Needs for Dementia Patients Are Physical, Psychological, Social, Emotional and Spiritual

HNC Health Care Graded Unit – Planning
I am currently in placement in a care home which provides long term care for elderly individuals. Following the Data Protection Act 1998, in order to preserve confidentiality, for the purpose of this activity the resident shall be referred to as Grace. Having assessed a number of residents needs I came to the conclusion that this individual would benefit most from this activity. The reasons for which I will outline below. Grace is an 87 year old female resident with a current diagnosis of mixed type dementia. Grace’s diagnosis of mixed dementia has resulted in a decline in her cognitive ability, especially her memory recall. This has also resulted in Grace being deemed to be a vulnerable adult and she has been placed on an Adults with Incapacity Act 2000 declaration. In order for Grace to be treated with a person-centred holistic care approach, I will work with Grace to develop a scrap book containing pictures and stories about her life. The aims of the activity are; to engage Grace in a mentally stimulating activity which provides for all of her dimensions of health and needs which are; Physical, psychological, social, societal, emotional and spiritual. (WHO, 2011)
The care approach used by the care home is a person-centred care plan, this allows for all dimensions of health to be met. In order to meet Graces physiological health care needs it is important to first identify her physiological health problems, these problems include; a diagnosis of mixed type dementia and a previous medical history of hypertension, hiatus hernia, anaemia and recurrent UTI’s. Grace’s diagnosis of dementia as previously mentioned has resulted in poor nutritional intake, this in turn has led to Grace developing a...

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...uilt into the activity in order to ensure that Grace does not become agitated and want to leave, this will reduce her falls risk. Another risk to Grace is her diminishing cognitive ability, in order to ensure Grace does not harm herself in any way I will pre prepare all materials necessary for the task therefore eliminating the need for scissors. Due to Grace’s dementia she is prone to agitation (For which she receives 50mg of Trazadone, 3 times daily), however this agitation is reduced by music therefore I will accommodate for this need and facilitate background music to reduce agitation. Finally due to Grace’s dementia, as previously mentioned Grace has a poor nutritional intake and has a history of anaemia and UTI’s, In order to prevent dehydration I will ensure that there is water available throughout the activity and actively encourage Grace to take in fluids.