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BELOW I HAVE ATTACHED A SCENARIO AND QUESTIONS CAN YOU HELP ME…

BELOW I HAVE ATTACHED A SCENARIO AND QUESTIONS CAN YOU HELP ME ANSWER THOSE QUESTIONS THAT NEED TO BE ASKED.

 

 

Role Play Scenario

You are caring for Sophia who has recently come into your aged care facility requiring more support and care due to a long illness and deterioration. She was living with her son Patrick and receiving care in the home. Patrick comes in to visit his mother most days and you have built up a therapeutic relationship with him.

Sophia has gone downhill in the last few days and death is imminent.

On this particular day Patrick comes in and you observe that his appearance indicates that he is not looking after himself and without making any judgements you do note that he has not taken the usual care he has previously in how he presents himself. This is quite concerning as he has been quite proud of his appearance in the past.

You suspect that there are other issues that Patrick is dealing with. You engage him in conversation, and he reveals that he is not coping knowing his mother will die anytime now.

During the conversation you have identified that Patrick is already starting to grieve and appears to be depressed. He admits to feeling lonely and unable to function properly. He has spent a lot of time caring for his mother and their relationship has become even more important to him during these final stages of her illness. 

As you have come to know Patrick well, you are comfortable in discussing certain observations with him around his need for referral to formal counselling 

Being aware of the family’s spiritual, cultural, and religious beliefs and knowing a little of their practices you discuss the available supports that you would recommend for him for formal counselling and spiritual care. You have your resource folder with you and discuss some of the service providers and you recommend a grief counsellor who is located within the area. Ensure the conversation is sensitive and respectful.

 

 

 

 

 

 

Instructions On Your Role

 

The discussion will require you to ask direct and indirect questions to obtain the information needed.

Provide the background information to “the client” prior to the session to assist them in developing responses to your questions.

 

Prior to conducting the role play:

Read through the accompanying information to inform yourself of what you will be assessed on. This will also help you to form your questions in a sensitive and empathic way and to develop your own script. 

Arrange for someone to assist you acting in the role of Patrick and provide them with the information on the scenario.  

Complete a draft plan of the session so that you are familiar with what questions you need to ask in the actual role play. Review your course resources and conduct your own research if necessary for other available resources that may assist you in information provision. 

Structure your questions so there is a natural flow. 

Ensure you have your portfolio of resources available. 

Arrange the date and time to conduct and video the session or live Teams session

 

The role play duration should range from 20 – 30 minutes.

 

During the role play:

Allow the meeting to unfold – you may find that the discussion does not follow the script you have prepared and that is ok, as long as at some point in the meeting you cover off each item in the checklist.  

Confirm that Patrick understands your role and scope of it

Encourage Patrick to express how he feels and be watchful for responses that indicate the need and the type of further support services required. 

Ensure you use language and terminology that is appropriate and easily understood by the client. 

Obviously, this is an emotional time for Patrick, and you will need to be sensitive and display empathy in your communication and support. 

Discuss Patricks social, religious/spiritual, ethnic or cultural beliefs and practices

Explore whether Patrick’s verbal and non-verbal responses indicate whether: 

he is coping with his grief 

there is potential health and/or safety risk for Patrick or others

Develop your own verbal and non-verbal communication approaches so that they acknowledge and support Patricks’ emotional needs. 

 

Client Background Information (Patrick)

 

As this is a role play, please create any information that is not provided but may assist you to complete the role play.

 

You have been your mother Sophia’s’ primary carer during her long illness, she lived with you. During that time, you still worked and had home care to support you. 

 

As your mother’s illness progressed it was necessary for her to be moved to a residential aged care unit where at this time she has deteriorated, and death is imminent. The staff at the facility are great and you have bonded with a couple of the support workers who frequently look after your mother

 

Your mother’s deterioration has impacted you more than you realised, and you are finding it difficult to focus on even the basic day to day activities. Looking after yourself is difficult. You find that you find it difficult to get out of bed although you are not sleeping well. Even though you know that you did as much as you could for your mother you still feel guilt around not doing more. 

 

You are finding that you do not want to interact with your friends, and they have been understanding but you realise and are concerned that they may give up on you. 

 

During the conversation, convey your feelings. Explain how you feel. You would like to access some form of counselling, but you previously thought it was not for you, that part of your cultural beliefs is that men are strong and must appear to cope. You confide to the support worker that you are feeling alone and unhappy. 

 

You would also appreciate it if the support worker/team leader could suggest some strategies that you could use now that would help you get through the next few days until you can access other support services.

 

Student Information Checklist – Role Play 1
Actions I need to take (Student) What questions can I ask, how will I ask them – POINTERS TO ASSIST YOU 
Through conversation and observation identified the client was reacting to his loss and grief and accounted for and displayed respect for the client’s differences and beliefs.

Begin by explaining what is within the scope of your role in regard to supporting them in their bereavement and around loss and grief. 

Open the discussion by some prompt questions around how they are feeling.  

Assess their responses and reactions during the discussion.

What do you need to look for re cues around their loss and grief? 

Is their belief system – social / cultural / ethnic or spiritual different to your own? Do these beliefs create different responses to what you would expect? What are they?

Through discussion and observation, noted the client’s responses to determine the need for further supports and referrals in regard to their grief and trauma and the potential for risk or harm to themselves or others and the if there was a potential suicide risk.

How would you determine this? develop some questions and a list of the visual signs that may indicate this.

what are they saying that alerts you to the potential safety risk for them or others? Do you need to make a referral – who to and why? 

how would you make the referral – perhaps provide them with an information brochure and what other action could you take for referral – do you need to make the arrangements on his behalf?

Develop some sensitive but direct questions around this.

Refer to the available notes in your resources for a checklist of triggers and behavioural/verbal indicators.

Through discussion confirmed that the client understood the options and services being offered or referred and reflected on the outcomes of the discussion as it progressed. Are the anticipated outcomes being achieved by the support that is being provided – is the client responding positively to the support 
Throughout the discussion displayed empathy and sensitivity to the client’s needs while maintaining professional courtesy and all forms of communication acknowledge the client’s emotional needs.

Be aware of how you communicate and ensure it is with empathy, sensitivity and courtesy while maintaining a professional approach. 

Use language and terminology and verbal and non-verbal communication methods that acknowledge Chris’ emotional needs. 

Maintain Patricks’ confidentiality at all times. – how do you do this? What “organisational” practices do you use?