James Carpenter is a 40-year-old Caucasian single father residing in
36a. In the table below, list indicators you may observe in a person who is subject to abuse. You must list at least three (3) indicators for each form of abuse. Type of abuse Indicators of abuse Physical Sexual Psychological Financial 36b. Scenario Billy is a quadriplegic and lives in residential care. He spent several days with bed sores on his buttocks. Due to his condition, he could not verbally communicate his levels of pain and symptoms, which included redness, rashes and broken skin. Billy should be fully examined for bedsores and other lesions every day. After four days, a new worker raised concerns to management; however, they decided it was best to wait until the next day to provide treatment. Explain what type of abuse occurred here and the signs and indicators of such abuse. Explain how the staff did not exercise their duty of care. 36c. Scenario Jaycee is 72 and lives in a residential care facility. She is in care due to a range of physical disabilities and illnesses that have left her husband and family unable to care for her. Her husband, her son (Kellan) and his wife often visit her, usually every weekend. They spend lots of time with her and clearly care deeply for her wellbeing. Jaycee loves their visits, and her spirits are always high when she knows it is the weekend and her family is coming. Jaycee has another son, Warwick, who visits her sporadically. He never stays long and rarely asks the care team about her health or how she is going. You can tell by Jaycee’s body language and the tension between the two that the relationship is strained. Jaycee does not discuss Warwick much, and you can see that she is relieved when he leaves. Jaycee’s husband passes away suddenly from a heart attack. Jaycee’s son and daughter-in-law are busy sorting out the family home, packing items, and supporting their children through the grief of losing a grandparent. Suddenly Warwick’s visits to his mother increase. He comes several times a week. Kellan mentions that he is concerned with Warwick’s sudden interest in his mother – there have been arguments over money since their father passed away. As one of Jaycee’s carers, he asks you to mention his concerns to the team as he has suspicions about Warwick’s true intentions. One day, you pass by Jaycee’s room and hear Warwick talking rapidly to Jaycee. You can tell by his tone of voice that he is being persuasive and pushy. You backtrack and enter the room to ask Jaycee if she would like a cup of tea or if she needs anything. She looks uncomfortable and says no, she is fine. Later that afternoon, Jaycee tells you that Warwick is trying to get her to transfer the family home to him rather than Kellan and his wife, who already have their own home. Jaycee does not want to do this, but he is being very forceful and says he will keep visiting her until she gives in. She is scared to tell Kellan because the family is going through so much now. Explain what type of abuse is occurring here and the signs and indicators of such abuse. As a carer, what would be your duty of care and would mandatory reporting be required? (Consider your own state or territory.) 36d. If you suspected a client was being abused, are you obligated to report it? Explain your answer. 37a. Outline what constitutes a restrictive practice. In your answer, name the five (5) types of identified restrictive practices. 37b. Name two (2) ways that restrictive practices may impact a person’s empowerment. 37c. Name two (2) ways restrictive practices may impact a person’s psychological and emotional wellbeing. 37d. Outline a physical risk related to the use of mechanical restrictive practices. 37e. Explain what the term ‘use of restrictive practices as a last resort’ means. 37f. What is an unauthorised restrictive practice? 37g. Outline two (2) examples where restrictive practices may be used if documented and approved within the client’s behaviour support plan. 37h. Scenario Dianne has dementia and has come into the residential service after a bad fall at home, resulting in a hip fracture and a long hospital admission with complications. She is frail, very weak and unsteady and has been advised to use a frame to walk. Dianne forgets about the frame, and whenever she wants to go to the bathroom, she gets up impulsively and tries to rush there unaided. She has had two near-miss falls in the service. The staff decide to sit her in a recliner chair to prevent her from walking unaided and falling. The chair is very comfortable, but she is unable to get out of it without assistance. This is a form of mechanical restraint as Dianne is being prevented from moving freely, even though the motivation is safety. It requires assessment, documentation and informed consent according to the principles and the relevant state and territory legislation. What proactive strategies/approaches could be used to eliminate the need to use this restrictive practice with Dianne? 37i. Dianne was noted to be incontinent in the recliner during periods of restraint. What additional support strategies could be used to assist Dianne? 37j. Outline, in your own words, the importance of restrictive practices only being used ethically and in line with regulation, legislation and the human rights framework. 37k. List two (2) Acts the providers of care must adhere to in your state or territory in regard to restrictive practices. Include in your response any Commonwealth legislation you must follow. 37l. List two (2) organisational policies and procedures a care service provider must have in place to guide their employees on using restricted practices within the facility. 37m. List two (2) documentation requirements that must be in place for the authorised use of restrictive practices with a client receiving care..
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