The case study featured in this resource is the story of Ken, an older man moving into a care home. The case study is intended to help demonstrate that small changes can make a big difference to an individual.
After the first part of Ken's story, 'Arrival and welcome', the case study splits into two mirrored paths. Version one depicts a traditional approach, while version two shows how a more outcomes-focussed approach might proceed. The final sequence in the case study features a series of reflections back to the second, more person-centred path.
- Ken had a stroke two years ago which affected his left side, causing him to become more dependent on a wheelchair although he walked as much as he could in his own home.
- He suffers from unstable diabetes and is prone to sudden changes in his blood sugar causing a risk of hypoglycaemia and a higher risk falls.
- Ken’s wife Margaret, his main carer, died suddenly six months ago. They had been married for 50 years.
- The couple’s only son Alastair lives in Australia.
- Ken has had significant community based services to support him living independently at home.
- However his health deteriorated and two falls in the first few months after his wife’s death resulted in emergency hospital admissions.
- During the second period in hospital Ken had mixed feelings about returning home and started thinking about Southinch Care Home as an option.
- Back at home life began to feel like a constant struggle, and he also felt isolated, lonely and unsafe.
- A third fall resulted in readmission to hospital.
- While in hospital he decided that the time was right to move into a care home.
- We join Ken arriving at Southinch Care home and being greeted by Jeanette, a senior care worker who has previously visited Ken in hospital.