Case study Ishmael uses a wheelchair. He has just finished school, and is applyi
ID: 128165 • Letter: C
Question
Case study
Ishmael uses a wheelchair. He has just finished school, and is applying for university courses. He hopes to study engineering. The application process is quite long and tedious. Ishmael starts to doubt his ability to get into the course. He is also worried about the practicalities of attending classes. He is not sure if all buildings will be wheelchair accessible. He is also concerned about making friends at the college if he does get in. Ishmael’s support worker, Ali, notices Ishmael has been looking tired and pale. When Ishmael does not attend one of their meetings, he is worried about Ishmael and calls to check on him. He finds Ishmael lying in his bed at 2 pm. Ali tries talking positively about Ishmael’s course, and asking him questions to stimulate his interest. Ishmael does not want to talk. When Ali visits Ishmael the next day, Ishmael is still lying in bed. He has not had a shower, and as far as Ali can see, he has not eaten. When he checks the next day, Ishmael is lying in his bed, sweating. Ali checks his pulse, which is much faster than normal. Ali sees a bottle of empty medication next to Ishmael’s bed and suspects Ishmael may have overdosed on his medication. He calls emergency services. The ambulance arrives five minutes later, and Ishmael is taken to hospital. Ali rings his supervisor tp discuss and report the situation.
How did stress impact on Ishmael’s behaviour? How could Ali have helped Ishmael manage his stress? Include a strategy that follows a principle of effective communication.
What interventions did Ali take to ensure Ishmael’s safety? Explain whether you feel these were appropriate interventions
How did Ali follow organisational procedures when reporting the incident? Report the incident as if you were Ali.
Why would aversive practices not worked in this situation? Provide an example.
How did Ali refer to specialist services?
Identify positive behavioural support strategies used by Ali. How is what he does suitable for Ishmael but perhaps unsuitable for another individual person?
Explanation / Answer
1.a. Ismael has been stressed because of the practicalities in attending classes. The stress has affected Ismael By making him depressed . When Ali met him,he has not done his activities of daily living and always found lying in bed. Ali has been observing for the three consecutive days. On the third day he is found lying in bed with excessive sweating, Pulse above normal and overdosed himself with the regular medication. Ali could have helped him in the following ways to manage his stress:
- Encouraged him to ventilate his feelings that worried him much.
- Involved him in social interaction with friends,
- Taken him out to relax or medidate.
- Provided positive assurance and psychological support by ,making frequent visit or by speaking over phone.
-Involved in some sort of laughter.
1.c. Genuine and authentic interest
Conveying your genuine interest in other people help individuals to come out with their problems. This is a strategy which is used to make communication more effective.
2. Ali found that Ismael is overdosed and checked Ismael's pulse and found it is been increased with more sweating. Hence he has called the emergency services and shifted him to hospital. And reported the supervisor about Ismael's condition. And these are the appropriate interventions done by Ali.
3. Ali followed the organisational procedure by calling the emergency service as he observed him to overdosed with increase pulse. Also he reported the supervisor about Ismael's Condition.
4. Report on Ismael
Date Time Name of the client Medical History
Ismael aged ..... Is a client using wheel chair wanted to get into a university level education. He was worried for few days because of tension on long admission procedure to studies, his physical disability, new environment and his concern in making new friends. All these worries made him stressed and depressed. on my visit on first two days he is not physically active and has not carried out his daily activities except lying in bed. Even for my motivation he has not responded properly.This is been happening for 2 days and the third day he overdosed himself with his regular medication and found to have increased pulse(P= ) with excessive sweating.
Hence i have shifted him to the emergency service.
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