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Question Answered step-by-step Mrs Carla Lukos, 63 years old, lives at home with her husband. She has motor neurone disease and was diagnosed two years ago, and now requires assistance in her personal support needs. As a result of the disease, Carla has poor muscular control, particularly of the arms, and requires assistance when transferring, washing, toileting, dressing and grooming. She is able to weight bear for short periods, and uses an electric wheelchair as her main form of mobility. Her support workers use a sling hoist to help her into a shower/commode chair in the mornings.Part of her individualised care plan is below:AssessmentGoalInterventionEvaluation/ resultMaintain hygiene - Carla requires assistance due to arm weakness, mainly in left arm and handTo assist in hygiene needs such as body hygiene and mouth careBed sponge assist x 2 ISW, or shower as requestedAttend to oral hygiene after breakfast Mobilising - Carla has arm weakness. Minimal weight-bearing strength in both legs (short periods of time only)To safely transfer and mobilise, and reposition as required 2 x ISW for re-positioning in bed, or transfersUse sling hoist for transfersUse a slide sheet in the bed for re-positioning or transfersUse a transfer belt when transferring from standing to sitting or vice versaAssist with exercise and movement as per physio plan Communication - speech difficultyTo achieve optimal communicationSpeak to Carla as you would any other adult person - her mind is not affected by MND.Liaise with speech pathologist for strategiesUse humour and conversation for mental engagement, stimulation and distraction. Use a calm approach and reassure regularly Toileting - slight incontinence. Uses the bed pan or toilet Maintain dignity and respect for urinary and bowel eliminationApply continence padsOffer bed pan as requiredPlace Carla onto the commode chair for toileting as requiredMaintain skin integrity and hygiene after eliminationMaintain bowel chart Skin integrity Maintain optimal skin conditionCheck skin when bathing and toileting for any changes and reportProvide massage with emollient on pressure points/areas, and on areas of dry skinReport any indications of pressure injury Sensory - Carla wears glassesTo optimize Carla's visionApply cleaned glasses Food and fluids - Carla requires a soft diet, thickened fluidsProvide assistance to enable swallowing for nutrition and hydration needsMaintain healthy weight rangeEnsure Carla is sitting in a upright position before eating or drinkingPrepare meals and snacks for CarlaAssist Carla with eating and drinking   Using the table below, explain the role and responsibilities of each member of the support team when providing service and support for Carla. (Your answer for each category must be 20 - 50 words.)  Team memberRole and responsibilitiesRegistered Nurse Physiotherapist Speech pathologistSwallowing Assessment Occupational therapist  Health Science Science Nursing AGE CARE CHCCCS011 Share QuestionEmailCopy link Comments (0)
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