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Care management - Coggle Diagram
Care management
Management care plan for caregiver stress
Cognitive aspect
Helpless/possible burnout
Coping strategies
Community services:
Adult day care services/respite care interventions
Equip caregiver with knowledge and skills to meet client care demands
Functional aspect
Educate helper and daughter to care for patient
on ADLs/ transfer technique
Promote safety at home to prevent falls
[home modification]
Social aspect
Depression support group
Helpline when help is needed
Financial support (Have helper and daughter not working)
Care transition
Provide support from medical/nursing/allied health
Help family member be more
confident in caring for patient
Ensure smooth transition from hospital-home without medical complications
Potential problem: Caregiver stress
Helper
Client not happy with helper (Cooking terrible)
and refuse helper's care
-Possible language barrier, might not
know what client needs
-Helper need to learn how to take care of patient
Daughter
-Hire helper as unable to cope with care of patient
-Quit work to take care of client
-Feels helpless
-Does not know how to comfort client when
when she is having depression
-Feels heartache and heart bleeding
when she is unable to help client
Introduction of case study
-Client: Mdm Lee, Chinese female 90 years old, widow
-Stays in HDB with lift landing
-Stays with daughter and helper
-ADL: Wheelchair bound with maximum assist
-Normal diet, thin fluids
-Diagnosed with dementia and depression (On medication), previous severe fall in July 2016
-Daughter not working, previous kitchen assistant
Client
-Client's behaviour when hospitalised: Wants to commit suicide, anxious, agitated, shouting, biting in hospital, wanted to fight with nurses. Tries to strangle herself when in ward
Client feel pain is like rock pressing on her
Patient couldn't breathe, move or do anything, could not express herself