Care planning: individual discussion 

Scenario for assignment one Mrs Amalie Jones

Mrs. Amalie Jones is an 89-year-old woman who migrated to Australia from Germany 40 years ago after meeting and marrying Mr Henry Jones, an Australian sailor. Amalie’s son Dominik from a previous marriage in Germany lives with his family in Germany but has been visiting regularly since Amalie migrated to Australia. Henry‘s daughter Tracy and Henry’s extended family live in other states in Australia but have kept in regular contact. Tracy and her family in particular, have visited very regularly. Two years ago Henry passed away after a long battle with lung cancer leaving Amalie by herself in their single story home.

Amalie retired from primary school teaching twenty four years ago, the same year Henry retired from the Australian Navy. The couple spent their time together traveling around the world and volunteering at the local St Vincent de Paul shop. They participated actively in their local Catholic Church, organising fundraising activities. They were also very active members of the German Association. Amalie is fluent in both written and spoken English and German. She speaks with a strong German accent and sometimes people ask her to repeat herself.

Amalie’s health has been slowly deteriorating over the last two years, forcing her to withdraw from the activities she has been involved in for so many years. Last year, when Dominik and his family visited Amalie, they wanted her to return to Germany so that he and his family could be close to her but Amalie refused to go although she was very grateful to her son and family. Henry’s daughter Tracy has kept in touch with Amalie since Henry died and visits every three months with daily phone calls but has not suggested any living arrangements to Amalie.

Recently, Amalie has developed dry macular degeneration and has had to give up driving. She has difficulty with mobility due to significant problems with rheumatoid and osteoarthritis, rarely leaves the house and has lost physical contact with most of her friends and members of the German association. Amalie’s house is unusually unkempt and her cupboards are pretty bare except for some tins of soup and baked beans. Amalie feels very connected to her community and wants to stay there, but she has realised that in order to do this, she may need help. Amalie does not want to bother Tracy as she feels she is already too much of a burden on Tracy and her family. Amalie’s doctor is getting concerned that she is not eating properly, losing weight and becoming too isolated.

Amalie has a medical history of arthritis, hypothyroidism and macular degeneration. The referral letter from her GP states the following symptoms:

 Joint stiffness.

 Swollen feet and enlarged joints.

 Painful joints particularly, her knee, hip, fingers and back.

 Limited joint movement.

 Constipation

 Occasional dizziness

 Vision deficit

 Non-significant recent weight loss

 Patient states adherence to medications but suspected she may forget or skip

doses when she is in pain

 

Medications:

Slow release Paracetamol 665 mg tab ii 3 times a day Ibuprofen 400 mg three times a day

Thyroxine 150 mg daily

Hydroxychloroquine 200mg daily

 

Care priorities identified from the scenario of assessment task one: written assignment

 Pain assessment and management

 Increased falls and injury risk

 Increased risk of social isolation (bereavement and CALD)

 Potential impact on ADL performance

 Altered nutritional levels

Please choose two care priorities from the list above to discuss in your essay with justification.

 

 

 

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