case study (questions 17-24) Margaret is a 75-year-old woman living in an aged c
ID: 305924 • Letter: C
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case study (questions 17-24) Margaret is a 75-year-old woman living in an aged care facility for residents with low-care s. Margaret had polio as a young child and has one shortened leg requiring a built-up needs She also now has arthritis in her hands, back, hips and knees, which is making and balance difficult and painful. Margaret also has emphysema and via nasal tubes, medication via a nebuliser, tablets for her arthritis and she movement, transfers requires oxygen receives injections. Following is a list of supports outlined on Margaret's care plan. Washing: Margaret can sit on a shower chair and independently wash the top half of her body, including genital area. She requires assistance to wash feet, legs and hair. Margaret must be supervised and may need direction when stepping in and out of shower and transferring in and out of the shower chair. She needs full assistance with drying herself, as she becomes breathless. Dressing/undressing Margaret needs assistance with dressing and undressing as she has difficulty moving and becomes breathless with exertion. She must have a built-up shoe on her left foot. Grooming: Margaret likes to direct her own grooming and can do her make-up independently. She needs assistance with drying and styling her hair. Nail care: Margaret needs regular monitoring and treatment for ingrown toenails and corms. She takes care of her fingernails independently Oral hygiene: Margaret has upper dentures and requires assistance to clean these and to open lids of cleaning fluid and containers. Mobility: Margaret uses a four-wheeled walker at all times Transfer: Margaret requires direction to use handrails and chair arms, to transfer in and out of chairs. Toileting: Margaret can use the toilet independently but wears incontinence padding due to difficulty getting to the bathroom in time, which results occasional leakage. Eating and drinking: Margaret has all meals in the facility dining room. She requires modified large-handled cutlery due to arthritis in hands.Explanation / Answer
17. Margaret needs a four wheeled walker , arm chair to mobilize everytime and also have a built up show in left leg for personal support due to polio.
18. Risks for Margaret safety while using equipments and aids:-
- inability to balance
- age factor
- inability to bear the weight.
- no coordination between movements
- difficulty in breathing
- risk of fall
- electrical injuries
19a. Risk for support care workers safety are:-
-no proper knowledge of the functioning of equipment
- electrical injuries
19b.-Proper usage of equipment
- knowledge of how to function theses equipments.
-proper supply of light ,non slippery floor, equipment needed are kept close to patient use of alarm etc.
20. Duty of care the support worker has to Margaret are:-
- Help her to wash her hair, feets and legs.
- Assisting her in stepping in and out of shower and shower chair.
- Helping her to become dry.
- Helps in assisting in styling her hair, cleaning her upper dentures , opening the lid of cleaning fluid
- Supervises and provides direction to how to use handrails and arm chairs , helping in transfer in and out of arm chair.
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