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 2 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 2 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, speech, being as independent as possible, preventing complications such as contracture and pressure sores. question:
In the following problem explain briefly the feeling expressed by the client and the actions of the personal support worker to take.
situation 1
Mrs. Gregg continually uses her knife to eat with and generally unable to choose the correct utensils 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.
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.
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?
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.
4. using the above information, describe how the following factors might affect Mrs. Gregg relearning of speech and mobility. Use case study information to help answer questions
a. Age
b. individual characteristics: Personality
c. environment
5. describe 5 ways in which the PSW can promote Mrs. Gregg self esteem and motivation during her daily routines
6. define restorative care and what role it would play in helping with Mrs. Gregg's rehabilitation. how could the PSW assists with this process?