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Care Planning: Making Decisions That Involve Everyday Participation and Communication.

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Communication
The biomedical approach to assessments and care planning seem to be the accepted form of communicating physical needs from a hospital environment. Certainly, all the people we have admitted to the home in the past ten years arrived with a plan of care that was medically led, if it is even supplied at all. Therefore, it is possible to argue , that a plan of care focused on the influential abilities of a person with dementia would be more than helpful in comparison to the medical diagnose. Consideration of the decision making process would identify aspects of well-being and enhance consistency of care. The hospital discharging Marjorie described her communication receptive skills as mild receptive aphasia. They confirmed she was able to follow two/three stage verbal commands. The assessment stated Marjorie was demonstrating evidence of slow auditory processing and retrieval. Marjorie’s verbal expression, showed jargon fluent aphasia and word finding difficulties, often breaking in mid sentence. However, there was no evidence recorded that considered her actual understanding of what she actually saying. The documented evidence indicated Marjorie had demonstrated frustration during her stay in hospital and this was witnessed during the first meeting at the home. Marjorie refused to engage eye contact and appeared withdrawn, when encouraged to participate in her assessment she shouted angrily at care staff. Outbursts of frustration and anger can occur if a message is met with misunderstanding or if it is ignored (Cohen-Mansfield, 2008). People who have communication needs, such as those with dementia, require skill and empathy to exchange information both verbally and non-verbally. In practise people with dementia ma...


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...ursing. Edingburgh: Churchill Livingston.
SABAT, S. R. (2001) The Experience of Alzheimer's Disease: Life through a Tangled Veil. Oxford: Blackwell.
SABAT, S. R. (2008) A Bio-Psycho-Social Approach to Dementia in: DOWNS, M. and BOWERS, B. (eds.) Excellence in Dementia Care: Research into Practice. Maidenhead: Open University Press, pp. 70-84.
SHANNON, C. and WEAVER, W. (1949) The Mathematical Theory of Communication. Urbana Ill. ; London: University of Illinois Press.
THURGOOD, M. (2009) What Can be Done to Engage Clients? 2nd ed. The Art and Science of Mental Health Nursing: A Textbook of Principles and Practise. Open University.
TYRRELL, J. (2007) Evaluating the Experience of People with Dementia in Decision-Making in Health and Social Care. In: INNES, A. and McCABE, L. (eds.) Evaluation in Dementia Care. London: Jessica Kingsley Publishers, pp. 176-194.



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