Emotional & psychological needs Freedom from: - fear - anger - loneliness - guilt - anxiety - undue stress sense of control Self esteem, belonging & identity Accepting loss Dealing with pain Working through the grieving process Accepting death Dealing with illness & disease Security & contentment Accepting life stage
Promoting self esteem Promoting a clients: Choice Independence Valuing the client Dignity Focus on strengths and positives Support client to maintain physical appearances.
Identifying variations in a clients emotional wellbeing Baseline so that changes can be recognised, changes may include: Mood swings, anger, erratic behaviour, self harm, complaints of poor health, interest in suicide, increased substance abuse, risk taking behaviours, withdrawal. Follow p & p of facility in Management of a client with behaviour changes and emotional variations.
Understanding a clients cultural and spiritual preference There are more than 200 languages spoken in Australia over 15% of Australians speak a language other than English. Individual cultural, religious and spiritual needs are to be appreciated to promote wellbeing. http://www.culturaldiversity.com.au/
Cultural & spiritual p erspec tives Working a culturally appropriate manner & follow P & P’s. The following issues vary according to preferences: physical & eye contact contacting family members dealing with deceased food preferences dress asking for help spiritual desires and needs.
Communication Needs to be culturally sensitive Show understanding and empathy Equality Language that can be understood or interpreting services accessed Respect differing communication practice- shake hands/ bow/ nod.... Celebrations and ceremonies to be promoted Information and network access
Create a suitable environment Encourage clients to maintain their environment: Support and services to assist with cleanliness, repairs, condition of furniture and fittings photos of family and friends to be displayed Assist clients to feel safe and secure -the clients perception of comfort and security be considered, respected and supported. Funding & referral maybe required- always practice within scope of practice.
Identifying hazards Identifying hazards is an essential part of our role and the finding s to be reported to your supervisor. OHS p & p will direct the management of your findings within a clients dwelling. Use aids to promote safe and comfortable wellbeing in care delivery and with promoting independence with ADLs. Promotion of support services within the community is part of our role.
Supporting routines & customs Sleep patterns Meal choices Daily rituals Customs Life choices Care plans developed with consideration to each client.
Understanding clients and their sexuality awareness of how a clients circumstances can impact their sexuality. Acknowledge the impact society and community values has on sexuality for disabled and aged persons
Tolerant of a clients sexuality Support expression of sexuality Respect spiritual expressions of sexuality Recognise unmet needs about sexuality & identity.
Sexuality Involves sexual thoughts, feelings, emotions, preferences, boundaries and actions. Sexuality does not disappear with age Barriers about aged and people with disabilities such as community attitudes need to be removed. Peoples sexual preferences and choices need to be respected as long as no one is harmed. Cognitive impairments can cause inappropriate sexual behaviours which may need monitoring or diverting.
Documentation Follow policy and procedures of facility Examples include- care plans, incident and accident reports, health assessments, client personal profiles/ history forms. Key points in documenting: - Objective & factual - Timely - Confidentiality - Language, jargons & abbreviations - Spelling - Legible/ no white out - Records signed, dated, name & designation clearly written - Re- read your entry to ensure what you have written is what you intended to write.
Internal documents P & p manuals Timesheets OHS safety lists Performance appraisals Funding and grant submissions In filing & storing documents- abide by privacy laws
References Aspire learning resource (2009) Aged Care in Australia ; a guide for care workers ( course Text book) http://www.culturaldiversity.com.au/ http://www.culturaldiversity.com.au/ http://www.agedcareaustralia.gov.au/internet/agedcare/publis hing.nsf/Content/ageing+in+place http://www.agedcareaustralia.gov.au/internet/agedcare/publis hing.nsf/Content/ageing+in+place