My assignment is to write about a comprehensive discussion on a chosen client with a specific illness. I have chosen to write about Mary whom suffers with dementia and is cared for in her home. I will describe the range of needs of the older person and my understanding and application of concept associated with caring for an older person with Dementia. Dementia is the umbrella term used to describe various conditions which cause brain cells to die, leading to the progressive deterioration in memory and the ability to carry out everyday activities such as washing, dressing, eating, and completing complex tasks. Dementia may also affect a person’s mood and personality. There are many different types of dementia but Alzheimer’s disease and Vascular dementia are the most common forms. A person with dementia displays a variety of negative behaviours such as incontinence, loss of communication skills, aggression, wandering, shouting and yelling. The problem is more severe in older patients. They often fall and sustain injuries. Their families often do not want them at home and believe that these patients need the supervised care provided in a nursing home. But, to a patient with dementia in the early stage, a caring relative may be all that is needed to reassure the patient from time to time. It is important to note that these patients live in the moment and will cope best with familiar people, routines and surroundings Mary is an 80yr old client whom suffers from Vascular Dementia which leaves her in a confused state. She may forget where she is or she looks to go home and her at home but she means her home as a child growing up. She looks for her mother or at times thinks I am her daughter. She is very unstable on her feet so for her health and safety she has a chair with a beeper cushion which alarms when she tries to get out of it, so we are aware of her movements. Mary is supported and cared for by her family with the help of a care assistant. Mary’s needs; for daily living
The Signs and Symptoms of vascular Dementia. Vascular dementia affects people in different ways and the speed of the progression varies from person to person. Some symptoms may be similar to those of other types of dementia and usually reflect increasing difficulty to perform everyday activities like eating, dressing, or shopping. Common physical signs and symptoms that Mary has shown are:
Leg or arm weakness
Moving with rapid, shuffling steps
Loss of bladder or bowel control
Someone with dementia like Mary may lose the ability to think critically about what they say or do in social situations, which may cause them to say things that are uncharacteristic for their personality, or things that offend people
Short-Term Memory Loss
People with dementia may have a shortened attention span and be easily distracted, which can make it difficult to carry on a long and thoughtful conversation for example Mary thinking I am her daughter, I remind her who I am and my purpose.
Another common effect of dementia is the loss of the ability to take care of yourself. Dementia can result in forgetfulness and a lack of foresight, which can make it difficult to perform routine tasks like making food, or even planning a trip to the bathroom Emotional
‘’The most devastating loss of all for the person with dementia can be ‘the loss of self’’. Source: Davis 1993. Although not all people with dementia show changes in emotion, many do feel depressed, anxious, frustrated, fearful, helpless, angry, or suspicious. These feelings may be subtle and short-term. Or, they may be widespread and hard to manage. All of this may change as the illness changes Dementia can lead to a change in disposition, and potentially depression. People who have dementia will often be aware that they cannot think as well as they used to, and may observe that other people treat them...
Bibliography: Department of Health (2001) National service framework for older people. London: Stationery Office.
Department of Health (2009) living well with dementia: A National Dementia Strategy. London: Stationery Office.
www.alz.org › Alzheimer 's disease
Dementia - Wikipedia, the free encyclopedia
The Open College Care Skills Notes
Care Skills and Care Support Fetac Level 5 book
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