Question

1. describe an instance when you supported older people to actively engage in all living activities?

2. describe two instances when you used reality orientation to provide reassurance?

3. describe an instance when you ensure the safety and comfort of the person while balancing autonomy and risk?

4. describe an instance when you took action to reduce the impact of persons behaviours of concern?

5. describe an instance when you provided appropriate support and guidance to families and carers of people living with dementia?

6. describe how you insure that the client is acknowledged has their own expert?

Answer 1

1.Dementia
One of the most common changes to health experienced by many people as they
age is dementia. So the condition gets progressively worse and eventually people with
dementia are often unable to care for themselves.they have short term or long term memory loss. When a person’s skills and abilities reduce through ageing, disability or illness, it is vital that you support them to identify strategies for remaining as possible. Patient havr somany difficulties so provide aids to cope with that. Another one is prevent them from social isolation.Depending on the person’s preferences and needs (likes, dislikes, strengths
and skills) this may include joining interest groups or attending day centres and other.

2.reality orientation: Its use and effectiveness within older person mental health care for patient with dementia and alzheimer's.

For dementia and alzheimer's patient Reality Orientation is a method of reducing confusion, disorientation, memory loss and behavioural problem by giving the patients different environmental cues so that they can master the important information such as time, person and place.It reinforces people’s awareness of who they are, whom they’re with, where they are, and the date and time.for that some activities can be done eg:Mounting large wall clocks in each room,
Buying daily newspapers (and putting old ones in the recycling bin), Putting picture signs on each door to identify the purpose of each room, talking about orientation, including the day, time of day, date, and season, using people's name frequently.

3.For a carer of a person with dementia, managing or reducing the risks of everyday activities can become a major concern. Difficulties with memory, attention, problem solving, insight, and other cognitive deficits associated with dementia does increase the level of risk for some activities. However, reducing an individual’s sense of autonomy also carries risks such as reduced wellbeing and in some cases quicker disease progression. So a continous supervision need in all the activities of daily living. 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.common risks care of people at home is walking, driving, caring pets, everyday household works suchas coocking ironing, riskiy activities include walking, showering, games. So appropriate aids to be used in cope with that.

4.almost everyone with dementia shows some changes in behavior. On some days, they get agitated. Or they wander or get abusive or withdraw or do things that can harm them or others. Understand that these episodes are the person’s response to a situation. Look for possible causes and reduce them. Satisfy any physical or emotional needs. Check if person is in pain or unwell. Check if your response or expectations are contributing to the behavior. Check if the physical surroundings are unfriendly.sometimes they will not say their problem, if they have pain they will behave agitated, so identify the cause and give proper treatment. Be calm and positive towasrds these people.

5.supporting the family memmbers those who have suffering with dementia is important because it may reduce the risk of injury. In the later stages there may be physical problems, including the indignity of incontinence. The person may seem most ungrateful and even aggressive and this can be hurtful for the carer.dur to their illness sometimes they may forget to do their daily activities properly. For examples while doing ccooking or house hold activities they forget switchoff the gas or switch off the light. So the caregiver should not behave agitatedly to them. It is due to their memory lose.So caregiver have patience. And assure the caregiver.

6.the person centred care is there in people with dementia, it helps them in all daily activities and it helps to improve their cognition and memory. By this person will always remember the activities or that taught by the caregiver. So by validating this, patient have insight in their own work. It may be due to the confidence that provided by the care giver. They have autonomy in their own activities, so they depend caregiver always if they have confusion.