Developing a Plan of Care for a Short and Long-Term Respite Client

Task Instructions

To complete the assessment, you must respond to a number of questions, which are based on the case study and to develop a plan of care for the client. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count, if provided. Use the correct medical terminology when answering all questions. 

You are an Enrolled Nurse working as part of the Aged Care Assessment team (ACAT). On your shift today a new client is being assessed for short term respite, with the plan to transition to longer term respite if suitable for the client and the family. You are visiting the client in their home, along with a Registered nurse.

As part of your role, you are working with a Registered nurse to assess the client and to develop a plan of care appropriate for the client with both short and long term objectives and goals.

Character Briefs:

Mrs Fei Hong: Mrs Hong is a 70 year old lady of Chinese origin.

Mrs Hong’s background includes: -

• Comes from one child family Chinese background
• Speaks little English
• Has no extended family
• Came to Australia to help her daughter, Yu Yang raise her son 19 years ago.
• Is beginning to demonstrate signs of dementia
• Interferes in parenting of twins
• Dictates cooking must be Asian
• Has hearing and sight impairment

Mrs Yu Yang McFarlane: Mrs McFarlane is Mrs Hong’s daughter. She is 38 years old and married to George McFarlane. She has a son Jason and 3 year old twins.

Mrs McFarlane’s background includes: -

• Came to Australian as a University student
• Fell pregnant at the age of 19 – did not marry
• Married George 5 years ago
• Has 3 year old twins at home
• One twin has developmental disorder
• English language is good
• Was/Is isolated with no extended family
• Her issues will be those of isolated immigrant
• Prefers to cook Asian food
• Needed help with raising child and invited Chinese mother to Australia to help out

Mr George McFarlane: Mr McFarlane has been married to Yu Yang for 5 years. He is 53 years old. Mr McFarlane is reliant on Yu Yang to complete all domestic duties as he is not self-sufficient. He is a long- haul truck driver and is often away for work. He earns good money.

Mrs McFarlane has found it increasingly difficult to care for her mother at home and is seeking short term respite for her mother with the possibility of long- term care. Both Mrs McFarlane and Mrs Hong are in attendance for the assessment.

Below is a list of body systems- complete the following: -

• Sensory function
• Cardiac function
• Respiratory function
• Neurological function
• Musculoskeletal function
• Genitourinary function
• Endocrine function
• renal function
• skin integrity

1. List 2 age related physiological changes for each system
2. Discuss how these identified changes can affect the client’s ability to perform activities of daily living.

How would you assess the client for any of the identified physiological changes listed above? List 5 nursing assessment tools that would be used to identify age-related changes.