Scenario Overview: George is an 84-year-old Caucasian male with moderate stage dementia. He was diagnosed 4 years ago by a family physician. George...
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Scenario Overview:

George is an 84-year-old Caucasian male with moderate stage dementia. He was diagnosed 4 years ago by a family physician. George worked in a local factory for many years, retiring 15 years ago. His wife Mary is his primary caregiver. George and Mary had one son that died many years ago. Kristina is a niece that lives nearby that checks in routinely with George and Mary. Mary has recently been hospitalized for heart failure and a fall. Mary shares that she made a promise to George that she would never place him in a nursing home. With her own health failing, keeping this promise is becoming more difficult. Both George and Mary have been devout Catholics, but due to their health condition, have not been able to attend church functions. Mary shares that she misses her church friends but is now unable to leave George home unattended.

George was recently hospitalized following a change in mental status and episode of delirium. Home care services has been ordered that include nursing, nurse aide, social work, PT and OT. As George has become more resistant to personal care, teaching to manage challenging behaviors is indicated.

A home health visit is ordered to reassess George and assess how the family is coping with the care of George. George has become increasingly more resistant to care. A nurse aide has been ordered to assist with ADL's. The nurse aide will accompany the nurse to the first home visit. The RN will delegate instructions to the nurse aide on proper care and communication in caring for persons with dementia.

 

 

Nursing Care and Interventions:

 

What are your priorities of care for the patient?                                                                                                                                                                                                                                           

What are your priorities of care for the family?                                                                                                                                                                                                                                            

Discuss specific interventions that might be helpful in promoting comfort during a bath for persons with dementia?                                                                                                                                                                                                                                                                            

What factors may be influencing George's behavior?                                                                                                                                                                                                                              

What types of communication skills would be helpful in assisting with ADLs in a person with dementia?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

How might you help the spouse in understanding and reacting to the patient's behavior?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

How will you incorporate Franciscan Values into your care?                                                                                                                                                                                                                      

 

 

 

 

Goal of Care:                                                                                                                                    

 

Plan of Care:                                                                                                                                                                                                                                                                                               

 

 

 

 

Answered by Expert Tutors

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