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)
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________
\n__________________________________________________________________<\/p>\n
Care Planning, Restorative Care, Documentation, and Community Support for Mrs. Gregg following her Stroke
\nIntroduction
\nMrs. Gregg is a 55-year-old widow who suffered a stroke two weeks ago, leaving her paralyzed on her left side and with difficulty speaking. As her personal support worker, developing an effective care plan is crucial to support her recovery goals of regaining mobility and speech, maximizing her independence, and preventing health complications. This article will discuss care planning, restorative care activities, documentation, and community support strategies to help Mrs. Gregg achieve her optimal level of functioning.
\nCare Planning
\nThe care plan should incorporate information about Mrs. Gregg’s medical history, personality, home environment, family support system, and long-term recovery goals outlined by her healthcare team (Sawatzky et al., 2015). Learning about her background as an active lawyer and avid reader provides insight into her values and interests to engage during care. Her close relationships with adult children and grandchildren who visit also present opportunities for social engagement and motivation. Performing an assessment of her home can help identify any safety or accessibility issues to address.
\nThe care plan should outline specific interventions and responsibilities of the personal support worker across each shift in areas like mobility, speech therapy, activities of daily living, safety monitoring, and psychosocial support (Batchelor-Murphy et al., 2017). Short-term goals may include increasing independence with transfers, using an adapted utensil for eating, and communicating basic needs through gestures or a communication board. Progress should be regularly evaluated and the plan updated accordingly.
\nRestorative Care Activities
\nRestorative care aims to prevent avoidable disability and promote the highest possible level of independent functioning through an individualized program of planned interventions (Sawatzky et al., 2015). For Mrs. Gregg, restorative care activities could include:
\nMobility exercises like assisted walking practice with a walker to regain strength in her left leg and improve balance.
\nRange of motion exercises for her left arm and leg to prevent contractures from limited use.
\nSpeech therapy using picture cards, writing words, and repetition of sounds and phrases to stimulate language areas of the brain and improve intelligibility.
\nCognitive stimulation through reading aloud, discussing current events, playing simple games to challenge memory and problem-solving.
\nLife skills retraining for activities like dressing, grooming, and meal preparation to promote independence in daily routines.
\nThe personal support worker should encourage Mrs. Gregg’s participation, provide positive reinforcement of efforts and accomplishments, and record progress in restorative goals.
\nDocumentation
\nThorough documentation of all care, interventions, and the client’s response is essential for continuity of care, monitoring progress, and meeting legal and professional standards (Batchelor-Murphy et al., 2017). Notes should include:
\nDetails of daily care tasks and assistance provided with activities of daily living.
\nObservations of the client’s functional abilities, mood, pain levels, and other changes in status.
\nSpecific goals and exercises addressed in restorative care sessions along with the client’s participation and performance.
\nCommunications with family members and updates on visits or concerns relayed.
\nInstructions received from supervising healthcare professionals and the plan of care.
\nAny incidents, falls, or issues that arise and how they were managed.
\nDocumentation promotes accountability and provides a historical record of the client’s clinical picture and experience over time. Consistent, objective recording supports the care planning process.
\nCommunity Support
\nWhere possible, community reintegration strategies can enhance quality of life and independence. For Mrs. Gregg, the personal support worker could explore:
\nAccompanying her to appointments, grocery shopping, or her church choir practice with mobility aids for gradual exposure (Batchelor-Murphy et al., 2017).
\nSupporting visits with family at her home to maintain important relationships and social engagement.
\nReferring her to a local stroke support group for peer support and information on community resources (Lui et al., 2016).
\nResearching transportation options, home care programs, or adult day programs she could access with assistance as needed.
\nAssisting her to reconnect with hobbies like reading or crafts at a level she finds meaningful and motivating.
\nWith a client-centered, holistic approach across these domains, Mrs. Gregg’s personal support worker can effectively promote her recovery and quality of life following her stroke. Regular re-evaluation allows adapting the plan to her changing needs and capabilities over time.
\nReferences
\nBatchelor-Murphy, M., Woodward, J., Beanland, C., Lockwood, C., Sinclair, A., & Murphy, K. (2017). Care planning for stroke survivors: A qualitative study of the experiences and perspectives of stroke survivors, family members and healthcare professionals. Disability and rehabilitation, 39(19), 1931\u20131940. https:\/\/doi.org\/10.1080\/09638288.2016.1223442
\nLiu, L. F., Harvey, J., & Wu, J. S. (2016). Stroke support groups: A systematic review of their benefits on health and social outcomes. Clinical rehabilitation, 30(8), 747\u2013756. https:\/\/doi.org\/10.1177\/0269215515603085
\nSawatzky, R., Keough, L., & Dennis, C. L. (2015). A Scoping Review of Restorative Care: Defining Concepts and Theories. Health care management review, 40(2), 99\u2013108. https:\/\/doi.org\/10.1097\/HMR.0000000000000026<\/p>\n","protected":false},"excerpt":{"rendered":"
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