Effective Communication and Care Pathway for Dementia Patients

right. Anything wrong can be a danger to our moral character and people around us.(Rajacich et al 2013) It is important to develop an integrated care pathway for the patient. At times Proper symptom control is impossible in without proper communication. (James et al 2014) An accurate assessment of patient's health requires effective communication. Communication is the centre of all treatment. Communication will deliver a great amount of care. In the society conversation about any dreadful disease is often very awkward and difficult. Among the health care professionals, there is a requirement of improvement of techniques to overcome these obstacles. We require taking in time quality decision, based on clinical expertise. The aim is to provide better, healthy and safe care to the patients with most new techniques available. To practice, nursing knowledge along with multiple studies needs to be utilised without any kind of discrimination The assignment highlights the importance of effective communication in healthcare, particularly when it comes to end-of-life care and palliative care. It emphasizes the need for quality decisions based on clinical expertise and the importance of considering cultural diversity when providing care. Overall, the content focuses on the significance of effective communication and culturally competent care in delivering high-quality patient care.

Element of Value Base Care 1
Assignment
Element of Value Base Care
Student Name:
Student ID:
Course Name:
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Faculty Name:
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Element of Value Base Care 2
The Nursing practice requires many qualities. It requires specialised skills, knowledge and
honesty, integrity. There are many aspects of nursing practice. It includes the type of client,
different disease management. We should treat each patient equally without any
discrimination. This relation is based on mutual respect and trust. It is a helping relationship
in which we should be sensitive to self and others. Providing physical, emotional, spiritual
support to the patient and their family.( Anonson et al 2014)
Care is the fundamental part of the nursing value. It is important to considered a patient as a
whole rather than a particular part of him diseases. It is important to understand a patient’s
need and the amount of care it requires because of the suffering. (Hoeve et al 2014)We must
have the ability to understand the patient’s pain and concern. A non-caring attitude makes the
suffering of the patient worse.
Caring is the term always associated with nursing. Larkin, P. J. (2013). The nurse's
behaviour should be holistic and the actions should aim at creating and maintaining an
environment which will support healing. To support the nursing profession the nurses need to
engage themselves in a broad range of activities when enacting professional roles. There
should be a deeper understanding of the term care. There are multiple levels of care. Caring
comes with professional experience. It may have a different meaning for different nurses.
The concept of care depends on different factors. It depends on the amount of professional
experience, the level of nursing education, professional values and how and where the
nursing skills and concepts are being applied. The caring concept is central to the nursing
practice. It requires a great amount of discipline and dedication to follow. There should be
intentional and conscious caring. This will bring out the best of the nursing practices from
you. Being a nurse means you have to be fully present in that moment and take proper care of
the patient. It is all about having a trusting, helping and caring relationship with the patient.
This should not be limited to the patient but also should be extended towards the other staff

Element of Value Base Care 3
and most important the caregivers of the patient. (Anstey, S., Powell, T., Coles, B., Hale, R.,
& Gould, D. (2016). This gives a positive feeling in the patient and the caregivers. Caring is
a very integral part of nursing. It is important to engage yourself in genuine care by learning
through various experiences with the patients. This will come with years of practice and
dedication. Caring is an art which has to be studied but more than this it is an attitude in life
which nurses should flow for the patients and also the people around them. It is a there duty
to create a healing environment. Researchers have proved that if a patient is given adequate
care and timely medication it can even have miraculous results. For terminally ill patients
care is the most important thing they required. This may add few more months or years in
their lives. Caring is the most important aspect of the nursing profession. As we know that in
old age many patients suffer from lack of care. A proper caring institution can give relief to
old age patient in many aspects (Gélinas, C., Fillion, L., Robitaille, M. A., & Truchon, M.
(2012).
Communication is also very important to us, patients and also their relatives. By effective
communication, a comfort level with the patient is developed by which patient conveys his
pain, fear, shares anxiety.( Riley, J. B. (2015) Listening is a very important mode of
communication. It requires nursing skills and attention. By this, we can access the situation
and problems of the patient. By being a good listener nurses can provide care at all levels of
recovery.
A suffering person and its family members require support. This requires great sensitivity.
We need to be knowledgeable and should carry enough experience in nursing to deliver
sensitive information in a proper manner. Confidentiality is a very important aspect. We must
know what kind of information to be given and whom to be given. We should not give any
wrong kind of information or right information to the wrong person. It causes a negative
impact on the patient and the institution.

Element of Value Base Care 4
It is very important to maintain integrity. This is one of the most important characters to
possess. This makes us honest and truthful. It is a very important aspect of nursing. We
should be right and do right. Anything wrong can be a danger to our moral character and
people around us.( Rajacich et al 2013)
It is important to develop an integrated care pathway for the patient. At times Proper
symptom control is impossible in without proper communication. (James et al 2014)An
accurate assessment of patient’s health requires effective communication. Communication is
the centre of all treatment. Communication will deliver a great amount of care. In the society
conversation about any dreadful disease is often very awkward and difficult. Among the
health care professionals, there is a requirement of improvement of techniques to overcome
these obstacles. In last two decades, there is awareness of the importance of communication
skills.
We require taking in time quality decision, based on clinical expertise. The aim is to provide
better, healthy and safe care to the patients with most new techniques available. To practice,
nursing knowledge along with multiple studies needs to be utilised without any kind of
discrimination among the patients. All the patients have equal rights to access equal health
care. (Kourkouta, L., & Papathanasiou, I. V. (2014)
Age-related care approach is required. The approach is based on individual needs, it differs in
different age and medical condition. The approach helps to comfort the individual suffering
from the disease. We should be able to carry out tough conversations with the patients family.
These conversations include patient’s current health, the progression of a disease and
anticipated death. The information provided should be honest and it should be provided in a
way that the family members should be able to understand the situation. We need to be

Element of Value Base Care 5
knowledgeable and they should carry enough experience in nursing to deliver sensitive
information in a proper manner. (Douglas et al 2014)
In the day to day nursing profession, there is interaction with diverse people. People who
belong to a different race, culture and languages. It is important to provide the same amount
of care across all. There are significant disparities which found among different races. Each
and every one of them requires the same amount of care.( Askew, R. W. (2009). There are
many occasions and multiple reports which tell us that there is an urgent requirement of
reducing disparity. Diversity is a word which means that something different to each person.
We now live in a multicultural world. There are frequently changing demographics and
economics. Health changes need to deal with priority for people having different cultural
background. Cultural diversity has many faces. It comes to us as a different language, gender,
age, occupation, socio-economic status etc. This also brings new changes to health care and
nursing. It is important to understand the pain of person even if it belongs to a different
language. It is essential to provide unbiased and genuine care.( Lowe, J., & Archibald, C.
(2009, January)
During my placement at AGE NI, I get to interact with patients having dementia. Dementia is
one of the broad categories of brain disease. It causes a gradual decrease in ability to
remember and think. The disease starts with the decrease in motivation, language problem
and day to day common problems. I have interacted with two patients with dementia. The
first patient was a 60 years old male. (Giebel et al 2015)He had mild dementia. At his stage
only he was experiencing memory loss of recent events. He was not liking to interact with
anyone. There was also a bit of frustration in him as he was constantly misplacing things.

Element of Value Base Care 6
Earlier he used to manage finances of his entire house but now he is not able to do it as he
does not remember recent events and gets confused easily. Also during the interaction, I
could feel that he has a lot of trouble expressing his thoughts and recalling anything. At this
stage, the patient requires support from his family member. As I interacted with the patient
that it requires a lot of patient and effective communication strategy to listen to patients with
dementia.
Secondly, I met a 72 years old male, with the late stage of dementia. This is very much
different from the patient with early dementia. There was an almost loss of communication.
He required assistance in almost all the tasks performed. He was not much capable of
walking or sitting. (Hendriks et al 2016)For him, it was very difficult of swallow food hence
while eating his head had to hold up to prevent choking. It is important to give proper care to
dementia patient at an early stage so that its progress can be delayed. Once the disease
progressed to the late stage then it becomes very difficult to improve patient’s condition.

Element of Value Base Care 7
References
Anonson, J., Walker, M. E., Arries, E., Maposa, S., Telford, P., & Berry, L. (2014). Qualities
of exemplary nurse leaders: perspectives of frontline nurses. Journal of nursing management,
22(1), 127-136.
Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences.
Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia
socio-medica, 26(1), 65.
Douglas, M. K., Rosenkoetter, M., Pacquiao, D. F., Callister, L. C., Hattar-Pollara, M.,
Lauderdale, J., ... & Purnell, L. (2014). Guidelines for implementing culturally competent
nursing care. Journal of Transcultural Nursing, 1043659614520998.
James, S. R., Nelson, K., & Ashwill, J. (2014). Nursing care of children: Principles and
practice. Elsevier Health Sciences.
Giebel, C. M., Sutcliffe, C., & Challis, D. (2015). Activities of daily living and quality of life
across different stages of dementia: a UK study. Aging & mental health, 19(1), 63-71.
Hendriks, S. A., Smalbrugge, M., van Gageldonk-Lafeber, A. B., Galindo-Garre, F.,
Schipper, M., Hertogh, C. M., & van der Steen, J. T. (2016). Pneumonia, Intake Problems,
and Survival Among Nursing Home Residents With Variable Stages of Dementia in the
Netherlands: Results From a Prospective Observational Study. Alzheimer Disease &
Associated Disorders.
Rajacich, D., Kane, D., Williston, C., & Cameron, S. (2013, January). If they do call you a
nurse, it is always a “male nurse”: Experiences of men in the nursing profession. In Nursing
forum (Vol. 48, No. 1, pp. 71-80).

Element of Value Base Care 8
Hoeve, Y. T., Jansen, G., & Roodbol, P. (2014). The nursing profession: public image, self‐
concept and professional identity. A discussion paper. Journal of advanced nursing, 70(2),
295-309.
Askew, R. W. (2009). Strategies to increase racial/ethnic student participation in the nursing
profession. ABNF Journal, 20(3), 69.
Lowe, J., & Archibald, C. (2009, January). Cultural diversity: The intention of nursing. In
Nursing forum (Vol. 44, No. 1, pp. 11-18). Blackwell Publishing Inc.
Larkin, P. J. (2013). Listening to the still small voice: the role of palliative care nurses
inaddressing psychosocial issues at end of life. Progress in Palliative Care.
Anstey, S., Powell, T., Coles, B., Hale, R., & Gould, D. (2016). Education and training to
enhance end-of-life care for nursing home staff: a systematic literature review. BMJ
Supportive & Palliative Care, bmjspcare-2015.
Gélinas, C., Fillion, L., Robitaille, M. A., & Truchon, M. (2012). Stressors experienced by
nurses providing end-of-life palliative care in the intensive care unit. CJNR (Canadian
Journal of Nursing Research), 44(1), 18-39.