Jenny has independence communicating her wishes and needs to others; she uses pictures, objects of reference, pointing, and eye rolling (indicating yes or no). There are however, some factors that could reduce Jenny’s independence. Jenny is short sighted and needs to wear glasses; however, she dislikes these and knocks them off. This can have a significant impact on Jenny’s communication, which can lead to isolation and exclusion (Cook et al, 2006). Carers are continuing to encourage Jenny to wear these, however if the prescription is incorrect or the glasses are uncomfortable, their efforts may be futile (Gates et al., 2015). Once these issues have been checked and corrected, Jenny will be able to maintain her independence.
Jenny’s communication passport came with her when she moved into Bluebell House, the carers found this beneficial for communication with Jenny and on how best to support her needs. A speech therapist recommended that Jenny is given two options to choose from, to enhance Jenny’s understanding and reduce miscommunications (Royal …show more content…
Common symptoms of this include abdominal pain and constipation (NICE, 2015). Irritable bowel syndrome is reoccurring and can be exacerbated by diet, reduced physical activity, stress, or anxiety (Song et al, 2012; Mykletun et al., 2012; Spiller et al., 2007). The nurse explained the importance of administering this medication twenty minutes prior to eating to relieve any discomfort. Jenny is experiencing constipation daily and is having Movicol to remedy this. Any discomfort that Jenny maybe experiencing from irritable bowel syndrome and constipation could be the cause of Jenny’s reduced appetite (. Additionally, Jenny’s psychological well-being could be impacted on due to the physical symptoms of irritable bowel syndrome and constipation, which in turn could aggravate her gastro-intestinal system further (Spiers et al.,