In the present case study the client is prone to malnutrition due to inadequate nutrition. Since they have a problem in remembering, eventually as the disease progresses they forget to take their meals or miss. In advance cases this might lead to loss of functional ability of chewing and swallowing. This can lead to serious issues such as choking or aspiration of food. As seen in the client in the present case study, he is unable to carry out his own work, such as bathing, brushing, using the toilet; he is more prone to fungal and bacterial infection.
Unhygienic conditions such as dirty hands and food can cause food borne disorders and further affects physical health. Since, memory is affected the client fails to remember the timing of medications and tend to take wrong doses at the wrong time At times it can lead to serious medical side effects….
Due to memory loss and cognitive ability loss , in most cases, clients fail to assess their potential and ability. As a result, they tend to carry out activities which results into fall and challenge personal safety. The most prominent cause of the fall in the present case study is physical weakness and poor balance due to gait changes. A Score of 20 to 24 out of 30 indicates mild dementia, score of 13 to 20 indicates moderate dementia and less than 13 indicates severe dementia Mitchell, ….
The ability of perceiving information , processing it and respond accordingly becomes weaker, progressively in the dementia patients. The communication strategy with such patients include five main aspects, namely orientation , the environment , body language , words and use of simple language.
The orientation consists of the right positioning of a person while conversing with dementia patients. Proper eye contact is important while conversing so that the individual is able to make dementia patients understand even through signs and make them concentrate on what is being said to them.
Choosing the right environment helps in maximizing the ability of the patient to focus and communicate properly. Extra and loud noises should be avoided along with external stimuli Vasse, …. For the above patient, the following approach will be carried out i. At many times clients are forced to perform beyond their ability. Short sentences which are easy to understand will be used for communication. To make him more independent care strategy must integrate with physiotherapy to increase his muscle strength and enhance motor skills.
Training given during leisure hours will help him in gaining confidence and appraisal will motivate him Gitlin, …. Similarly the aged care assessment team can help Mr. X in assessing his mental and physical status, thereby providing him the best service available to him….
The family members of a dementia patient have extreme emotional, physical and economic pressure , which results in great stress upon them and other caregivers. Hence families of dementia patients require adequate support from health , social, legal and financial systems so that they are able to cope up with the situation.
Apart from this maintaining the relationship with the member suffering from dementia is also a challenge for other family members. This affects the practical and emotional capacity of the family members for coping up with the changes that occurs on a daily basis or even at every moment otherwise it adversely affects the relationships within the family often leading to the cessation of relationships…. Some parts of the solution has been blurred due to privacy protection policy.
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I was pleased that I was able to ease the situation and calm him down. The situation is illustrated in a flow chart in appendix 2. The negative part of this experience was that I had been verbally abused and insulted by a patient I was trying to help. I was also a little bewildered at the lack of response from the HCA who showed no reaction when Tom became verbally aggressive. The positive things about this experience are that I followed procedures and assisted Tom with his hygiene needs.
Assisting patients to meet their hygiene needs is a very important part of nursing care Baillie I was also happy that I felt strong enough to stay with the patient until he had calmed down.
Stage four of the reflective cycle used is analysis. I was nervous at the prospect of having to face Tom again as I had a feeling that he has taken a dislike to me. However, because of the nature of dementia, Tom had no recollection of the incident which gave me the confidence to continue to provide the appropriate level of care. Trivial events can cause a sudden change in mood in a person suffering from dementia which can result in the patient lashing out.
The patient generally does not mean to be aggressive and doesn't want to hurt anyone, the aggression stems from a lack of control of their emotions www. To conclude and put in place an action plan, which is stage five and six in the cycle of reflection, I can look back and identify actions that I could have taken to prevent the incident happening. During my research on communicating with people who suffer from dementia I discovered that a study carried out by Walsh and Kowanko found that patients were more comfortable with having personal care given if the nurse communicates throughout with small talk as this distracts them and avoids embarrassment.
If I had used this technique I may have been able to make Tom feel more at ease with the situation, thus avoiding the verbal aggression, this is a skill I will carry forward and utilise in the future. Reflecting upon this incident has enabled me to identify gaps in my knowledge of mental health issues which I can strive to bridge as I progress through my course and continue to improve upon throughout my nursing career.
A Plan for Investment. A Plan for Reform. Patient-focused benchmarking for health care practitioners. Journal of Advanced Nursing 38 4 pp. Foundations in Nursing and Health Care.
Standards of conduct, performance and ethics. Nurses and patients perceptions of dignity. International Journal of Nursing Practice. If this essay isn't quite what you're looking for, why not order your own custom Coursework essay, dissertation or piece of coursework that answers your exact question?
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Dementia is the most feared and distressing disorder of later life. This essay will give an overview of dementia followed by the most common types of dementia. The essay will cover the nursing assessment and the interventions.
- Introduction Dementia illness is the most feared and distressing disorder of later life. This essay will address the overview of dementia followed by the most common types of dementia. The essay will cover the nursing assessment and the interventions.
Dementia is the loss of intellectual abilities to the extent of interfering with normal social or occupational function. It is a severe and permanent deterioration of mental functions. It is a disease where brain cells die in an abnormal way/5(5). Dementia Essay. Dementia is a loss of mental function such as thinking, memory and reasoning that is severe enough to interfere with a person’s daily activity. It is a descriptive term for a collection of symptoms that can be caused by .
Mar 23, · Dementia awaress essay drossel.tk word dementia describes a set of symptoms that may include memory loss and difficulties . Essay on Dementia Order Description Assignment 1—Essay using the literature Length: words Students are to write an essay through reviewing the research articles related to an area of dementia care that the student is interested in learning more about, e.g. • Dementia and delirium • Dementia and behaviours • Dementia and therapies • Dementia.