BSc (Hons) Nursing 5NU508: Dementia, Medication, and Nursing Role

This viva proforma for a BSc (Hons) Nursing student focuses on dementia, specifically addressing the chosen topic of dementia and the chosen intervention of physical health monitoring. The assignment explores the evidence base behind the intervention, referencing sources like NICE, BNF, Cochrane, NMC, and NHS. It also examines the nurse's role in medication management, particularly concerning Memantine, a medication used to treat moderate-to-severe dementia or Alzheimer's diseases. The proforma discusses the nurse's responsibilities in medicine management, including increasing awareness, providing better healthcare, utilizing communication skills, and ensuring physical health. The document also includes key words and references using the Harvard system.

BSc (Hons) Nursing – 5NU508
Developing Professional Knowledge and Values
in Mental Health Nursing
Viva Voce Examination Proforma –Mental Health
Instructions
1. This proforma should be used to refer to during your oral examination
2. Under each of the following areas you may identify up to a maximum of 5 key
words.
3. Under each of the following areas you must identify at least 6 references
using the Harvard system. These must be cited during your discussion.
4. This must be typed, printed out and handed in at the end of your examination.
Chosen topic
Dementia is a chosen topic that refers to the loss of memory, problem solving,
language and other thinning capabilities, which are severe adequate to interfere
with routine life. One of the main cause of Dementia is Alzheimer (Lim and
Sharmeen, 2018). A diagnosis of dementia can have a large impact on an
individual life. Somebody recently diagnosed with such type of diseases is likely to
experience a variety of emotions. They may consist of anger, grief, loss, fear,
shock, disbelief and even relief.
Chosen intervention:
This is important for overcoming the impact of dementia on an individual life. For
this physical health monitoring is a best intervention that will be explained as below
along with their benefits.
1 Physical health monitoring
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Good physical health monitoring can enhance life quality for persons with
dementia, but the accurate monitoring may vary as well as ethnic inequalities may
exists. Physical health monitoring was compared within persons with dementia as
of black, white and Asian ethnic groups. This is an effective and useful intervention
for overcoming the issue of dementia.
Chosen medication:
Meantime is a medication applied to treat moderate-to-server dementia or
Alzheimer’s diseases. This is less chosen than acetylcholinesterase inhibitors such
as donepezil (McGrattan and et. al., 2019). This is a main and useful medication
that help an individual by overcoming the issue of dementia. Along with this,
information regarding the Meantime and its use in dementia will be defined as
below:
1 MEMANTINE
Memantine is a medication that will be beneficial in reducing the impact of
dementia on an individual life. Memantine is used to treat sensible to severe
dementia related to Alzheimer’s diseases. This medication does not cure
Alzheimer’s diseases, but it may enhance awareness, memory and the capability
to perform their daily basis functions without any issue. Main use of this mediation
is to blocking the action of a few natural substances within the brain, which is
believed to be related to indications of Alzheimer’s diseases. Along with this,
Memantine is a prescription drug that is used to treat for reducing the issue of
dementia.
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Question areas for oral examination
 Discuss the evidence base behind your chosen intervention
There are different sources as an evidence that will be essential and useful in
collecting the information regarding the intervention. These sources are NICE, BNF,
COCHRANE, NMC AND NHS. All these are useful sources of gathering accurate
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information regarding the intervention i.e. physical health monitoring. All these
sources as an evidence will be explained as below:
NICEL: This stand for National Institute for Citizen Education in The Law. This
source helps by providing the information regarding the laws and regulations related
to the prevention of dementia (Camic, Zeilig and Crutch, 2018).
BNF: This is another source as an evidence that helps in gathering of accurate data
about the collecting appropriate information regarding the intervention. Main aim of
this source is to give pharmacist, prescribes and other healthcare professionals with
accurate information regarding the use of medicines (McGuinness and et. al., 2019).
COCHRANE: This is an effective source of gathering information about the
intervention. This source helped in gathering of accurate data regarding intervention
of overcoming the dementia issue (McCleery and et. al., 2019).
NMC: This source facilitated in identifying the effectiveness of physical health
monitory in overcoming the problem of dementia (Knifton and et. al., 2019).
NHS: This is a healthcare organisation that helps by providing information about the
issues of dementia and ways for presenting the same (White and et. al., 2019).
Key words:
1. Dementia 2. inequalities 3. Alzheimer’s
diseases
4. Asian ethnic
groups
5. donepezil
References
Camic, P.M., Zeilig, H. and Crutch, S.J., 2018. The arts and dementia: Emerging
directions for theory, research and practice.
McGuinness, L.A. and et. al., 2019. The validity of dementia diagnoses in routinely
collected electronic health records in the United Kingdom: A systematic
review. Pharmacoepidemiology and drug safety, 28(2), pp.244-255.
McCleery, J., Flicker, L., Richard, E. and Quinn, T.J., 2019. When is Alzheimer’s not
dementia—Cochrane commentary on The National Institute on Ageing and
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Alzheimer’s Association Research Framework for Alzheimer’s disease. Age
and ageing, 48(2), pp.174-177.
Knifton, C. and et. al., 2019. Perspectives: Dementia education in Higher Education
Institutions, now and in the future: the role of the professional regulatory
bodies in the UK. Journal of Research in Nursing, 24(3-4), pp.271-278.
White, S. and et. al., 2019. Guidelines for the peri‐operative care of people with
dementia: guidelines from the Association of
Anaesthetists. Anaesthesia, 74(3), pp.357-372.
 Discuss the nurse’s role in medicines management in relation to the
chosen medication
Medicine management refers to the evidence-based approach that will help in
prescribing the balance to safety, effectiveness, tolerability, cost and simplicity
treatments. Effective means of medicine management is providence of better, safe
and more convenient care to the patients. Memantine is a chosen medication for
dementia that is effective in improving the care of patients towards the diseases.
High quality and safe medicine management requires the nurses to work within
partnership with service user or patients. Nurses must work with the service user to
access the requirement for, and use of, medication and the patient’s level of knowing
regarding the medication as well as how to take it. There are different roles of nurses
within medicine management of dementia (Bickford and et. al., 2019). These are
record medical history and symptoms, collaborate with team to plan for patient care,
operate medical equipment etc. Nurses must make sur that persons with dementia
receive the accurate medicines to manage or handle the symptoms of an individual.
They also have an important role regarding ensuring accurate analgesia. It is also
essential that nurses manage the effects of behaviour-modifying medicines i.e.
anxiolytics, hypnotics and antipsychotics. There are some major roles of nurse’s in
medicines management of dementia. These will be explained as below:
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Increasing awareness regarding the effects of dementia: This is one of the main
role of nurse in preventing such type of issue. This is an effective and essential role
because it helps in increment of awareness regarding the dementia.
Providence of better health care: This is another role that is important in increasing
care of dementia patients in effective manner. This turn to impact in reduction of
issue of dementia.
Care and communication skill: The therapeutic relationship between patient and
nurse is vital to high-quality nursing maintenance (Jordan and et. al., 2018).
Communicating tenderly, showing gratitude of patients’ independence as well as
knowing their strengths that can assist them feel involved and appreciated. Simple
adjustments that can support to enhance communication with patient who have
temporary memory issues. These are using short sentence, using warm tone, using
familiar vocabulary, smiling during conversation etc.
Physical health: Through good care collaboration and planning with patients will
help in deceasing the issue of dementia (Lürken and et. al., 2018). There are some
effective ways that will be essential and important for nurses in ensuring people with
dementia. These are take exercise, receive proper nutrition and fluids etc. This will
be effective in prevention of dementia on patients.
Capacity and medication concordance: This is one of the major role played
by nurses in relation to overcoming the issue of dementia. Nurses, mainly those
working within the community, often help patients’ observance to agreed medication
by employed with them as well as their family to make sure they: know what the
medicine is for and are prompted (Demange and et. al., 2019).
Therefore, all these are main and essential roles of nurse in overcoming r
preventing the issue of dementia in easier and systematic manner.
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Key words:
1. Alzheimer’s
diseases
2. Blocking 3. Substances 4. Prescription
drug
5. Memantine
References
Lim, R.H. and Sharmeen, T., 2018. Medicines management issues in dementia and
coping strategies used by people living with dementia and family carers: A
systematic review. International Journal of Geriatric Psychiatry, 33(12),
pp.1562-1581.
McGrattan, M. and et. al., 2019. The development of a Core Outcome Set for
medicines management interventions for people with dementia in primary
care. Age and Ageing, 48(2), pp.260-266.
Bickford, B. and et. al., 2019. Understanding compassion for people with dementia in
medical and nursing students. BMC medical education, 19(1), pp.1-8.
Jordan, S. and et. al., 2018. Nurse-led medicines’ monitoring in care homes study
protocol: a process evaluation of the impact and sustainability of the adverse
drug reaction (ADRe) profile for mental health medicines. BMJ open, 8(9),
p.e023377.
Demange, M. and et. al., 2019. Management of acute pain in dementia: a feasibility
study of a robot-assisted intervention. Journal of pain research, 12, p.1833.
Thoma-Lürken, T. and et. al., 2018. Evaluation of a decision support app for nurses
and case managers to facilitate aging in place of people with dementia. A
randomized controlled laboratory experiment. Geriatric Nursing, 39(6),
pp.653-662.
CHOOSEN TOPIC IS DEMENTIA
DISCUSS THE EVIDENCE BASED BEHIND PHYSICAL HEALTH MONITORING?
DISCUSS THE NURSE’S ROLE IN MEDICINES MANAGEMENT IN RELATION TO
THE CHOSEN MEDICATION (MEMANTINE)
MEMANTINE DRUG HOW IS IT GIVEN AND WHICH ROUTE? WHAT ARE THE
SIDE EFFECTS AND CONTRAINDICTATIONS?
WHY YOU CHOOSE MEMANTINE OVER THE OTHER DRUG?
HOW DOES MEMANTINE RELATE TO DEMENTIA?
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