***READ CASE STUDY ***
Mrs Alice Wright is an eighty-two (82) years old female resident who has been living in Pines aged care facility for the last three (3) years.
Mrs Alice Wright worked at ABC bank for forty-five (45) years as a financial planner. Her job role was mostly to maintain check and balance of the company finances and provide strategic advice. Mrs Wright's husband died thirty (30) years back. She has been very independent throughout her life span and used to live with her only son Mark and her dog Charlie. She has been a stronger believer of staying in the workforce for long, irrespective of her age.
5 years back Mark started to observe changes in Mrs Wright's behaviour, when she used to become overly aggressive and abusive with the family/friends. Mark took her to a local GP and after the ACAS assessment, cognitive and neuropsychological tests she was referred for permanent care into a residential aged care facility with the diagnosis of Alzheimer's disease. Mrs Wright felt very isolated and depressed when she was transferred to Pines aged care facility. Her son Mark was feeling guilty of letting her mum go into the aged care home. It took Mrs Wright 3 weeks to settle in the facility. She resided in a dementia specific unit for safety purpose. Her dementia was getting worse, she had days when she would not participate in any activity and times when she would become verbally and physically aggressive. She had aged related hearing loss and her non-compliance with hearing aid was making the situation more challenging. She was transferred to hospital twice for physical aggression towards staff and other residents and was diagnosed with UTI and BPSD (Behavioural and psychological symptoms of dementia).
Current situation: You are an enrolled nurse working on a morning shift. At around 08:00 hrs you started your medication rounds when you pass by Mrs Wright's room and find her distressed and crying sitting in the corner of her bathroom. On attending her, she started yelling and throwing towels and soap. You decided to maintain a distance and gave her sometime to settle, making sure to monitor her from a safe distance. You saw that she removed her SPC, clothes and hearing aids in the room. Her room looked cluttered and all her personal belongings were on the floor. You saw her incontinent of urine and faeces. You informed your registered nurse on shift and certainly wanted to help her in the best possible way.
- In your role as an enrolled nurse, what education you would provide to Alice's family about her admission to the residential aged care facility?
Take into consideration ...
Transition, challenging ... adjustment period
What do you think?
What's important to educate ... the family
Specifically concerning her admission ... important factors
- Medical problems
- Living conditions
- Identify 2 complex issues involved in aged care which can impact on older person and their families.
A lot of issues that can be identified .. what would be the impact of these issue on the elderly and their families
2 complex issue or .. potential
- What measures will you take as an enrolled nurse to deal with these complex issues ensuring safe environment for the older person?
Any 2 complex issues AS A EN how can you INTERVENE → what measures will you take
Please Use references and read the case study ! ... This is all i can give i can't provide any graphs , links or other materials i don't have that !!!
Medical diagnosis: Current medications and management Itchy skin (Specifically on B/L arms) for 1 year Sorbolene lotion daily PRN Age related hearing loss for 2 years Wexol for ear wax removal every 6 months HD, angina and dyarhythmias 10-year back GTN 25mg patch daily, Pacemaker Re-current chest infections (3 episodes in last 4 months) PRN Ventolin nebs PRN N/S nobs PRN supplementary oxygen 2L Alzheimer's disease with BPSD (Diagnosed 5 years back) Memantine 10 mg daily S/T Risperidone 0.5mg daily PRN Osteoarthritis in B/L knees for 20 years Panadol 1g BD Re-current UTIs (12 years) on SPC Ural sachet once daily Hypothyroidism (45 years) Leyo-thyroxine 2 tabs before breakfast Renal failure post renal cell carcinoma (10 years back) SPC (suprapubic catheter)
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