Planning, Implementation, and Evaluation of a Practical
Activity in a Care Setting
Care Support Module (5N0758)
Author: Laíne Padilha Date:25/11/2024
Summary
1. Introduction
2. Client Profile
3. Assessment of Needs
4. Planning the Activity
a. Consultation and Respect for Autonomy
b. Communication with Team Members
c. Equipment and Preparation
d. Organization and Timing
5. Implementation of the Activity
a. Safe Practice and Equipment Usage
b. Ensuring Safety and Dignity
c. Observation and Responsiveness
6. Evaluation and Reflection
a. Client Feedback
b. Positive and Negative Aspects
c. Impact on Daily Living
d. Recommendations
e. Application of the Nursing Process
7. Conclusion
8. Bibliography
Introduction
The following assessment looks at a leisure activity done while caring for my grandfather after
a stroke. We chose simple exercises and memory games to improve his physical and mental
health. These activities aimed to boost his mobility and mental activity, both affected by the
stroke.
The Nursing Process is a universal in healthcare that ensures comprehensive care for patients.
It includes assessment, planning, implementation, and evaluation. This method helps health
workers focus on a patient's problems and provide appropriate care.
Client Profile
My grandfather was 78 years old and had a left-sided hemiplegia after a stroke. He also had
depression and aphasia. He needed a rollator for mobility and required one person's help for
transfers.
Before the stroke, he was active, enjoying gardening, walks, and family gatherings. His care
plan focused on self-care, movement, and stimulating activities to aid his recovery.
Assessment of Needs
Assessing my grandfather's needs was crucial. He needed exercises to prevent muscle
deterioration and maintain mobility. Activities were also essential to preserve his mental
faculties.
His emotional well-being was important, as he valued social interaction and a sense of
belonging. The care plan aimed to ensure his safety while promoting independence.
Level of dependency/independence
My grandfather was mostly independent, needing only supervision and physical support. This
influenced our choice of activities, ensuring they were engaging and didn't restrict him.
His partial independence allowed for more active interactions and a sense of achievement.
Consultation and Respect for Autonomy
When designing the activity, I involved my grandfather in decision-making. We chose
activities he preferred, including basic exercises and simple games. His wishes were respected,
enhancing his autonomy.
Communication with Team Members
Everyone involved was in constant touch to keep things running smoothly. Sometimes, he
couldn't do physiotherapy. His physiotherapist checked if the exercises were safe for him.
They suggested leg lifts, stretches, and a word game to keep his mind sharp.
Equipment and Other Usual Planning Activities
We set up a safe area in the living room. It had a rollator, a mat, and plastic cards for the game.
We also made sure the room was safe and comfortable.
Organization and Timing
The session was planned for mid-morning when he was most alert. We checked if family
members could help if needed. We made sure everything was ready and accessible.
Implementation of the Activity
Safe Practice with Equipment
I checked the equipment before starting. The rollator was stable, and mats were on the floor for
safety. He could move his head freely, and I was there to assist.
Communication Skills
I was very encouraging and spoke clearly throughout. I talked slowly and made eye contact to
help him follow. I used smiles and nods to keep him positive.
Ensuring the safety of others.
I made sure the area was safe, and the rollator was within reach. We took breaks to avoid
exhaustion. I watched for any signs of discomfort.
Informal Assessment and Interactions.
I observed how he was doing during the activity. I adjusted the exercises if he seemed stressed.
In the memory game, I helped him without making him feel frustrated.
Observation and Responsiveness
He was encouraged to do as much as he could. This helped him feel more in control. In the
game, I praised his efforts to boost his confidence.
Maintaining Dignity
It's important to treat the activity with respect and dignity. I never rushed him. If he agreed, I'd
do exercises with him. This made him feel in control and respected.
His comfort was my top priority. I kept everything confidential. This way, his dignity was
protected.
Reporting and Confidentiality
I shared his progress with the family and physiotherapist. But I kept it private. This helped
maintain his dignity.
Evaluation and Reflection
The Client’s Feedback
My grandfather was happy with the activity. He enjoyed the mental and physical challenges.
But he wanted more breaks to avoid exhaustion.
Positive and Negative Aspects
He saw it as a positive experience. Feeling part of a group was important to him. I learned to
pace the activities better.
Impact on Daily Living
The activities improved his daily life. They kept his mind sharp and boosted his mood. He felt
more capable of handling daily tasks.
Recommendations
I suggest shorter sessions with more breaks. Different activities would keep him interested.
Working with healthcare providers could offer safer options.
Application of the Nursing Process
The nursing process was key in planning the activity. It helped us understand his needs and
improve the care using the nursing process.
Conclusion
Planning and evaluating the activity showed the value of the nursing process. It ensured his
safety and well-being. It taught me the importance of being adaptable in caregiving.
This experience highlighted the need for personalized care. Future practices will focus on
compassion and tailored care.
Bibliography
Royal College of Nursing (2017) Fundamentals of Care. Available at: https://www.rcn.org.uk
Accessed: 19/11/2024
Outlines key concepts of safe practice, patient dignity, and effective communication in nursing care.
Health Service Executive (HSE) (2016) Stroke Rehabilitation and Recovery Services in
Ireland: National Clinical Guidelines and Recommendations for Care. Available at:
https://www.hse.ie Accessed: 17/11/2024
Presents national guidelines for stroke rehabilitation in Ireland, emphasizing best practices
in physical and cognitive recovery.
