Mrs H had a fall and fractured her femur. She was admitted to hospital, had an operation and was soon ready to be discharged; the hospital gave her two options of which were to return home with the support of carers or to go to a rehabilitation unit.
Mrs H wished to return home. The discharge team worked alongside the local authority to source care for Mrs H. After reviewing the information on Mrs H’s needs, Mega Care were appointed to provide her with two calls a day – 30 minutes in the morning and 30 minutes in the evening.
After being sourced to provide Mrs H’s care, the Clinical Supervisor contacted Mrs H to arrange an initial assessment. The assessment was booked around Mrs H’s wishes and convenience.
It was explained on the telephone to Mrs H that the assessment would be conducted in her own home to enable her to feel more comfortable, and by doing so, it also allows the Clinical Supervisor to get to know her in a more personal way.
In order to gather all the necessary information and to ensure all areas of care were covered, the Clinical Supervisor used the assessment forms. As part of the assessment, the Clinical Supervisor also assessed her home to ensure the health and safety of Mrs H and her carers would remain at the forefront.
The assessment enables Mega Care to get to know the client personally and understand their wishes, preferences, likes and dislikes. It allows for identification of their goals and ways in which we can promote their participation in their life roles and routines.
On the assessment, Mega Care identified Mrs H’s goals were around improving her self-confidence and promoting her independence in regards to personal care activities.
|Specific||“Following my fall, I want to gain my self-confidence back to enable me to shower independently”|
|Measurable||“Over the next 6 months, I want to make sure I attend my physiotherapy appointments to enable my mobility to improve”|
|Achievable||“I recognise I may require care on a long-term basis, but I hope to improve my self-confidence to enable me to shower independently, with the supervision of a carer”|
|Relevant||“I have always been a proud and independent person so I believe being able to wash independently again will not only improve my quality of life, but also promote my dignity”|
“I would like to achieve this within 6 months but recognise it could be longer depending on external factors”
Once the assessment was completed, Mrs H and the Clinical Supervisor agreed a mutually beneficial start date to commence her care. The Clinical Supervisor explained to Mrs H she needed to have at least a day in order to complete her care folder to ensure the paperwork reflected all of her needs, wishes and goals.
Following the commencement of Mrs H’s care package and her commitment to attending her physiotherapy appointments, her level of needs significantly reduced. Within her time frame of six months she was able to shower independently with the supervision of a carer, instead of requiring their assistance throughout.
Her carers helped her improve her self-confidence by promoting her independence. Mega Care completed a referral to the Community Occupational Therapy service as they recognised how important showering was to Mrs H. Following this referral, Mrs H was given a bath board which enabled her to get in and out of the bath more safely and independently.