He has learning disabilities. You are his support worker. Leon tells you that he has a new friend who comes to his home and plays on his games console. A few days later you notice that the games console is missing. Leon tells you his new friend has borrowed it.
I would do the Beck’s Depression Inventory with her to determine the severity of the problem. I would do a mental exam on her to determine the severity of the Alzheimer’s. - Clinician Characteristics To be best able to work with Mrs. Sanders I would have to show her that I cared, show empathy, as well as a desire to help her. I would have to be able to motivate her and promote her continued independence. I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s.
Efforts should be made to contact the clients next of kin or family to gain a better understanding of the client’s requirements . We should then record all information we have been given in their care plans. The needs and preferences of a client with dementia can change, and in some situations it can be very difficult to support an individual with dementia to eat or drink. In situations where a patient is unwilling to eat or drink for any length of time, a record of intake and output should be kept and a GP, a dietician and the client’s family should be contacted. It is important that we are able to recognise the different cultural requirements for our clients may present so we have to consider how we can meet these requirements needed.
If they are capable they will be able to tell you how they would prefer to be treated, and what their personal needs are. If they are unable to communicate with you, you could talk to their family, they could provide information about the history and preferences of the client. Another way that would also be useful is to talk to social workers, doctors or any other professional involved in the clients care, as they will be able to give you information on any medical conditions and needs etc that you need to be aware of. 2. Describe two ways of making sure that the history, preferences, wishes and needs of an individual using the service are recognised in support or care plans.
The Nurse in charge told me that the trust operates a ‘protected meal times’ policy where routine nursing care stops and care assistants dedicates time to serving food and helping them to eat. She asked me to assist Mrs C with lunch. Mrs C is a frail old lady, 95years old who suffers with Dementia and Diabetes and has Aphasia [Speech loss] and Dysphasia [Swallowing Difficulties]. She is being nursed in bed and because of her medical issues; she needs assistance with many of the activities of daily living. Having read the communication book and the care plan of Mrs C, to know more about her needs and how she prefers to be addressed, according to the Legislation Act.
We will let her know that there is an open line of communication so if she ever feels uncomfortable or needs assistance on something that she does not feel knowledgeable or confident about then she can always go to a supervisor’s office. She will also be offered personal therapy to make her feel more comfortable and confident in her own sessions. Personal therapy should help benefit her in her personal and professional life (Oteiza 2010). Her personal therapy sessions should help her become more comfortable working with families instead of just children. Janice is a great part of this agency and after she completes some personal therapy and the policies are reviewed and enforced that records must be submitted in a
The goal is to keep her pain under control if not completely relieved. Other medications (stool softeners) may be added to her drug regiment to counter act some of the side effects of Vicodin. Controlling pain will enable her to remain mobile for as long as possible, therefore promoting independence. Social isolation secondary to lack of personal involvement of sons, friends and few female family members is another concern. The nurse and the patient working in unison will develop a care plan to slowly increase the involvement of others.
According to Bulman and Schutz (2008) the art of reflection can help students and nurses learn from experiences and improve their own practice. To do this they need a self-awareness that enables them to describe honestly how a particular exposure affected them (Bulman and Schutz 2008). In order for practitioners to reflect there are different theoretical models used as a framework for reflective practice. Gibbs (1988) developed a reflective framework involving six stages which aim to guide the practitioner by asking a series of cue questions. The first stage sets the scene of the reflection by asking for a description of the event, the second stage looks at what the practitioner was thinking and feeling thirdly
The Nurse’s Dilemma: Being Asked Not To Tell The Nurse’s Dilemma: Being Asked Not To Tell Nurses face ethical dilemmas on a regular basis. As nurses work to provide health care services, we often are asked to participate in ethically questionable activities (Potter, Perry, Stockert, & Hall, 2012). Today, a patient who was newly diagnosed with Stage IV breast cancer with metastasis to her bones was admitted to the hospice unit. Her daughter is her primary caregiver and has asked me to deceive her mother by “turning over” my badge and telling her mother that I am from a home health agency. She specifically requested that I “do not say hospice” because she believes that her mother doesn’t know she has been admitted to the hospice unit.
As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use.