Assignment task:
Mr. Jones is a 70-year-old widowed gentleman who has been residing in Sunnydale Retirement Home for the last year since his wife died. He has four sons who are supportive but live out of province. Mr. Jones moved to the retirement home as his wife always managed the cooking, cleaning and laundry and he could not cope on his own.
Mr. Jones has adjusted well to Retirement Home living but is upset that he cannot smoke in his room. He is often seen smoking under the covered patio when the weather is warm. He is clear about the fact that "smoking is my only pleasure". You have been assigned to care for Mr. Jones today. You review his care plan and see he has advanced COPD and is on 2 litres of oxygen (O2) via nasal prongs. You are responsible for assisting Mr. Jones with his ADL's and walking with him to the dining room for his meals.
Upon entering his room, you see Mr. Jones with the nasal prongs placed above his nose and he is sleeping in his lazy boy chair next to his oxygen compressor. You gently wake him up and introduce yourself. Within minutes you develop an instant rapport. As you are assisting him with his ADL's you notice he is very thin. He tells you, "I have no appetite." His face is pink and ruddy in color. His skin is warm and moist. You check his temperature and his temperature is 38.1 °C. He states, "I feel hot." His chest is rattling when he breathes, and he is coughing up thick white mucous. He tells you "I have more sputum than normal the last couple of days" and asks you to pass him a tissue. You notice the garbage can is overflowing with tissues.
Record your responses to these questions:
1. What is the main issue or focus of this scenario?
2. Describe the subjective observations in the case study.
3. Describe the objective observations in the case study.
4. As the support worker in this situation, what would be your response? (including your verbal response, next actions, or steps, and follow up)
5. Provide a report to the supervisor using the SBAR Tool.
6. List other members of the interprofessional team that would support the client. Describe the rationale for including each team member related to the client's care.