Emma Brown
Sharon Bloor
You are a support worker for Mrs Ahmed who is 89, physically frail and lives alone. She has diabetes. Mrs Ahmed wants to eat foods that are not suitable for her medical condition, and asks you to shop for her as she is not able to get to the shop herself.
Bi Describe the difficulties for you in exercising your duty of care and upholding Mrs Ahmed’s right to choose.
Firstly check the notes and guidance in mrs ahmeds care plan, contact the care co-ordinator and explain mrs ahmeds choices are not suitable for her dietary requirements and may also not be suitable for her religious beliefs either. Discuss the best way to approach mrs ahmed about her choices. Advise mrs ahmed that what she has selected could potentially be detrimental to her health rather than nutritious or beneficial, give her alternative choices, explain the risks and also the benefits of making the alternative choice. But allow mrs ahmed the final decision. She has capacity and therefore is entitled to consume which food she chooses.
Bii Where could you go to get advice, information and support to deal with the dilemma?
I would first seek information from mrs ahmeds care plan, then contact my co-ordinator or the co-ordinator directly related to mrs ahmed, and finally friends and family. It may be such that mrs ahmed has always had a box of quality street on a Tuesday and the family are aware, or it may be something new and that she just fancies a change. The most important thing is, if you don’t know ask, and you will never know unless you seek advice and information from those closest to her who knows her habits and her preferances. At the extreme if no such external advice is available at that point in time you contact the gp surgery and ask for advice, explain the situation, and potentially a practise nurse can come with information for mrs ahmed to read and help reevaluate her choices if necessary.
It is your duty of care to respect