Question

Case Study Mary-Jo is the support worker providing care support for Mrs Meadows in her home. Mary-Jo helps Mrs Meadows to shower, dress, do her hair and make-up, and be ready to get on the bus that picks her up for the day centre. Today when she is drying Mrs Meadows, Mary-Jo notices a large bruise on her back and another smaller one on her arm. When Mary-Jo asks Mrs Meadows how they got there, Mrs Meadows tells Mary-Jo she tripped on the path to her clothesline and fell. She says this happened yesterday and she still feels quite stiff and sore. Once Mrs Meadows is dry and dressed, Mary-Jo rings her supervisor to report Mrs Meadows’ injuries. The supervisor, Margaret, says she will contact Mrs Meadows’ doctor and also let the day centre coordinator know. Margaret asks Mary-Jo to go and look at the path to see what Mrs Meadows tripped over. Mary-Jo looks and sees that part of the path is cracked and has lifted. She can see large tree roots growing under the path. She returns to the phone and describes this to her supervisor.

Refer to case study answer the following question: Imagine you are Mary-Jo. Write a case note about this visit to Mrs Meadows. You may want create a note similar to the below:

Client’s name

Date

Worker’s name

Notes

Signature

Answer 1

To write a good case note we should follow the three steps format that are :-

Data

Assessment

Planning

Case note in the scenario :-

Clients name - Mrs Meadows

Date - 23/12/2019

Workers name - Mary Jo

Note :

I am a support worker of Mrs Meadow and pricide her support and assistance in her daily day to day activities and makes her ready for day center .

One day while drying and dressing her up i saw a large bruise on her back and her arm . On asking Meadow said that she got this while tripped on the path to her clothesline and fell. She says this happened yesterday and she still feels quite stiff and sore.

I informed about the same to the supervisor and she asked me to assess the path to see what Mrs Meadows tripped over. On assessment i saw that the part of the path is cracked and has lifted. There were large tree roots growing under the path and described the same to the supervisor and made decision to make the path comfortable for Mrs Meadow .

Signature - Jenny