Case study 3 Naomi uses a wheelchair and has autism. Her behaviours of concern a
ID: 128442 • Letter: C
Question
Case study 3 Naomi uses a wheelchair and has autism. Her behaviours of concern are that she hits and bites staff when she becomes agitated in the evenings. At this stage, one of the interventions used has been to try and ask Naomi to count her breaths. This only makes Naomi more agitated. One intervention that has been successful has been to run Naomi a warm bath. When Naomi’s behaviour has significantly escalated, however, some support workers have wheeled Naomi to her room and locked the door. This usually worsens her behaviour. Eventually she calms down and falls asleep. Maahir, one of Naomi’s support workers, is concerned about this practice as it does not seem right and is not detailed in Naomi’s support plan. He talks to his supervisor about the practice, and his supervisor agrees that this is against regulations. The next day, Naomi is wheeled to her room, and her door is locked. While in her room, Naomi bangs her head badly. She becomes quiet. When Maahir checks on her, he sees she is unconscious.
How could Maahir consult with his supervisor to monitor behavioural support strategies and report on changes in Naomi’s needs and behaviours?
Describe two procedures Maahir must follow in making referrals for Naomi.
Explanation / Answer
1. ANS: Naomi’s behavioural support strategies:
It is important to know if she is treated equally as another human as a patient right. She is an autism patient and immobile, and she is having a hard time in communicating her need or requirements with the supporting staff. Being her a support, he needs to check and ensure that Naomi is not violated and is treated with compassion meeting her need.
2. ANS: A thorough check in the environment condition and surroundings and a physical examination with the help of a female worker to figure out the trigger for her agitation as because she is getting agitated in the evenings and warm bath is helping her. Check for insects, mosquitos that may be causing irritation on her skin.
If required give a Dermatology consultation.
Take help of a counsellor or health worker, who can communicate with her and understand her concern.