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Client Profile Multiple Sclerosis
Mrs. Duncan, 56 years old, has had multiple sclerosis for 6 years. She lives with her husband and adult daughter who are at work during the daytime.
As her Health Care Assistant, you are assigned to assist her with a daily shower, dressing, grooming, lunch preparation and meal support from 0900 to 1300 Monday to Friday.
Mrs. Duncan has dysphagia and requires a minced diet with thickened fluids. She uses special utensils and assistance to feed herself. She has a catheter attached to a drainage bag. Mrs. Duncan suffers from constipation and requires a suppository q2day.
She has weakened extremities and requires transferring using a SARA 3000 standing transfer aid. She uses an electric wheelchair to ambulate.
Describe 4 safety measures you would need to use when transferring Mrs. Duncan in and out of her wheelchair.
List 3 HCA care measures you would use to help prevent her constipation.
Describe 3 care measures you would use to assist Mrs. Duncan safely eating her lunch.
When providing her daily shower describe 3 observations you would be making related to her needs due to MS.
Go to the Victoria MS Society website. Describe 2 community resources which could assist Mrs. Duncan.
Client Profile Parkinson’s
Mr. Simon Lee is a 72, year old widower who has had Parkinson’s disease for 10 years. He lives alone in a senior apartment complex with his cat.
Mr. Lee uses a 4-wheeled walker to ambulate. His walking is quite slow and he shuffles his feet, finding it difficult to lift his legs. He often gets ‘stuck or freezes’ when walking and is unable to move forward without assistance.
He takes medications for his Parkinson’s in the morning and at bedtime which help with his hand tremors and body stiffness, but the medication takes about half an hour to begin to be effective.
Mr. Lee has dysphagia and tends to pocket food in his mouth and has difficulty eating due to his tremors.
He receives daily homecare support from 0700-1000 to assist him with medications, a shower, grooming and breakfast before he is picked up by a van to go to a Senior Day Program
Describe 4 safety measures you would use as an HCA when assisting Mr. Lee to ambulate around his apartment.
What types of meal assistance would you provide to Mr. Lee?
List 3 safety measures you would consider when assisting Mr. Lee with his shower.
List and describe four of the major signs and symptoms of Parkinson’s disease?
Go to the Victoria Parkinson’s Society website. Describe 2 community resources (other than his day program) which might be beneficial to Mr. Lee.
Client Profile CVA
Mr. Watts, age 76, has recently suffered a stroke that left him with right hemiplegia. Mr. Watts is aphasic and is able to use only one or two words and sounds such as “No” and “AHHH” to communicate. He becomes very frustrated when trying to communicate to family and staff at the long-term care facility where he now lives. He now uses a wheelchair to ambulate due to right-sided weakness but struggles with coordination and requires a one-person assist transfer.
He requires assistance with showering, dressing, and grooming. As the Health Care Assistant assigned to Mr. Watts, you are directed to encourage independence and assist him in learning to do things for himself.
Mr. Watts seems to have decreased senses of hearing and vision on his right side. He tends to bump into things when ambulating in his wheelchair and has difficulty hearing sounds in his right ear.
He has difficulty feeding himself and often leaves the right side of his plate full of food.
At times Mr. Watts will begin to cry for no reason which his family finds distressing.
How could you assist Mr. Watts to better communicate with family and staff?
Why does Mr. Watts have difficulty with his right–side vision, hearing, and coordination? What term is commonly used to describe this type of deficit? Describe 2 ways you could assist him with this need.
Mr. Watts had a hemorrhagic stroke, what does this mean? Which side of his brain was damaged?
Why might Mr. Watts cry for no reason? What term is used for this? How could you assist him when this happens?
Describe 3 specific HCA care measures, related to his stroke deficits, you would provide when assisting Mr. Watts with his shower, grooming and dressing.
Client Profile Diabetes
Mr. Sidney is 55 years old with diabetes and an amputation below the left knee which resulted from his Diabetes. He has been admitted to the hospital due to high blood sugar readings and a chest infection. He also has a yeast infection in his groin area.
He usually mobilizes in a wheelchair and uses a transfer board to transfer to and from bed, the toilet and bath seat. He requires cueing with these transfers. Mr. Sidney has been on bedrest for the past 4 days while he was receiving IV medications. He is looking forward to getting out of bed to have a shower and be up in his wheelchair.
As his Health Care Assistant, you have been directed to assist him in his daily morning care needs including bathing using a bath seat, grooming, dressing, and assisting with transferring into his wheelchair.
Describe 3 precautions you would consider when assisting Mr. Sidney with his shower and why.
Why is Mr. Sidney more likely to develop pressure sores than clients who do not have Diabetes?
What skin observations would you make during his bathing?
Mr. Sidney asks if you could cut the toenails on his right foot. How would you respond to his request and why?
You go to check on Mr. Sidney later in the afternoon before leaving your shift. He is slumped in his wheelchair complaining of nausea, a headache and feeling drowsy. What might be wrong with Mr. Sidney? What should you do?

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