Module 7 – Care Planning/ Restorative Care/
Documentation/Working in the
Community Assignment
General Directions:
A. Take Home Assignment.
B. The assignment will count for 40% of your final mark in Module 7. C. A
minimum mark of 21 out of 30 (70%) must be achieved to pass.
Name: ___Manpreet Kaur
Brar_____________________________________________________
Due Date: ___January 5, 2026___________________________________________________
CASE #1
Mrs. Gregg is a 55-year-old widow who has had an active career as a lawyer. She is an avid
reader. She is an independent woman who has had to adapt to many changes in her life. She
enjoys crafts and sings in the choir at her church. She has an adult son and daughter, and two
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grandchildren who visit her frequently. She lives in her own home, a small bungalow in the
city.
You are assigned to give care and support to Mrs. Gregg, who had a stroke two weeks ago. She
is paralyzed on the left side and has difficulty speaking. She is able to hear well and can
understand when you speak to her. The long-term goals for her care include:
• regaining mobility
• regaining speech
• being as independent as possible
• preventing complications such as contractures and pressure sores
You are required to assist her to participate fully in all activities of daily living, and assist to
meet her physical, safety, and psychosocial needs.
1. What information would you want to find out about Mrs. Gregg and her home before
beginning her care? (2 marks)
Her medical history, current abilities, and limits since the stroke
How her home is set up (stairs, bathroom safety, space for walker/wheelchair)
What supports she already has (family visits, community services)
Her personal routines, interests, and preferences
2. List the types of information that you would expect to obtain from the care plan. (2 marks)
Diagnosis and physical limitations
Level of mobility and transfer needs
Communication abilities and speech goals
Safety risks, precautions, and required equipment
Emotional and psychosocial needs
3. In the following problem, explain briefly the feeling expressed by the client and the actions
for the Personal Support Worker to take (2 marks each).
Situation 1
Mrs. Gregg continually uses her knife to eat with and is generally unable to choose the
correct utensil and unable to cut her meat. She has difficulty getting food to her mouth.
She resists help. One day she threw her plate across the room.
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Client’s Feelings
Frustration and anger
Embarrassment about losing skills
Feeling a loss of control and independence
PSW Actions (physical and emotional help)
Stay calm and speak gently
Offer adaptive utensils and cut food into small pieces
Encourage her to do what she can on her own
Give reassurance and praise for effort
Step back briefly if she is overwhelmed, then try again later
Situation 2
Mrs. Gregg has expressed a desire to read, but she is unable to understand the text in her
old books. She asks you to help her practice words. She says that she has trouble passing
the time and that she expects to return to work in several weeks.
Client’s Feelings
Frustration and boredom
Sadness over losing reading ability
Unrealistic expectations about returning to work
Fear of permanent loss
PSW Actions (physical and emotional help)
Help her practice simple words slowly
Use large-print books or audiobooks
Encourage speech therapy exercises
Gently help her set realistic goals
Listen and validate her feelings
Situation 3
One day when you approach Mrs. Gregg, she is crying and says she doesn’t want to get up.
She says, “None of this should have happened to me. What did I do to deserve this?”
Client’s Feelings
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Grief and sadness
Anger and self-blame
Feeling helpless and depressed
PSW Actions (physical and emotional help)
Listen without interrupting or judging
Offer emotional support and reassurance
Encourage her to talk about her feelings
Report concerns to the nurse or care team
Gently encourage participation in daily activities
Situation 4
Mrs. Gregg insists on getting up by herself and moving independently from her chair to
the bathroom. She uses a walker. Occasionally she falls. She is a private person and does
not want you to attend her in the bathroom.
Client’s Feelings
Strong desire for independence
Embarrassment about needing help
Fear of losing privacy and dignity
PSW Actions (physical and emotional help)
Respect her privacy as much as possible
Encourage safe independence with supervision
Explain fall risks calmly and clearly
Suggest safety aids (grab bars, call bell)
Stay nearby outside the bathroom if agreed
4. Using all of the above information, describe how the following factors might affect Mrs.
Gregg’s relearning of speech and mobility. Use case study information to help answer
questions. (3 marks)
a. Age
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At 55, Mrs. Gregg is still capable of recovery
Healing may take time, but progress is possible
Her active lifestyle before the stroke helps recovery
b. Individual characteristics: personality
She is independent and motivated
Her professional background shows strong thinking skills
Frustration may slow progress if not supported
Motivation can help her push through challenges
c. Environment
Living at home provides comfort and familiarity
Family visits offer emotional support
Home may need safety changes to prevent falls
A calm, encouraging environment helps recovery
5. Describe five (5) ways in which the PSW can promote Mrs. Gregg’s self-esteem and
motivation during her daily routines. (5 marks)
a. Encourage her to do tasks independently when safe
b. Praise her efforts and small improvements
c. Involve her in decisions about her care
d. Respect her dignity and privacy
e. Support her interests (reading, crafts, music, choir if possible)
6. Define Restorative Care and what role it would play in helping with Mrs. Greg’s
rehabilitation. How could the PSW assist with this process? (2 marks)
Restorative care focuses on helping clients regain or maintain their abilities and
independence after illness or injury.
For Mrs. Gregg, it helps her improve mobility, speech, and confidence.
PSW assistance includes:
Encouraging movement and exercises
Supporting speech practice
Promoting independence in daily activities
Following the care plan and reporting progress
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