Question

You are working with a new client, Mrs. Indira Pradesh, who is at the moderate stage of dementia. This means that, while she is still living in her family home, Mrs. Pradesh is struggling to think clearly and is often unable to recognize family members or friends. She has limited skills in daily living activities such as cooking and is neglectful of her personal hygiene and eating. Mrs. Pradesh is also often restless, with a tendency to wander. Unfortunately, due to her dementia, she can easily become lost in known, as well as unknown, places.

Mrs. Pradesh lives with her husband, Ajay, who has limited experience caring for a person with dementia. While their extended family is supportive, Ajay is struggling to cope. However, he is determined to keep his wife at home for as long as possible.

Question

1. Describe activities that aim to maintain Mrs. Pradesh’s independence and reduce social devaluation, using familiar routines and existing skills. These must be appropriate to her, reflecting the family’s cultural background. Pay attention to her safety, communication, mobility, and spiritual needs. (150 words)

2. Demonstrate how you would use appropriate communication strategies to access information about Mrs. Pradesh’s reminiscences and routines. (150 words)

3. Provide support and guidance to Mr. Pradesh and the family, so they are better equipped to support Mrs. Pradesh as her dementia progresses. (150 words)

4. Ensure Mrs. Pradesh’s safety and comfort, balanced with autonomy and risk-taking. (150 words)

5. Outline what you will consider when you evaluate the implemented strategies with the support planning team so that you ensure its effectiveness in minimizing the impact of Mrs. Pradesh’s behaviors. (150 words)

Answer 1

Ans-

Dementia is condition of thinking and social symptoms that interfere with daily functioning.In dementia cause 2 things,loss of memory and judgement.

Ans-1)-It is important to maintain the independence of dementia patient.they have problem of memory loss,and this patient are suffering from mental illness.

1)Establish Routines. Seniors suffering from dementia thrive in routine.

2)Write Out Schedules.

3)Promote Exercise.

4)Invite Kitchen Help.

5)Request Household Help.

6)Option for Easy-to-Wear Clothing.

7)Utilize Labels and Signs.

8)Engage in Social Activities.

9) listening the patient.

10)Familiarity with environment and routines is important for a person with dementia. The home environment should help them know where they are and help them find where they want to go. Changes in the environment may add to confusion and disorientation.This points Maintain the independence of dementia patient.

11)Creating a relaxing environment-

All the problems of dementia, including agitation, sleeplessness, wandering and aggression, are made worse by stress. Stress can be reduced with environmental changes. Each person with dementia is different, so work at finding solutions that suit the individual.

Ans-2)

*)Before speak-

Make sure you have the person's full attention Try to make eye contact. This will help the person focus on you Minimise competing noises, such as the radio, TV, or other people's conversations.

*)How to speakSpeak clearly and calmly-

Speak at a slightly slower pace, allowing time between sentences for the person to process the information and to respond.Avoid speaking sharply or raising your voice, as this may distress the person Use short, simple sentences.

*)What to sayTry to be positive

Avoid asking too many direct questions, and phrase them in a way that allows for a yes' or 'no' answer.Try not to ask the person to make complicated decisions - giving someone a choice is important, but too many options can be confusing and frustrating.

*)Listening -

Listencarefully to what the person is saying, and give them plenty of encouragement.When you haven't understood fully, tell the person what you have understood and check with them to see if you are right .If the person has difficulty finding the right word or finishing a sentence, ask them to explain it in a different way; listen out for clues Pay attention to their body language; the expression on their face and the way they hold themselves can give you clear signals about how they are feeling.

Ans-3)

Support and guidance to patient family-

1)Write about your feelings about having dementia in a journal.

2)Join a local support group.

3)Get individual or family counseling.

4)Talk to a member of your church or another person who can help you with your spiritual needs.

5)Stay active and involved, volunteer, exercise, and participate in activities for people with memory loss.

6)Maintain contact and spend time with friends and family.

7)Participate in an online community of people who are having similar experiences.

8)Find new ways to express yourself, such as through painting, singing or writing.

9)Delegate help with decision-making to someone you trust.

10)Be patient with yourself.

Ans-4)

Caring for a person with dementia means balancing their safety with their right to autonomy. There are many ways to address safety concerns so that the person with dementia can still choose to participate in activities that enhance their sense of autonomy, and thus improve their wellbeing.

Ans-5)

Immediately redirect pacing or restless behavior into productive activity or exercise.

Reassure the person if they appear disoriented.

Distract the person with another activity at the time of day when wandering most often occurs.

Reduce noise levels and confusion. Turn off the TV or radio, close the curtains, or move the patient to quieter surroundings.

Consult the doctor as disorientation can also be a result of medication side effects, drug interactions, or over-medicating.