Case Study: Developing a Care Plan for Mrs. E with Vascular Dementia

This report presents a detailed care plan for Mrs. E, a patient diagnosed with vascular dementia. It begins by outlining the complexities of healthcare provision, particularly with complex disorders like dementia, and emphasizes the need for a tailored care plan addressing the patient's specific needs. The report details Mrs. E's condition, including symptoms of confusion and non-compliance with medication, highlighting the need for support in daily activities. It then explores elements of a dementia care plan, such as communication abilities, mobility, cognitive functions, and psychological behavior. The report addresses Mrs. E's specific care needs, including support for her husband, regular family visits, and maintaining her health. It also discusses the skills required for effective assessment and the roles of various healthcare professionals. Furthermore, the report examines the biomedical, social, and holistic models of health, justifying the use of the social model for Mrs. E. Finally, the report presents a detailed care plan with specific actions, outcomes, and the roles of caregivers, aiming to improve Mrs. E's quality of life. The conclusion emphasizes the importance of a well-formulated and implemented care plan and good communication skills for successful patient care.

Meeting the needs of Service
Users

What are Mrs. E’s
care needs?
 Health care provision being complex in nature is a difficult task
in itself and a further more typical disorder makes it even more
complex task to complete. With a more complex disorders
comes a even more complex needs of the service users of a
health care setting.
 In case of dementia, the care needs of the patient elevates to
requirement of support in performing even the basic daily
routine activities making it necessary for building a proper care
plan for the patient.

Strength-based
assessment is
What are Mrs
E’s Strengths
 The case study describes the condition of Mrs. E as been
diagnosed with vascular dementia and the episodes noticed by
Mrs. E' s son includes episodes of confusion while performing
various daily activities and non compliance with the
medication of glaucoma and heart disorder. These symptoms
suggests the health based requirements of the patient.

What is personalized
care?
What is user involvement
and why is it important?
 A care plan for a dementia patient includes the information
regarding who actually the person is:
 Information regarding the communicating abilities,
 Mobility
 Toileting needs
 Diet and medication patterns
 Cognitive abilities
 Psychological behaviour of the patient

Care needs of
Mrs. E
 Assistance with house hold works
 Compliance to treatment regime
 Mrs. E needs regarding her husband care taking
 Regular visits by family members to eliminate the feeling of
loneliness.
 Mrs E to maintain her health

Skills required in
assessment of
needs
 The care assessor needs to be experienced with care providing
to patients that suffer from memory based disorders in order to
understand and predict the care needs of a dementia patient.
 The care assessor also needs to have the knowledge of the
effects that can be seen in patients with dementia which is
progressive in nature (Thompson and et.al. 2021).

What are her
assessment
outcomes?
 The implementation of the care plan involves the participation
of more than one person and requires responsible working of
those persons in order to complete the care needs of the service
user (Wang and et.al, 2019).
 The practitioner
 The care assessor
 The care assistant
 Family members

Model of health
 The biomedical model is defined as the surrogate for the human
being or human biologic system which is used to create the
understanding the normal and abnormal function that show the
gene to the current phenotype. In this Mrs. E show the
preventive or therapeutic intervention in the human disease.
 Social model: They examine cultural factor and so on that
contribute towards the health such as social, cultural, political
and environment.
 Holistic model: With occurrence of holistic model, it is
typically considering the whole person body mind and spirit.

Justification of
chosen model
 The major of time Mrs. E is alone in home and have no social
background. In addition to this, the social model are usually
taking under the consideration which may create positive
impact on the Mrs. E health.
 In this, social model used to contribute among the health aspect
where people used to taking into the participation where some
of the people are used to taken under the process.

Care plan
NEEDS OUTCOMES ACTIONS
Assistance with house hold works Mrs. E are able to receive care while
residing at her own place
Her son to do the tasks related to
shopping and assembling the items
Care assistant to arrange and get
assistive technology like alarms like
water, gas alarms etc. installed
Care assistant to get the house equipped
with lists and reminder notes at various
places and to make proper daily routine
chart for Mrs E that she can refer to
remember her daily tasks.
Compliance to treatment regime Mrs E's health is maintained Care assistant to arrange assistive
technology for reminding her for
administration of her medications and
eye drops.

Care plan
Mrs. E needs regarding her husband care
taking.
Mrs E is less worried bout her husband
and does not herself exhausted by
worrying for him.
Care assistant can help her son to fill
forms for attendance allowance for both
of his parents so that a care taking nurse
can be assigned to them so that Mrs. E
does not have to worry about her
husband care taking
Regular visits by family members to
eliminate the feeling of loneliness.
Regular meetings with family members Her son and daughter to increase the
frequency of visiting their parents and to
spend more time with their parents.
Mrs E to maintain her health Mrs E takes sufficient sleep Her son to install blinds at the windows
son and daughter to plan their visiting
schedules in such a way that their
parents are able to have sufficient nap
time.

Conclusion
 From the above report it can be concluded that for taking care
of a dementia patient a proper care plan needs to be formulated
in order to meet the care needs of the patient. Implementation
is also important for the success of the formulated care plan
and in the success of a plan various health care professionals
play important role. In addition to that good communication
skills also plays an important role.

References
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