Managing Dementia: A Care Plan Focused on Hospital Avoidance

This report addresses hospital avoidance strategies for Mr. Martin, a patient with early dementia, hypertension, and hypercholesterolemia. It highlights the importance of wound care, medication management (emphasizing the roles of family, nurses, and pharmacists), diabetic and nutrition management, and support for Activities of Daily Living (ADLs). The report also acknowledges the potential benefits of spiritual care, given Mr. Martin's Buddhist beliefs. The overall goal is to provide a comprehensive care plan that minimizes complications, reduces the risk of hospitalization, and improves Mr. Martin's quality of life through coordinated support from healthcare professionals, family members, and appropriate medication and lifestyle adjustments. Desklib provides a platform for students to access similar solved assignments and past papers.

HOSPITAL
AVOIDANCE

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Wound care.............................................................................................................................3
Medication management........................................................................................................4
Diabetic and nutrition management........................................................................................5
ADLs (activities of daily living).............................................................................................5
Spiritual care...........................................................................................................................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................7

INTRODUCTION
This report is usually following the case study of Mr. Martin who has been taking the
discharge from the hospital with the diagnosis of early dementia. Moreover, he is facing issues
with hypercholesterolemia and hypertension for a longer period. As per this, it is also identified
that they have two sons and two daughters name Jason, Kenneth, Mandy, and chu. As per this, it
is also identified that his wife's death is happen in 2005(Bally and et. al., 2020).
This report usually covers the complications and consequences which is faced by Mr. Martin
in their daily activities which occur due to the short activities of forgetfulness and after diagnosis
it is identified as early dementia. Moreover, various other factors are based on a secondary basis
such as he is also dealing with the complications of hypertension and hypercholesterolemia.
They have been taken medication and drugs for a longer period to reduce the implications which
are associated with such kind of disease. This report usually covers some of the areas which
specify the complex needs and the role of a registered nurse and other people who are associated
with Mr. Martin. In this, the use of drugs and also the discussion followed the critical condition
of Mr. Martin with the proper medication and drugs with the significant role of people in their
life. As per this, the suggested complex needs and their requirement are seen to reduce or to
minimize the complication and consequences which can create issues with the patient (Clarke
and et. al., 2017).
MAIN BODY
Wound care
With the case study of Mr. Martin, it is required some of the aspect which is based on
wound care. Moreover, Mr. Martin face issue with hypertension and early dementia which
assume some the condition such as falling and other condition which may harm Mr. Martin.
However, proper medication and care is taken of the wound by using antiseptic and other to
remove the site infection. As per this, it is also well recognized that the condition has complex
and critical. So, the proper care and complex need are to be taken to prevent the progressive
behavior of early dementia. In this, the role of general practitioners, pharmacists, and registered
nurses, it is important to understand the chronic behavior of the disease and provide supportive
and essential services to Mr. Martin to improve the quality of life (Foster and et. al., 2019).

Medication management
As per this, Mr. Martin lives with his youngest daughter Chu and husband Eric in their
home in the metropolitan city. The Chu is a pharmacist and Eric is a social worker. As per this,
the plan or the care is needed for Mr. Martin that is based on medication management.
Domestic and home medication management:
In this, there are some of medication is followed in order to maintain the regularity of
medicine and this is best for the Mr. Martin to develop quality of health which is occur due the
proper drug monitoring and without any medication error. As per this, with proper monitoring
and care the unnecessary behavior which is forgot by Mr. Martin will be understanding and can
be remembered by analyzing that activity with the help of family members. In the unknown
place, it is very complex that all the services and care is provided while taking the aspect of
hospitals for the healthcare sectors that only used to provide treatment and diagnostic scenario
which is not ideal in the situation of mental illness which include dementia which is diagnosed in
the case of Mr. Martin. Furthermore, recommending appropriate mobility decreases the fall and
hospitalization significantly elderly living in a community (Garnett and et. al., 2018).
Role of medication with help of nursing:
It is well analyzed that Mr. Martin is living with her daughter chu and husband Eric.
Moreover, she is a pharmacist and her husband is a social worker. So, they don't have to provide
support all the time so the requirement of a registered nurse is very important to provide
medication and taking care of Mr. Martin. As per this, routine check-ups and medication are
essential and due to early dementia, Mr. Martin is not able to remember their medication and
take self-administration. Moreover, it is also required that nurses must focus on every incident
and provide supportive behavior with the Martin such as shower, dress up, and bed-making and
also it is helpful to reduce the medication error which is majorly happened in such cases is
associated with dementia. So, nursing care needs should act as a priority for Mr. Martin to reduce
the complications and consequences of chronic measurement and accountability which can
create the risk of hospitalization.
Role of hospital in mediaction management:
As per this, the proper medication will be administered to patient. Some of the medication
are thiazide, diuretic and so on. This help to reduce the complication of hypertension and also
provide and additional aspect of mediaction. The pharmacist plays vital role in order to provide

quality of medication with respect of Mr. Martin. In this, they require specific support and care
which is only done and prepared with the help of family and relatives. Moreover, domestic help
is needed and it helped to create resilience and wellbeing among the family member and also in
Mr. Martin (Stephen and et. al., 2018).
Diabetic and nutrition management
This management is essential for the patient which is present in the case study. As per this,
the diabetic diet is simply means that eating the healthiest food which is in moderate amount and
sticking which is based on the regular mealtime. Moreover, in some of cases which is based on
diabetic diet which is related with the healthy eating plan which is based on the natural process.
In this, the plan which is acquire the nutrient and low in fat and calories. However, the key
elements include vegetable and whole grain. It helps Mr. Martin to gain more energy that support
medicine to play a proper peak of action potential due the activeness in body.
ADLs (activities of daily living)
Activities of daily living is defined as the normal activities which is included in daily life such as
self-care bathing, grooming and so on. With this, the proper activity of daily life is render due the
condition of dementia. The forgetful behaviour of patient show that he did not recognise their
activity which is perform on the daily basis such as bathing, dressing and other. So, the proper
support is required in order to maintain the daily activity which can create issue with Mr. Martin.
In this, some of the other aspect is provide nursing care or the family support to maintain the
daily activities.
Spiritual care
Mr. Martin is believing in the Buddhist spirituality, so, some of authentic relevance which is
associated with them that they go for the spiritual care such as using herbal treatment and do
proper mediation which can also trigger the body to show positive response. As per this, there
are number of cases which show that sometime the medication is not as effective with
comparison to spiritual care. Moreover, it is also analysing that he believe in Buddhist and he has
a level spiritual so the care is helpful for him.
CONCLUSION
As per the above discussion, it is well analyzed that the person who is dealing with the issue
of hypertension, hypercholesterolemia, and early dementia needs proper care to improve the

situation of health condition. In this, the surrounding individuals who are taking the
responsibility of people such as general practitioners, nurses, and family members are usually
focused and provide support which is required by a patient that helps to improve health
condition.

REFERENCES
Books and Journals
Bally and et. al., 2020. Advance care planning for people with dementia: the role of general
practitioners. Gerontology, 66(1), pp.40-46.
Clarke and et. al., 2017. An innovative approach to health care delivery for patients with chronic
conditions. Population health management, 20(1), pp.23-30.
Foster and et. al., 2019. Home health care for children with medical complexity: workforce gaps,
policy, and future directions. Health Affairs, 38(6), pp.987-993.
Garnett and et. al., 2018. Self-management of multiple chronic conditions by community-
dwelling older adults: A concept analysis. SAGE Open Nursing, 4, p.2377960817752471.
Rolland, B., Naassila, M., Paille, F., Aubin, H.J. and Société Française d’Alcoologie, 2017. The
role of general practitioners in the 2015 French guidelines on alcohol misuse. Alcohol and
Alcoholism, 52(6), pp.747-748.
Stephen and et. al., 2018. The feasibility and acceptability of nurse‐led chronic disease
management interventions in primary care: An integrative review. Journal of advanced
nursing, 74(2), pp.279-288.
Swan and et. al., 2019. Care coordination: roles of registered nurses across the care
continuum. Nursing Economics, 37(6), pp.317-323.
Vassbotn and et. al., 2018. General practitioners’ perspectives on care coordination in primary
health care: A qualitative study. International journal of care coordination, 21(4), pp.153-
159.