Dementia is a collection of symptoms caused by disorders affecting the brain which impact on a person’s functioning, ranging from thinking to behaviour and the ability to perform ordinary task and there are different type of dementia with the most common types being Alzheimer’s disease, vascular dementia and Parkinson’s disease (Keast, 2015). In 2009, nearly two-thirds (62%) of people identified as having dementia or Alzheimer 's disease were living in a health establishment such as a nursing home, an aged care hostel, or the cared component of a retirement village (Australian Bureau of Statistics, 2012). People with dementia experience problems with communicative, cognitive and emotive tasks.
2. Immediate issues of care
Wanda is Polish and therefore requires culturally appropriate care tailored to meet her need to enhance engagement. To prevent Wanda from being socially isolated, she will be introduced to other Polish residents that may be available. Health education about Dementia, the disease process and its impact on the patient’s health will be discussed with Wanda and her family. The patient’s dignity and privacy are an issue of concern consequently due to her deteriorating in her ability to self-care. Maintaining dignity helps an individual to preserve their sense of self-worth and identity; dementia residents are often vulnerable, and caring practices can make them feel undignified owing to their personal and intimate nature (Alaszewski, Holdsworth, Billings & Wagg, 2009). Her cognitive decline has an effect on her quality of life and function due to problems of memory, planning, language and attention. There is a risk of malnutrition as Wander is unable to feed herself and is reported to be refusing her...
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...ioural symptoms displayed by the patient as behaviour may be a way of communication (Hval, Kristiansen, Lorentzen, Fagerstrøm & Tanum, 2012). It is crucial to involve the patient and family in decision making regarding the patients care needs. Patients with dementia also need a holistic person centred care approach despite their cognitive deficits. Individuals should be respected, valued and their culture, strengths, needs and rights respected.
Dementia presents enormous challenges for health care workers due to the complexity of the disease process. Health care staff need to be adequately trained to ensure evidence based care is delivered with full understanding of the individual, their culture and rights. There is need for further studies regarding the validity biopsychosocial model of care delivery as its implementation in care is challenging.
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