Case Study - Ryan

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  • Ryan - Case Study
    • Breathing
      • No identified issues
      • Should be monitored in case issues arise
    • Toileting
      • Occasionally needs help
      • Occasional constipation
      • Find needing help embarrassing
        • May affect him asking for help from his care worker
      • Care plan needs to empower him
    • Eating and Drinking
      • Not able to prepare his own meals
      • Low appetite
        • May be due to his depression
      • May be at risk from malnutrition
        • Care worker is only there for 4 days a week
      • Care plan
        • Prepare meals x 4 days a week
          • Other days he is left alone to prepare meals
        • Encourage to eat and drink regularly
          • May refuse or eat very little
      • Offering snacks
        • May not eat them
    • Washing and dressing
      • No issues with washing
      • Can be unsteady when dressing
        • Talk about using the aides when he dresses
      • May wear clothes associated with women
        • Care plan needs to include his interests and preferences
          • Care worker and other professionals within the multi-disciplinary team need to be non-judgemental
    • Controlling body temperature
      • No identified issues
      • Needs to be monitored carefully
    • Mobilisation
      • Has good mobility but can be unsteady at times
        • The possibility of a lifeline needs to be discussed
        • Other equipment such as grippy socks needs to be discussed
      • Been supplied with a frame
        • Does not use it
          • Encouragement and empowerment needed in the care plan
      • Has regular Physio appointments
        • Needs assistance attending the appointments
        • Care worker to act as an advocate to express his needs
      • Requires a wheelchair - for the outside
        • Does not want to be seen in a wheelchair
          • May feel embarrassed or judged
            • Will also not use the frame
              • A different design may be needed
          • Needs to use the wheelchair due to his unitability
    • Working and Playing
      • No longer able to work
        • Could contribute to his depression
          • No daily routine since he does not need to get up to go to work
      • Has a few friends
        • Scared of being judged/ thinks that he should not be seen like that
          • May limit the amount of social interactions he has
      • May be lonely
        • May worsen his depression
          • Care worker needs to communicate and talk with him
      • Enjoys listening to music
        • Attending therapies centred around music
          • With assistance


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