Alzheimer Dementia Case Study

Running Head: NURSING 1
ALZHEIMER DEMENTIA CASE STUDY
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1c). Assessment tools are important for older people because they help to gather the
information that is useful during decision making that is reflected as the foundation of clinical
practice. The tools have several checkpoints to evaluate whether health impacts are likely great
enough to deserve additional analysis. Also, it assists health practitioners in identifying care
requirement and risks in order to determine the kind of treatment and care options (Patton, &
Henry, 2019).
The relevant assessment tools are a safety culture assessment tool and Activities of the daily
living scale assessment tool. Mental assessment to collect data about mind working abilities and
what can be done to cater to the patient need. Also, the patient has several health problems apart
from dementia-like weight loss and contracture of her right hand as well as refusing to eat;
hence, the general health assessment tool is crucial.
2a). Health questionnaires such as those that address recent travel and exposure risk assessment
tool that can assist in collecting data concerning language and cognitive functioning. Alzheimer
dementia is well known to diminish an individual’s ability to communicate. A quick assessment
is vital so that treatment can be administered after data collected is analyzed. The report should
be communicated to the doctor addressing the state of Mrs. Walker who has anxiety and
emotional as well and does not engage in any communication (Hills, Robinson, & Hungerford,
2019).
The communication skill tried to include non-verbal communication like the use of gestures and
signs to examine whether she is interested with any. Also, listening skill is tested but she seems
to lack concentration, and she is not friendly at all.

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3a) Restraint is a term that denotes an aversive practice, an action or object that interrupts a
person’s potential to come up with decisions or hinders an individual’s free movement. The
interdisciplinary team (ITD) are responsible for authorization of all type of restraint.
Nevertheless, if there is an emergency and the ITD is not instantly available the following staff
can authorize restraints:
1. A licensed physician or certified physician’s assistant;
2. Dentist for issues about dental
3. Qualified disability professional intellectually
4. advanced registered nurse professional
Types of restraint
Restraint is any restriction from one freedom to mobility, and they include (Wilson, Rouse, Rae,
& Kar Ray, 2018):
Physical restraint which entails holding of the patient body parts or the whole body to hinder the
person free mobility. Also, it encompasses all the accepted controlling maneuvers like
therapeutic choices holds. It does not involve brief holding, but the person held for support to
move safely from one location to another.
Chemical restraint which encompasses the use of psychoactive drugs by administering them to
the patient to limit or prevent perplexing behavior. The person is prevented from self-harm as
well as other peoples harm (Scheepmans, Casterle, Paquay, & Milisen, 2018).

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Physical intervention meaning is utilizing manual technique purposing to interfere or quit a
behavior from happening. Physical intervention is more of physical restraint since they are used
to escape danger or a situation that is likely dangerous.
Exclusionary time out detonating the removal of an individual from a state where positive
fortification is present to a location where it is not possible for a particular behavior to occur. In
this case, existing that location is prohibited. This type of restraint is authorized by the division
director.
Mechanical restraint comprises the use of an object or device that the individual is unable to
remove, to an individual’s body that hinders the person’s freedom to move. Nurses are
responsible for managing and monitoring the health condition of an individual in restraint (Mills,
Weinheimer, Polivy, & Herman, 2018).
4d) Mrs. Walker physical disability is her contracture hand that is an abnormal contraction of a
muscle; deformity caused by burns she received in her kitchen 11 months ago in the body and
sometimes it can permanent. Her contracture hand can be hindering her from performing daily
chores like cooking for herself. Thus she might have been feeding poorly. Also, she lives alone
and lacks support in case of any pain (van der Vet et al, 2019).
6) Osteo assessment should be conducted by the osteopathic physician who has specialized in the
field of osteocare or caring for the bones of the body. Study proves that women who have
attained the menopause age are likely to suffer osteoporosis due to bone weakening and brittle.
The allied health professional who would undertake the Osteo assessment is called Osteopath
(Salunke, Shah, Pandit, & Amin, 2018). Osteopath should be trained and familiar with the
thermometer, bladder scanner, speculum, eye charts, otoscope, penlight, stethoscope (bell and