Case Scenario

Ken Davis has attended the centre where you work. You work for an aftercare agency that supports people who have been released from hospital. Ken has been referred by the doctor at the hospital for follow up support and to assess Ken's, wellbeing. Ken reports that he has a referral to nutritionist that specialises in diabetes. Ken reported that his health has not been so great but has been able to with the help of his dr start to have regular health checks which has helped him feel like he is in control of his health. Ken has reported that he has been taking Beta-adrenergic blockers to support his high blood pressure.

Ken is 65 years old. He reports that he was in hospital for diabetes. Ken reports he was released and recommend that he attend the agency. Ken reported that the doctor was concerned for his mental wellbeing as he said he felt down and frustrated while in hospital. Ken reported that he was trying to get his diabetes under control. Ken reported that feeling down has been happening more often and has been affecting whether he goes out to see his friends.

Ken reports that he works as a train guard and works shifts. Ken finds this very tiring and has difficulty in sleeping. He grew up in poverty and only learned to read, write, and sign his name. He works long hours and does not go out in the community much except to catch up with some friends at the pub. Ken reports that he has a drinking habit and can drink up to 3 litres of wine in one sitting. Ken reports that most times when he is home, he will work in his garden. Ken also says when he is sitting on his veranda and drinking wine, that his neighbours will stare at him, so he ends up sitting inside. Ken reports that he ends up drinking more wine as he is upset that his neighbours make him feel uncomfortable. Ken mentions that he gets angry at them. Ken reports that he has fights with the neighbours as he feels that they are judging him. Ken has reported that the police have attended his house and his neighbours house due to the fighting.

Ken reports that his mother and father are still alive, and they live in a nursing home. He reports he does not visit much as he feels his father never approved of him. Ken reports that he writes a lot of poetry and has published a couple of books. He tells you he loves writing poetry. Ken enjoys reading poetry from the World War 1 and 2. Ken reports that he can relate to the poetry back then as it was very emotional and deep. Ken mentions that he has a group that he chats with online, and they occasionally meet up at poetry competitions. Ken mentioned that the group have similar interests in war poetry especially Australian poets such as: Major Oliver Hogue, John Sandes and Henry Lawson. Ken believes his father did not approve of his love of poetry and encouraged him to leave school and get a job to support the family. Ken believed that if he had of stayed on at school, he would have been a successful writer.

Ken reports that he used to volunteer with a charity that helped adults to learn to read however his health has affected him in not being able to still volunteer his time each week. Ken reported that he would volunteer two hours a week at the centre.

Ken reports that he is divorced and does not stay in contact with his ex-wife. Ken talks about how his ex-wife was not faithful to him and he would be away a lot working. When he came home, he found she was very distant with him and they did not have any intimacy in their relationship. Ken reports he is talking with a lady from the Philippines, and he supports her financially. Ken reports that he is saving for her to come over and visit and then he will return with her for a holiday and meet her family. Ken reports that he hopes to marry her and to live with her here in Australia. Ken reports that sometimes he does worry if he is being lied to about her wanting to marry him. He worries that she tells him that she loves him but wants money sent rather than a real relationship.

Ken reports that he has had a couple of traumatic experiences at work where he had to deal with a passenger dying on the train. Ken reports that he worries about this happening again and avoids being on his own on his shift if he can help it.

Looking at Ken's eating habits and lifestyle:

1.Research information that would support Ken in learning about healthy living habits. Include in your answer the source of information that you found or any sources of information n that you would either give Ken or send him to read.

2. Identify and research activities or professionals that can support Ken in promoting emotional strengths and wellbeing include in your answer sources of information of activities or people you could refer Ken to

3. Discuss any iatrogenic affects that Kens medication for his blood pressure may have

4. Discuss what model of change would you use to support Ken, and are there any stages that you may be able to take him through?

5. Describe what power dynamics and include what social inclusion or exclusion has Ken experienced? Explain how you assessed kens experiences with social exclusion/inclusion or any isolation

6. Describe what approaches or therapy would you recommend using for Ken and why?

7. Describe the type of care plan you would formulate and include the following:

What resources and information would you give Ken to support his wellbeing? include any information relating to social and emotional wellbeing, available services and programs including holistic practices include links to your information.

8. Describe what strategies you might work with Ken-include any strategies that support community participation and connection to support Ken and extend his social network include links to your information

9. Who would you collaborate with to create a plan of action?

10. Discuss what referrals would you recommend for Ken to seek further support

11. Discuss any legal requirements you will need to follow regarding the care plan including confidentiality and referral processes

12. Discuss how you reflected on your own values, beliefs, attitudes, power and behaviours regarding wellbeing to ensure that you used a non-judgemental practice

13. Reflect and discuss your approaches to practice and the learning that you have had to identify strategies and plan for improved practice