Helen Waverley Private Nursing Home

All of the patients on my unit in my former position were in the beginning and mid stages of Alzheimer’s with one or two very alert ones. The challenge was keeping the more alert residents from rapid mental decline. The key in maintaining the resident’s dignity is providing an environment where they can participate in their level of care,

Working with dementia patients can be very stressful and exhausting which is because of the psychological and behavioural symptoms older adults with dementia present. Their behaviour can often be violent and aggressive towards staff members (Beck and Shue 1994). This was exactly the case in the ward I was working on they had a lot of challenging patients who were very violent who needed a lot of attention and often due to lack of staff some patients and their care would get neglected. Working long hours in hectic environments such as this can lead to compassion fatigue. This is a combination of emotional exhaustion, stress and diminishing personal accomplishments. Having long, continuous and intense contact with the patients in stressful situation can lead to compassion fatigue Coetzee & Klopper, 2010). A lot of the times because of tiredness and exhaustion from continuously working in a stressful environment, I often left almost a burden on them as a student nurse and at times felt hesitant to approach them

• Every individual, including individuals with dementia, has their unique life history, lifestyle, culture and preferences, including their likes, dislikes, hobbies and interests, which makes an individualised approach in care necessary.

Unit-4, Q3. Explain how negative beliefs, values and misunderstandings can affect a person's attitude towards people with dementia. Unit-4, Q4. Explain how positive beliefs and values can affect a person's attitude towards a people with dementia. Unit-4, Q5. Describe the steps you can take to ensure a person with dementia feels valued , included and able to engage in daily life. Unit-4, Q6. Describe the practices that could make a person with dementia feel excluded. Unit-4, Q7. Explain why it is important to include individuals with dementia in all aspects of their care. Unit-4, Q8. Describe how an older person's experience of dementia may be different to a younger person who develops dementia. Unit-4, Q9. Mr Singh is a 75 year old gentleman who moved to England from India when he was in his 30s. Mr Singh is a practicing Sikh. He does speak English but because of his dementia he has reverted to only speaking in Punjabi. Describe the steps you could take to gain knowledge and understanding of Mr Singh's needs and preferences. Unit-4, Q10. Sophie is a 39 year old lady who has Down's syndrome. She has also developed dementia which is progressing quite quickly. Sophie has been admitted to a care facility which specialises in supporting people who have learning disabilities and also have dementia. Describe the knowledge and understanding that the staff would need in order to work in a person-centred way with Sophie.

1.4 The impact the behaviours of carers and others may have on an individual with dementia include becoming more confused and frustrated as they do not understand what you are telling, are using body language that suggests something different to what you are saying. They may feel you are telling them off or

This part of the assignment will evaluate the strategies used in health and social care. It will evaluate the pros and cons of communication and how they are used to overcome barriers to communication and interpersonal skills. Strategies are used in health and social care to give the service users the best possible chance of getting back to full health as soon as possible and provide on-going treatment or care into the future as and when it is no longer required. They are in place to promote independence and to make caring for someone as pleasant and easy experience for both staff and service user, and according to K.Bryan et al, ageing and mental health (2002) Studies suggest that a high proportion of older people in residential and nursing care have communication difficulties and there is some awareness of the need for staff training to allow effective communication to

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”

My current role as receptionist/ administrator at Huntington Hose Nursing Home, which I have held for over three years, has allowed me to interact on a one to one level with the company owners and directors. Though the company is small, I have been granted access to sensitive matters regarding the some of our high profile residents, also attending certain sporting and musical events to promote the nursing home.

In a long-term care setting, the nurse and resident can form different kinds of relationships and communication plays a large role. This paper analyzes the barriers and facilitators in therapeutic communication with a resident the nurse has interacted over a series of weeks. He will be referred to as “E.M.” Scholarly articles will be utilized to develop a strategy to overcome the barriers mentioned. The second portion of this paper will discuss the health history of the resident in terms of central ideas from Orem’s General Theory on Nursing and using data collected in clinical placement. These include the theories of self-care, self-care deficit, and nursing systems. It is concluded that E.M.’s social wellbeing needs to be addressed the most since it could potentially improve his other areas of deficit. For instance, by becoming more social, his communication could possibly improve since speaking is essential in forming social relationships.

It was still dark on Saturday morning when the alarm went off at five-thirty. Ruth pushed the snooze button for another five minutes. Although, she was anxious to see her grandfather she had decided to see him on her way back from Howardsville.

The overarching question is: In what ways can nursing home staff increase their use of positive communication and decrease their

With a nursing background, I have conversed with elderly patients a lot, however, this had not prepared me as I had not encountered dementia before and had therefore assumed that most with dementia patients had their long term memory intact. This impacted on the situation as what I normally talk to elderly patients about such as their families, previous career and

At an Adult Health Care Center for patient’s with mental disabilities, activities for the whole day are provided. Exercises, physical therapy occupational therapy rehabilitation and medication administration are a few things to mention in the operation. I know of this because I’ve obtained my initial experiences as an RN working in one. Additionally, I would assess the patients individually and would help them with their medications, along with checking their vitals signs, blood sugar level etc. on a daily basis. I would also ask them a set of questions everyday, questions that are pertaining to their mental status of course. It’s become inevitable at times that I would meet a client with family mental health issues involved.

Today, we had the opportunity to choose where we would like to spend this clinical assignment. Since, I was wanted to have more experiences with treatment plans for the clients here at the care center. Therefore the clinical has been split in two halves; morning I spent with Dale in the long term care unit and the afternoon was spent with Rose in the rehabilitation unit.

Communicating with patients is part of the crucial role a nurse plays in the healthcare field. This is even more important when trying to communicate with patients who have dementia. It is important that all members of each patients healthcare team are aware of what is going on with their care plan so that when they forget, or get confused, their care plan is able to be explained to them in a consistent way. Shadowing on a complex continuing care unit that specializes in dementia care has been an informative and interesting way to learn how a nurse communicates with their patients. This is due to the fact that diagnosis’s, care plans, and other care concerns must be explained to patients multiple times. On all of my shadowing shifts, I have observed my nurse communicating with patients about their care plan. One instance occurred on my most recent seven to midnight shift, where a patient had doctors orders to have a waist belt restraint used when in bed for the night. This patient has dementia and when the the belt was initially put on, he understood why the restraint was being applied, which was to keep him from harming himself by getting out of bed unassisted at night. As the night progressed though, he became confused as to why the restraint was on, and tried to get out of bed multiple times, setting off the bed alarm each time. My nurse, thought would go to his room each time and help him to understand why the restraint was on, having the outmost patience each time. My