He was living with his wife named Alice. Based upon firsthand information facilitated a mini mental status examination was carried out. The score was just 18 out of 30 which is below than cut off score of This implies he has cognitive impairment. His shoulder has been dislocated following the fall which has been reduced under anaesthesia.
After his wife leaves, post evening meal he became restless and experience difficulty in finding directions…. But when two of the following symptoms are observed majorly a patient can be considered as a dementia patient.
Memory, loss of ability to focus, communication impairment and language difficulty, visual perception, reasoning and judgments Savva, In the above case study, the client has memory loss and communication issues as well as loss of ability to focus and pay attention. Dementia mostly occurs due to damage in the brain.
Damage to any part of the brain leads to impairment of communication. In the present case study the client displays a significant loss of memory and cognitive abilities.
It suggests his brain must be subjected to severe damage which could be due to any accident or any biophysical cause. The Hippocampus is the region in the brain, which is responsible for learning and memory. This region gets damaged first when any injury occurs in the brain.
Thus, the dementia and Alzheimer disease earliest symptoms are memory loss. In most cased Alzheimer is the originating disease which leads to dementia Salzman, This is the most possible cause of dementia in the present case study…. Dementia can lead to a number of physical and psychosocial health issues. 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. 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? There are UK writers just like me on hand, waiting to help you.
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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 territorios-luchas.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.