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: Ukwu Chidera David
Due Date:
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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
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)
Home safety and accessibility: Is her home equipped with safety features and easy access for mobility
aids?
Support system and routine: Who supports her daily, and what is her usual schedule?
2. List the types of information that you would expect to obtain from the care plan. (2 marks)
Health information and recovery objectives (e.g., stroke details, therapy plans)
Help needed with daily self-care tasks (e.g., washing, getting dressed, moving around)
Support for emotional well-being and mental function
Prescribed medications and risks to monitor (e.g., skin breakdown, muscle stiffness)
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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).
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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.
Client’s Feelings
Feelings of frustration, reduced independence, and shame from not being able to function
normally. Throwing the plate could show anger or a sense of helplessness.
PSW Actions (physical and emotional help)
Emotional: Recognize her feelings (“I understand this is difficult for you”) and offer positive
reinforcement.
Physical: Use modified utensils like easy-to-hold cutlery, give her the chance to do tasks herself
with minimal help, and offer guided assistance only with her permission.
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
Feeling bored, seeking meaning, and optimistic about getting better. She wants to rebuild her
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skills and keep her mind active.
PSW Actions (physical and emotional help)
Emotional: Support her ambitions.
Physical: Assist with reading by using large print books or audiobooks, practice recommended
speech exercises and use tools like flashcards or language apps to aid learning.
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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
Experiencing sorrow, emotional pain, and possibly depression. She feels overwhelmed by the
sudden changes and questions why this happened to her.
PSW Actions (physical and emotional help)
Emotional: Show understanding (“It’s normal to feel this way after everything that’s happened”),
listen patiently, and encourage her to share her feelings.
Physical: Support her in getting back into a simple routine, include her in easy daily activities, and
inform a nurse or supervisor if signs of depression appear for further help.
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
A strong need for privacy and independence, pride in managing things on her own, and a fear of
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losing control over her life.
PSW Actions (physical and emotional help)
Emotional: Honor her need for privacy, support her independence while also talking about safety.
Physical: Offer unobtrusive supervision, propose a balanced solution (e.g., being nearby for
assistance), ensure her walker and bathroom are safe, and address potential risks in a gentle,
understanding manner.
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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
At 55, Mrs. Gregg is relatively young and likely has good brain plasticity, which aids in
recovery. However, recovery from a stroke may still be slower compared to younger
individuals, and fatigue could impact her progress.
b. Individual characteristics: personality
She is resilient, self-sufficient, and has overcome previous challenges, which could drive her
motivation but also make her reluctant to accept assistance. Her pride and former career as
a lawyer might contribute to her frustration with needing help.
c. Environment
Her small city bungalow is likely beneficial if it's a single-story and modified for accessibility.
Regular visits from her family and her passion for crafts and reading contribute to her
emotional well-being, which aids in her 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. Promote self-sufficiency in activities such as grooming and dressing using assistive
devices.
b. Establish realistic goals and recognize her achievements (e.g., "You made great
progress with your speech practice today").
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c. Involve her in decisions regarding her care and daily routine.
d. Encourage participation in fulfilling activities like reading, crafting, and listening to
choir music.
e. Offer steady emotional support by being a good listener, respecting her privacy, and
highlighting her strengths.
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 is aimed at assisting individuals in recovering as much function and
independence as possible following an illness or injury, such as a stroke.
Help with mobility and speech exercises as directed by therapists.
Watch for complications like pressure sores or falls.
Encourage daily activities and offer emotional support to boost motivation and preserve
dignity.
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