Question

In: Nursing

Scenario question. You are assigned to care for Mr. A, 85, who has Alzheimer's disease. He...

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?

Expert Solution

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.

Nightingale answered 7 months ago

you are the home care nurse assigned to visit an 85 years old male patient who...

you are the home care nurse assigned to visit an 85 years old male patient who was discharged from the with new-onset left-sided heart failure.You arrive at Mr.Smith's house to find that he is having difficulty breathing and appears anxious.You quickly assess Mr.Smith's lungs and find that he has bilateral rhonchi in the upper lobes. Mr.Smith shares that he has not taken his medications this morning. You ask to see the discharge instructions and note that Mr.Smith has seen several...

Scenario #1 You are assigned to care for a patient who was recently admitted to your...

Scenario #1 You are assigned to care for a patient who was recently admitted to your unit with pneumonia and is ordered antibiotics. The physician starts with a cephalosporin (ceftriaxone) to attack the bacteria. When completing your initial assessment and patient history what would be concerning to you as the RN? What side effects and adverse reactions will you be monitoring for while the patient is taking a cephalosporin? What are the contraindications and interactions of cephalosporins? What are the...

You are a female student nurse assigned to care for Mr. Habib, a male patient who...

You are a female student nurse assigned to care for Mr. Habib, a male patient who is Muslim. He is recovering from surgery for prostate cancer and has a suprapubic incision. He is from Iran and has some difficulty speaking English. You know very little about the Muslim faith. You have been told that his wife is always at the bedside, and she seems very nice. One nurse tells you that she cared for the patient yesterday and that he...

Mr. William, 85 years old male client is living in a long-term care facility. He is...

Mr. William, 85 years old male client is living in a long-term care facility. He is having progressive dementia over the past seven years and is unable to care for himself independently due to cognitive decline. He has got visual and hearing impairment. Identify actual and potential nursing interventions to improve the self-care ability of Mr. William in relation to the following cognitive decline and sensory deficits in 50-60 words)

The nurse is assigned to care for a child with a brain injury who has a...

The nurse is assigned to care for a child with a brain injury who has a temporal lobe herniation and increasing intracranial pressure. Which signs should the nurse identify as indicative of this type of injury? Select all that apply. 1. Flaccid paralysis 2. Pupil response to light 3. Ipsilateral pupil dilation 4. Compression of the sixth cranial nerve 5. Shifting of the temporal lobe laterally across the tentorial notch

Mr. Smith is 85 years old and has several medical problems. He has spent the past...

Mr. Smith is 85 years old and has several medical problems. He has spent the past several months in and out of hospitals and rehab. He tells his doctors: “My body is all worn out. I’m worn out. Don’t want to do this anymore, Doc. They say I can’t go home and be safe. And I’m NOT going to a nursing home. No way! Just stop that little gadget that shocks me and the part that keeps my heart going....

you are providing care to a patient with chronic obstructive pulmonary disease (COPD) who has been...

you are providing care to a patient with chronic obstructive pulmonary disease (COPD) who has been readmitted 3 times within the past month for difficulty breathing. Explain how you would apply Peplau's interpersonal theory to help this patient prevent complications and promote self-management of his disease.

You have been assigned to care for a patient who is to receive an intravenous infusion...

You have been assigned to care for a patient who is to receive an intravenous infusion of oxytocin to induce labor. The patient was admitted to the hospital 2 days ago for dehydration related to the flu. What information should you obtain before starting the drug therapy? Is the patient’s recent dehydration a consideration? If so, in what way? Is any special equipment needed to administer oxytocin? What monitoring should be done during oxytocin infusion? For what complications that may...

You have been assigned to care for Mr. Alvarez, a 74-year-old client being treated for a...

You have been assigned to care for Mr. Alvarez, a 74-year-old client being treated for a urinary tract infection. He suffered a cerebrovascular accident (stroke) 6 months ago and has had difficulty ambulating and attending to his own needs because of right-sided weakness. He is thin for height, incontinent of foul smelling urine, and has non-blanchable erythema on his coccyx and peritoneal area. He is alert and oriented to person, place, and time. He has decreased sensation on his entire...

Mr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital...

Mr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with a respiratory infection and increased dyspnea; yellow, purulent sputum; anxiety; and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following laboratory values are obtained: Arterial blood gases: pH 7.25 Serum sodium (Na+) 140 mEq/L PaO2 60 mmHg Serum potassium (K+) 2.0 mEq/L PaCO2 78 mmHg Serum chloride (Cl–) 105 mEq/L HCO3– 34...