Communicate with and complete records for individuals.
When I started working with Miss R I read her care plan with great attention to her hearing/vision/communication issues, because misunderstanding between carer and client could potentially lead to poor care standards. It stated that Miss R has good communication skills, her hearing isn’t impaired and her distant vision is good too, however she does use reading glasses. I try to constantly improve my communication skills through various trainings, tests and exams. It is important to communicate effectively, especially with the elderly, because they can be easily confused and in many cases they won’t ask for help. So I use all my knowledge and skills all the time when I communicate with Miss R. Also when I started working with Miss R, we had a chat regarding her preferences in communication when she said that she doesn’t like noise and be called Jeanie (it is her Human Right to have a choice). So I have taken this information on board and also ask our nurse-manager (she keeps all personal care plans securely according to Data Protection Act) if this information recorded in her care plan. We checked and added few important detail. When I communicate with Miss R I always maintain eye contact, when she is sitting I go down on my knees to have my eyes at the same level as hers. I keep appropriate distance when communicating with her and don’t talk on the go. I always pay attention to what she says, giving her time to finish her point, sometime she could ask “what did you say?” then I will repeat the sentence simplifying it without raising my voice. If at any point I don’t understand what she says I ask her “what do you mean?” and she would happily explain it to me, if she uses local dialect then I ask her neighbour or relatives for help (they visit Miss R regularly). Also when I explain something to Miss R, I make pauses and ask if she understands what I am saying. I continue only if I am sure that she does understand me. There was the time when Miss R was due to have her regular eye test. The Outside Clinic contacted to arrange an appointment for the home visit and, in addition to that, they say that now they do provide free home hearing test if Miss R would be willing to do that because of her age. I answered the phone, so I said that “I am going to discuss that with Miss R and our nurse-manager and will inform them later”. After I explained that to Miss R and asked if she had the hearing test done before. She said that she couldn’t remember, however she would willing to check her hearing, especially if it is free. Then I phoned to our office and spoke with our nurse-manager and informed her about everything. She checked Miss R record and said that there isn’t any record that Miss R had her hearing checked in the past, so she said that “it is a good idea to have it done and she will update Miss R`s care plan` and she asked me to phone to the Clinic and arrange an appointment for Miss R hearing test. Then I did so and also I recorded everything in our carer’s notes. I also explained again all of that to Miss R and she was very positive and was looking forward to have her test done. After sometime Miss R had her vision checked and short after that an audiologist came to do her hearing test. However, the full hearing test couldn’t be performed as an audiologist discovered that there is a lot of old dry wax in Miss R ears and it had to be dissolved and syringed.
He said that he is going to send a letter to the district nurse service regarding that and someone will come and syringe this wax and also he prescribed some ear drops to soften the wax before syringing. After some time a nurse came and syringed Miss R`s ears. After that Miss R said that she can hear clearer and sounds became closer. It was an improvement. After some time an audiologist came again and that time the hearing test went well. During that process all my actions were discussed with Miss R...
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