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Care Improvement Assignment PDF

   

Added on  2021-04-16

13 Pages3295 Words26 Views
Running head: PROPOSAL FOR PRACTICE/CARE IMPROVEMENTProposal for Practice/Care Improvement Name of the Student:Name of the University:Author Note:Table of conten

1PROPOSAL FOR PRACTICE/CARE IMPROVEMENTIntroduction................................................................................................................................2Discussion..................................................................................................................................2Part 1: Tom and his family’s experiences of admission to hospital...........................................2Part 2: Person Centred Care (PCC)............................................................................................4Part 3: Caring for Tom’s BPSDs’..............................................................................................5Part 4: Nursing care of Tom in an acute hospital’.....................................................................7Conclusion..................................................................................................................................8References................................................................................................................................10

2PROPOSAL FOR PRACTICE/CARE IMPROVEMENTIntroduction Person-centred care allows the caregivers to build a psychological and emotionalbonding with the patient and his or her family members. Like any other physiological andpsychological issue it is also very helpful for dementia. The operational result of person-centred care for treatment and assessment procedure of Dementia is noticeably effective(Eggenberger, Heimerl & Bennett, 2013). This paper is focused on needs and application ofperson-centred care for a patient named Thomas. The focus of this paper is to identify thecorrect utilisation of PCC of Tom and to prepare a proposal for caring improvement for himduring his time in the hospital.Initially, the experiences of Tom and his family members due to his hospitalisationhave been analysed. Then, the appropriate practices for person-centred care for Tom havebeen identified with potential effectiveness. The appropriate implementation policies forcaregivers have been identified and evaluated. Tom has various psychological and physicalsymptoms of agitation, restlessness and aggressiveness. Therefore, various assessmentmethods have been critically examined, which are very effective to measure his physical andpsychological functionality accurately. Finally, his nursing needs also have been identifiedwith proper guidance for caregivers including the requirements of physiotherapy andmedication. Discussion Part 1: Tom and his family’s experiences of admission to hospital Dementia has a strong impact on the psychological and emotional condition of thepatient. When a person is diagnosed with dementia his or her family members and closerelatives are also affected emotionally after hearing the news. Additionally, hospitalisation of

3PROPOSAL FOR PRACTICE/CARE IMPROVEMENTthe patient expands this psychological and emotional disturbance to the next level (Beard,2012).Tom’s experiences of admission to hospital: Tom is a 75 years old person possessing both Angina and dementia. He lived with his wifeand had intense passion for woodworking. On the other hand, he has never been admitted to ahospital even after being diagnosed with Angina. Therefore, for Tom hospitalisation causedseveral psychological and emotional agitations. Like most of the other patients with dementiaToms also felt an extremely depressed having a negative picture of the future. In most of thecases, patients think that their life will not be same forever (Brownie & Nancarrow, 2013).These are the pre-hospitalisation psychological impact on Tom.After admitting to the hospital Tom has been disconnected from his social activities andcreative hobbies. The usual social and cultural state of Tom’s lifestyle has been hinderedsignificantly that caused the resultant restlessness and usability of his mind. People withdementia often go through a hard time to adjust to new environment and persons in thehospital (Borson et al., 2013). On the other hand, the separation form his wife with whom heused to spend his entire day is causing additional discomfort, mental insecurity and anger.These dilemmas can switch other associated problems like mood swing, anxiety, panicattack, depression and other that is causing his restlessness, agitation, and tendency to lashout. Experiences of Tom’s family due to hospitalisation: Tom has two sons, two daughters and four grandchildren who used to visit his housefrequently. Tom's hospitalisation also has a significant impact on his wife, his children andgrandchildren. Usually, adult hospitalisations, especially in case of dementia the people who

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