A Case Study Of Walter's Condition

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

I further request that I live as near as possible to my primary residence in order that I may visit with friends and neighbors to the degree my agent believes that I will benefit from such relationships. I wish to return home as soon as reasonably possible after any hospitalization or transfer to convalescent care. If my agent determines that I am no longer able to live in my home, I wish that my agent considers alternatives to convalescent care which will permit me as much privacy and autonomy as possible, including such options as placing me in an assisted living facility or board and care

From reading Walter’s case and using the St. Amant et al. (2012) reading and comparing the two written pieces, as a nurse I would approach Walter’s situation with a high level of sensitivity. As the nurse conducting the assessment, Walter is viewed as orientated, realistic and needs help with his personal hygiene. My technique in dealing with Walter’s scenario is by keeping Mr. Walter in his residence by hiring individuals who are educated about Walter’s condition to assist in housekeeping and personal hygiene practices, as well as trying to include his daughter in social activities with Walter as it can render their relationship as well assist Walter with his condition. Trying to place Mr. Walter in a long term care residence will be hard

This involves looking at the person as a unique individual while building the care package required just for them, they should have choices available on what they eat/drink, when they like to wake/sleep or which activities they may enjoy being involved in. choices on medications or who will become their advocate when the individual no longer has the mental capacity to make decisions their selves. Giving an individual options can help them feel valued, listened to and often empowered therefore encouraging positive mental wellbeing.

Resident states “I am just a common and ordinary person that worked hard all my life.” She states “I am to old, 94, and not many people listen to me so I would have much of an affect on lives or make changes.” “I don’t really handle stress or problems well. I get really nervous in situations and I sometimes even have a panic attack,” resident states. She states “There Is no change since I come to this facility. I feel that it has worsen.” She is unhappy with the room situation because she has to share a bathroom. Resident states “Staff is always coming in and out of my room which makes me nervous. I have no privacy.” “I really want to have my own room with a private bathroom,” she states. Resident states “I lost my sister not to long ago. I

Often this kind of interaction will enable a person to remain in their own home rather than residential care homes, improving the person’s wellbeing as well as their health.

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

1.2 EVALUATE AGREED WAYS OF WORKING THAT RELATE TO RIGHTS AND CHOICES OF AN INDIVIDUAL WITH DEMENTIA.

Dan presents with numerous conditions that are cause for continued monitoring. In fact, the hospital would like to admit him. Despite pleas from his caregiver and a visit from the social worker, Dan is adamant about leaving against medical advice. There are a number of consequences to consider if Dan goes home. Since there are numerous sequela from his current condition(s), it is possible that his medical state could worsen and adequate help may not be available in time. In addition, he is at risk for another fall and additional injury. Once home, he may not return for any follow up appointments. On the other hand, rest is an important component to healing and Dan may fare better in familiar surroundings.

Both of the gentlemen stated they had been in other homes and that this was the nicest home they had been in. Kenneth complained of his first home ¡°smelling more like a zoo than a nursing home.¡± John told me that his last home was on the South Side and that the neighborhood was filled with gang bangers and hoodlums. When his family visits here though, they wheel him through the Lincoln Park neighborhoods and it¡¯s nice. For all of the questions that I asked these two men, they had just as many questions for me. Heading in to this assignment, I hadn¡¯t really considered that someone would be asking ME questions. In the midst of all that happens in nursing homes, it¡¯s important to remember that these residents aren¡¯t just dependent, older people, but that they are still people just like you and I.

The first critical resource as mentioned above was incorporating Mr. W.M into an adult day center offered by NOVA. NOVA’s adult day care center can grant him with a sense of independence, increase his social interaction and maintain adequate cognitive function, all subsidizing to the enhancement in his quality of life. The second advantageous resource offered by the Ste-Anne’s Veterans Hospital is their arts & crafts program. The arts & crafts program will permit Mr. W.M with the ability to have some control in his decisions through the creation of art, empower him to express his feelings and provoke new self-discoveries at the same time as giving him a means to cope with his current situation. In all, it’s imperative for healthcare workers to disclose all beneficial community resources available for the elderly, as they are a significant element in maximizing the quality of life in the elderly

    With the given information, Mrs. F clearly knew what she wanted her quality of life for herself. Understanding that she will be in a terminal ill state in a few years pushed her to take control of her end. She was cognitive this decision and she should be respected for actions. She was clear that she did not want to be a financial, physical and emotional burden to her family and keeping her in her Alzheimer state would go completely against those wishes. Her request for sustenance could argue that she wanted to live, however, she knows that living without her independence and Alzheimer’s can be worse than death.

Assisted living helps each person value life to its fullest potential. When it comes to making an older individual feel more at home and also be able to focus more on non-stressful activities, they need to be ensured the best care. “Families feel more confident and are less ‘protective’ when there is continuity in staff and they are deemed competent. Staff are more likely to be retained where they feel valued”2 part of the quote which is especially conducive to the argument is, “where they feel valued.” When picking and choosing a nursing home that fits individual the best, and will provide them with the care needed, it is important to make sure that everyone is valued in the process. This quote is important because if the workers are not being taken care of, then they are less enthusiastic and also less likely to give someone’s loved one the care needed and to know what is expected from them. It is assumed that when picking an assisted living home, that the well being of the person and also many other characteristics are taken into

“There is some evidence that the quality of care for nursing home residents has improved, such as the decreased use of physical restraints and psychotropic medications, serious problems continue for many residents, especially those at the end of their lives.” Some of the issues have been corrected, not abusing or neglecting the elderly patients but the services are not handling the most important part of the patients’ lives. They are still having some issues with handling the patients that are at the end of their lives, they need to focus on the end of their lives in dealing with this they need to know how deal with this part with them and the families.

Nurses has an obligation to help the patient and family with a decision making at the most difficult time in their life. As Susie’s nurse who comes from a continent that has no nursing homes for the the elderly but family members share the responsibilities for caring for them. I saw my mum take care of her grandma, grandpa, and even aunties and uncles and have helped with the care of these people,I will share my experience with susie to give her the assurance that it is achievable. I will emphasise to susie that she does not have to stop doing everything she loves to do but make changes to her busy schedule between work, child care , time with her husband and add on care for her mother.