Mrs. Gregg is a 55 year old, widow who has had an active career as a…
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Question “Mrs. Gregg is a 55 year old, widow who has had an active career as a…”
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
Situation 1.
Here is Mrs Gregg expressing frustration.
Support workers should not assume that the client is unable to think for herself. They should help the client but not make it obvious. For example, the support worker should cut the food into bite-sized pieces before she places it before the client or prepare other foods that don’t require cutting.
2) Mrs. Gregg expresses hope and boredom.
She says she would like to be back at work in a few weeks, and that she is studying to pass the time.
The support worker should assist her in practicing the words and work towards her speech.
She is showing hopelessness.
The support worker should explain to her that her condition did not occur because she did something or not do something. It should also encourage her to be hopeful and help her work towards mobility.
4)She is shy and wants to be independent.
The support worker should explain that she is not responsible for accepting help from others if she is unable to do it herself. Also, explain that if she falls or sustains injuries, she may need additional physical therapy.
Encourage her to keep moving with the support of the provider.
5) She is 55 years old and her mobility may be limited. Her body may not be capable of supporting her like it can for younger patients.
She may be unable to accept the assistance of the support worker because her personality could affect her mobility. However, she wants to improve her reading and writing skills so that she can speak clearly.
A person’s condition can be improved if they are in a stimulating environment.
6
Conclusion
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