Provide Support to People Living with Dementia

Maintaining dignity when planning activities for an aged client how can their dignity be maintained?

The nurses have to partner with the aged patients in developing healthcare plan for them. Therefore, they are made part of the healthcare decision-making process. The nurses can maintain dignity of the aged patients by giving them a person-centered care. In this approach, the needs, preferences, beliefs, and values are considered when taking healthcare decisions. The nurses must focus on the patient’s autonomy regarding their health condition.

The three competencies and image enhancement strategies that would be taken to help Roger

In this situation, the effective communication competencies for helping Roger calm down and stop yelling at Jack. Both verbal and nonverbal communication shall be used for handling the situation and letting Roger pacify.

Image enhancement strategies shall be undertaken for improving the way in which he is perceived by others in the group. He will be assisted by letting him work on his positive attitude so as to reduce embarrassment and shame.

Discrete supervision and assistance could be given to him so as to increase his self-esteem and feelings of wellbeing. This will help him maintaining his self-esteem and thereby he would convince others the feelings of frustration which he faces in a crowdy and noisy places. The image enhancement strategies would thereby help him in avoiding the social devaluation which he went when this incident took place.

Impact of dementia have on the family, carers, relatives and significant others

Dementia does impact the family members, relative, carers and the significant others. A person suffering from dementia forgets things frequently and this creates a burden on the people who are caring for such a person. The family members of the patient suffering from dementia have been found to suffer from stress, strain and psychological illness like clinical depression. The continued caring also results in depression, feelings of exhaustion or anxiety in the people who are caring for dementia patient.

The five organizations that can be used for supporting the family members who are caring for dementia patients

These five organizations are as follows:

  1. Dementia Australia
  2. National Dementia Helpline
  3. Cognitive Dementia and Memory Service (CDAMS)
  4. Dementia Behaviour Management Advisory Service (DBMAS)
  5. Carers Victoria

Six challenges carer face when supporting dementia patients

  1. The family members or carers of the dementia patients face difficulty in communicating as such patients tend to forget conversations.
  2. They face feelings of exhaustion due to consistent care being required by the patients.
  3. They face stress and strain in caring for such patients as they have care day and night.
  4. They may suffer from clinical depression and other forms of psychological illness as the dementia patients need constant monitoring and help.
  5. The physical health of the carers as the dementia patients often wander and tend to forget where they live so the carers have to take care of them continuously.
  6. They may face challenge of having a feeling of guilt of not being able to help the patient properly.

Impact of emotional state of carer on the dementia patient

The emotional state of carers have significant impact on the care being given to the dementia patient. Due to constant requirement of care being required by the dementia patient the carer feels exhausted. This feeling of exhaustion leads to poor emotional state. This decreases their ability to address the care requirement of the patient. They are not able to provide care in a happy state and they take this responsibility as a burden which leads to poor health outcomes for the patients.

Follow-up and review of the implemented behavioral strategies

There are six steps which can be followed by the nurses for reviewing behavioral strategies that has been implemented for the dementia patients.

The first step is the assess whether the designated needs have been fulfilled with the behavioral strategy or intervention as per the program outcomes.

The second step is to assess the determinants of the change and performance objectives with the help of matrices.

The third step is to assess that the selected program methods are as per the change objectives needed by the patients.

The fourth step is to assess the efficiency of the program in yielding the desired results.

The fifth step is to review the designing of the intervention programs

The sixth step is to review the measures and the indicators of the implemented intervention

People who are included in the review

It is important to include the patient, family members, carers and other significant members who are directly involved in the care of the dementia patient.

Person-centred approach for Peter

By using a person-centered approach, the nurses can communicate with Peter. An empathetic communication skill must be used for communicating with him. A strategy to know the person is necessary for communicating effectively with Peter. The nurses must explore the expression of experiences, ideas and thoughts regarding the care being received by him and his particular needs, beliefs and preferences. This will help the nurses to adapt the communication according to the emotional and mental wellbeing of the patient.

Korsakoff syndrome

This syndrome is caused by the deficiency of vitamin B thiamine. This happens due to increased dependency on the alcohol. Peter has suffered from alcohol abuse and this condition had been the causal factor for this syndrome.

Additional services for this syndrome

  1. The patients with severe dependency of alcohol could be given services for quitting to substance abuse.
  2. Support for mental health can be given by mental health services.
  3. Supportive network of family and community services can be given to this person so as to help him not live an isolated life.

Four dimensions when planning activities for a dementia patient

Person- skills and mental abilities of the patients must be considered. The physical problems of the patient along with the enjoyable things must be noted.

Activity- focus should be on employment and not on achievement. The healthcare professional must look for the activities which have been loved by the patient like drinking coffee. The activities can be changed if required. 

Place- the selected activities have to be safe and dangerous tools must not be used. Distractions that confuse or frighten must be reduced.

Approach – this has to be flexible and the sense of purpose must be stressed. Self-expression must be encouraged.

Communication of the care plan

The care plan has to be communicated to the patient and the family members or others who are caring for the patient. This is necessary as the healthcare outcomes for the patient must be decided with agreement of all and the methods selected must be approved by all.

Five behavioral challenge with FTD

These are loss of interest in work and in personal relationships, neglect of personal hygiene, irritability, poor judgement and impulsivity.

Three strategies for managing FTD

  1. Relaxation techniques like music or dance therapy can be given for managing their irritability
  2. Leisure or social interaction activities can be provided like memory cafes for supporting the people having memory problems.
  3. A structured daily routine can be used for helping the patient manage the routine daily living tasks.

Causal factors of FTD

This is caused due to gene mutations and is linked with the family history.

Person-centered communication for Marge

When communicating with her, the nurses should focus on her informative needs. Information should be provided to her in the way she understands. The nurse must remain attentive to her and avoid her in getting distracted to other things so that she keeps listening to what the nurse is saying.

Planning activities for Marge

When planning activities for Marge her interests and preferences must be considered. She should be given activities where she is able to retain her abilities of reading, writing and remembering meaning of words.

Communication of care plan

The care plan has to be communicated to the patient and the family members who are caring for her. This is necessary as they must be aware of the activities which shall be undertaken in the care plan.

Error in the report

When an error is made in the report then when found it must be reported to the authorities and necessary changes must be brought in immediately. It is necessary to escalate the issue as this will help in addressing the needs of the patients which have been wrongly interpreted in the report.

Importance of writing down

Documentation is an important task for nurses. This is because this helps in keeping track of the care activities being given to the patient. Therefore, it is important to write down all the activities and objective or subjective health data of the patient so that the healthcare delivery process can be assessed as and when required.

Dos and don’ts of appropriate language at workplace

At the workplace one must use a formal language and must maintain respect and dignity of the people. Informal names and improper gestures while communicating must be avoided. There should be use of ‘thank you’ and ‘sorry’ whenever required.

Reporting to supervisor and line managers

As a care support worker, it is required to report the line managers and supervisor when there is an emergency. Such an emergency can occur when an aged person is found to be neglected or suffering from abuse. The supervisor or line manager is also communicated when there are risks related to the workplace like the hazards around the staircase.

Client’s individual care plan

The care plan of the client is available with the supervisors. It is accessible by the care support workers, supervisors and the family members.

Lodging a report

She should have lodged a report in the facility to the supervisor. This is necessary such an incident could have hurt some one else and led to major injury. She could have used the format as given by the healthcare facility. This is a workplace hazard and this should be reported to the supervisor so as to protect other workers, patients and other people who are visiting the facility.

Description

Document

1.

Treatment plan

2.

Care plan

3.

Incident register

4.

Medical report

5.

Medical management plan

6.

Verbal and nonverbal communication

7.

Treatment plan

8.

Medical records

9.

Clinical bedside handover

10.

Medical records

 Pain assessment tool – this assessment tool is used for assessing the extent of pain experienced by the patient. Common examples are numerical rating scales (NRS) or verbal rating scales (VRS).

Continence assessment- this is used for the identification of the causes and factors contributory to urinary and faecal symptoms.

Falls assessment- it is used for assessing the low, moderate or high risk of fall.

Mini-mental assessment- it is used for assessing the cognitive function amongst the elder people and these are orientation, language, memory and attention.

Admission forms- these are used for noting the initial details of the patient including the name, sex, age and other relevant details.

Vital signs charts- this chart contains the vital health information of the patient like the blood pressure, heart rate etc.

Fluid balance chart- it is used to record the fluid input and output during a 24 hour period.

Communication book

It is a book for recording the messages of the internal employees. This is the responsibility of the immediate supervisor to ensure that the book is maintained and established properly.

Bowel chart

It is used for recording the shape, size and color of stools of the patients.

Name of the document

  1. Vital chart
  2. Fluid balance chart
  3. Patient meal intake record
  4. Continence assessment
  5. Nursing records
  6. Vital chart
  7. Registration forms

Three types of technical safeguards

These are access controls, audit controls and integrity controls.

Confidentiality

The care support worker has to maintain confidentiality during the handling of the healthcare data to other healthcare professionals, referring to the patient to the managers, protecting the electronic healthcare records, reporting abuse and cause of death.

The confidential health information

The health data, pictures or videos of the patients’ body parts, health history, medication history and bank details.

Incidences where the total confidentiality is impossible

  • Legal case where disclosure is required
  • When the client has to be protected against harming themself for example suicidal
  • When the other people have to be protected from the client.

Amendments in aged care act of 1997

  • Aged Care Legislation Amendment (for the New Commissioner Functions) Bill 2019
  • Aged Care Legislation Amendment (for the Improved Home Care Payment Administration No. 1) Bill 2020.

Compulsory reporting

According to the Aged care 1997, compulsory reporting implies that you or another person in the aged care facility have the responsibility of reporting compulsory to the commission and the local police.

Five elements of compulsory reporting

These are as follows:

  1. All the aged care providers have to encourage their staff for reporting the alleged or suspected reportable
  2. Except in specific circumstance, they must report the assault or the allegations to the authorities or the commission. The discretion of not reporting is applied in the circumstance when the residents are affected by the individual assessed with mental or cognitive impairment.
  3. Report has to be made to both the department and the police within 24 hours. The approved healthcare provider may start to suspect on reasonable grounds, that a reportable assault may have happened.
  4. When a staff member makes a disclosure that is qualifying for the protection under this act then the approved provider must safeguard the identity of the staff member so as to ensure that he or she is not This encourages the reporting responsibility in other healthcare staff.
  5. When the healthcare provider fails in taking compulsory reporting needs then the compliance action needs to be taken by the authorities.

Observation through

Eyes- the visible signs like bruises, skin condition, body fragility etc.

Ears- the heart rate and breathing rate.

Smell- the intoxicated patient is assessed.

Touch- pulse rate, assess pain, fever etc.

Therefore, the patients can be observed using the sensory organs although these are only preliminary findings and more detail assessment has to be done to find the accurate facts and health data.

Accurate documentation

Documents have to be complete, factual, current, accurate, true and consistent.

Document is accurate when true

The documents are accurate which are having the true data of the patient. This is necessary as the true data of the patient will reveal the right health condition of the patient. Hence, this will be accurate and the healthcare workers can use it for making healthcare decisions that can lead to positive health outcomes for the patients.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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