In: Nursing
Case study (questions 14–19)
Read this case study then answer the questions that follow.
Richard is part of a team who support people with dementia. One of the most challenging aspects of Richard’s job is managing the problematic and disruptive behaviours of the people he is caring for. Richard realises that in most cases these behaviours are a way of expressing unmet needs and concerns. Unfortunately, it can be tricky to identify these needs, especially for those like Karin who have severe dementia. Karin is unable to use words to explain her thoughts and feelings.
Richard tries to use a range of strategies to reassure her and minimise the impacts of the behaviours of concern. However, he has noticed that sometimes the effectiveness of a strategy will change and require the team to review the behaviour support plan to better meet the needs of the people receiving care.
14. Why is it important for Richard to contribute to team discussions on behaviour support planning and review?
15. How can Richard monitor the strategies to minimise disruptive and problematic behaviours noted in Karin’s behaviour support plan?
16. What are some things Richard and his team should consider when planning activities to enhance self-esteem and pleasure in a person with dementia’s life?
17. What are some important things that Richard should take into consideration when planning activities to minimise boredom in people with dementia?
18. What are some important things that Richard should take into consideration when planning activities to distract or eliminate behaviours of concern in people with dementia?
19. What are some psychological symptoms of dementia that Richard should be aware of?
Why is it important for Richard to contribute to team discussions on behavior support planning and review?
Contribution towards team discussions helps in sharing the areas where Richard is facing a hard stop. These hard stops in terms of patient care is discussed and opinioned with suggestions that can help in creating and implementing a better care plan which is more effective than the existing one.
How can Richard monitor the strategies to minimize disruptive and problematic behaviors noted in Karin’s behavior support plan?
Optimistic Behavior Provision being an indication based method with a chief goalmouth of cumulative an individual’s excellence of lifetime and a subordinate goal of lessening the incidence and harshness of their stimulating performances. Stimulating performance is frequently credited to the individual representative the conduct but the contest frequently feel right to those nearby the individual. Family, carers and sustenance individuals are frequently dared to discover out why the individual has an essential to involve in that conduct. They want to distinguish what they can do to provision the individual so they no lengthier have an essential to involve in stimulating performance.
What are some things Richard and his team should consider when planning activities to enhance self-esteem and pleasure in a person with dementia’s life?
-serving the individual comprehend their everyday life by means of stronger conducts of collaborating with them such as presenting a picture timetable
-altering the setting to type where they living and effort healthier for Karin
-refining the individual’s existence so they have additional stimulating and pleasant doings to retain them complicated and associated with their communal, such as serving the individual advance service and supporting entertaining or other goings-on of attention
-altering the setting so the individual is complicated in expressive and optimistic associations with others.
What are some important things that Richard should take into consideration when planning activities to minimize boredom in people with dementia?
Preferably, activities must:
-recompense for misplaced aptitudes
-endorse self-regard
-uphold remaining services and not include new knowledge
-deliver an occasion for pleasure, preference and communal interaction
-be subtle to the individual’s ethnic contextual.
What are some important things that Richard should take into consideration when planning activities to distract or eliminate behaviors of concern in people with dementia?
As addition to above points, make usage of services that have not remained elapsed, such as buttering bread, laundry up or soaking, far-reaching and scraping in the plot. These are also conducts in which the individual with dementia can donate to the domestic and feel valuable. Inspire them to have somewhat that is their accountability, no problem how minor.
What are some psychological symptoms of dementia that Richard should be aware of?
-monotonous behavior;
-temper disruption
-communal unsuitability;
-anxiety;
-wandering;
-phobia
-somatic hostility; and.
-sleep trouble.