Ian was first introduced to Cavendish Homecare by a case management team as he was ready to be discharged following a stroke. He was first admitted to A&E, followed by 10 weeks in the acute stroke unit. He was then transferred to a rehabilitation unit where intense multidisciplinary input was delivered for 4 weeks. Many who have suffered a stroke long to get back to their own homes following the completion of in-patient rehabilitation programs.
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Our Client’s Story…
Ian suffered a stroke that left him with a range of challenges including poor vision in one eye, difficulty in communication, immobility, and double incontinence. As a result, he required a comprehensive care package upon discharge from the rehabilitation center. In discussion with his Case Manager, the multi-disciplinary team, and family, it was agreed that there would be a live-in carer who would be the primary carer and an additional carer that would work during the day to assist with various tasks such as PEG feeding, continence care and moving & handling. A third carer was also introduced to ensure that there was shift rotation to avoid burn out. All carers that were selected had extensive neuro-complex skills.
The Cavendish Approach…
When first discharged to his home in Oxford, Ian faced challenges adjusting to being back at home as he needed to adapt to requiring constant care for daily activities and medication stark contrast prior to the stroke where he managed all household tasks. In time, Ian accepted that he would have to allow their carers to assist with daily activities.
Ian suffered from paralysis and weakness on the right side of the body due to the stroke. To alleviate the pain associated, he took Paracetamol and Baclofen. To manage his motor deficits and physical fitness, interventions such as foot splints and assistance with movement and handling with a full-body sling were handled by the carers. Ian faced communication challenges which included hearing difficulties which were addressed by using a hearing aid and the carers adapting communication techniques. In time, this led him to be able to engage in full conversations.
Ian was initially discharged with a PEG tube for eating, drinking and medications. During mealtimes, the Cavendish Homecare carer made homemade soft foods which aligned with the guidelines given by the SALT team. His diet was gradually adjusted and after continued progress was observed, he was able to have three meals a day, the PEG feeding was discontinued, and the carers only used the PEG tube for medication and water administration.
To encourage social recreation and leisure activities, Ian’s care plan included a range of activities that promoted engagement and enjoyment. He was involved in trips to the supermarket, meal planning, watering their indoor plants and walks in the nearby park.
The Outcome…
Since Ian’s discharge from the rehabilitation center, he made significant progress in his stroke recovery journey. Ian’s home environment, surrounded by his loving family, and dedicated Cavendish Homecare carers, has contributed to his quality of life and continued improvement. The collaboration between healthcare professionals, effective communication, and the implementation of a tailored care package have supported Ian’s positive recovery outcomes.
Disclaimer: For privacy and confidentiality reasons, the names and locations in this case study have been changed. The events and outcomes described are based on real situations, but identifying details have been altered.
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