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               Home Care Clinical Assignment 2

 

Scenario:

 

You work in rural home care. You have been assigned to care forMrs. Duncan, age 96, who has a number of chronicconditions such as diabetes, dementia,and congestive heart failure. Mrs. Duncan fell a week ago and fractured her right hip. Mrs. Duncanhas returned home after having hip replacement surgery. She has a drain on the right side which is covered by a dressing and changed daily by the home care nurse.

 

Questions specificfor above scenario:

 

What possible complications may be relevant to the care of Mrs. Duncan? Pleaseremember to considerher diagnosis. List at least 7 concerns.

                                

 

 

 

 

 

 

 The CCA is required to provide AM care for Mrs. Duncan. Answer the following questions:

 

 

What does “AMcare” include for Mrs. Duncan? 

 

 

What information does the CCA need before they start working with a client such as Mrs. Duncan?

 

 

What safety measures must be considered for Mrs. Duncan and the CCA?

                                

                                

What adaptations might a CCA need to make in the home care setting?

 

 

What special meal considerations are needed for Mrs. Duncan?

 

 

 

What can the CCA do to  increase Mrs. Duncan’s fluid intake? 

 

 

End of Scenario
 

What shouldthe CCA do in the following home care situations:

       (Pleaseinclude when they should notifytheir supervisor) 

 

 

Incident Report (Details) Time of reporting Why (Reason: re incident and the timing of your report)

client is laying on the floor beside their bed when the CCA arrives.

 

   

A clientis experiencing    shortness of breath and chest pain.

 

   

A clientis confused and the CCA notices medication spilled on the table.

 

   

The CCA discovers a red mark on the client’s forearm.

 

   

 

 

 

 

The CCA is asked to perform generalcleaning in a client’s home.

 

What does “general cleaning” include? 

 

 

 

 

 

How should the tasksbe carried out? (include order of completion why)

 

Number

Task

Rationale

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In your role as a CCA, a client in home care swears at you and tells you thatyou do not know anything, you are dumb and ugly. How would you respond? What would you do?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 What might a CCA observeif their clientis being abused?

 

Demeanor

Behaviour

Their Communications 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING

 

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