Max has told Jacquie that he wants to join in activities that his best friend

Max has told jacquie that he wants to join in

This preview shows page 34 - 37 out of 47 pages.

Max has told Jacquie that he wants to join in activities that his best friend, Sam, is already doing. Fortunately, Jacquie has found out that Sam participates in a recreation outreach program each Friday night so she brings some information along about the program to share with Max. Max asks Jacquie if she can drive him to the group on his first visit, but Jacquie explains that this is not possible because her organisation does not permit her to drive people in her own car and the group is run outside of her normal work hours. Instead, she encourages Max to think about learning to catch public transport to get to the program and then arrange for his mother and Sam’s mother to share the pick-up task afterwards. Max is excited about learning to catch public transport, and seems to increase in confidence at the idea that Jacquie thinks he is capable of doing this. Q1: Conduct Needs assessment of Max by interviewing his family and Max. Students to form a group and role play and identify the needs and outline in the Form Below. Star aged care facility Resident Lifestyle & Social History Assessment CRN: ______________________ Sec/Room/Bed: ______________ Resident Name: ______________ DOB: _______________________ Star_CHCCCS025_Student_Assessment_Workbook_2019_v2.0
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35 LMO: ______________________ PERSONAL DETAILS: Surname: ____________First Name: ___________ Preferred Name: _____________ DOB: _______________ Country Of Birth: ______________ Years in Australia: ____ Nationality: __________. Can Speak English Yes No Other Languages: _________ Hobbies and Interests: ___________________________________________________ ______________________________________________________________________ EDUCATIONAL BACKGROUND Primary: _________________________. Tertiary: _________________________ Degree:____________________________________________________________ Work History: Occupation: ___________________________________________ Community service or Navy Or war or any other services: Family Details: Name Of Spouse/Partner: _______________ Marital status: Married Single Divorced Widowed Names of children: _____________________________________________________ _______________________________________________________________________ Fathers Name: ______________________________ Mothers Name: ______________ Brother’s/Sister’sNames: ________________________________________________________________________________ ____ Names of any significant others on the resident’s life: _______________________ ______________________________________________________________________ Social Affiliations: Clubs: ________________________________________________________________ Social Networks: ________________________________________________________ RELIGIOUS AFFILIATIONS: Religion: ______________________________Did you attend church Regularly: Yes No Star_CHCCCS025_Student_Assessment_Workbook_2019_v2.0
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36 Would you like to attend church: Yes No Weekly: _________ Monthly: __________ Special Occasions Only: ___________________________________________________ Would you like to attend monthly in house church services Specific Cultural Activities: ________________________________________________ ______________________________________________________________________ Significant life events: Sexuality Needs: Level of enjoyment in the company of the opposite sex: High Medium Low Personal Habits: Did you ever smoke: Yes No How Many Cigarettes Per Day: __________________? Do You Still Smoke: Yes /No. Would You like to Quit: Yes/No? Your Reason for Quitting/Not Quitting: ________________________________________ Would you like to try patches: Yes/ No Would you like to reduce your daily consumption: Yes / No Do you consider counselling: Yes/ No Did you ever drink alcohol: Yes/ No Do you still drink alcohol : Yes /No Type of alcohol………….…How often you drink :…………… Would you like to quit: Yes /No Your reason for quitting/not quitting: Do you consider a counselling: Yes /No? Assessment completion date: ……………………………. Name of assessor: …………………………. Signature: ………………………………. Designation: ……………………… Q2. Once the needs have been identified after conducting the assessment on Max, Staff (Student Nurse) has to participate in developing the care plan?
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