lnf.cymru stimulus sheet · Health and Social Care, and Childcare · Year 10

Mr Emrys Pugh: care plan and readings

Mr Pugh, Tŷ’r Dderwen care home, his care plan and every reading on this sheet are invented for practice. Real care plans are set for each person by a nurse or doctor. Never use these numbers to judge a real person’s health.

About Mr Pugh

Emrys Pugh is 84 and has lived at Tŷ’r Dderwen care home for 2 years. He is 172 cm tall. He likes rugby on the radio and a cup of tea with two sugars. Lately he has been eating less and has seemed more tired than usual. The nurse has asked care workers to keep a close record of his readings for a few days.

Mr Pugh’s care plan: when to tell the nurse

MeasurementTell the nurse straight away if...
Fluid (drinks and soup)he drinks less than 1,500 ml in a day
Resting pulseit is below 60 or above 100 beats per minute (bpm)
Temperatureit is 38.0 °C or above
Weighthe has lost 5% or more of his body weight in 3 months

Reading 1: fluid chart for Day 4

Each jug shows how much Mr Pugh drank at that time. Read the level of the blue line against the scale.

Jug 1: 08:00 Tea 100 200 300 400 ml Jug 2: 10:30 Water 100 200 300 400 ml Jug 3: 12:30 Soup 100 200 300 400 ml Jug 4: 15:00 Tea 100 200 300 400 ml Jug 5: 17:30 Orange juice 100 200 300 400 ml Jug 6: 20:00 Hot chocolate 100 200 300 400 ml

Reading 2: pulse on Day 4

Care workers counted the beats at Mr Pugh’s wrist while he was resting. They did not always count for a full minute.

TimeBeats countedCounted for
07:001815 seconds
14:004430 seconds
21:002715 seconds

Reading 3: temperature, Days 1 to 4

Taken with a digital ear thermometer at 08:00 and 20:00 each day.

Day 1Day 2Day 3Day 4
08:0036.8 °C37.1 °C37.6 °C38.2 °C
20:0036.9 °C37.4 °C37.9 °C38.4 °C

Reading 4: monthly weight record

Weighed on the first day of each month, on the same chair scales, before breakfast.

1 June1 July1 August1 September
71.2 kg69.8 kg68.9 kg67.3 kg

Units reminder