Case Study 1
Frank aged 46 was referred to us by a social worker. He has poor memory which has been attributed by medical professionals to Frank’s frequent cannabis smoking. Frank reports that he no longer smokes everyday but has cut down to every six months or so. He does have a history of substance use and has stated that he previously sniffed butane gas and glue but has now stopped doing so. He consumes alcohol occasionally.
Frank feels his poor memory is due to electroconvulsive therapy that he received many years ago. He has unpredictable sleeping patterns and has stated that he has previously been awake for three weeks straight when he didn’t have access to sleeping tablets.
Frank experiences anxiety when he leaves the house alone which he attributes to prior incidents in his life. He is socially isolated and only spends time with his mother and father who he usually sees for a 24hour period once a week. He spends the majority of his time alone in his one bedroom flat in Norfolk.
He has moved his bed into his living room because of the noise that comes from outside his bedroom and has positioned three televisions around his bed.
His flat is relatively tidy but there are over filled rubbish bags piled up. His flat is cluttered and Frank has asked for help with this from the support staff.
Frank has expressed a wish to volunteer but has recognised that he may need support to do this. He has also stated a desire to access the countryside.
He reports that he has attempted suicide numerous times, the most recent being earlier this year when he took an overdose. Frank regularly self-harms through burning himself with cigarettes or lighters.
Outcomes for Frank:
The support team has encouraged Frank to address his health, wellbeing and recovery goals and aspirations. Frank is now engaging with his GP which he had not done previously.
Frank is supported by staff to create a home where he feels safe, secure and comfortable. He is more engaged in tidying his flat although he still waits for the support worker to arrive to provide guidance and motivation. He now acknowledges the benefits of a tidy home.
Frank is actively supported by the support workers to gain confidence and to make informed choices and decisions that help his personal recovery. He has been guided by the support workers to realise that he can save money by not having expensive meals from a take-away shop and now orders his meals from a frozen food outlet.
Case Study 2
Bella aged 70 years was admitted to the local hospital early last year as she had developed ulcerated legs and was sleeping in her armchair. The infection had spread to her shoulder. When she was discharged from hospital, Bella had a further stay in the community hospital for rehabilitation. She was then referred to us by the County Council placement team.
Currently Bella lives downstairs in the living room and her son helps her with her daily living activities. Before the most recent hospital admission, Bella was mobile with the aid of a walking stick and a mobility scooter.
Bella requires support in all aspects of her personal care and meal preparation. She expresses anxiety as she feels unsteady on her feet. She is keen to be as mobile as possible and manage her own daily living activities independently.
Bella is a lady who is able to vocalise her needs and desires and appears to enjoy the company of others. She has a good sense of humour and a strong family support network.
Outcomes for Bella:
Bella is supported by staff to identify and maintain positive personal health practices and coping skills in relation to her physical health. Through developing trust with her dedicated staff team Bella is less anxious about falling. Her confidence has grown enabling her to make appropriate decisions in her future care/needs. Bella is now dressing herself in the morning before the support worker arrives, whereas previously she would lay in bed often incontinent.
Case Study 3
Rose aged 64, was discharged from hospital following a hip replacement operation. Rose was being cared for by her husband Jim. He then had to go away on a business trip so he contacted High Oaks Community Care & Support to arrange private care in the family home to help prepare Rose’s breakfast, help her to get washed and dressed and make sure that she was safe getting downstairs as she was quite nervous about her mobility. The care and support agreement was for 45 minutes in the morning and 30 minutes to prepare lunch for five days.
Outcomes for Rose:
Throughout the five days Highs Oaks dedicated staff attended, Rose gained confidence in her mobility which included walking around the garden. This was achieved through talking to Rose telling her that she could walk and how well she was doing and encouraging her to try as often as she could while the care support staff were with her.
Rose’s progress was acknowledged by Jim when he returned from his business trip, he said that he could not believe the improvement not only in Rose’s walking but also in her general confidence.