CARING ELDERLY PEOPLE AT HOME

Running head: CARING ELDERLY PEOPLE AT HOME
Caring Elderly People at Home
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Introduction
In recent times it is reported that the elderly people are more vulnerable population
around the world and so it is very crucial to take care for them properly. In this context, it can
be stated that the patients who are having any type of disease condition are facing more
problems compared to other people of their same age groups. In this context, it can be stated
that the issue of dementia is one of the most common problems for the elderly people as with
the advancement of age, the chance of getting dementia is enhanced and so the cases of
dementia are mostly reported among the elderly people of the society. Moreover, along with
the advancement of the medical sciences, the overall life expectancy rate of the elderly
people are also enhancing and so it has become very relevant to provide health care facilities
to the elderly people at their home as it is believed that the application of home based care is
very effective in improving the quality of life of the elderly population and along with this it
is also reported that such home based care also improves the overall wellbeing of the
individuals having problems like dementia.
In this essay, the importance of home based care for the elderly is discussed along
with the role of nurses in providing care to the patients in a brief manner.
Rationale for Caring Elderly People with Dementia
In various studies, it is observed that the elderly people suffering from dementia have
various types of problems in their activities of daily livings and so it is very important to take
care of those people properly in order to improve the quality of life. It is reported that
dementia is not a single disease and it is capable of affecting various brain region of the
individuals. As a consequence of this they face various health related problems. In this
context, it can be stated that, one of the primary problem of the dementia patient is apraxia
that is difficulties in performances of various motor activities, inability to comprehend and as

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a result the patients of dementia may face problems regarding the motor activities. Parkinson,
Alzheimer’s, Lewis body dementia are found together or associated together in the elderly
person and it is very important to been diagnosed. So, it is very important to provide support
to the people and it will also ease their life (Bieńkiewicz et al., 2014). Another important
factor that is associated with the life of elderly dementia patients is the problem of wandering
and in this regard, it can be stated that the patient may roam around different regions and so it
can cause difficulties to the health care professionals in the hospital care setting. The
dementia, Therefore, it can be stated that it will be easier to take care of patients with
problem of dementia in a home care setting as generally a home is not so large like a health
care setting and also the place is known to the patient. The issue of fall cases among the
dementia patients are associated with the wandering behaviours of the patients as it may
possible that during roaming around in the home, elderly people may face fall incidents
(Cipriani et al., 2014). According to the study of Fernando et al. (2017), it is reported that it is
very common to have fall incidents among the elderly people with dementia due to the poor
gait balance. In this study, it is reported that falls and hospitalization cases are very common
among the patients with dementia and so caring elderly patients suffering from dementia may
help in the reduction of fall cases. In another study by Singh and Okeke (2016), it is stated
that the fall cases are less number when they kept in a single room and they are taken care by
a health care professionals individually. Therefore, it can be stated that the elderly patients
find easy to stay in a specific area or a particular room and in case of home based care the
principle is same as the home based care process for the elderly people having dementia.
Moreover, it is observed that the home based care services for the elderly people can offer
better activities of daily life for them. It is to be considered that dementia is a condition where
two of the neuropsychological symptoms are present in the patient. These symptoms can be
memory issues, cognition distortion, delirium and delusion as well. Along with dementia,

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various other conditions such as Alzheimer’s and Parkinson are associated together with the
clinical condition Along with this, in case of dementia patients, the emotional needs of the
patients should also be met in order to provide a better quality life to the patients and in this
context, it can be reported that during a home based care the individual can have the presence
of his or her family members and along with this, the patient can stay with his or her family
members (Zabalegui et al., 2014). Therefore, it can be stated that the presence of family
members during the treatment process of the patients may improve the treatment outcome for
the patients suffering dementia. Moreover, problem of aggressive behaviour is another
important aspect of dementia patients and in case of hospital care settings, it may possible
that the health care professionals may not able to handle the aggression of the patients and as
a consequence the patient may harm himself. In this regard, it may be stated that when the
patient is kept in a home based care process, due to the presence of the family members, it
will be easy to manage the aggression of the patients and so it can be stated that in order to
provide a safe and secure environment to the patients suffering from dementia at their older
ages, the home based care facility will be great option for those patients (Stokes, 2017).
Another important challenge for the dementia patients is associated with the fact that those
patients have problems related to the poor support from the society and from their family
members as well. Hence, it is important to have home based care for the elderly patients
having dementia.
Role of Nurses in Providing Care
The role of nurses in managing the patients with dementia at their older age is very
crucial and it can be stated that they should take care various parameters in order to manage
the condition for them. As a part of this, the community nurse may use the Home Safety
Inventory (HSI) tool that is a clinical assessment tool to estimate probable safety problems
associated with individuals and caregivers of people with dementia. Dementia along with