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Paul is a support worker and provides

Paul is a support worker and provides three hours of in-home respite care for Max, three times per week. Max is 79 years of age and has advanced vascular dementia. He lives with his wife Lucy, who uses this time for respite relief to do her own thing. Paul has been providing support for the couple for about 12 months and has built up a good rapport with them – he knows their likes and dislikes, and the routine that Max is comfortable with. Today Paul enters the house and greets Max and Lucy. Max is withdrawn in another room, pacing and mumbling, and Lucy looks sad and exhausted. She angrily says she won’t be going out today. Paul is concerned and asks Lucy “Is anything wrong?” Lucy then tells Paul about the incident this morning; Max’s usual personal care worker was away today, and a new personal care worker, Sue, had arrived to assist with Max’s personal hygiene needs, and it didn’t go well. Lucy usually likes to help shower Max because he has some aggressive behaviours as a result of his dementia and if Lucy does things just the right way, Max relaxes through the process. However, Sue came in and abruptly told Lucy to go and relax and she would shower Max. It started out well but then Max started to call out and became increasingly agitated, and Sue did not know what to do. By the time Lucy came into the bathroom Max had hit Sue a couple of times and Sue was very upset. Max has remained in an agitated state ever since, and Lucy has not been able to calm him. Lucy is stressed and exhausted and does not want to go out and leave Max. Paul suggests to Lucy: “I am so sorry that happened Lucy. You have had a very upsetting morning. What can we do to help settle Max and help you relax?” Lucy is relieved that Paul understands the situation and wants to help. She says to him: “I am so glad you came today and I could talk about this. Max loves spending time with you and I think we should have a quieter morning in the garden area with a nice cup of tea; that would calm him a lot.” It has been acknowledged that carers and family members are an integral part of the care team and should be included in design and delivery of support services. Provide two (2) examples of how Paul can acknowledge the important role Lucy has in caring for Max, and include her in the support routine. Provide an example from the case study of how the inclusion of Lucy’s skills and knowledge was vital in meeting Max’s needs.

 
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