Question

 1. Cognitive impairment can disrupt the person's ability to participate in their ADL's. Lint three examples of specific difficulties with ADL's that could arise, and then provide one action the PSW could implernent to support and assist the client to promote autonory and dignity with the task. (6 marks)

 i)

 ADL task:

 PSW support:

 ii)

 ADL task:

 PSW support:

 iii)

 ADL task:

 PSW support:

 2. Mr. Heron is a 78-year-old client of the agency you are employed with. He lives in a retirement home but is supported by your agency two mornings each week. He has been a client of yours for a month. Mr. Heron's forgetfulness is progressing slowly, but he remains a person with precise ideas and preferences regarding how things should be done. Mr. Heron's occupation was a high school principal. He held that position for over thirty years. He is married and has two adult children and five grandchildren.

 Three times in the last two weeks when you have visited Mr. Heron you have found him hovering near the elevator in his building. He has appeared slightly agitated and has not been fully dressed. Today you find him in the same location wearing a suit jacket with no shirt underneath, and he seems particularly upset. He says to you, "The train is leaving and l've got to be on it or I will be late for school."

 a. How might Mr. Heron's personality and past experiences influence the behaviour you witness today? (2 marks)

Answer 1

ANS. 1. i. Activities of daily life (ADL) task - Bathing

Personal support worker (PSW) support - maintain the safety and privacy of the person to make him feel comfortable.

ii. ADL Task - Eating

PSW support - make sure that the client is enjoying their food and if in case they have a problem in swallowing solid foods then mashing and pureeing of foods can also be done. serve them soft foods like oatmeal, steamed veggies, etc.

iii. ADL Task - Dressing

PSW support - plan enough time for dressing. do not hurry as it will make the patient frustrating. keep the clothes organized and simple.