Question

Ellen is a 64-year-old Chinese American, who has recently been diagnosed with dementia of the Alzheimer's type. She has been working steadily as a secretary but recently due to the disease has found it harder to perform her duties. She has worked for 34 years. She has recently become widowed and has two adult kids who live in the same area as her. But they rarely agree on how to provide care for her. Ellen has asked her children to help her navigate her decision to retire.

Based on the above scenario, create a document that describe the issues that Ellen and her children need to address regarding:

Ellen's retirement

Ellen's future health care plans

Ellen's housing

Ellen's financial situation

Ellen's ability to perform her job effectively

The disease progression and its effect on her activities of daily living (ADL)

Advanced directives

Funeral plans

Social supports available to Ellen

Role her culture may play on her family's decision

Please include refrences

Answer 1

Dementia is a chronic progressive disease of memory loss people tend to forget all the basic needs at one stage.

Ellen's retirement: The usual age of retirement is 65 years.She could be able to manage this with medication in initial stage which lasts for 2_4 years. Retirement plans provided by the employer ( savings or investment) could be made.

Future health care plan

She could be enrolled in Medicare or Medicaid program as per her children decisions

Ellen's housing

This environment should be hazardous free, patient friendly, because there are chances they may injure themselves or other

Financial situations

Savings can be done

ADL

she will forget initially names, relationship,dates,events, cooking, bathing,eating,anger, forget to pee and poop, hallucinations at last stage coma,death

Advanced directives

A care taker us needed to support her in daily activities

Funeral plans like where and how she has to be cemented decisions can be made.

There are many social support available for her

Psychosocial importance is given to them

Treated with respect

Affectionately treated to reduce burden

Apart from this culture difference is to be considered