Investigating whether Jane requires assistance to support her with her partners care needs.

Addressing needs around pain management techniques and COPD.

Asking the question as to whether Jane feels that she needs the support at home or whether she thinks this would benefit her. Discussing this sensitively and being mindful of Jane’s situation. Calling a MDT meeting to gain an insight as to what other professionals feel.

Progressively assisting Jane to engage in group-based interventions such as relaxation and pacing. Looking into mindfulness techniques and progressive muscle relaxation as an example and complete pacing chart using traffic light system. Allowing Jane opportunity to try a new routine. Encourage frequent breaks and rest periods.

• Getting support with husband’s medication, her own medication to make sure that Jane risks are minimised for potential overdoses. Respite from her caring duties.

• Build therapeutic relationship with Jane through accessing gardening, art groups or volunteering at animal shelters and supporting her to engage.

• Finding coping strategies for Jane possibly through art, talking or group therapy

Strengths:

• Jane is aware of how alcohol has impacted her life and is proud of her sobriety.

• Jane is proud of her home and achievements.

• She is realistic with her expectations of meeting her responsibilities and occupational demands.

• Jane does find satisfaction in tasks which can be explored further.

• Her cognition is intact and her environment is positive.

 (This will significantly benefit both of them, as Jean will be able to receive help with caring for Brian. This, in turn, will allow Jane to focus on her own health without worrying about accommodating Brian's needs (personal care, medication). She will have more time for her personal interests and activities and be able to maintain her role as a loving wife. Additionally, she will be able to complete her housework and maintain a healthy and happy relationship with her husband).

2. Jean to join an activity group of interest (gardening/ arts and crafts) Once a week, Jean to attend the activity group with her (support worker/ occupational therapist).

 (Jean tends to feel more comfortable discussing her needs when she is engaged in some activity. By participating in activity she enjoys and being part of social groups, she will feel more at ease and build trust with her new support worker. This will also benefit her mental health, as she will spend time outside her home and doing things she enjoys).

3. Learning new strategies to manage energy levels- The 3Ps principle

(Just to highlight GP has already prescribed medication for her physical health which includes chronic pain and COPD)

overdose attempt when low in mood.

· To discuss emotion cue cards to help Jane communicate her thoughts and feelings when struggling to

verbalise these.

· To build on trust and rapport with Jane through engaging in activities together that are meaningful to

her such as gardening session at her house. This will enable Jane to feel more comfortable and open

up more about her emotions as well as promote positive feelings eg pride and satisfaction.

her overdosing on medication.

· Jane struggles to communicate when she is low in mood that has resulted in her overdosing on medication.

· Jane struggles to trust her care team and friends in her life which has prevented her seeking support when struggling with mood.