I can establish an individual’s preferred communication methods by asking them but if they are unable to tell you I would reading their care plan, speaking to their relatives and friend, ask colleagues, speak to their social worker, doctor or read their medical notes.…
An idea to aid this problem would be to try and get the family information on Dementia and in specific Alzheimer’s. There is a lot of information out on the internet and in books for the family to research. An advantage of the family doing their own research is that they can translate the information into their own language making it understandable. A website that I found is the NIA (national institute of ageing).They have a whole page of Alzheimer’s education for caregivers and care providers ranging from things like basics, causes, symptoms, diagnosis, treatments and other Dementias. (http://www.nia.nih.gov). It would be nice for the staff at the care home to sit down and go through this website together. By doing this it means they can come up with ideas together to ensure the best care for Nazir.…
Not responding when spoken to, may appear to be deaf although hearing is within normal range.…
A review of her medical record indicates that she has had a functional decline with development of venous stasis ulcer to RLE. She suffers from dementia which is in the advanced stages. She also suffers from co-morbidities of anemia which is chronic, HTN which is stable and osteoporosis which is chronic.…
Her father is deceased secondary to lung cancer. Her mother is deceased secondary to heart disease. Her sister has diabetes and 2 brothers who have cancer, 1 with lung cancer and the other with throat cancer.…
She says multiples times she takes her medicine and her vitamins, I wonder if she should still be doing this herself. She could accidently forget to take them or she could take them more than once. She may become depressed about moving from her home and her health decline. She already is having memory problems and now she is living in a new environment that she must become familiar with. She is gets upset when talking about how her husband and the doctor where talking about her. Lord, Livingston, Robertson, and Cooper, (2016) feel one might feel resentment for being left out of decisions. She may become less and less social because it overwhelms her. She also has moods swings that may become worse as she declines cognitively. I also worry about Henry and how Ertha states they have arguments. He could learn new ways to cope with the stress. Huis in het Veld et al. (2016) explained that family members should try to adapt to moods of persons with dementia and remain calm. Also, family members should allow time for themselves, take to someone about what they are going thru, and make sure they are getting enough rest (Huis in Het Veld et al.,…
Her vital signs are normal. Weight is 170 pounds. The HEENT exam shows her fundi are benign. Pupils and EOMS are intact. She has a fairly large linear…
This practice analysis will critically evaluate the work undertaken with Mrs S who was 89, suffered from hypertension, age related frailties and dementia, which had caused her to wander out of her house on two occasions. She experienced a fall and was admitted into hospital. While in hospital she received a formal diagnosis of dementia and was prone to short term memory problems. Following discharge from hospital, she received Reablement for a short period, Mrs S was deemed unsuitable as she did not engage with the service and declined all support geared at maximising her safety and independence at home. Mrs S lived alone and she has a daughter who lived fifty miles away from her and was not able to offer much support due to distance and maintain…
During the mock client interview, Mr. Lyer did not add a lot of factual information to his case. He stated that he had been drinking all day starting when he woke up. He stated that he did not realize that he had hit someone until he saw the arm through his windshield. Believed that doing drugs and drinking with Ms.Frisky was a condition of employment. He also stated that it was blackmail. Mr.Lyer had a previous arrest for aggravated assault. That arrest also involved alcohol. He stated that he has a valid driver’s license. But contradicted himself saying he has driven with an expired license. He also mentioned other arrests for driving under the influence and an arrest that was associated with illegal drugs. He contradicted himself multiple times saying that he did and did not get a breathalyzer. He also contradicted himself when saying he does not drink a lot in a normal day.…
Mr. R.C. African American male, 67 years old. According to the patient’s medical record. He doesn’t have no children, he lived alone at home before started his ill. Mr. R.C. was friendly and cooperated to the care I gave. He has a kind heart and very patience person. He also served our country as now he is a veteran. He has no known of allergy reaction, but he doesn’t like to drink milk. He get up and sit in the wheelchair daily for 30 minutes. Mr. R.C. was admitted to the hospital with many complications since 02/23/2012 for long-term care with diagnoses of obesity, unspecified, hyperlipidemia unspecified, ventral hernia without obstruction or gangrene edema, unspecified, types 2 diabetes mellitus without complication, otitis media, unspecified on…
The first problem or question to consider is, how accurate is a doctor’s prognosis concerning a patient who is terminally ill? According to the Massachusetts Medical Society,…
Mrs. L is a 58 –year–old Caucasian female who has been married for 38 years. She has two daughters and one grandson. Her mother past away from lung cancer at the age of 75 and her father is healthy and still living. She is the oldest of five healthy siblings, two sisters and two brothers. Mrs. L works as a principle for the past 29 years at Linden High school. She plays the piano at First Southern Baptist Church for 15 years. Her hobbies are reading, writing poetry and gardening. She does not have a history of drinking, smoking or recreational drug use. She has been hospitalized for the past six weeks for acute hemorrhagic pancreatitis with a pseudo cyst. The pancreatitis was caused by gallstones. Mrs. L spent three weeks in intensive care, and then underwent surgery for removal of the gallstones and to insert drains into the pseudo cyst. Prior to discharge she had progressed to a soft, high carbohydrate, low fat diet; had all drains…
Firstly, she is 60 years old and is more likely to develop a cancer. Her immune system and the body’s defenses against abnormal cells will weaken and be less efficient, making her even more vulnerable to cancer. Most cancers develop in older people.…
J.B. is a 70 year old man who therapy twice a week. J.B. is very committed to therapy and becoming stronger and improving is everyday life. J.B. diagnoses is B UE general weakness, due to the last chemotherapy treatment he received. J.B. has very good memory and shows good attention when it comes to therapy. J.B. is orientation is 4x4. J.B.’s visual functions, hearing functions, vestibular functions, taste functions, smell functions, proprioceptive functions, touch function, and pain are all intact. J.B. has weaknesses in joint stability and mobility, grips, coordinates.…
lives is unique. All of her neighbors on her side of the road are her siblings. Each one of the siblings live on 3 to 14 acres of property and a registered state park borders their homes. It is like her own little oasis that is a stone’s throw away from the convents of the city. She has two dogs that live outside, F.C. reports that keeping the dogs outside is a safety measure for her. The dogs let her know when someone is coming in the drive or walking up to her home, they also keep the raccoons from getting into the trash and the deer from eating her vegetation and plants. It is truly a remarkable setup. F.C. is financial stable from her husband’s profession and her family inheritance. She does not have to worry about any of her financing or bills, she says, because her one son is a account and every month goes through her mail and pays her bills. She added, the day he comes to pay her bills she makes him and his family a big beautiful dinner in addition to the grandchildren usually sleeping over that night. F.C. has an advance directive in which all of her children are aware and have copies of. She reports the paper work was done the same time of her husband’s diagnosis when did he did his advance directive. She made it very clear to me that she does not want to be resuscitated despite how extremely healthy she is at this…