Traditional Methods Of Managing Behaviors

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,

As a carer it is important how you come across to a person with dementia, they still have emotions and feelings. Your body language and facial expressions can be picked up on by the individual, if you let out a long sigh or raise your eyebrows or have a nasty look on your face then this will be abusive to them and they won’t trust you. Talk to them in a calm manner, hold their hand and smile at them, this will show the individual that you have a caring attitude and they will be better for it. If there are other people in the room who are maybe shouting or talking and laughing then this could cause a problem communicating with the person with dementia, too much noise will only frustrate the individual as they won’t be able to concentrate on any conversation.

Dementia is an umbrella term used to explain the gradual decline in multiple areas of functions, which includes thinking, perception, communication, memory, languages, reasoning, and the ability to function (Harrison-Dening 2013). Worldwide, 47.5 million people have dementia and there are 7.7 million new cases every year. Alzheimer's disease is the most common cause of dementia and may contribute to 60–70% of cases. (Alzheimer's society 2014). The complexity of dementia presents a number of behavioural challenges to those who live with dementia and their care providers. Aggressive behaviour seems to be one of the most prevalent challenging behaviours in the different stages of dementia (Weitzel et al 2011). As acute care

Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.

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

These strategies may help with relieving distress, agitation and challenging behaviours. Strategies when dealing with dementia patients may include, “introduce yourself at each encounter, use touch as appropriate, try to determine the cause of the behaviour and then try to reduce or eliminate it. These behaviours may be caused by boredom, which you would try and use activities as a distraction, Pain which we3 will try non-pharmacological treatment first e.g.: heat packs, Anxiety where we will use reassurance and diversion. Often using a soft approach such as smiling, pleasant voice tones while talking calmly in short sentences will help defuse a situation.

This assignment will explore the effect of the long term condition dementia. It will focus on a service user who has recently been admitted onto an assessment ward and their family. It will explore the nurse’s role and how they will support and manage the patient’s illness. The Nursing and Midwifery Council (NMC) (2015) state that individual’s rights to confidentiality must be respected at all times, therefore all names mentioned in this assignment have been changed to maintain confidentiality.

Simon Douglas is a clinical research nurse at the Wolfson Research Centre in Newcastle upon Tyne. He is currently coordinating a number of studies, particularly on dementia in nursing and residential homes and providing input into a new trial of non-pharmacological interventions for dementia. Ian James is a consultant clinical psychologist at the Centre for the Health of the Elderly at Newcastle General Hospital and a

As part of my HNC Social Care I have been asked to complete an extended reflective account about an incident/ pattern of behaviour at my placement for the subject understanding and supporting behaviour. This assessment has to be handed in on the 21st of May 2013. Due to the confidentiality of the young people at Rathbone and the Data Protection Act 1998 I will refer to the particular young person who is involved in the incident as Jack.

Many elderly and their family cannot determine what are normal aging and what are not; therefore, educating them is the key role for nurses to promote safety and health for older adults. Not only assessing physical changes but also mental health assessment is important because those age-related physical changes may cause depression in older adults, which leads to other problems like “difficulty with sleeping,

As people get old a few of them will experience changes in cognition with age related capacity rather than intellectual capacity. There are some people who get both disparities of mentally and physically impaired that will led into depression due to aging process of their body. Even though, the forgetfulness is a common among older adults, we as healthcare providers must evaluate altered mental status of the patients. “The evaluation and management of altered mental status are broad and require careful history and physical examination to eliminate life-threatening situations”(Patti & Dulebohn, 2017). Therefore, it is very important to recognize the importance of difference between normal age-related symptoms and developing new health problems that can arise in this specific population. As elders get older their memory lapses it frustrating to them leading them to be more worried about changes in their memory. Nurses have a unique capability to promote a cognitive health and determine the possibilities of potential cases of the impairment in elders. The movie “On Golden Pond” Mr. Norman was a perfect example and showed that his symptoms were interfering with his everyday live when he almost burns down the house with fire, calling Bill by his daughter’s name Chelsea and getting lost in on the lake. Even though, Mr. Norman had heart and dementia problems his wife never discouraged him to do what he liked such as

Reminiscing to 2010, when I was faced with my grandmother 's illness during the adolescent years in my life I knew that I had a passion to care for the elderly (aging) population. From this passion, it ignited a fire so strong that I pursue my certified nursing assistant certification to gain a better understanding of working with the elderly population. By doing so, it has been a great benefit to my life; aging is an inevitable experience that we all will go through during our life. It is important to ensure that our elderly individuals are still able to enjoy the best quality of life after retirement. However, as we age, there will be a lifestyle change that the aging population must encounter.

This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.

During my first clinical rotation as a nursing student, I was assigned to care for several older adults suffering from dementia. Although all of my patients ranged in severity from mild to severe progression of dementia, they all experienced moments of agitation, anxiety, or disturbed behaviors related to their disease. It occurred to me after careful review of several patient charts that despite often being prescribed pharmaceutical regimes for other comorbidities, these patients were rarely prescribed medications, besides those to control anxiety, specifically targeted at treating their progressing dementia. Through some research I discovered that the significant number of individuals affected with dementia is a growing public health concern in part due to the current limited ability of pharmaceutical treatments to treat the disease (Samson, Clement, Narme, Schiaratura, & Ehrle, 2015). This revelation began my interest in current nonpharmacological treatments being implemented in controlling adverse behaviors and feelings in patients diagnosed with dementia.

Mr A is a 66 year old gentleman recently admitted to an Elderly Mental Infirm (EMI) unit. In my first encounter with Mr A, he appeared both distressed and unsettled, and was walking around the EMI unit with his bags packed, making numerous attempts to escape through doors and by climbing over fences in the garden. After staff began to approach Mr A, signs of aggression arose, such as: pointing, moving close to staff members, having clenched teeth and breathing rapidly. It was now the role of the nurses and support workers to de-escalate the situation, by regaining control until the situation developed into a violent incident.