Domestic Affairs - Task 01 (5).pdf

M02 -Attend domestic affairs of the client Task 01 -Identify domestic affairs  What is Domestic Affairs? ▶ Entire of the care,requirements and needs to be fulfilled by the caregiver for the health and welbeing of the client throughout the day to up lift the activities of daily...

M02 -Attend domestic affairs of the client Task 01 -Identify domestic affairs  What is Domestic Affairs? ▶ Entire of the care,requirements and needs to be fulfilled by the caregiver for the health and welbeing of the client throughout the day to up lift the activities of daily living.(ADL) Types of Domestic affairs. - Cleaning and maintenance of personal hygiene - Nutritional needs - Providing rest and sleep - Elimination - Shopping planning - Attend to clinics/ Dr’s appointments - Handling of electrical/electronic devices and machinery - Prevention of accidents and hazards - Re-creational activities for the client - Taking the client out The Professional Caregiver ▶ A Home Care Aide is a professional caregiver. ▶ You must understand your responsibilities and have the knowledge and skills to perform them well. ▶ Your work will directly impact the quality of life and wellbeing of the people you support. Caregiver Interventions: 1. Provide personal care as directed by the service plan and the client’s preferences. 2. Follow common care practices to promote and protect the client’s rights, dignity, privacy, and safety. 3. Observe, document, and report changes in the client’s behaviour and/or condition. 4. Follow a high standard of professional conduct, including maintaining professional boundaries. 5. Prepare for and respond to emergency situations. Identify domestic affairs  The domestic affairs to be attended should be listed out accurately.  The activities should be categorized on the basis of the nature of the activities.  The activities should be prioritized on the basis exigency.  The resources required should be identified carefully before commencement of the job.  The needs of the client should be identified by referring to the relevant parties.  Approval / advice should be obtained from the superior / guardian for the identified list as early as possible following the organizational procedures keeping a copy with him / her.  The resources needed should be requested from the superior  What is Domestic care? (standard definition) ▶ Domestic care is support to improve or maintain a person’s capacity to manage everyday activities in a safe, secure and healthy home environment.  What else? Essential cleaning for example the bathroom, kitchen, laundry, living area and bedroom Dishwashing, mopping, vacuuming floors, dusting, changing bed linen, clothes washing and cleaning bench tops, stove tops and refrigerators Working alongside and sharing tasks with the client in order to build their confidence and maintain their capacity to be as independent as possible Doing shopping and running errands Preparing meals Keeping an eye on the home to ensure there are no health or safety risks Skill development and capacity building, if appropriate  Important matter in domestic affairs - Adjust (adjust to) your environment - Know your clients/ guardians/ neighbors - Know the Suppliers of goods/ shops/ services available - Facilities available in the are/ city - Important telephone numbers/ websites/ calling systems (emergency contacts – Sri Lanka) - Family doctor’s/ consultants and/or other professionals contact numbers - Emergency protocol/ procedure – BLS (CPR) Activities of Daily Living (ADLs) ▶ Bathing taking a full-body bath/shower, sponge bath, or transferring in/out of tub/ shower. ▶ Bed mobility moving to and from a lying position, turning side to side, and positioning their body while in bed. ▶ Body care ▶ includes passive range of motion, applications of dressings (requires nurse delegation) and ointments or lotions to the body (may require nurse delegation), pedicure to file or trim toenails and apply lotion to feet Please be aware that body care DOES NOT include: ▶ foot or nail care for clients who are diabetic or have poor circulation; and changing bandages or dressings when sterile procedures are required.  Dressing putting on, fastening, and taking off all items of clothing, including a prosthesis. Eating eating and drinking, regardless of skill. Eating includes any method of receiving nutrition such as by mouth or tube (may require nurse delegation). Locomotion in room and immediate living environment Moving between locations in a room and immediate living environment. This might include walking or using a wheelchair or scooter. Also called “ambulation.” ▶ Locomotion outside of immediate living environment, including outdoors ▶ moving to, and returning from, locations outside immediate living environment such as a patio or porch, backyard, the mailbox, or the next-door neighbor, etc. This might include walking or using a wheelchair or scooter. Also called “ambulation.” ▶ Medicationreceiving prescription or over-the-counter (OTC) medications, preparations, or management herbal supplements. Some medication management requires nurse delegation. ▶ Toiletuse using the toilet room, commode, bedpan, or urinal, transferring on/off toilet, cleansing the perineum, changing pads, managing an ostomy or catheter, and ▶ adjusting clothes. ▶ Transfermoving between surfaces (e.g. to/from bed, chair, wheelchair, shower chair). This may include cueing, hands-on assistance, or mechanical lifts. ▶ Personal hygiene maintaining personal hygiene, including combing hair, ▶ brushing teeth, ▶ denture care, ▶ applying makeup, ▶ washing/drying face, hands, and menstruation care.  Instrumental Activities of Daily Living (IADLs) ▶ IADLs are routine activities around the home or in the community. ▶ Some Home Care Aides might also assist with these household tasks. ▶ Meal preparation planning meals, cooking, assembling ingredients, setting out food and utensils, and cleaning up after meals. ▶ Ordinary housework performing ordinary work around the house (e.g. doing dishes, dusting, making bed, tidying up, laundry. ▶ Essential shopping shopping for food, medical necessities, and household items to meet a client’s health and nutritional needs. This includes shopping with or for a client. ▶ Wood supply splitting, stacking, or carrying wood (when the client uses wood as the sole source of fuel for heating and/or cooking). ▶ Travel to medical traveling by vehicle to a medical office or clinic in the local area to obtain services medical diagnosis or treatment. This includes a client driving a vehicle or ▶ traveling as a passenger in a car, bus, or taxi. ▶ Managing finances paying bills, balancing a check book, managing household expenses. Although you may see this listed on a DSHS care plan, this task is normally ▶ done by family or friends of the client. DSHS does not pay caregivers to assist with managing finances. ▶ Telephone use receiving or making telephone calls, including the use of assistive devices such as large numbers on telephone or amplification as needed. Level of Support Independent: There are no safety concerns, and the client does not need any help or reminders with this specific task. Supervision: The client can complete the task safely, but you will monitor to make sure. You may need to remind the client or coach them as they complete the task. Supervision does not include any hands-on support. ▶ Limited Assistance: The client is highly involved in the task but needs some hands-on assistance. You might help guide their hands or arms as they complete the task. Limited Assistance does not include any weight bearing support. ▶ Extensive Assistance: The client needs weight bearing support or full assistance during parts of the task. You will need to support the client’s weight or complete parts of the task for them. ▶ Total Dependence: The client is unable to participate in any part of the task. You will need to do all parts of the task for the client. ▶ These levels of support are specific to DSHS. Levels of support may vary depending on your care setting and the service plan tools it uses.  What would you do in each situation? ▶ Situation A ▶ Annis a resident in the facility where you work. Your list of tasks this morning includes assisting her to get dressed. However, when you knock on her door, she tells you she is not ready to get up yet. ▶ Situation B ▶ Marryis a resident in the home where you work. She needs assistance brushing his teeth. However, when you begin the task, he stops you and says that he does not want to do it.  Let’s Discuss.. ▶ In situation A, you should ask her why she does not want to get up to make sure nothing is wrong. Then ask her when she would like to get dressed and change your schedule to suit her preference. ▶ In situation B, oral care is essential for her health and safety. Talk with her about why it is important, ask her why he does not want to do it, and negotiate a different time or way to ensure his mouth and teeth get clean.  Common Care Practices ▶ How you provide care strongly affects the client’s emotional wellbeing. ▶ Common care practices promote and protect a client’s rights, safety, comfort, and social and human needs. ▶ These practices vary depending on the specific task you are performing and the client’s strengths and needs. While assisting a client to eat, promote and protect the client’s... ▶ Right to choose Ask what they would like to eat, or offer choices. ▶Dignity Offer a napkin. ▶Social needs Sit at eye level and engage in conversation during the meal. ▶Safety Watch for signs of choking or trouble swallowing ▶Independence Encourage the client to hold the fork or spoon if able. ▶ Comfort Go at the client’s pace, and offer beverages between bites. Protecting Client Privacy ▶ Most of us would prefer to wash, groom, and care for ourselves in privacy. When a person needs assistance with personal care, they may feel vulnerable or embarrassed. ▶ They might feel a loss of independence and self-esteem because they need support with basic tasks. Physical Privacy ▶ Always: knock before entering a room with a closed door, and wait for permission to enter; close windows, curtains, and doors before starting personal care tasks; keep the client’s body covered as much as possible; and give the client privacy to do as much self-care as possible. Personal Privacy Everyone needs personal privacy sometimes. Respect and support a client’s privacy when: 1. theclient wants to be alone to think or deal with problems or losses; 2. the client is visiting, talking on the phone, or reading their mail; or 3. the client wants to enjoy some quiet time alone Supporting Client Independence Giving the client opportunities to do things for themselves as much as possible; Encouraging the client to complete tasks in small steps so they don’t get discouraged; Providing plenty of encouragement and positive feedback; and Encouraging the use of any assistive device(s). Be patient. Do not rush or let getting your “work done” take priority over supporting a client’s independence Observing Changes Examples of changes to look for in a client - What you see ▶ Mood or temperament ▶ Angry outbursts Irritability Sadness or depression ▶ Physical changes ▶ Skin change (color, rashes, open areas) Swelling of arms, hands, legs, or feet Changes in activity level Change in a client’s ability to do tasks Mobility Change in how client moves (e.g. leans to one side, ability to stand, more unsteady on feet) Begins to limp, stagger, trip, or bump into things Falls or injuries Ability to breathe Short of breath, gasping for air, difficulty talking Breathing is slow or rapid ▶ Appearance ▶ Change in hygiene habits or physical appearance Unkempt or dirty clothing Appears anxious, tense, afraid, or depressed Change in level of consciousness; unable to wake up easily ▶ Bathroom habits ▶ Constipation or diarrhea Frequent urination or urine of strange color Not urinating enough, or often enough (dehydration) Blood in urine (pink or red color) Pain or discomfort when using the bathroom ▶ Eating Increase or decrease in appetite. Losing/gaining weight without trying - clothing or belts loose or tight. Any indication a client is not eating or has difficulty eating. Difficulty with swallowing What you hear ▶ Crying, moaning Talking to self or objects or others not in the room Slurred speech, difficulty speaking or finding words Client tells you about a change they are having Client talks of loneliness and/or suicide ▶ What you feel / touch ▶ Skin temperature and moisture Bumps or lumps under skin ▶ What you smell ▶ Bad breath Unusual odor from urine or stool Odor from a cut or sore