Aditya is a 78-year-old Fijian woman with diabetes and arthritis who has recently been admitted to an aged care facility because she has been

Table of Contents

QUESTION

Read the following case study and answer the questions.

Aditya is a 78-year-old Fijian woman with diabetes and arthritis who has recently been admitted to an aged care facility because she has been living alone for several years and is now unable to adequately care for herself. Aditya has no family in Australia, but she has an intimate relationship with a male friend who visits her twice a week and she has three female friends she used to play cards with every Saturday. Aditya enjoys going to the movies.

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You are Aditya’s support worker.

1.How you could support Aditya to engage with a relevant social network and the wider community

2.What could you do to support Aditya’s physical health?

3.How might you support Aditya’s emotional and psychological wellbeing?

4.How could you support Aditya to create a environment suitable to her needs and preferences?

5.Describe how you might recognize and accommodate Aditya’s expressions of identity and sexuality. ?

6.What workplace documentation might you need to complete while working with Aditya?

ANSWER

 

To support Aditya in engaging with a relevant social network and the wider community, several strategies can be implemented. Firstly, it is important to assess Aditya’s existing social connections and identify any potential gaps. In this case, Aditya already has a male friend who visits her twice a week and three female friends with whom she used to play cards. Encouraging and facilitating these existing relationships is crucial to maintain social interaction and reduce feelings of isolation.

As Aditya enjoys going to the movies, arranging regular outings to the cinema could help her connect with the wider community. This could involve coordinating transportation to and from the facility, ensuring Aditya’s mobility needs are met, and assisting her with ticket bookings and other logistics.

Introducing Aditya to local community groups or clubs that align with her interests, such as senior citizens’ groups or arthritis support groups, can provide her with new social opportunities. These groups often organize activities, outings, and educational sessions that cater to the needs and interests of older individuals, fostering a sense of belonging and engagement.

Utilizing technology can expand Aditya’s social network. Teaching her how to use social media platforms or video chat applications can enable her to connect with family and friends in Fiji, bridging the geographical gap. This can also open doors to online communities and support groups specifically tailored to individuals with diabetes and arthritis.

Supporting Aditya’s physical health involves a holistic approach that addresses her specific conditions and overall well-being. Firstly, it is crucial to ensure Aditya’s diabetes is managed effectively (Juanamasta et al., 2021). This involves monitoring her blood glucose levels, assisting with medication management, and coordinating with healthcare professionals, such as dietitians, to develop a suitable meal plan that aligns with her dietary restrictions.

Regular physical activity is essential for managing arthritis and promoting overall physical health. Encouraging Aditya to engage in gentle exercises, such as stretching, walking, or water-based activities, can help alleviate joint pain and stiffness. Collaborating with a physiotherapist or occupational therapist can provide tailored exercise programs and assistive devices, like walking aids or splints, to enhance Aditya’s mobility and independence.

Furthermore, ensuring Aditya’s living environment supports her physical health is crucial. Making necessary modifications, such as installing grab bars in the bathroom or providing a comfortable and supportive mattress, can enhance her safety and reduce the risk of falls or injuries.

Supporting Aditya’s emotional and psychological well-being involves creating a nurturing and supportive environment. Developing a person-centered care plan that considers Aditya’s preferences, interests, and cultural background is vital. Taking the time to engage in meaningful conversations and actively listening to Aditya’s thoughts and concerns can help her feel valued and understood.

Encouraging her to participate in activities that bring joy and fulfillment, such as art classes, music therapy, or reminiscence therapy, can help promote positive emotions and reduce feelings of loneliness or depression (Art Therapy, Dance Therapy, Music Therapy, and Imagery –  Health Encyclopedia – University of Rochester Medical Center, n.d.). Incorporating relaxation techniques, such as meditation or breathing exercises, can also support Aditya in managing stress and anxiety.

Moreover, fostering a sense of purpose and autonomy is important for Aditya’s emotional well-being. Involving her in decision-making processes regarding her care and daily routine, such as choosing her preferred meal options or participating in recreational activities, can empower her and enhance her sense of control.

Additionally, facilitating regular social interactions with her friends and the wider community, as discussed earlier, can contribute to Aditya’s emotional well-being by reducing feelings of social isolation and promoting a sense of belonging.

To support Aditya in creating an environment suitable to her needs and preferences, it is essential to involve her in the decision-making process regarding her living space. Conducting a thorough assessment of her needs and preferences, including her cultural background, can help determine the necessary modifications or adjustments required.

Ensuring the physical environment is accessible and safe is crucial (Cho et al., 2016). This can involve removing potential hazards, such as loose rugs or clutter, and installing appropriate lighting and handrails. Adapting the living space to accommodate any mobility aids, such as wheelchair ramps or widened doorways, can also enhance Aditya’s independence and mobility.

Incorporating elements that align with Aditya’s cultural background, such as displaying traditional artwork or playing music from Fiji, can help create a familiar and comforting atmosphere. Considering her preferences in terms of room temperature, lighting, and décor can further personalize her environment and contribute to her overall well-being.

Regularly reviewing and reassessing Aditya’s needs and preferences is essential as they may evolve over time. Engaging in open communication with her and actively seeking her feedback regarding the environment and any necessary adjustments can ensure her needs are consistently met.

Recognizing and accommodating Aditya’s expressions of identity and sexuality involves fostering a culture of inclusivity, respect, and dignity. Firstly, it is crucial to understand that sexuality and intimacy are normal aspects of human life that should be acknowledged and respected regardless of age (Roelofs et al., 2019). Educating the staff and caregivers about these principles is important to create a supportive environment.

Respecting Aditya’s privacy and autonomy is essential. Conversations regarding her preferences, boundaries, and any concerns related to her intimate relationship should be conducted in a sensitive and confidential manner. Aditya should be provided with the necessary information and support to make informed decisions regarding her sexual health and relationships.

Additionally, facilitating an open and non-judgmental communication channel with Aditya allows her to express any concerns or questions related to her identity or sexuality. Providing access to relevant resources or professionals, such as sexual health educators or counselors, can further support her in navigating these aspects of her life.

While working with Aditya, several workplace documents may need to be completed to ensure proper care and documentation. Some of these documents may include:

Care plan: This document outlines Aditya’s individualized care needs, preferences, and goals. It serves as a roadmap for providing personalized care and ensures all staff members are aware of the specific support required.

Medication records: These documents track Aditya’s medication regimen, including dosage, frequency, and any special instructions. Accurate and up-to-date records are crucial for medication management and coordination with healthcare professionals.

Incident reports: In the event of any accidents, falls, or incidents involving Aditya, incident reports need to be completed. These reports detail the circumstances, actions taken, and any follow-up required to ensure the safety and well-being of Aditya.

Daily care records: These records document the daily care activities provided to Aditya, such as assistance with personal hygiene, meals, medication administration, and mobility support. They ensure continuity of care among different staff members and provide a comprehensive overview of Aditya’s daily routine.

Progress notes: Progress notes capture significant events, observations, and interactions related to Aditya’s well-being. These notes provide a holistic view of her physical, emotional, and psychological status, aiding in care planning and monitoring her overall progress.

Consent forms: Consent forms are essential when implementing any interventions or procedures that require Aditya’s agreement. These forms ensure that Aditya’s autonomy and rights are respected, and they provide legal protection for the care facility.

It is important to adhere to organizational policies and procedures when completing these documents, ensuring accuracy, confidentiality, and compliance with privacy regulations. Regular training and updates on documentation requirements should be provided to the staff to maintain the highest standards of care and record-keeping practices.

References

Juanamasta, I. G., Aungsuroch, Y., Gunawan, J., Suniyadewi, N. W., & Wati, N. M. N. (2021). Holistic Care Management of Diabetes Mellitus: An Integrative Review. International Journal of Preventive Medicine, 12(1), 69. https://doi.org/10.4103/ijpvm.ijpvm_402_20

Art Therapy, Dance Therapy, Music Therapy, and Imagery –  Health Encyclopedia – University of Rochester Medical Center. (n.d.). https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=p07338

Cho, H. Y., MacLachlan, M., Clarke, M., & Mannan, H. (2016). Accessible Home Environments for People with Functional Limitations: A Systematic Review. International Journal of Environmental Research and Public Health, 13(8), 826. https://doi.org/10.3390/ijerph13080826

Roelofs, T. S. M., Luijkx, K., & Embregts, P. J. C. M. (2019). Love, Intimacy and Sexuality in Residential Dementia Care: A Spousal Perspective. Dementia, 18(3), 936–950. https://doi.org/10.1177/1471301217697467

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