Nursing Case Study Dementia

Reflective Writing: Critical Incident: caring for a patient who was suffering from dementia in a nursing home

R/s Mr. Joe Adams has some dementia issues and he is wheelchair-bound. R/s Mr. Adams’ daughter-in-law Georgia is his caregiver. R/s the home looks as if dumpsters are being dump there. R/s the family has a dog that uses the bathroom inside the home. R/s the home is infested with bugs. R/s there is old food with flies. R/s the smell of filth and dog will knock you off of your feet. R/s Georgia is giving Mr. Adams unprescribed Xanax to get his debt card, so she can buy groceries and pay bills. R/s the home is being foreclose and Mr. Adams will be homeless because Georgia said she will leave Mr. Adams there. R/s Mr. Adams son Jerry is also in the home, it is alleged Jerry has mental issues. R/s Mr. Adams wants to place in an assisted living setting.

The patient is a 64-year-old female who has had recurrent admissions to the hospital and recently discharged after being treated for a ESBL Ecoli urinary tract infection. She presents again to the ER complaining of abdominal pain and abdominal distention. Her medical history is significant for schizophrenia, knee replacements, diabetes mellitus, hypertension, past CVA, COPD and dyslipidemia. Workup in the ED reveals her to be anemic and hemoglobin on admission is approximately 9.6 with hydration dropped to 8.5. She is also thrombocytopenic. Her labs reflect chronic kidney disease and her urinalysis reveals large amount of blood in the urine. In the ED she undergoes a CT of the abdomen and pelvis which reveals her to have ascites and

CCIB LPA Perryman-French received a call form Delores. Her mother, Bernice Howard (DOB 02/24/1925) has Alzheimers and dementia. Her mother was living at another facility, when she required an awake night staff. She was moved into this location around June 20 or 21st, 2015. Delores left the area and then returned on 07/05/15. During that time, she had her son checking on her. Sometime around 07/01/15 or 07/02/15, her son told her that he was told there was an altercation between staff "La" and Bernice in the kitchen. The result was bruises on her arms (where she was grabbed) and a visible scratch. Bernice informed her that she was hit, slapped, grabbed and scratched and also reported that she responded by getting her (La) back. The family had

They give a long list of diagnoses but the most prevalent is the fact that she has a rapidly progressing dementia. Note that she has a rapidly progressing dementia as well as a B12 deficiency. They describe a subdural hematoma in the CT scan reports. The one on 01/03 shows a lot of microvascular changes, a lot of cortical atrophy, and apparently, she had bilateral subdural hematomas that had converted to hygromas, but apparently the larger one on the left side still had some blood in it. When they repeated the CT scan of the head on 01/19, they commented that the hygromas were still present but there was less blood in the larger subdural. She had extensive blood testing, which basically was unremarkable. It did not appear that she had a urinary tract infection. Appears that since she has been here her status has been fairly stable. She was weak, but apparently, underwent physical therapy and made some improvement to where she became ambulatory in her gait. It looked like from the very beginning she was having a day/night confusion, was having a lot of un purposeful movements that might be have been contributed to either delusions or hallucinations. They gave her some Risperdal for the behavioral problems, but according to Cynthia she had taken Risperdal in the past and had an allergic reaction, and today when I have seen the patient there is a marked amount of periorbital edema

This is a 76-year-old, white male, seen for evaluation of dementia as well as some speech difficulty. The patient states that he started having symptoms in 2008 and he has had multiple studies, MRI scan and a CT scan, which shows some lacunar infarcts as well as some ventricular dilatation consistent with multiple infarcts and possible cerebral atrophy. Patient did have some speech difficulty since one of his strokes. The patient denies any other neurologic signs or symptoms.

While working as a Certified Nursing Assistant for 10 years, I have been working with

You are the nurse doing home visits in a retirement community. Your patient is an 85-year-old male who has been diagnosed with AD. His adult children are with him for the visit. They want to know about the disease and what treatment options exist. They ask the following questions:

The patient is an 80-year-old female who presents to the ED because of increasing shortness of breath and some chest pain. She was brought in by the Clifton EMS. She stated the symptoms occurred suddenly. It started 2 days ago and became worse the morning of presentation. They are continuous and getting worse. The patient is also complaining of chest pain with coughing in the ED. She has a past medical history of intracerebral hemorrhagem hypertension, had spinal surgery and nephrectomy. On presentation initial blood pressure is 151/150 with a pulse of 93, respirations of 20, temp of 97.1 and her pulse oxymetry is 100% on a nonrebreather. She is placed on 4 L of nasal cannula and she is oxygenating between 95-98%. Her blood pressure fluctuates a but is brought under better

In an effort to answer this question I will start off with a clear account of the meaning of dementia, from what it is to the distinctive features of this disease to treatment or appropriate and care needed. This will then be followed by an effort define what is meant by person-centred care in relation to a particular workplace, before plunging into an explanation of what goes into the assessment of the service user, the planning tools needed while addressing some of the benefits of using the person-centred care approach in the care of dementia patients and others service users.

The patient is a 72-year-old gentleman who presents to the ED because of profound weakness, inability the patient is wheelchair-bound fell between the wheelchair and his bed and was unable to get himself up off the floor. He has multiple medical issues including chronic atrial fibrillation flutter, hypertension, chronic lymphedema, diabetes mellitus. On presentation is noted to be somewhat dehydrated with an elevated white count, as well as acute kidney injury. On presentation his initial white count is 11.7 with left shift and hemoglobin of 11.6 with hydration and appropriate antibiotics his white count comes down. Hemoglobin goes to 10.9. It is also to be noted his original BUN was 56 with a creatinine of 2.38 correcting upon administration

Assisting with ADL’s are essential. Some residents are more dependent than others. It’s best to always promote independence and let them continue doing what task they can instead of doing it for them. My case study, who shall remain nameless, is partially dependent. Some things he can do independently while others he needs guidance. Most men are use to being very independent and proud which makes assisting with ADL’s difficult at times. Every resident has the right to refuse care. I show my respect by giving choices and allowing them to be in simulated control. If my help is needed, they don’t feel embarrassed to ask me for assistance.

The patient is 60-year-old female who presents the ED with altered mental status. She has been screaming and yelling which is not her baseline. She is normally alert, awake and oriented. Her medical history is significant for end-stage renal disease, multiple myeloma, and hypertension. The patient was in the Lincoln Park for rehabilitation. She was discharged on April 28, 2017, with generalized weakness. She has been treated for multiple myeloma last chemo being April 24, 2017. She also had phlebitis in the past, hypertension, dyslipidemia, hiatal hernia, and ulcerative colitis. The work up done in the ED initially the CAT scan was interperted as showing no significant change from an MRI done subsequent to the patient's change in behavior

Alzheimer's disease is a progressive, degenerative disorder that attacks the brain's nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and behavioral changes”(AFA 1). Millions of adults of the age 65 and older have been diagnosed with this serve diseases . Based on their condition they should be placed in a nursing home , because they're going to get the treatment they need . It also prevents the patients from hurting themselves and other members of the family. Nursing homes can benefit the patients in many ways and help, them accept their condition. Patients are able to interact with people with their same condition or have a different illness. They also provide counseling for the family members of the alzheimer's patients where they give them the support they need , and they’re able to learn more about the illness of their loved ones .

When a doctor tells an individual that they have dementia, this mean that their brain has a condition where they have problems with thinking and memory (Types of Dementia, 2005). As time progresses, dementia leads to loss of memory, loss of reasoning and judgment, personality and behavior changes, physical decline and death (Caring for a Person with Dementia, 2005). However, dementia patients are not the only ones who suffer from the progression of their condition. The care for dementia patient falls upon their families. While the family transitions into a caregiver role and the dementia patient needs are being met, how does the