Care of a Confused Client
Introduction
Dementia is the umbrella term given to the various disorders that cause damage to the brain. Alzheimer’s disease is the main type of dementia and accounts for more than 50% of all cases. The other main types of dementia are Vascular dementia, Lewy Body dementia and Fronto-Temporal dementia.
Early signs of dementia are forgetfulness, problems performing tasks that were previously done with ease and confusion with time and dates. As the disease progresses, the person can have difficulty with communication and everyday tasks such as getting dressed and using the bathroom. They have difficulty recognising people in the later stages and may have problems with eating and swallowing.
Dementia is mainly
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It may be just necessary to have toiletries at hand so the client can be encouraged to use them. The client should be allowed to express sexuality and individuality by their choice of clothes, hair style, jewellery make-up etc.
The client may need gentle reminders for eating and drinking in the later stages of dementia as they become more forgetful. They can also refuse to eat their food simply because they find it hard to use a knife and fork, finger foods can be introduced which would help maintain their independence.
The aims of elimination are to promote continence. The client could be taken on regularly timed visits to the bathroom to reduce accidents and they should be encouraged to take plenty of fluids to avoid constipation. Velcro fasteners can replace zips or buttons to undo clothes easier.
To assist with sleeping the client’s routine for day and night should be kept as normal as possible. The room should not be too hot and their sleepwear comfortable. The bed and pillow should suit their needs.
Death and dying: The aim for the final days of a client’s life is for them to have their wishes and hopefully promote a peaceful death (R.L.T.2013)
Promote the rights of the client to dignity, privacy, independence, positive self
Susan Williams wants to raise awareness about Dementia Lewy Bodies (DLB), a brain disease that claimed the life of Robin Williams. In an interview People, Nov. 5, 2015, Susan said that no one knew Robin had DLB until after the autopsy confirmed their findings. Although his death was a traumatic experience for Susan, her pain, and sense of loss came when she was forced into a legal battle over Robin’s estate. In two and a half weeks after Robin passed away, the trustees entered the house and started taking things away.
There are different types of dementia and are described as follows: Fig 1.2 (a) different types of dementia with their percentages There are different types of dementia are Alzheimer’s, vascular, mixed, dementia with lewy’s body and frontotemporal dementia etc. and there are other types of dementia too such as AIDS dementia, Parkinson’s dementia etc. The Alzheimer’s is most common form of dementia. Let us describe the each of them in detail: Alzheimer’s dementia: Fig 1.2(b) area of brain affected and cross-section that is seen from the front in Alzheimer’s dementia.
The early stages of dementia are often just seen as “getting old” to those of us who are not trained. In this stage patients find it hard to follow a story through to the end, whether they are telling it or listening to it. Often they will notice everyone laughing but won’t actually understand a joke that was being told. It can also start with subtlety of slower responses to questions.
The Long Goodbye Looking into this video, you see up close the trials and tribulations that not only the people with the disease are going through, but their families as well. Dementia has always been a fear because of the thought of not only your memories fading away, but your ability to perform your daily functions as well. In the case of Tom and Brenda, Brenda seemed to have been in the last stages of dementia. Her brain function seemed to be very low and it seemed that she been dealing with dementia for quite some time.
They may have lost their memory which could mean they may not recognise family, or be serverly depressed and struggle with daily life activities. • Physical disability • Learning difficulty/disability- Some examples could be people not being able to walk and eat solid foods which could affect their emotional state and mental state of mind. • Emotional
As an administrator my hope would be to make the last years of a residents life, ones they would enjoy. I hope to do so by following regulations, making correct care plans for patients, ensuring there is enough qualified staff at all times, providing stimulating activities, and ensure a comfortable and home-like atmosphere for the
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
This is happen because there is a lot of anxiety; people with dementia often don’t understand the process that is happening to them. They feel very vulnerable when services are transferred to a new provider. So here is what service users with dementia should expect from their local authority; when their services
Dementia should be viewed as a disability as the symptoms affect the individuals’ ability to be responsible for their everyday needs for example taking medication, remembering to eat and drink. Dementia also affects a persons’ capacity which can be a risk to their safety. Symptoms of dementia can be a big risk to the person as it affects memory so the person with dementia could forget vital things like turning an over off, not locking doors. Balance can also be affected so falls, slips and trips are quite common which means aids need to be put into place to try and prevent the risk of falls, slips, trips and other risks like leaving the oven on or not taking medication. Not having the capacity or ability to act responsibly for their health and safety is viewed as
The article titled “Half of Alzheimer 's cases misdiagnosed” made it evidently clear that Alzheimer’s disease is a disease we have yet to fully understand or treat. Not only is there a lack of information about this disease, it is common for the similar side effects of dementia to be confused with Alzheimer’s disease. To clarify what dementia and Alzheimer’s disease is, I will provide an authentic definition of each. To begin, I will state that there are different forms of dementia. According to a site that specializes in providing information about dementia and Alzheimer’s disease, states that “Dementia is a general term for loss of memory and other mental abilities severe enough to interfere with daily life.
For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation.
Dementia is one of the most feared diseases and expensive to society currently. It is defined as a clinical syndrome of acquired cognitive impairment that determines decrease of intellectual enough capacity to interfere social and functional performance of the individual and their quality of life. It is a known fact that patients tend to express themselves through their behaviour and expect their carers to understand this notion. The diverse kinds of causes of different behaviours are inability to communicate, difficulty with tasks, unfamiliar surroundings, loud noises, frantic environment, and physical discomfort. Many diseases can cause dementia, some of which may be reversible.
Look Back The event that will be discussed in this paper is my resident’s refusal to eat his breakfast and my ineffective response to this situation. Elaborate This event that did not occur with my primary resident, but a resident with whom I spent a lot of time with regardless, and who had a mild form of dementia.
Dementia Stage 1: The person becomes aware that she is not thinking and remembering as she did in the past. At this stage, she is pretty good at covering up gaps and lapses in memory. Family members and others may see a troubling lapse once in a while but will likely attribute it to the person having a bad day or the normal memory changes that occur with aging. Tools such as making notes, using a written calendar and keeping lists can help her stay on track.
Among the degenerative diseases associated with memory, one is Alzheimer's disease. This disease affects the parts of the brain that control thinking, memory and language. Memory is weakened, recent daily events are not remembered and as it progresses memory is affected for the oldest vital events; the affections are impoverished, with loss of interest to maintain social relations with the family and the environment, showing a progressive social isolation. The disease process is gradual and usually the person deteriorates slowly. So far the cause of the disease is unknown and has no cure.