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Case Study 2: Judith Comet Lotus Compassionate Care Name: Judith Comet Age: 96 Date of Birth: 3 November 20xz Room #: 7 Judith has been staying in the centre the past 4 years. Judith has 4 children. All of them have their own families, and are currently staying in different states across Australia. They have decided to place Judith in a home after she’s been diagnosed with stage IV colon cancer 4 years ago. Having cancer at such an advanced stage at Judith’s age, she was thought to have at least only a year to live. She was always in a lot of pain, and required regular and constant assistance to complete activities of daily living. It was clear that the family were unable to meet Judith’s needs, as it was becoming too difficult for them to take care of her. They decided to place Judith in the care of Lotus Compassionate Care hoping that it will provide her with a more comfortable environment, with all the professional support she needs to ease the symptoms, pain, physical stress, and mental stress brought about by her condition for the remainder of her life. Scenario 1: The Reunion 30 November 20xx, 1:25PM Judith has been in your care since she arrived in the centre. However, the last two months, you have been away on a holiday. On your first day back, as you and another care worker were about to hoist her from the bed and onto her wheelchair, you noticed that Judith has sore, purple discoloured and painful spots about 8cm across on both her shoulders, and a smaller one about 3cm across on the back side of her head. When she was on her side, you saw some bleeding through her pants and on the bed sheets from the upper part of her buttocks. It appears it has not been checked for at least a day or two. Her bed sheets were stained and smelled of faeces and urine. She looked in pain. You asked her if you could check what’s causing her pain. You found that she had an open wound about 2cm across and the skin surrounding it was very red and discolored. Judith cringed in pain as you gently assessed the condition of her skin. You later found out that she has not been out of her bed in two days. You asked her why she has not gone out of her bed, and she told you that she’s just been feeling too tired lately, and going out just takes too much effort. She asked you if she could just stay in bed and rest today. You noticed that she seems withdrawn. You also noticed that she’s lost a lot of weight since the last time you saw her about two months ago. 1) List two examples of changes in Judith’s physical condition that must be reported to the supervisors. ED 2) Explain how these physical conditions are affecting Judith’s wellbeing. Guidance: Include in your explanation the specific indications (from Judith’s behavior and responses) that her physical conditions are affecting her overall health and happiness 3) According to Lotus Compassionate Care’s Policies and Procedures, you are required to report to your supervisor and/or care manager should you note any of the following: o Changes in your client’s physical condition and how it is affecting their wellbeing Changes in your client’s wellbeing • Required care/support that are beyond the scope of your role According to Lotus Compassionate Care’s policies, you are required to document this in the client’s progress notes. Complete the Progress Notes Template for Judith below: Guidance: For the purpose of this assessment, your assessor will play the role of Lotus Compassionate Care’s Care Manager. Surname: Given Name: Lotus Compassionate Care Room Number: DOB: Care Manager: PROGRESS NOTES Date/Time Comments Signed: Complete name: Position:
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