SOLVED18

Chandra is a 75-year-old woman who has mild disorganised schizophrenia, asthma and obesity. She has had declining mental health and behaviours that are of increasing concern to her family in recent months. She had been attending a day program several times a week at Banksia Care but her family has been struggling to cope due to her aggression and unbalanced mental health and decided to move her into the Banksia’s Aged Care Residential Service in an assisted living unit. You are a personal care worker for Banksia Care and you have been assigned to support Chandra where she requires it. You have seen in her Individual Care Plan and Individual Action Plan that she has multiple chronic conditions that interconnect.Name Chandra Wickramasinghe D.O.B 18/02/XXXX Partner/spouse Next of Kin Ruwan Wickramasinghe (brother) Location or address Banksia Care Medicare or DVA number QSM36748XX Doctors name Dr. Maalik Ahmadi Doctors contact number (03) 9XXX XXXX Date ICP developed 03/02/20XX Date of next review 03/02/20XX People involved Chandra Wickramasinghe (client), Deb Sinclair (Care Coordinator), Hannah Pearce (Personal Care Worker), Hamish Matao (Kitchen), Benjamin Hartley (Lifestyle), Saskia Mitchell (Education), Jonathan Hunter (Physiotherapy) Background information of client Chandra has mild disorganised schizophrenia, asthma, and is obese. Over time she experienced declining mental health and increasing behaviours of concern that her siblings found difficult to manage after their parents died. She attended a day program several times a week and was cared for by her siblings. Over time, her siblings haven’t been able to cope due to her aggression and unbalanced mental health. Care alerts Physical Violence, Asthma, signs of depression Communication Preferred name Chandra Language spoke English, Sinhalese Speech disorders N/A Comprehension Full comprehension Specialist/doctor N/A Contact Comments Vision Sight 20/20 vision Glasses N/A Diseases/infections N/A Aids (sticks/dogs) N/A Specialist/doctor Contact Comments Hearing Aids N/A Ear care N/A Diseases/infections N/A Specialist/doctor Contact Comments Mobility Ambulation Fully ambulant but due to obesity needs rest after five minutes of continuous exercise. Transfers N/A Aids N/A Prosthetics N/A Specialist/doctor Contact Comments Toileting Regime ☒ Independent ☐ Supervise ☐ Some assistance/remind ☐ Fully assist ☐ Clean perianal area Bladder (control and management) ☒ Continent ☐ Incontinent ☐ Catheter ☐ Encourage and remind to drink water/fluids and check at all mealtimes Bowel (control and management) ☒ Continent ☐ Incontinent ☐ Constipation ☐ Colostomy ☐ High fibre diet ☐ Aperients ☐ Bowel Chart Continence aids ☐ Day only ☐ Night only ☐ Both Toileting aids ☐ Commode ☐ Urinal ☐ Uridome ☐ Bed pan ☒ Over toilet frame ☐ Kylie Specialist/doctor N/A Contact N/A Comments Personal Care (Showering, dressing, grooming) Showering regime ☒ Independent ☐ Supervise ☒ Some assistance/remind ☐ Fully assist ☐ Bed wash only Transfer Showering aids ☐ Shower chair ☐ Relies on grab rails Toiletries ☒ Normal soap ☐ Low irritant products only ☐ Cetaphil/QV/Aqueous/Aveeno/ONLY ☐ Shampoo/conditioner – Type: any ☐ Deodorant – Type: any ☐ Moisturiser – Type: any Dressing assistance ☐ All ☐ Buttons ☐ Bra ☐ Socks/shoes ☐ Trousers ☐ Zips ☐ Makeup ☐ Accessories ☐ Selection of clothing Cultural requirements N/A Comments Sleep and Rest Care Usual time to bed 10:30 p.m. Usual time to wake 7 a.m. Rest time Aids ☐ Comforter ☒ Music ☐ Massage ☐ Night light ☐ Door open ☐ Door Closed ☐ TV on Nighttime checks ☐ Hourly ☐ Two hourly ☒ Once ☐ Other Nighttime pattern Comments Skin Care Norton scale ☐ Low Risk (score >18) ☐ Medium Risk ☐ High Risk (between 14 and 10) ☐ Very High Risk (score<10) Daily care Product Pressure aids ☐ Sheepskin ☐ Cushion ☐ Cradle ☐ Special Mattress Pressure area regime ☐ Reposition in bed ☐ Reposition in chair ☐ Personal chair. SCIENCE HEALTH SCIENCE NURSING

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