Developing a Dementia Care Plan: Case Study of Mrs. X

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Contents
INTRODUCTION........................................................................................................2
TASK 1...................................................................................................................... 3
TASK 2...................................................................................................................... 3
TASK 3...................................................................................................................... 3
TASK 3b................................................................................................................6
TASK 3c.................................................................................................................6
TASK 3d................................................................................................................6
TASK 3e................................................................................................................7
TASK 4...................................................................................................................... 7
TASK 5...................................................................................................................... 8
TASK 6...................................................................................................................... 8
TASK 7...................................................................................................................... 8
TASK 8...................................................................................................................... 9
TASK 9...................................................................................................................... 9
TASK 10..................................................................................................................10
TASK 11..................................................................................................................10
TASK 12..................................................................................................................10
CONCLUSION..........................................................................................................11
REFERENCE.............................................................................................................12
1

INTRODUCTION
In this assignment, we will deal with the case of Mrs X who has been suffering
from dementia. We will formulate the care plan of dementia. There are various
types of nursing intervention for dementia patients. A registered nurse will assess
monitors and evaluate the activities of the patient. Various health care policies
have been running in order to prevent the health and safety measure to the
patients.
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TASK 1
A 65 years old woman Mrs X is known diabetic and arthritis patient lives in the UK.
Her husband is no more and her children are not living with her. In the age of 55
years, she has suffered from Alzheimer diseases (Robinson, Tang & Taylor, 2015).
Now she has started forgetting things which may affect the health. In a recent
incidence of unconsciousness and high blood sugar level has brought her in the
hospital where it has been diagnose a case of dementia.
TASK 2
Physical examination of dementia include (patient not dementia)
 Symptoms at onset
 Color of skin
 Cyanosis
 Fever
 Pallor
 How is the gait of the patients
 Past medical history
TASK 3
Care plan for dementia
DIAGNOSIS OUTCOME INTERVENTION ROTIONALE
Impaired
communication due
to cerebral
Consistent verbal
and non-verbal
Use of short and
simple words and
This has been
done so that
patient can
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impairment as it may
alter memory, word
finding and judgment
statement speak slowly
Alarm, calendars can
be used
If the individual
becomes aggressive
shift the topic or his
mind out of topic
(Zhu et al., 2015)
take help
during
emergency
(Zhu et al.,
2015)
Risk of injuries due
to cognitive
impairment
Safeguarding the
patient
Driving should be
restricted
The neighbor should
be alert about the
change behaviours
of an individual
Safety bar should be
introduced in the
bathroom (Zhu et al.,
2015)
In order to
protect the
patients and
other from
accident
Risk of violence and
patient not able to
recognize places or
people
Violence risk not
appear
The object should be
removed that may
cause harm to others
or self
The patient should
be distracted when
situation not in
To protect the
patient and
other from
aggressive
behavior of
her.
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control (Zhu et al.,
2015)
Stressors should be
identified that
increase anxiety
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TASK 3b
I can encourage the patient as well as their family member by promoting
development plan for them. I will provide an occupational therapist in order to
manage behaviour and prevent accidents. The family member should teach to
control the noise and the object should be removed which may cause harm. I can
make a personalize strategies that she could manage her daily routine task (Zhu
et al., 2015).
TASK 3c
Dementia patient is unable to remind things. As a nurse will provide an alarm
clock so that she could remember the meal time. I will provide a bell or a sensory
bracelet so that when she was in risk she can call somebody for help (Atlas,
2015). I will plan a suitable routine for her that may include sufficient exercise to
improve the health and wellbeing. I should constantly monitor her blood glucose
level. I will set an alarm in order to take her medicine on time.
TASK 3d
I will identify and prioritize the intervention according to the need of Mrs X. I will
make a care plan according to the need of her (Atlas, 2015). She is a known
diabetic so I will make sure that she can take medicines on time and can perform
some physical activities so that her blood glucose level can be maintained. She
was living alone so I will give her a sensory bracelet so in case of emergency she
can call someone (Atlas, 2015). I will make such a plan in which she can engage
in some activities so that she won't have time to think about the past and to
become aggressive.
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TASK 3e
I will regularly monitor and supervise the activities of Mrs X. I will check the blood
glucose level of her in order to check the sugar level or whether she is taking
medicine on time or not (Pimouguet et al., 2017). I will ask her neighbour about
her behaviour and nature. I will consult to a physiotherapist for her improvement
in case of arthritis.
TASK 4
At the time of the administration of dementia patient, the following point to be
considered such as
 The past and present medical condition of the patients (Pimouguet et al.,
2017)
 Is patients is having any type of allergy
 Personal habits, environment needs and dietary preference
 Is she want any separate room
At the time of discharge following points to be considered
 Is her families and friends are available to help?
 Is she able to perform the daily routine task with any help from others?
(Livingston et al., 2017)
 What type of care and need required for her?
 Which activities she may be able to perform safely and without assistance?
 Which community agencies are there to help her? What services they are
offering?
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TASK 5
Erickson has explained the developmental stage of dementia in his stage of
“integrity versus despair”. This stage has been occurring in the mid-60s or at
the end of life. Integrity has been involved in the acceptance of drawbacks,
individual who feel proud in their achievement and they could have look back
to feel regret also. Despair May he refers as revulsion of oneself. It is a regret
of thing doing or not and may have the fear of death (Griffiths et al., 2016).
TASK 6
The various issues that have been generated during the hospitalization are
unhygienic behaviour, dangerous conduct, poor corporation with the staff
members, inability to refrain from food opening drawer without taking
permission, opening curtains during the night, those patient sharing the room
are become afraid (Griffiths et al., 2016). Sometimes a patient may behave
very aggressively and harm others without any reason which may affect the
health of other patients. The patient may feel anxiety because they may not
see any family member around them, fear of needle, physical restriction and
painful treatment.
TASK 7
In the UK 61 per cent female are suffering from dementia while 39 per cent male
has been diagnosed with dementia (Forbes, 2015). Age and sex are the two
important risk factors for dementia. In the old age patient usually are having the
problem of mobility and hence we will provide a wheelchair for her. She is
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diabetic and cannot take medicine on time so we will provide assistance so that
she could be able to perform her daily routine task (Cherry, 2017).
TASK 8
Most of the minority group may have faced several cultural issues and barriers to
diagnosing dementia which may result in the delay in seeking the treatment.
Sometimes language issue may be effective so long in treating the case of
dementia. The patient and the staff member form different background won't be
able to communicate properly which may lead to unidentified the need of the
patients (Bucher et al., 2016). By being aware of cultural, ethnic and racial
variation health care practitioner and policies can fulfil the need of the patients.
TASK 9
In an effective decision planning first, we will talk to their family members in
order to take care of her and provide various development strategies that may be
very useful in treating dementia patients (Bucher et al., 2016). Other than this the
health care team will engage her in various social activities and provide and
psychological therapy in order to maintain her aggressive behaviour and attitude.
The patient should be involved in various activities so that she won't be free to
think about the past (Bucher et al., 2016). The team will appoint a physiotherapist
for improving the condition of arthritis.
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TASK 10
In this case, we have implemented Health and Safety Act (Beck et al., 2017). In
this various safety, policies have been implemented in order to protect the
patient as well as others from harmful effect. The health and social care sector
has assessed various developmental and health education programs and provides
counselling of dementia patient as well as their family members to how to cure
and treat with this disease. The social care sector has been providing the
counselling to the community as well (Beck et al., 2017).
TASK 11
Mrs X has come with the issue of high blood sugar level and we analyse she was
diabetic 10 year age but few months she is not taking medicine on time (Atlas,
2015). Past history reveals that she has got unconscious due to a high blood
sugar level. With the help of a diagnostic procedure, a registered nurse came to
know that she has been suffering from dementia and unable to recognize things
properly. She has forgotten the doses of medicine (Atlas, 2015).
TASK 12
I personally monitored and review the case of Mrs X. I have given the training of
how to assess the need of her and how to perform their daily routine task (Atlas,
2015). I constantly made an alarm so that she could remember the time of
medicine as well as meals and after a week a review whether she was following
properly or not. I test the blood glucose level after 15 days to check the medicine
has been properly taken or not. I taught her some physical exercise and review
after some days whether she was performing or not. The health care sector has
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provided her with a physiological therapy in order to control the aggressive
behaviour and as a nurse; I constantly monitored her activities (Atlas, 2015).
CONCLUSION
In this assignment, it has concluded that the dementia patient needs special care
and attention in order to meet the needs and requirement of their daily life. Erick
Erickson has explained the development stage throughout the life span. Various
development plan and counselling procedure can be followed for the patients as
well as their families. There is a various way to encourage the person, families and
communities to assist person self-care and support.
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REFERENCE
1. Atlas, D. (2015). International diabetes federation. IDF Diabetes Atlas, 7th
edn. Brussels, Belgium: International Diabetes Federation.
2. Beck, E. R., McIlfatrick, S., Hasson, F., & Leavey, G. (2017). Nursing home
manager's knowledge, attitudes and beliefs about advance care planning
for people with dementia in long term care settings: a cross sectional‐ ‐
survey. Journal of clinical nursing, 26(17-18), 2633-2645.
3. Bucher, C. O., Dubuc, N., von Gunten, A., & Morin, D. (2016). Measuring
change in clinical profiles between hospital admission and discharge and
predicting living arrangements at discharge for aged patients presenting
behavioral and psychological symptoms of dementia. Archives of
gerontology and geriatrics, 65, 161-167.]
4. Cherry, K. (2017). Erik Erikson's Stages of Psychosocial
Development. Psychology. Psychosocial Theories. Päivitetty, 14, 2017.
5. Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015).
Exercise programs for people with dementia. Cochrane Database of
Systematic Reviews, (4).
6. Griffiths, P., Ball, J., Murrells, T., Jones, S., & Rafferty, A. M. (2016).
Registered nurse, healthcare support worker, medical staffing levels and
mortality in English hospital trusts: a cross-sectional study. BMJ open, 6(2),
e008751.
7. Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J.,
Ames, D., ... & Cooper, C. (2017). Dementia prevention, intervention, and
care. The Lancet, 390(10113), 2673-2734.
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