Case Study

Raquel is a 35-year-old who has been admitted into a residential home after having difficulties at home. She had a stroke 3 years ago which has left her with speech and mobility difficulties. She was cared for by her elderly parents but wanted to live independently. It is felt that Raquel may have had another small stroke as she was found on the floor unconscious a few weeks ago. Nigel, the senior carer, has handed over the care of Raquel to Linda. He reported that Raquel doesn’t need much; she is disinterested in most things and sleeps a lot. Sometimes, however, Raquel can be difficult and you have to make her look at you to speak and communicate with her. She does not give much eye contact. Nigel has left Linda to care for Raquel. Linda starts to talk to Raquel and notices that she is trying to focus on her. She then looks at the care plan and realises that Raquel’s senses have deteriorated since admission. Linda is very concerned and feels Raquel may have had another TIA which has caused the problems. Linda has notified you of this.

1. Was this a case of ineffective practice?
2. What action could you take as a supervisor in this case?
3. What strategies should be in place to promote an understanding of sensory loss?

It is rare that there is just one way to respond to a scenario or situation, so do not consider that the responses you have to the above scenario will be judged as right or wrong. Share your scenario with a work colleague or friend and ask them to tell you whether they think you have responded appropriately. Ask them to challenge your response if necessary. You do not need to submit this task for assessment unless asked to do so by your assessor.