Care Support Report: High Support Hostel - Miss Mary's Care Plan

This report details a care support plan for Miss Mary, a 60-year-old resident of a high-support hostel, who is dealing with diabetes, schizophrenia, and bipolar disorder. The report includes a comprehensive introduction to care support, focusing on the client's needs and planning of skills demonstration. It describes the planning phase, outlining the client's needs, including medications, equipment, and therapies like art and cognitive behavioral therapy. The implementation section details the application of these therapies and the processes involved in activities like showering and dressing, emphasizing safety, dignity, and privacy. The report also addresses the use of care equipment, such as alarm clocks and wheelchairs, to aid in daily routines. The report also covers evaluation and health and safety considerations. The report concludes with a discussion of the effectiveness of the care plan and a list of references.

Care Support

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Planning of skills demonstration............................................................................................1
Introduce the client's name age needs....................................................................................4
Implementation.......................................................................................................................5
Evaluation...............................................................................................................................7
Health & safety overview.......................................................................................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
Care support refers to combination of practical, financial, and emotional help for needy
people to manage their lives to become independent. It include patients with different types of
health problems like long terms illness, mental health problems and other disabilities. Basically,
it consist to help individuals to conduct their daily routine work including getting out of bed,
washing and dressing comfortably with any disability (Curry and Abrams, 2015). The present
report is based on high Support Hostel which provide help to people of 37 to 80 years of age
group suffering from diabetes, schizophrenia, bio- polar, depression and brain injury. This
assignment will focus on case given about Miss Mary with 60years old age consisting history of
diabetes, schizophrenia and bipolar disorder. It will include planning of skills and determine
requirement of client along with implementation as well as evaluation.
MAIN BODY
Planning of skills demonstration
As per given case about Miss Mary having an age of 60 years along with history of
bipolar disorder, schizophrenia and diabetes. It is necessary to provide appropriate care and
support to her according to number of health problems in order to make her capable for
conducting regular routine work properly. However, it is essential to help her for living
independently by providing required medications on time in comfortable manner. In addition to
this, desired equipments and machine are required to be provide so, that Mary can live
independently in correct way. I have analysed that Mary requires proper care with medications
for supporting her conducting daily routine work like bathing, getting out from bed, eating and
dressing in appropriate manner which results in improvement of health. The different type of
needs and activities which are prevail under ascertained from the points defined below:
To recover from the existing situation, optimum need of a client is to attend Art therapy.
In this regard the activity which is requires to be carried on is Showering. As, this will help to
develop their own hygiene level (Danzy and Jackson, 2018).
Cognitive behavioural therapy has huge contribution in the process of recover of client as
this will have direct influence over their behaviour and day to day activities. In this regard the
activities which is requires to be carried includes dressing and grooming as this will to build
better relation with peers.
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I have records of meetings that consist the problem faced by patient due to several health
issues which impacts on her medical condition including mood swings, breakdown relation
between thought, emotion & behaviour, faulty perception, inappropriate actions & feelings and
sense of mental fragmentation (Graven and Grant, 2014). By analysing overall records, I have
evaluated that there are several needs of Mary regarding her health problems like medications
and support for conducting daily activities as well. It is necessary that I must use appropriate
equipments to fulfil her actual requirements and make her feel better to overcome with health
problem. In this regard, the two different type of therapies which are identified to be most
suitable for their treatment includes Art and Cognitive behaviour therapy.
Considering research about history of patient, it has been analysed that she did not know
connection between emotions and behaviour. She has faced episodes of mood swings from
depressive lows to manic highs and make wrong perceptions facilitating inappropriate feelings or
actions. In addition to this, several therapies are needed to reduce episodes of mood swings and
memory loss along with providing effective aids which helps Mary to conduct regular routine
work properly. The two different activities which are necessary to be done in appropriate way for
the purpose of attending therapies effectively includes Showering and dressing. From the
research in respect of these activities ascertained that these are the necessities and requires to be
done in proper manner with utmost priority before doing all activities, as this will represents their
first impression and also help to heal from the various mental and physical issues.
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(Source: Assistive Technology and Accessibility Resources, 2018)
The Practice of skills demonstration including my skills and capabilities to evaluate
actual problem of patient by conducting desired clinical activities. It is necessary to analyse
altered sensory perception, biochemical factors, chemical alterations, neurologic changes and
psychological stress of Mary (Herndon, 2017). However, I must gain that skill & ability to assess
altered speech pattern, inability of concentrate, disoriented, in-congruent responses,
hallucinations, talking, murdering or laughing at sleep, frequent blinking of eyes and observable
change in sensory alertness. I have analysed that bathing and dressing & grooming is needed to
be carried out which are effective to overcome with health issues faced by Mary. Initially, it is
necessary for me to have skill regarding maintenance of safety and dignity of Mary while
providing her shower before respective therapy. Secondly, I must requires to have the capability
of using appropriate instruments to maintain privacy of patient respectively. The skills which
assist me in effective completion of both activities includes communication, listening, guiding,
influencing etc. There are several equipments which can be provide to patient that ensures the
effective disbursement of skills like mood track diary, calendar, alarm clock, mobile phone,
wheelchairs, crutches, electrical assistive devices.
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Illustration 1: Assistive Technology and Accessibility Resources

Introduce the client's name age needs
Mary is suffering from mental disorder and face problem of memory loss due to which
she even forget to conduct their daily routine work like dressing, washing, taking medications
etc. . Meanwhile, it has been analysed the reason behind delusions experienced by Mary which
are required to be reduced for improving her condition along with decreasing environmental
stimuli if possible. Mary has faced episodes of depression and delusions which are required to be
sort out with the help of using several efficient therapies. After consultation with supervisor,
ascertained be me that requires to provide effective actions to make her capable for using desired
aids for conducting daily work on time including getting out of bed, dressing, washing and
providence of medicines (Hockenberry and Wilson, 2018). To heal completely Mary from the
diseases faced bye her two different therapies are suggested by supervisor named as Art and
Cognitive behavioural therapy.
Care equipment are basically required to make patient remember their daily routine
activities through reminders so that they can conduct their overall work by their own. It has been
analysed by me that alarm clocks, mood track diary, calendar, mobile phone, wheelchairs,
crutches, walkers, canes, electrical assistive devices are helpful to Mary. However, these
technical aids are support her to take medications on time regarding diabetes and move with the
help of wheelchair to complete rest of activities appropriately. The two different activities which
are analysed from the above description is about showering and dressing which are essential part
of life and before any kind of activity. The same is analysed in the situation of doing before Art
and Cognitive behaviour therapy.
The different type of care equipments which are necessary to consider before bathing
includes bath boards and seats, grab rails and shower seating (Lee, Courtney and Tajima, 2014).
Also, requires to made necessary rectifications length and width of bathroom which enables them
to securely enters and exit without any harm. Effective use of all these equipments help to ensure
dignity, safety and privacy of Mary.
The care equipments which requires to consider in the process of dressing in case of
Mary includes material of clothes along with that requires to consider easy to use clothes with
large front fasteners (Zippers and Velcro), elastic waist bands and slip on shoes. Also, requires to
be assisted by a lady attendant always to complete all thee aspects. This will help to ensure their
safety, privacy and dignity.
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Implementation
The implementations of appropriate therapies, medications and equipments is required in
terms of improving medical condition of Mary. It consist several therapies including behavioural,
cognitive and social rhythm therapy which are effective for betterment of mental condition of
given patient (McInerny and et. al., 2016). I have analyse that behavioural therapy provide
support to those individuals who were suffering from depression, anxiety, panic disorder and
anger issues. Behavioural therapy can be applied for Mary as it will help in treating bipolar
disorder by reducing problem of getting depressed within certain period of time. It will provide
help to get rid off depression as well as inappropriate actions for self harm. Secondly, cognitive
behavioural therapy can be considered as psychotherapy which is beneficial for number of
various psychological problems such as anxiety, anger, loneliness, panic, substance abuse,
marital conflict, dependence and personality issues. Meanwhile, this therapy is beneficial for
Mary as it is centred around the way of influenced actions & moods by thoughts and beliefs of an
individual. Thirdly, social rhythm hypothesis of depression inhibits natural recovery after
disruption of life events through possessing a vulnerability in circadian timing system.
At the other hand, it is necessary to provide accurate schedule of taking meals to avoid
high sugar level along with reminders for routine check up.
The two activities which are identified before application of these theories to recover
Mary from their issues includes Showering and Dressing.
For showering of Mary, step by step process is requires to follow by me as this will
further aid to achieve the aspect of safety, dignity and privacy. I properly provide and also help
in wearing of bath clothes to Mary. Afterwards with the proper usage of showering seat and grab
rails, I help her to bath properly without violating any aspect of her privacy. Usage of such care
equipments also ensures the safety of Mary. This is the whole process which includes different
steps like safe positioning, proper handling and continuous monitoring (Meyer, Coroiu and
Korner, 2015).
For dressing the process which is followed by me is to choose the material of clothes
which is skin friendly and does not harms her in any negative way. I ensure proper freedom is
given to Mary to choose the type of clothes she wants to wear as to accomplishment of the
concept of dignity and respect. The different care equipments which are used by me while
dressing her includes large front fasteners (Zippers and Velcro), elastic waist bands and slip on
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shoes. Application of all these resources help in justification of the criterion of safety and
privacy.
Art therapy
The art therapy can be described as an unique approach for treating depression which
helps an individuals for being in tough with their feelings and utilise creative expressions as an
outlet. In case of Mary, she loose link between feeling, thoughts and behaviour which can be
overcome with the help of effective art therapy. However, it is helpful to determine and change
negative thoughts into positive which facilitate to reduce chance of occurring being actions by
patient. In addition to this, art therapy consist drawing, painting and sculpting which reduce
depression and increase concentration that provide support to solve mental problems like bipolar
disorder along with decreasing strong effects of schizophrenia (Pinkerton and McCrea, 2018).
Firstly, communicate to patient about art therapy in simple language and encourage them
to participate. Secondly, make them able to utilise brush, pencils and colours to form drawing as
per their thoughts. Moreover, support when they face difficulty to draw anything and encourage
them to complete the same. Meanwhile, make availability of sufficient number of carers to
ensure safety of Mary and use much effective method of motivation which facilitate to reduce
chance of occurring any negative issue. Furthermore, art therapy helps to convert negative
thoughts into positive ones which facilitate to improve mental stability of Mary.
Cognitive therapy
Cognitive behavioural therapy refers to modify negative thoughts and convert them into
positive ideas which is beneficial for person with schizophrenia. It consist several steps which
are required to be applied in correct sequence in order to improve mental situation of an
individual. Meanwhile, it is essential to follow three phases of cognitive behavioural therapy in
more effective as well as efficient manner for attaining better patient outcomes. It involve three
important phases such as dressing & grooming, breathing exercise, mindfulness practices and
trigger exposure (Possemato and et. al., 2016). It will make her feel comfortable which is
favourable for me to conduct cognitive behavioural therapy to gain better outcomes. Moreover,
become aware about negative thinking and inaccurate views of person which helps to use correct
method for solving specific mental issue. Afterwards, communicate with Mary and respond her
in effective way and manage stressful situations properly.
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Evaluation
As a nurse, I use technical aids for supporting Mary to complete daily work which has
positive impact on her comfort. The art-therapy and cognitive behavioural therapy has been
utilise separately including showering and dressing activities to decrease issue of depression
which has negative impact upon the health of Mary.
To make all the operations more better and what I can do to improve the standard of
service from my side is about building comfortable relation with her by explaining the benefits
of particular activities like bathing and dressing & grooming. I will avoid the things which
irritate or create discomfort for Mary and use the equipments only after her permission and
approval. Further improvement that can be done from my side is to consult on regular intervals
with supervisor and made amendments in the process and therapies which help to recover her
with large amount of intensity. Some of the suggested rules and regulations upon which requires
to be focus in future includes Access to Health Records Act 1990, Mental Health Act 1983 and
Care Standards Act 2000 support me to appropriate services for patient along with maintain their
medical records in accurate way. It has been recommended that several codes of practice should
be adopted in Support Hostel like promote effective communication, improve non discriminatory
practices, maintain confidentiality of information, rights to dignity, independence &
empowerment, protect individuals from abuse and give individualised care.
Health & safety overview
Health and safety can be described as condition of an individual to remain medically
well-being and secure to spend their life in comfortable manner. As per given scenario, it is
required for me to conduct different treatment procedures and therapies by taking care of health
& safety of patient. It is necessary for me to follow legislations related to healthcare such as
Access to Health Records Act 1990, Care Standards Act 2000 and Mental Health Act 1983. It is
necessary for that I must follow overall legislations while providing support to Mary in order to
overcome with her health issues.
I have to use several safety measures while conduct showering and dressing & grooming
in order to maintain security and privacy of Mary. It include to use appropriate instruments such
as showering seat, grab rails, large front fasteners (Zippers and Velcro), elastic waist bands and
slip on shoes to reduce risk of safety issues while conducting both of these activities respectively.
(West, 2017). However, I must prefer to use wash cloths, bath chairs or grab bars, towels, tear
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free shampoo, a removable shower head with a long hose and body lotion to ensure safety and
dignity of Mary. Moreover, I have use stocking aid, long handle shoehorn, brush, comb, suction
brush, looped towel and button hook should to make easy to Mary for dressing & grooming in
secure manner.
CONCLUSION
From the above report, it has been concluded that care support can be described as to
provide practical and emotion help to needy individuals in order to make them comfortable to
spend their entire life. It consist to provide technical aids and training to patients in order to make
them capable for conducting their daily routine activities by their own to spend their life
independently. However, technical aids include mood track diary, calendar, alarm clock, mobile
phone, wheelchairs, crutches, canes, walkers and electrical assistive devices. Moreover, these
devices helps patient who were suffering from schizophrenia and bipolar disorder to get
reminders of activities to be carried out regularly. In addition to this, it consist the use if
cognitive, behavioural and social rhythm therapy which helps person to overcome with mental
disorders.
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REFERENCES
Books and journals
Curry, S. R. and Abrams, L. S., 2015. Housing and social support for youth aging out of foster
care: State of the research literature and directions for future inquiry. Child and
Adolescent Social Work Journal. 32(2). pp.143-153.
Danzy, J. and Jackson, S. M., 2018. Family preservation and support services: A missed
opportunity for kinship care. In Serving African American Children (pp. 31-44).
Routledge.
Graven, L. J. and Grant, J. S., 2014. Social support and self-care behaviors in individuals with
heart failure: an integrative review. International journal of nursing studies. 51(2).
pp.320-333.
Herndon, D. N., 2017. Total burn care. Elsevier Health Sciences.
Hockenberry, M. J. and Wilson, D., 2018. Wong's nursing care of infants and children. Elsevier
Health Sciences.
Lee, J. S., Courtney, M. E. and Tajima, E., 2014. Extended foster care support during the
transition to adulthood: Effect on the risk of arrest. Children and Youth Services Review.
42. pp.34-42.
McInerny, T. K. and et. al., 2016. AAP Textbook of Pediatric Care. American Academy of
Pediatrics.
Meyer, A., Coroiu, A. and Korner, A., 2015. One‐to‐one peer support in cancer care: a review of
scholarship published between 2007 and 2014. European journal of cancer care. 24(3).
pp.299-312.
Pinkerton, J. and McCrea, R., 2018. Meeting the Challenge?: Young People Leaving Care in
Northern Ireland. Routledge.
Possemato, K. and et. al., 2016. Using PTSD Coach in primary care with and without clinician
support: a pilot randomized controlled trial. General Hospital Psychiatry. 38. pp.94-98.
West, R., 2017. The right to care. In Gender and Rights (pp. 193-219). Routledge.
Online
Assistive Technology and Accessibility Resources. 2018. [Online]. Available through:
<https://www.ldrfa.org/assistive-technology-and-accessibility-resources/>
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