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    Karin Troy is an 85-year-old Native American woman who lives alone but receives help from family. Her dementia is progressing, limiting her ability to perform daily activities independently. She needs assistance with ambulation, ADLs, IADLs, and home modifications like a ramp and bathroom changes. NC Baptist Men built a ramp for her home and she was approved for in-home aide services. Her family and tribe will assist with repairs. She is close to her family but needs 24/7 supervision due to cognitive and physical limitations. The social worker recommends 24-hour care, assistance with all activities, medical appointment attendance, and medication management.

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    Case Presentation

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    api-284446774
    299 views12 pages
    Karin Troy is an 85-year-old Native American woman who lives alone but receives help from family. Her dementia is progressing, limiting her ability to perform daily activities independently. She needs assistance with ambulation, ADLs, IADLs, and home modifications like a ramp and bathroom changes. NC Baptist Men built a ramp for her home and she was approved for in-home aide services. Her family and tribe will assist with repairs. She is close to her family but needs 24/7 supervision due to cognitive and physical limitations. The social worker recommends 24-hour care, assistance with all activities, medical appointment attendance, and medication management.

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    Karin Troy is an 85-year-old Native American woman who lives alone but receives help from family. Her dementia is progressing, limiting her ability to perform daily activities independently. She needs assistance with ambulation, ADLs, IADLs, and home modifications like a ramp and bathroom changes. NC Baptist Men built a ramp for her home and she was approved for in-home aide services. Her family and tribe will assist with repairs. She is close to her family but needs 24/7 supervision due to cognitive and physical limitations. The social worker recommends 24-hour care, assistance with all activities, medical appointment attendance, and medication management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    299 views12 pages

    Case Presentation

    Uploaded by

    api-284446774
    Karin Troy is an 85-year-old Native American woman who lives alone but receives help from family. Her dementia is progressing, limiting her ability to perform daily activities independently. She needs assistance with ambulation, ADLs, IADLs, and home modifications like a ramp and bathroom changes. NC Baptist Men built a ramp for her home and she was approved for in-home aide services. Her family and tribe will assist with repairs. She is close to her family but needs 24/7 supervision due to cognitive and physical limitations. The social worker recommends 24-hour care, assistance with all activities, medical appointment attendance, and medication management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 12

    CASE PRESENTATION

    Karin Troy

    BACKGROUND INFORMATION
    o85 year old Native American mother (widowed)
    o5 children (3 girls and 2 boys)
    oRetired from Public Schools of Robeson County
    oHealth and abilities declining due to dementia progressing

    PROBLEM STATEMENT
    oClients dementia is progressing quickly and depriving the clients ability to perfrom
    ADLs and IADLs.

    oClient needs assistance with ambulation due to leg problems.


    oClient also has several health problems that limit her ability to function.
    oClient needs a ramp for ambulating in and out the home.
    oClient needs assistance with floor repair in kitchen, bottom cabinets and bathroom
    modifications.

    SERVICES
    oThe NC Baptist Men Red Springs, Mission Camp assisted client with building a ramp.
    oThe client was approved for SA/IH to assist with sitter hours.
    oSocial worker will make monthly visit to ensure that client is cared for properly.
    oLumbee Tribe will assist client with floor repairs and kitchen cabinets.

    STRENGTHS AND LIMITATIONS


    oLives alone but a family member stays
    overnight while others alternate
    throughout the day.

    oClient can not be left alone.


    oUnable to ambulate alone.

    oClient is alert to self and person most of oNeeds assistance with ADLs and IADLs.
    the time.
    oClient is disoriented due to dementia.
    oClient rollator walker to assist with
    ambulation.
    oFamily assist with all ADLs and IADLs.

    oOther medical diagnoses.

    ASSESSMENT GOALS
    oAssist client with ADLs and IADLs.
    oMonitor changes and ensure that clients needs are met.
    oProvide 24 hour supervision.
    oMaintain accurate sitter logs.

    oKeep receipts of payment for sitter fees.

    BIASES
    The social worker did not have any biases but as if the daughter thought she knew
    more than the social worker.

    VALUE DIFFERENCES
    Client is very close to her family. The family seems to be very concerned about the
    well being of their mother. Therefore, we both value a close knit family.

    LIFE CHANGING EVENTS


    oClient retired from Southeastern Regional Medical Center.
    oClients closeness to family and work history has made her very polite and
    understanding.
    oClients leg condition caused her to lose ability to ambulate alone.
    oClients dementia has drastically changed her life because she is not able to do things
    she did in the past.

    STAFF RECOMMENDATIONS
    Client receive 24 hour care
    Receive assistance with all ADLS and IADLs (cook, clean, finances, etc.)
    Attend all medical appointments
    Take medications as prescribed

    Apply for PCS (Personal Care Services)

    RESEARCH ON DIAGNOSES

    AGENCY RECOMMEDATIONS
    Social worker agreed with staff decisions. No suggestions were recommended.

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