In: Nursing
Scenario question.
You are assigned to care for Mr. A, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. A is unable to feed himself and is often incontinent. He keeps repeating, "Help me, help me," all day long.
a. What methods could you use to make sure Mr. A receives the care needed to maintain good personal hygiene? How could you get him to cooperate or participate in his care?
b. What parts of Mr. A behaviour would be most difficult for you to tolerate?
c. What would you do if you found yourself becoming irritated and angry with Mr. A?
d. What information in this chapter has helped you to understand people like Mr. A better? How will this information help you to give better care to these people and to maintain their quality of life?
e. How do you feel about caring for a person like this? Frightened? Angry? Impatient?
f. How do you deal with your feelings so that you can give care to the person?
g. At what stage of Alzheimer's disease is Mr. A? What signs and symptoms support your answer?
h. Why would it be ineffective to remind Mr. A of the date and time during your shift?
i. Why is reminding the person of the date and time a good technique with some people who are confused and not with others?
j. Why does Mr. A become more agitated toward evening? What is this called?
a) On dealing with alzheimers patients
Keep things simple. ...
Have a daily routine, so the person knows when certain things will happen.
Reassure the person that he or she is safe and you are there to help.
Focus on his or her feelings rather than words. ...
Don't argue or try to reason with the person.
Try not to show your frustration or anger.
b) The patient wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, make health care person difficult to more tolerate.
c) As an health care professional we dont become anger if we found ourself becoming irritated and angry with Mr. A. We must tolerate everything and be calm & quit and good behavior to the patient. Always provide any help essential for the patient. Don't depress him/her
d) As the person moves through the stages of Alzheimer's, he or she will need more care. One reason is that medicines used to treat Alzheimer's disease can only control symptoms; they cannot cure the disease. Symptoms, such as memory loss and confusion, will get worse over time.
Because of this, you will need more help. You may feel that asking for help shows weakness or a lack of caring, but the opposite is true. Asking for help shows your strength. It means you know your limits and when to seek support.