Question No. 4 (40 points) Attached the completed ICF form

case study: Ms. Sarah Williams, a 65-year-old woman, presents with a history of mesothelioma, leading to chronic respiratory compromise. Sarah resides at home alone, in the Adelaide suburb of Marion, South Australia. Sarah’s partner of 30 years, Jane, died 6 months ago. Jane provided some care for Sarah and managed all the household financial business. Since Jane’s death, Sarah has found it increasingly difficult to maintain her ADL’s, particularly showering, housework, gardening, cooking, and shopping. Over the past 12 months Sarah has also found her weight has increased significantly (15kg weight gain) and at her last visit, the GP indicated that there were indications in her blood examinations that her HBA1C was elevated. Sarah also experiences breathlessness, particularly on exertion, requiring occasional supplementary oxygen therapy. Her medications include a combination of bronchodilators, corticosteroids, and analgesics to alleviate respiratory symptoms and manage the pain associated with mesothelioma. Sarah uses a walking frame around the house and an electric scooter to drive to the local shops for food and other shopping. She has expressed reluctance to attend any appointments at the GP or other healthcare practitioners as she finds getting in and out of a taxi difficult, and now that Jane is not with her, she has no one to accompany her if she needs assistance, for example to use public toilet facilities. Sarah also reports feeling very sad about the recent changes in her life and prefers to stay at home and not visit any of her friends as it is ‘just too hard’. The GP has recommended that Sarah apply for funding for a Home Support package however Sarah is not sure she will be able to do this; she has no land line, mobile phone, or home internet. Sarah’s financial situation: she receives an Australian Aged Care Pension, owns her home but has minimal savings in the bank. Sarah has stated the following person-centred care needs: • Wants to remain living at home. • Would like support to assist her with ADL’s but the person must be a female. • Would like someone to go with her to appointments and to do some of the bigger shopping. • Explore options she can use – other than a taxi, so she can go out. Sarah has heard of Access cabs but is not sure how to organise one or if she is able to have her transport subsidised. • Is aware her sadness/grief is impacting her significantly and would like to see if there are any services that she can access to be able to work through some of her feelings. This criterion is linked to a learning outcome Task 1: Discuss how the concept of ‘social isolation’ may be a barrier to Sarah accessing appropriate person-centred care, and how this can potentially lead to hospitalisation. Provide Comprehensive, insightful rationales when discussing the concept of social isolation as a barrier to the case study person Comprehensive range of examples and evidence to support the discussion Makes comprehensive and insightful links to how the barrier can lead to hospitalisation. Maintains patient-centred focus all of the time. No unclear aspects provide references

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