This care study is about a service user with Cerebral Palsy and Dysphasia. This assignment will give a brief description of her background history, her condition and care needs. In order to maintain the confidentiality of the service user, I will refer to her as Daisy Chain and any personal information will be changed accordingly and not be used in conjunction with anything else other than this study. I obtained consent from the service user, her family and the adult day centre where she attends. Together we all arrived and agreed with the name Daisy Chain to use in place of her real name, as once again to maintain her confidentiality. (Anderson, 2010) Anderson (2010, p.53) wrote that “Consent covers more than simply gaining permission to carry out a specific procedure, typically a surgical intervention. It also involves willingness on the patient’s part to cooperate in what is proposed and in this context the level of disclosure and the way information is provided may differ”. This care study will use two of the Chapelhow et al (2005) enablers to help me reflect on and discuss care. These are communication and assessment. The links between these two enablers together with their related documentation will also be discussed. Daisy is 31 years old and has a condition called cerebral palsy as well as Dysphasia. The extent of her condition has left her profoundly disabled and she requires total 24 hour care. Daisy is doubling incontinent and has a catheter and stoma in place. Daisy does not communicate verbally and also has limited non-verbal communication skills. She can understand what you are saying to her, but can only answer you back by giving facial expressions, for example by smiling, nodding and shaking her head. She can move her arms and can hold small objects/items, such things as a book, pencil etc. Daisy cannot tolerate drinking or eating and is therefore fed via a peg feed, which is inserted through the naval cavity and goes direct into her stomach. Daisy lives at home with her mum and dad and her two siblings. She is the middle child and the only girl. Daisy is well taken care of; her family always makes sure that she is always clean, tidy and happy. Daisy can only be moved via a hoist transfer. Daisy attends an adult day centre, where she can mix with other service users her own age and with similar conditions and issues. Daisy has been attending the day centre for three days a week for the past 10 years. Here she can engage with the daily activities that are available for her at the centre. Some of the activities that she gets involved in are country dancing in wheelchairs, singing and signing, and story time. She also likes to get involved with baking and loves going out for walks to the local park, shops and library. Whilst she has been at the centre and at home, she has become a very sociable, loving person, who is always laughing, smiling and enjoying everything at the centre that is available to her. Before Daisy began attending the centre, she was a very sad and withdrawn person at home. Her family could not understand why. They had tried everything within their power to try and make her happier, but no matter how hard they tried; she would still be the same. Over the years the centre has totally changed Daisy from a sad and withdrawn person, to a much happier one. When communicating with Daisy it is important that you understand the methods of what and how she communicates back to someone. Communication is about making contact with other people and also being understood. It involves people sending and receiving messages, and that we are always sending and receiving messages continuously. It is a two-way process that requires speaking and listening to each other, which must occur for it to be effective communication. (Endcott, R., Jeven, P. and Cooper, S., 2011) (French, 2002) There are many forms of communication; these can be used in different ways by nurses/care...
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