worker who has been struggling with him is a relief worker. Bryan's preferred staff is out sick. Mom is sick with some sort of flu and out of bed much for the past four days. We know that when Dad died hasn’t gotten Bryan’s a year ago, he was sick in bed. Bryan was close to Dad and is also close to his Mom. What we know Hypotheses How to check it out. (Facts) Map of system Relief staff is unfamiliar and doesn't Find out if this relief staff has ever Make a map and fit into the "system" of care that worked with him before. Does the relief look for conflicts Bryan expects. staff get along with everyone? Medical: He's caught the flu from his mom or Medical check up. Mom is sick from his regular staff. Constipation (just because it often Track bowel movements is.) Medication: None indicated Environmental The wheelchair really does "stink" Get close enough to check it out. -He says wheelchair (have a bad odor). stinks There is something wrong with the Carefully examine the wheelchair. wheelchair and it is hurting him. Routine is disrupted Check out what generally happens when routine is disrupted. -Mom is sick and Dad died 1 yr ago -Mom’s illness reminds him of Ask his mom if he always has a bad after being sick reaction when she is ill. Dad’s. He doesn't understand that his regular staff is out sick and will be See what happens if he is reassured that coming back. his regular staff will be back. Maybe -Relief worker is arrange a phone call with the regular taking care of him staff to reassure him. See what happens. Does the relief staff know Bryan's routines? Functional Cause He just wants attention. Talk to people who know him well. Is this his style for getting extra attention? He's communicating his fear that his Ask him. See what happens if he is mom will die just like his dad did. reassured. Substance Abuse Unlikely since in constant care Ask him. he’s unless someone is giving him – something Abuse and Neglect Unlikely but always important to Ask him. it’s consider it. Observe how the relief staff is handling his care.
worker who has been struggling with him is a relief worker. Bryan's preferred staff is out sick. Mom is sick with some sort of flu and hasn’t gotten out of bed much for the past four days. We know that when Bryan’s Dad died a year ago, he was sick in bed. Bryan was close to Dad and is also close to his Mom. What we know (Facts) Hypotheses How to check it out. Map of system Make a map and look for conflicts Relief staff is unfamiliar and doesn't fit into the "system" of care that Bryan expects. Find out if this relief staff has ever worked with him before. Does the relief staff get along with everyone? Medical: Mom is sick He's caught the flu from his mom or from his regular staff. Constipation (just because it often is.) Medical check up. Track bowel movements Medication: None indicated Environmental -He says wheelchair stinks -Mom is sick and Dad died 1 yr ago after being sick -Relief worker is taking care of him The wheelchair really does "stink" (have a bad odor). There is something wrong with the wheelchair and it is hurting him. Routine is disrupted -Mom’s illness reminds him of Dad’s. He doesn't understand that his regular staff is out sick and will be coming back. Get close enough to check it out. Carefully examine the wheelchair. Check out what generally happens when routine is disrupted. Ask his mom if he always has a bad reaction when she is ill. See what happens if he is reassured that his regular staff will be back. Maybe arrange a phone call with the regular staff to reassure him. See what happens. Does the relief staff know Bryan's routines? Functional Cause He just wants attention. He's communicating his fear that his mom will die just like his dad did. Talk to people who know him well. Is this his style for getting extra attention? Ask him. See what happens if he is reassured. Substance Abuse Unlikely since he’s in constant care – unless someone is giving him something Ask him. Abuse and Neglect Unlikely but it’s always important to consider it. Ask him. Observe how the relief staff is handling his care.
F12-MARIE_HARTWELL-WALKER.docx