Individuals diagnosed with dementia have to face with the prospect of gradual loss of the capacity to make their own decisions. They need to think about and make their choises about care, treatment and money when they are not able to speak for themselves at some time in the future.
The loss of control experienced by Ann may have had an impact on the time it took to progress through the stages. Involving Ann in the decision making, discussing options and offering continuity of care would help make the transition from her home environment easier.
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.
“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.
Following the second part of Ellis’s framework (2013), going onto the core research issues the introduction and background to the study does identify the need for research to be done, the purpose of the research can be identified. It states in the abstract that the aim of the study was to offer a thorough report of the experience people go thorough when they have to make a decision on placing a family member into a special care unit among a diverse sample of carers. To achieve maximum variation
Good communication with the individual should be enhanced. Both individual and carer must compromise and negotiate to what would benefit most for the individual as long as it is safe. Thorough information should be given and must acknowledge the benefits of their choices. This is a way of recognising rights and choices of the individual. One example is the resident’s choice not to use his/her walking frame. This is one conflict of decision – making. Decision should be tailored to the needs of the resident
The need for older people to have their autonomy to make a decision and be an active partner in the decision making process must be recognised and is an essential component in person centred care. ‘’The older person and family have the right to make informed decisions about all aspects of their care and the nurse respects the level of participation desired’’ (An Bord Altranais, 2009). Nurses most realise the importance of patients participation in their care and strive to uphold it as a principle of person centred care, ‘’Lack of time and/or restrictions on patients choice and involvement, was listed as the number 1 factor to hinder quality nursing care’’ (An Bord Altranais, 2009). As nurses it is our responsibility to take the time to overcome communication barriers, for example, a hearing or speech deficit. The nurse can opt to use non-verbal communication to facilitate the decision making process for the patient. Patients are entitled to information about every aspect of their care and should be frequently updated. Information about management and prevention of conditions, procedures, assessments and investigations ,diagnosis, treatment, follow on care, referrals and services available to patients( i.e. health, social) should all be disclosed to patient (Department of Health,2001). If they
In order to exercise your duty of care, staff must ensure that any decisions and choices people make are based on understanding the consequences and potential risks of what they want to do. Care worker role is not to prevent people from doing what they want, but making sure that they know the possible results. This can result in some very finely balanced decisions, especially where there are concerns about someone’s capacity to understand the possible risks and consequences from their actions. The question of capacity to make decisions is highly complex and staff must consider it carefully. It is very easy to make the assumption that because someone has dementia, a learning disability or a long-term mental health problem, for example, they lack the capacity to make decisions about important issues affecting their own life.
Focusing on dementia, it is not constantly possible to involve the dementia sufferers in the decision making course of their care without encouragement and assistance by
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
The holistic approach to the determination of the best interests of a person who lacks decision-making capacity is further enhanced by the requirement that decision makers consult with others about care and treatment. (Griffith & Tengnah, 2008). The Act provides a checklist of common factors that must be taken into account before a
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
Alzheimer is a dangerous disease that mostly affects the brain. Alzheimer disease associates itself with a set of symptoms including memory loss as well as talking and thinking challenges. These side effects happen when harm occurs in the cerebrum. The decision to pick between a nursing home care and assisted living for a close person who requires special help is a troublesome dilemma that face numerous families who have Alzheimer patients. Families are often feel poorly prepared to settle on the right choice. The research aims at helping families by looking at the advantages and shortcomings of every sort of consideration. The reason is that before making a decision on that topic, it is important