Question

Mrs. Gregg is a 55 year old, widow who has had an active career as a lawyer. she is an avid reader. she is an independent woman who has had to adapt to many changes in her life. she enjoys crafts and sings in the choir at her church. she has an adult son and daughter, and 2 grandchildren who visit her frequently. she LIVES in her own home, a small bungalow in the city. you are assigned to give care and support to Mrs Gregg, who had a stroke 2 weeks ago. she is paralyzed on the left side and has difficulty speaking. she is able to hear well and can understand when you speak to her. the long term goals for her care include regaining mobility, speech, being as independent as possible, preventing complications such as contracture and pressure sores.

question:

In the following problem explain briefly the feeling expressed by the client and the actions of the personal support worker to take.

situation 1
Mrs. Gregg continually uses her knife to eat with and generally unable to choose the correct utensils and unable to cut her meat. she has difficulty getting food to her mouth. she resists help. One day she threw her plate across the room.

situation 2:
Mrs. Gregg has expressed a desire to read, but she is unable to understand the text in her old books. she asks you to help her practice words. she says that she has trouble passing the time and that she expects to return to work in several weeks.

situation 3
One day when you approach Mrs. Gregg, she is crying and says she doesn't want to get up. she says, "none of this should have happened to me. what did I do to deserve this?

situation 4:
Mrs. Gregg insists on getting up by herself and moving independently from her chair to the bathroom. she uses a Walker. occasionally she falls. she is a private person and does not want you to attend her in the bathroom.

4. using the above information, describe how the following factors might affect Mrs. Gregg relearning of speech and mobility. Use case study information to help answer questions
A. Age

b. individual characteristics: Personality

c. environment

5. describe 5 ways in which the PSW can promote Mrs. Gregg self esteem and motivation during her daily routines

6. define restorative care and what role it would play in helping with Mrs. Gregg's rehabilitation.   how could the PSW assists with this process?

Answer 1

Situation 1.

Here mrs Gregg is expressing frustration.Becuses she is unable to cut her mead and is having difficulty in getting food into her mouth.As said above she is an independent women by this condition to depend upon others and to not have the ability to do normal things is frustrating the patient.

The support worker should consider her mentality to be independent the help should be done without making it obvious for example the food pieced should be cut in eatable pieces before placing before her or prepare foods which does not need cutting.

2)Mrs Gregg is expressing hope and boredom.

She is saying that she wants to return to her work in weeks and she is passing the time by studying.

The support worker should help her to practice the words and should work towards her speech.

3)she is using contradictory statement.By saying that she didn't deserve what happened to hers nd also asking what she did that resulted in her condition.She is showing hopelessness.

The support worker should ecpaone to her that her condition not occurred because she did or didn't do something.It is commonly​seen among people.And should make her to feel hopefull and try her to work towards improving her mobility.

4)She is being shy and what to be independent.

The support worker should explain to her that accepting help from others when she can't be able to do it herself does not mean that is deoendind on others.And explain to her if she falls and attain injuries than her condition may distort.And she would need more physical therapy.

And encourage her to continue her mobility with the help of the provider.

5)A she is 55 years old her age may affect t her ability to attain sppecha nd mobility.Out of the two mobility may be difficult because her body may not be able to coperate with her as it will for patients who are younger.

Her personality may affect her mobility because she is not willing to take the help of the support worker but she is asking to improve her ability to read and work so her speech will attained.

If a person is in stimulating environment then they will have high chance of improving their conditions.As said above mrs.gregg is often visited by her children and grandchildren.By taking her to peacefull and stimulating places her condition may improve.

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