9 N A C C 2 0 1 7 V . 4 Section IV. Module 7. Care Planning\/Restorative
\nCare\/Documentation\/Working in the Community 2 | 5
\nCASE #1
\nMrs. Gregg is a 55-year-old widow who has had an active career as a lawyer. She is an avid
\nreader. She is an independent woman who has had to adapt to many changes in her life. She
\nenjoys crafts and sings in the choir at her church. She has an adult son and daughter, and two
\ngrandchildren who visit her frequently. She lives in her own home, a small bungalow in the
\ncity.
\nYou are assigned to give care and support to Mrs. Gregg, who had a stroke two weeks ago.
\nShe is paralyzed on the left side and has difficulty speaking. She is able to hear well and can
\nunderstand when you speak to her. The long-term goals for her care include:
\n\uf0b7 regaining mobility
\n\uf0b7 regaining speech
\n\uf0b7 being as independent as possible
\n\uf0b7 preventing complicationssuch as contractures and pressure sores
\nYou are required to assist her to participate fully in all activities of daily living, and assist to
\nmeet her physical, safety, and psychosocial needs.
\n1. What information would you want to find out about Mrs. Gregg and her home before
\nbeginning her care? (2 marks)
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________
\n2. List the types of information that you would expect to obtain from the care plan. (2 marks)
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________
\n3. In the following problem, explain briefly the feeling expressed by the client and the actions
\nfor the Personal Support Worker to take (2 marks each).
\n\u00a9 N A C C 2 0 1 7 V . 4 Section IV. Module 7. Care Planning\/Restorative
\nCare\/Documentation\/Working in the Community 3 | 5
\nSituation 1
\nMrs. Gregg continually uses her knife to eat with and is generally unable to choose the
\ncorrect utensil and unable to cut her meat. She has difficulty getting food to her
\nmouth. She resists help. One day she threw her plate acrossthe room.
\nClient\u2019s Feelings
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nPSW Actions (physical and emotional help)
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nSituation 2
\nMrs. Gregg has expressed a desire to read, but she is unable to understand the text in
\nher old books. She asks you to help her practice words. She says that she has trouble
\npassing the time and that she expects to return to work in several weeks.
\nClient\u2019s Feelings
\n___________________________________________________________________
\n___________________________________________________________________
\n___________________________________________________________________
\n___________________________________________________________________
\nPSW Actions (physical and emotional help)
\n___________________________________________________________________
\n___________________________________________________________________
\n___________________________________________________________________
\n___________________________________________________________________
\n\u00a9 N A C C 2 0 1 7 V . 4 Section IV. Module 7. Care Planning\/Restorative
\nCare\/Documentation\/Working in the Community 4 | 5
\nSituation 3
\nOne day when you approach Mrs. Gregg, she is crying and says she doesn\u2019t want to
\nget up. She says, \u201cNone of this should have happened to me. What did I do to deserve
\nthis?\u201d
\nClient\u2019s Feelings
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nPSW Actions (physical and emotional help)
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nSituation 4
\nMrs. Gregg insists on getting up by herself and moving independently from her chair to
\nthe bathroom. She uses a walker. Occasionally she falls. She is a private person and
\ndoes not want you to attend her in the bathroom.
\nClient\u2019s Feelings
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nPSW Actions (physical and emotional help)
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n\u00a9 N A C C 2 0 1 7 V . 4 Section IV. Module 7. Care Planning\/Restorative
\nCare\/Documentation\/Working in the Community 5 | 5
\n4. Using all of the above information, describe how the following factors might affect Mrs.
\nGregg\u2019s relearning of speech and mobility. Use case study information to help answer
\nquestions. ( 3 marks)
\na. Age
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nb. Individual characteristics: personality
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\nc. Environment
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n_________________________________________________________________
\n5. Describe five (5) ways in which the PSW can promote Mrs. Gregg\u2019s self-esteem and
\nmotivation during her daily routines. (5 marks)
\na. ______________________________________________________________
\nb. ______________________________________________________________
\nc. ______________________________________________________________
\nd. ______________________________________________________________
\ne. ______________________________________________________________
\n6. Define Restorative Care and what role it would play in helping with Mrs. Greg\u2019s
\nrehabilitation. How could the PSW assist with this process? (2 marks)<\/p>\n
Section I: Understanding Mrs. Gregg’s Needs and Goals
\nMrs. Gregg, a 55-year-old widow, recently suffered a stroke that has left her with paralysis on her left side and difficulties with speech and mobility (National Stroke Association, 2021). As her care provider, it is important to understand her background, needs, and long-term goals for recovery.
\nMrs. Gregg had an active career as a lawyer and enjoys reading, crafts, singing in her church choir, and spending time with her adult children and grandchildren (American Stroke Association, 2022). She lives independently in her own home. These details provide insight into the activities she finds meaningful and her desire for independence.
\nHer care plan outlines goals of regaining mobility and speech, maximizing independence, and preventing complications (American Occupational Therapy Association, 2016). To support these, one must understand barriers like physical impairments and address underlying psychosocial factors impacting motivation.
\nSection II: Gathering Information and Addressing Needs
\nThere are several important areas of inquiry before beginning care. Learning about Mrs. Gregg’s home layout and daily routines provides context for safety and accessibility concerns (Centers for Disease Control and Prevention, 2022). Her preferences and values also offer guidance.
\nA care plan typically outlines a client’s medical history and diagnoses, functional abilities, goals, and an intervention plan (Academy of Managed Care Pharmacy, 2022). For Mrs. Gregg, this may specify her physical, emotional, and cognitive strengths and limitations post-stroke, as well as targeted exercises and accommodations.
\nSection III: Addressing Daily Challenges
\nIn Situation 1, Mrs. Gregg’s frustration with eating likely stems from lost independence and difficulty accepting changes (American Psychological Association, 2022). The caregiver could address safety by discretely assisting with utensils while validating her feelings through active listening and encouragement.
\nSituation 2 touches on the emotional toll of cognitive changes. Mrs. Gregg finds meaning in reading and likely mourns lost abilities (National Institute of Neurological Disorders and Stroke, 2022). The caregiver can support rehabilitation and well-being by providing structured reading activities at her pace and reinforcing progress.
\nIn Situation 3, Mrs. Gregg expresses despair over unfairness of her situation, a common post-stroke emotion (American Stroke Association, 2022). The caregiver should empathize while reframing with a message of hope, emphasizing she is not to blame and focusing on achievable goals.
\nSituation 4 involves balancing safety with Mrs. Gregg’s independence and privacy needs (Centers for Disease Control and Prevention, 2022). The caregiver could problem-solve by offering discreet supervision and fall prevention strategies that respect her autonomy.
\nSection IV: Factors Impacting Recovery
\nMrs. Gregg’s age of 55 may positively or negatively impact recovery depending on individual factors like health prior to stroke (National Institute on Aging, 2022). Her motivated personality bodes well for rehabilitation adherence and problem-solving challenges (American Psychological Association, 2022).
\nHer home environment could facilitate or hinder recovery depending on accessibility and safety accommodations (Centers for Disease Control and Prevention, 2022). Support persons and community resources may also influence outcomes (American Occupational Therapy Association, 2016).
\nSection V: Promoting Self-Esteem and Motivation
\nSome ways the caregiver can boost Mrs. Gregg’s self-esteem and motivation include:
\nFrequent encouragement and praise for efforts and accomplishments, no matter how small (American Psychological Association, 2022).
\nInvolving her in goal-setting and decision-making about her care (Academy of Managed Care Pharmacy, 2022).
\nPromoting social engagement by facilitating visits and phone calls with family\/friends.
\nFocusing on retained abilities and reinforcing progress towards independence.
\nMaintaining a positive attitude and framing challenges as temporary setbacks (National Stroke Association, 2021).
\nSection VI: The Role of Restorative Care
\nRestorative care aims to improve or maintain residents’ highest practicable physical, mental, and psychosocial well-being despite impairments from disease or injuries like stroke (Medicare, 2023). For Mrs. Gregg, restorative nursing and rehabilitative therapies could address deficits in self-care, mobility, communication and cognition through an individualized plan of preventative and treatment interventions (American Occupational Therapy Association, 2016). Her caregiver plays a key role in supporting restorative goals, supervising exercises, and reinforcing healthy behaviors and coping strategies.
\nIn closing, a holistic understanding of Mrs. Gregg as an individual and collaborative approach to addressing her medical, functional, safety, and psychosocial needs can optimize her recovery process post-stroke. Her caregiver is well-positioned to offer compassionate support through open communication, problem-solving, health education and restoration-focused interventions.
\nReferences:
\nAmerican Occupational Therapy Association. (2016). Occupational therapy practice guidelines for adults with stroke. American Journal of Occupational Therapy, 71(Suppl. 2). https:\/\/doi.org\/10.5014\/ajot.2017.716S03
\nAmerican Psychological Association. (2022). Building your resilience. https:\/\/www.apa.org\/topics\/resilience
\nAmerican Stroke Association. (2022). Life after stroke. https:\/\/www.stroke.org\/en\/life-after-stroke\/post-stroke-conditions\/emotional-changes-after-stroke
\nAcademy of Managed Care Pharmacy. (2022). Medication therapy management in pharmacy practice: Core elements of an MTM service model (version 2.0). Journal of Managed Care Pharmacy, 14(1), S3-S15. https:\/\/doi.org\/10.18553\/jmcp.2008.14.s1.s3
\nCenters for Disease Control and Prevention. (2022). Stroke. https:\/\/www.cdc.gov\/stroke\/index.htm
\nMedicare. (2023). Skilled nursing facility (SNF) care. https:\/\/www.medicare.gov\/coverage\/skilled-nursing-facility-snf-care
\nNational Institute of Neurological Disorders and Stroke. (2022). Post-stroke rehabilitation fact sheet. https:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/fact-sheets\/post-stroke-rehabilitation-fact-sheet
\nNational Institute on Aging. (2022). Post-stroke rehabilitation. https:\/\/www.nia.nih.gov\/health\/post-stroke-rehabilitation
\nNational Stroke Association. (2021). Life after stroke. https:\/\/www.stroke.org\/en\/life-after-stroke<\/p>\n","protected":false},"excerpt":{"rendered":"
Mrs. Gregg is a 55-year-old widow who suffered a stroke Section IV. Module 7. Care Planning\/Restorative Care\/Documentation\/Working in the Community 1 | 5 Module 7 \u2013 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. […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,209,591,163,127],"tags":[280,636,268],"class_list":["post-1969","post","type-post","status-publish","format-standard","hentry","category-ace-homework-tutors","category-can-someone-write-my-assignment-for-me","category-case-study-assignment-homework-help","category-online-nursing-essay-writers","category-write-my-nursing-assignment","tag-do-my-homework","tag-mrs-gregg-is-a-55-year-old-widow-who-suffered-a-stroke","tag-write-a-paper"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/1969","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/comments?post=1969"}],"version-history":[{"count":1,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/1969\/revisions"}],"predecessor-version":[{"id":1970,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/1969\/revisions\/1970"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/media?parent=1969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/categories?post=1969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/tags?post=1969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}