Introduction
Care planning is very important part of nursing. According to the Department of Health (2007) it is a holistic approach that recognises that medical needs are not the only issue with a person that is in hospital. It helps people to achieve the outcomes they want for themselves through truly personalised services and promoting health and well being. According to Leach (2007) care planning generates great benefits to client and staff by organising care by establishing common treatment objectives and as a result this will improve the continuity of care as the objectives will have relevance, clarity and control. The names of all people and the care setting mentioned in this assignment have been changed to ensure that they cannot be identified. The author will keep within the guidelines of An Board Altranis (2008) that all records and information of any patient must be kept confidential. The author has also gained permission off the Clinical nurse manager of the ward for the use of the client’s information ensuring her that pseudo names will be used throughout the assignment.
John Thompson was admitted to the St. Peters (long term care dementia unit) after becoming very confused, agitated and with a history of falls in the last six weeks. He has hit out at family members. He has began to wander at night time, suffer from hallucinations and has been heard crying out in his bedroom. Wandering according to the Alzheimer’s society of Ireland (2011) is seen as pacing up and down an area or the person just leaving the house and not being able to find their way home and have no explanation of why they did it. This is related to progression of his dementia. Dementia is a progressive disease of the brain where language, learni...
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I am going to discuss a case of Mrs. Judi Sharman who is 74-years-old widower suffering from severe stage of dementia and has been an aged care home resident for the past two years. At the time of admission into residential care, she was suffering from moderate stage of dementia but now her behavior and psychological symptoms got worsened from past six months. She has been becoming more agitated in evening with sun downing and is physically aggressive at some times and her mood disturbances become problem for other residents and staff members as she starts sudden shouting and disturbs others. She is also experiencing some hallucinations and delusions that represent psychotic illness .Now I will discuss the identification, assessment and management of these symptoms by using current literature.
...r investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice
Putting the person at the heart of care is one of the essential roles in developing person centred care. (Department of health, 2005)
Dementia has caused challenges and heartache for many families I have met. A loved one who no longer recognizes you could be difficult to cope with. I have had clients who do not know their own children and are unaware of their surroundings. Even though they have lived in the same home for over 30 years; it is now a strange new place to explore. Closets, bedrooms, and garages that were once frequented are now entered with caution and wonder. Everyday items are puzzles just waiting to be solved. As the disease progresses the harder it is to grasp the present. The past, like an old friend, beckons and comes to life bringing former friends and relatives of long ago, to the surface. Stories of days gone by are repeated and relived over and over. Constantly searching while longing to understand what is happening. Not being able to piece together the answers is frustrating. With frustration comes irritability and sleeplessness turning days into nights and nights into days. Everyday tasks became impossible, confusing, and troublesome. Dementia sometimes goes for years undetected; it is one of the most difficult diseases to diagnose. Because Dementia is an incurable disease that progresses with time we need to be diligent in finding a cure to prevent more victims.
As a nurse, it is important to address the needs of a patient during care. These needs are unique to each individual and personalizing it, enable the patients to feel truly cared about. It is important to be educated about these needs as the patients and their families look to you as a guide; therefore, education on things w...
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