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Course 9 – Clinical Assignment Applying the Person-Centred Care Approach and HCA CARE Principles Clinical Course Topic(s): Prioritization and Understanding Medication Assistance Instructions This scenario assignment is part of the Course 9 learner evaluation along with the clinical evaluation and reflection. Learners read the scenario below, answer the questions, and apply the CARE principles to the scenario. This written assignment should be no longer than one page. This assignment is graded as pass/fail. The marking rubric is provided. Scenario Mark is working in home care and is to see 10 clients in an eight-hour day. He receives a list of clients (next page) with specific times to make home visits based on the needs of the clients. He has three clients to see before his first break at 10:00 a.m. Client Care List Mrs. Smithers (0900) Apply compression stockings in the a.m. Take a blood glucose reading using a glucometer and record it. The LPN will provide the dose of insulin to the client later. Mr. Beaver (total care) (0730) Complete a transfer of client with a ceiling lift in their bedroom to a commode. Give client a shower. Mrs. Ahmed (1000) Medication assistance scheduled for 10:00 a.m. for eye drops and medications (level 3). Client Care Situation (Prioritization) When Mark arrives to take Mrs. Smither’s blood glucose reading, he finds that it does not match the range stated in the care plan. What should Mark do? After this situation, Mark is now running late and is trying to determine who to see next, Mrs. Ahmed or Mr. Beaver. What does level 3 medication assistance mean? Who should Mark see first? General Questions/Activities What should Mark do if a client’s status changes during a home visit? Provide Situation, Background, Assessment and Recommendation (SBAR) to give a status update on Mrs. Smithers. Marking Rubric In order to get a grade of pass in this assignment, a learner must receive a 100% score in at least five of the categories in this rubric. Criteria pass fail Compassionate Caring through Competence Dignity Independence Preferences Privacy Safety Identifies all applicable aspects of compassionate caring through competence that are appropriate to scenario Does not identify or minimally identifies applicable aspects of compassionate caring through competence that are appropriate to scenario Accurate Observations Identifies observations of the body systems including cognition Identifies all applicable observations of body systems that are appropriate to scenario Does not identify or minimally identifies applicable observations of body systems that are appropriate to scenario Respond Recognizes priority of the situation Acts by performing skills required Reports to the appropriate regulated health-care team member Records in a timely manner Identifies what to do if client status changes during home visit Identifies all applicable aspects of “respond” as appropriate to the scenario Does not identify or minimally identifies applicable aspects of “respond” as appropriate to the scenario Enhance Quality of Life Promotes client independence Maintains safety Identifies all appropriate components related to enhancing quality of life as appropriate to scenario Does not identify or minimally identifies appropriate components related to enhancing quality of life as appropriate to scenario Identifies what level 3 medications assistance means Correctly identifies meaning of level 3 medication assistance Does not identify or incorrectly identifies meaning of level 3 medication assistance Prioritization of clients Prioritizes which client to see first, second, etc. Appropriately prioritizes the client care Does not prioritize or inappropriately prioritizes client care Provides SBAR on Mrs. Smithers Highlights key SBAR components Does not highlight or minimally highlights key SBAR components Reference Alberta Provincial Continuing Care. (2014). Medication assistance program manual (MAP). Retrieved from https://www.albertahealthservices.ca/assets/info/seniors/if-sen-map-program-in-alberta.pdf

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