Case Study

Tom was fit and active until he recently suffered a stroke. The stroke affected his speech, and the left side of his body is now paralysed. It is hoped that over time, with physiotherapy, this will improve. He has been admitted to King’s Court to be rehabilitated.On admission it was noticed that Tom is depressed. He was reluctant to try and talk and gets agitated when taken into the main lounge. When staff attempt to move him he makes it clear that he would rather stay in his room.The care plan states that Tom must be encouraged to communicate and do as many activities that are suitable as possible. After a traumatic 40 minutes in the lounge it is decided by Katy that it would be best for Tom to return to his room. Katy explained this to Tom and he was very relieved. Once in his room he was much calmer and Katy managed to get him to try and answer a few questions.Later on shift change, Mary arrived. She insisted that the staff move Tom back to the lounge to have his tea and that the care plan be followed.Once again Tom became agitated, stressed and refused to attempt to eat. Mary spoke to Tom and explained why he should be in the lounge. Tom did not try and respond to Mary and refused to eat. Mary explained to the staff he would soon settle and it was his choice not to eat so not to worry about this; he would come round.

1. Who was right in this situation?
2. Was Tom consulted correctly about his choice?
3. Was the outcome the proper action to take?

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.