Needs for Dementia Patients Are Physical, Psychological, Social, Emotional and Spiritual

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HNC Health Care Graded Unit – Planning I am currently in placement in a care home which provides long term care for elderly individuals. Following the Data Protection Act 1998, in order to preserve confidentiality, for the purpose of this activity the resident shall be referred to as Grace. Having assessed a number of residents needs I came to the conclusion that this individual would benefit most from this activity. The reasons for which I will outline below. Grace is an 87 year old female resident with a current diagnosis of mixed type dementia. Grace’s diagnosis of mixed dementia has resulted in a decline in her cognitive ability, especially her memory recall. This has also resulted in Grace being deemed to be a vulnerable adult and she…show more content…
Grace has a history of UTI’s, a UTI is an infection that occurs when bacteria enters the urinary tract through the urethra. The bacteria then multiplies in the bladder, which can then lead to an infection of the kidneys as the kidneys are connected to the bladder by the ureters. UTI’s are prevalent in individuals with dementia due to individuals with dementia having a compromised immune system and less homeostatic control by the hypothalamus. The hypothalamus is the control centre of the endocrine system, it works using negative feedback, meaning it receives a signal that there is an imbalance of water in the body, it then sends a signal to the pituitary gland to release ADH, this then travels to the kidneys stimulating them to either absorb or release more water. This is known as osmoregulation. This imbalance of water in Grace is also contributing factor in her hypertension as if water balance is not controlled in the arteries this will increase her arterial pressure and thus increase her blood pressure. (Goulden, R.P. 1954) (McCormack and McCance. 2006) (Maggs, R. 2007) (Swales, J.D. 1995) When considering the influence of society on Grace’s health it is important to consider both Functionalist and Symbolic Interactionist theory, Functionalist theory would consider Grace to be a dysfunctional member of society as she is no longer contributing

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