Section A 1. Demographic client information 2. Describe thei

Section A 1. Demographic client information 2. Describe their… Section A1. Demographic client information 2. Describe their lifestyle and background3. Explain the person’s chronic illness situation.4. Explain the impacts of this illness or condition. This includes – physical, social, emotional, psychological and 5. financial impacts)6. Describe the person’s current treatment7. Describe how the client is involved in decisions about their treatment and self-management of their disease.Section B:1. What needs were identified?2. Describe members of the support team. What were their responsibilities?3. What type of required assistance and support was determined?4. Self-management strategies 5. Explain the communication strategy used6. Describe any issues that were identified and how these issues were addressed7. Describe any referrals madeSection C:1. Describe how programs and services were coordinated 2. What was the overall contribution of the team and the effect? Include internal and ex ervices/agencies as well as family and other carers.3. Explain the reporting requirements 4. Describe any modifications to the service approach5. Describe any referrals made CASE STUDY:Name: Mr Brian Morrow 18/12/1945Client 2 Case StudyAddress: 14 Phillips Drive, Fremantle 6160 BackgroundMr Morrow is an elderly gentleman who was born in England in 1945. He is the oldest of three children. Mr Morrow’s family moved to Australia when he was seven where his father worked for the Anglican Church. The family moved around Australia and lived in various country towns depending on where Mr Morrow Senior’s work took them. The family eventually settled in Perth where Mr Morrow went to an Anglican School until he completed Year 12. Mr Morrow married Helen when he was in his 40’s and they have no children. Besides his two brothers, Mr Morrow’s closest relatives are his nephews and niece and their children.Mr Morrow started work as a civil servant before moving into the banking industry where he worked until he retired at the age of 60. He likes to spend his spare time playing golf and a few years ago bought himself a ride-on golf buggy. He likes going out for dinner and shows with his wife. He is also an AFL and cricket fan and goes to games when he can. At home, Mr Morrow likes to garden, watch football and cricket, do the crosswords and reads newspapers and books.Although Mr Morrow and his wife both identify as Anglican, neither of them go to church or practice their religion. Mrs Morrow is eight years younger than her husband and still works part time as a receptionist. Mr Morrow is a self-funded retiree although he does receive a small part pension. Health HistoryMr Morrow’s mother passed away from cancer in her 60’s and his father died from a stroke at the age of 90 years of age. His youngest brother had bypass surgery after a heart attack three years ago. Mr Morrow used to smoke cigarettes but gave up in 1986 after he was married. He experimented with marijuana in the 1970’s but didn’t develop a habit. He drinks beer when he is socialising, and he and his wife have a glass of wine with dinner every night.Mr Morrow is overweight and has a history of high blood pressure and high cholesterol. He takes. medication for both conditions but does not have regular medical check-ups or blood tests and doesn’t check his blood pressure at home. Mr Morrow does no exercise other than golf once per week and gardening..4 months ago, Mr Morrow collapsed at home. He was rushed to hospital where he was diagnosed as having a stroke. Investigations showed that Mr Morrow had blood clot on the right side of his brain. Medical intervention was able to dissolve the clot, but Mr Morrow was left with a weak left leg, minimal use of his left arm and slurred speech. He also had swallowing difficulties and blurred vision.Mr Morrow spent a month in a rehabilitation ward relearning to walk, use his left arm, talk and swallow. A team of physiotherapists, occupational therapists and speech therapists helped him to regain much of his function. Whilst in hospital he was diagnosed with atrial fibrillation (AF), a major course of clot formation in the body. The doctors were concerned that Mr Morrow was at a high risk of having another stroke due to having AF, high blood pressure and high cholesterol. They adjusted his current medication to give better control over his blood pressure and cholesterol and started him on a blood thinning medication to reduce further clots from forming.Mr Morrow’s condition improved and he was able to walk using a quad stick in his right hand. His balance, however, was poor and he had a high risk of falls. The use of his left arm improved but he still couldn’t use his left hand to do anything. And while his swallowing ability and vision returned to normal, his speech was still slurred due to a condition called dysarthria and he had difficulty pronouncing his words. He also noticed that he suffered from mood swings and would get angry or upset for no apparent reason.The multidisciplinary team at the hospital discussed discharge options with Mr Morrow and his wife and they decided to have a Home Care Package to support them at home. An occupational therapist visited their house and organised for rails to be put in the bathroom and toilet and provided the Morrow’s with a shower chair and a urine bottle for Mr Morrow to use at night time. The occupational therapist also did a safety check of the house and advised Mrs Morrow to remove clutter and rugs that may become a trip hazard.The social worker completed the approvals for a home care package and residential respite. He advised Mr and Mrs Morrow that because it may be some time before they are given the funding for the home care package, they would be given Community Transitional Care to support them in the meantime. Mr Morrow would continue to receive rehabilitation services at home. He also gave them information on a Personal alarm pendant.At home Mr Morrow required help with showering, dressing, setting up with shaving and mouth care. He needed assistance to go to the toilet as he couldn’t undo his clothes beforehand or redress himself afterwards. He needed assistance to cut up his food and to carry a cup. He. couldn’t take the lids off containers or make any food. He couldn’t help his wife with any domestic duties and was afraid to go out in the garden in case he fell.Mr Morrow could no longer drive or play golf and felt embarrassed to go out because of his speech. He also worried what he would do if he needed to go to the toilet while he was out and he no longer wanted to go to restaurants or socialise because eating was difficult. He had been advised not to drink because of he was on blood thinning medication and it would increase his falls risk. Mr Morrow felt tired, anxious and depressed.Mrs Morrow was worried that she would not be able to provide the care that her husband needed. She no longer felt like a wife and didn’t know the best way to provide help. Mr Morrow often became upset and accused her of fussing. She worried about what would happen when she went back to work. Mrs Morrow considered resigning but felt she needed to have something else to do and the income would be necessary as the Home Care Package was expensive. Mr Morrow” family had offered to help and her sister in law was doing their shopping and providing some meals, but Mr Morrow didn’t want to accept their help.Transitional care services started on the day after discharge. The carer aided Mr Morrow with showering, grooming and dressing seven days a week in the morning. The Rehabilitation co ordinator visited the Morrows at home. She discussed with Mr Morrow what goals he had for his recovery process. Mr Morrow’s initial goals were to be able to speak clearly and to improve the function of his left hand so that he could feed and dress himself. His other goals were to improve his balance and increase his stamina. His long-term goals were to return to playing golf and driving if possible. The co-ordinator asked Mr Morrow about his mood and recommended he see a counsellor which she could organise.A physiotherapist assessed Mr Morrow at home and organised an exercise program to increase balance and stamina which he would do at home with a therapy assistant. An occupational therapist worked with Mr Morrow once per week to show him how to dress one handed and provided kitchen aids that allowed him to open containers and make simple foods. A speech therapist also visited Mr Morrow once per week to do exercises to improve his speech and left h exercises to do with the therapy assistant and Mr Morrow’s wife. He visited a psychologist once per fortnight. OutcomeInitially, Mr Morrow was too exhausted and depressed to do anything but his rehabilitation, but with the help of the psychologist and his G.P., who started him on antidepressants, his mood gradually improved, and he became more motivated. The psychologist suggested that Mrs Morrow come to one of the sessions and they discussed how Mrs Morrow could return to work without worrying about leaving Mr Morrow at home on his own. They also discussed accepting help from family and friends.Three months after leaving hospital, Mr Morrow still walks with a stick but doesn’t get so tired his balance is better. His nephew comes over once a week to help with the gardening and Mr Morrow feels safe enough to go outside with him. His nephew has installed some raised garder beds so Mr Morrow can grow his herbs and vegetables without having to bend down. He is als able to go out to the letter box to collect his mail.Mr Morrow still has minimal use of his hand but he has learned to use modified cutlery and pla so he can cut up his own food and eat one handed. He uses home aids to do up buttons and zi and he has modified his wardrobe, so he has easy to wear clothing and shoes. He no longer ne to use the urine bottle at night as he can get to the bathroom in time. Mr Morrow’s speech ha improved as well. He is now understandable if he speaks slowly but he starts to slur his words when he is tired or upset.The G.P. sees Mr Morrow every month and gets him to monitor his blood pressure at home. The G.P. has also referred him to the dietician at the Community Rehabilitation Outpatients at the local hospital where Mr Morrow now goes for his physiotherapy, speech and occupational therapy. The G.P. hopes to help Mr Morrow reduce his cholesterol by managing his diet better.The Transitional Care services were replaced by a Home Care Package (HCP). The Care Co ordinator for the HCP organised for Mr Merrow to have help with showering seven days per week and in-home respite on a Wednesday so Mrs Merrow can go to work. Mrs Merrow returned to work two mornings a week. On the second morning Mr Merrow’s brother comes to visit and spends the morning with him. Mr Merrow plans to ask his brother to take him to the golf course so he can try to take a few swings on the driving range.Health Science Science Nursing MED 101

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