Case Scenario 2 Bill and Doug have been mates for more than thirty years and are in their early s. Question
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Case Scenario 2
Bill and Doug have been mates for more than thirty years and are in their early seventies. They regularly get together every fortnight for a yarn and a feed. Bill’s wife Geraldine passed away five years ago. Since his wife’s passing Bill has lived mainly with his daughter and, at times, his niece’s place.
Oneday Bill asks his niece Kayla to drive him to Doug’s house. She hasn’t been there before and Bill gives her directions. “Just drive down Flinders Street and turn left at the end.” His directions seem to take them every which way and at one-point Bill gets a bit stroppy,” Just go the way I’m telling ya!” he says. Eventually they get to Doug’s street and Kayla recognises his old car.
Inside the house, Kayla and Maxine, Doug’s wife, start cutting up potatoes, cabbage and carrots for the meal. Maxine starts talking about old times. Meanwhile Doug and Bill play cards like they always do. Doug wins the first few hands easily and notices Bill is throwing out useful cards. “You should’ve hung onto that one, Bill,” states Doug. Bill loses his temper and yells, “Don’t tell me how to play! “I know more about cards than you ever will.” Doug is a bit surprised by Bill’s show of temper. “Steady on mate, it’s only a game.”
Over dinner the conversation is easy and full of stories and laughter as some of the day’s earlier agitations are forgotten. “How come we took so long to get here today?” asks Bill. Kayla answers “Because you forgot which street was the right one. Your memory ain’t as good as it used to be Uncle Bill.” On the way back, Bill says “How come it took us so long to get here today?” Kayla replies, “Uncle Bill, remember, I told you why it took us so long, “cos you forgot the way!”
Read case scenario 1 and provide a response to the following questions (Q6 – 9)
How many signs and symptoms of dementia can you identify in this story of two old friends?
What information family and carer can provide to help support worker meet client’s need? (Min 50 words)
What strategies can Kayla use to minimize Bill’s behaviors of concern and it’s impact on her family? List at least three support service available for carer like Kyle.
“Bill forget where he left his glasses and he is getting agitated not finding them. This morning at 7:00 When support worker tries to assist him with personal care, he shows angry outburst. He starts shouting at support worker, “Go away, I don’t need your help”, refuses the care and begin to kick things around.”
What are the behavior of concerns in this scenario? What do you think was trigger? How can support worker de-escalate this situation and ensure own safety? Min 100 words.
b) Who will you report this incident to and how?
Think you are a support worker in the case scenario above. Write the progress note describing the incident using clear and objective language. You must follow standard documentation requirement while completing progress note.
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Case Scenario 2 Bill and Doug have been mates for more than thirty years and are in their early s
