Reflective Writing: Critical Incident: caring for a patient who was suffering from dementia in a nursing home The most memorable experience I have had as a student nurse is the time I volunteered in various missions, both as part of school work as well as club activities. I firmly believe that the nursing profession does not simply entail assisting people but also enriching personal experiences and growth of the individual. This has been my personal philosophy that has played a significant role in choosing the nursing career and participating is several volunteering missions. The incident I vividly remember is caring for a patient who was suffering from dementia in a nursing home. His condition was in advanced stages and he could not recall any member of his family members’ names, but luckily, he could recall his name. He often appeared confused and this complicated the relationships he had with other patients. The patient’s name was Ishmael, and he was admitted in a nursing home that took care of the elderly. All patients in the institution had special needs …show more content…
He often remembered to say thank you every time I fed or treated him. However, even after showing him the photos I found in his locker, he said that he could not remember the individuals and he could only assume that they were his relatives. Dementia patients especially whose condition has deteriorated have a difficult time trying to recall important things that occurred in the past (Shea, 2011). Despite his condition, Ishmael appeared to be an intelligent individual who could engage in different conversation topics. The opportunity of providing personalized care to Ishmael provided a whole new experience in my profession as a nurse. I also made a background check on the factors that influence the onset of dementia. Although I had studied this in school, I got an opportunity of doing a thorough analysis than in the
Dementia is a progressive disorder that will affect how you’re brain functions and particularly your ability to remember, think and reason. Dementia usually affects older people and are approximately 820,000 people in the UK with the disorder, and around 15,000 are under the age of 65. If the dementia is recognised early enough that are a lot of things that you can be done to make the quality of life better. In a lot of dementia cases the symptoms and quality of life will progress and get worse over a number of years. The most common symptoms of a dementia patient are:
The development of a dementia environment approach will highly impact the improvement of life of people living with dementia involving their family and carers, evidently reducing the stigma linked with the condition. The need to physically and socially design an approach for the progressing ageing population, and better comprehension of the issues affecting the dementia suffering elderly. Life Community Village is a specially designed and self-contained village for dementia-affected people imitating a normal daily life. It visions a change of approach in dementia care in the future and cope with the growing number of issues of dementia in the ageing population. Its mission on the other hand, is focused on delivering a holistic and person-centric approach by leading and optimizing a normal life for dementia-suffering elderly. Also providing a dementia-friendly community and creating a society that the dementia-suffering person can engage in. In the current increasing population of older Australians, there is over a million that has received a form of aged care support and services every year. This is provided through the collaboration of funding and administration of the local, state and federal government. Meanwhile, according to Australian statistics, there are more than 353,800 who are living with dementia. In less than five years, it is projected to rise to 400,000; and due to the fact that there is currently no cure for the condition, and with the
Dementia is a loss of brain function. If affects memory, thinking, language, judgement and behaviour. Dementia is progressive, so the symptoms will gradually get worse. In a later stage of dementia people will find it hard to carry out daily tasks and will come dependant on other people.
During an average lifetime, one can expect to have at least occasional memory lapses from time to time. Usually it's something as simple as forgetting what you just did a few minutes ago, forgetting if you turned the stove off, or if you left your keys on the table or in the bathroom counter. Such lapses are relatively normal, but when they become a recurring theme, it's a more serious problem.
Communication is usually taken for granted in our every day to day living as we use it without thought. Good communication skills are needed in the workplace and especially with nursing staff to and from patients when giving first hand care. Good or bad communication can make there experience within the health care setting a positive or negative one and can leave a lasting impression. A good health care provider can use there communication skills to put a patient at ease with a few comforting words or gestures, a lack of positive communication in the health care setting could leave the patient feeling neglected, ignored and not valued as a patient.
Early diagnosis of dementia can have a huge impact on the individual and their family and friends.
c) Age-related cognitive impairment (or mild cognitive impairment MCI) – is when an elderly person’s memory starts to wane and they have problems recalling their short term memories, they have difficulty learning new things, their thinking process starts to become reduced and have difficulty concentrating. It is thought that MCI can develop due to alcohol abuse and cognitive decline (poor diet, chronic inflammation, vascular disease and
Alzheimer’s Disease is an irreversible, genetically linked illness. This disease was chosen for the topic of this essay under the consideration that in many families the illness can be incredibly tragic, passing down for generations without mercy. It is not rare to encounter families in which each member is afflicted with a form, mild or severe, of Alzheimer’s. The disease is a progressive brain disease which comes in two separate types: Early-Onset Alzheimer’s Disease and Late-Onset Alzheimer’s Disease. These will be discussed in full later on in the paper.
There were small sheets of paper in each resident’s room, saying what their favourite things are, what they used to do, about their family and life, which was very touching for me to see the preservation of dignity throughout the facility. Although these write-ups were in everyone’s room it was as if there was not a human laying in that bed. It was like they were all mannequins and there was an indiscernible race, the focus was shifted from the individual to the completion of task at hand. Many care aides would have conversations about their weekend, or talk about the resident right in front of them. Some residents could hear and some could not, never the less,
Certain qualities are consistently observed in the Alzheimer’s victim. These dysfunction’s, though, are not exclusive to Alzheimer’s disease. Consequently, declaring Alzheimer’s by these parameters is a matter of degree rather than an absolute. Characteristic dysfunction’s have been noted in Alzheimer’s victims, but the degree and severity of these varies from patient to patient. Thus, evaluation of the patient’s mental status must be made based on the sum, rather than a single characteristic. Memory is one of the first noticed deficiencies, beginning typically with the recent and short term memory, and progressing from there as the disease grows more severe. In addition, deterioration in language skills, attention span, praxis (performance of an action), and visuospatial skills are commonly seen. Also observed are changes in the actions and personality of the Alzheimer’s victim. These include changes in mood, motor activities, activities of daily living, socialization skills, psychotic disturbances, vegetative symptomology, and rise in anxiety levels. Again, the
Dementia care offers support and services to an individual affected by the disease itself, which is dementia. It addresses the right and needs of the person with dementia and their families. Improving quality of life and changing attitudes towards dementia is the main goal of dementia care. Dementia care also provides quality of care, maintain dignity and promote health, security and comfort in consideration with the standard of care and ethical guidelines (Adams & Manthorpe, 2003).
A topic I learned more of this semester in regards to the older population was dementia. Some loss in memory function is an inevitable consequence of aging, and as one ages, it takes more time to process information and retrieve memories. However, "Dementia is a general term that refers to progressive, degenerative brain dysfunction, including deterioration in memory, concentration, language skills, visuospatial skills, and reasoning, that interferes with a person's daily functioning" (Mauk, 2014, p. 377). This loss of mental skills affects the ability to function over time, causing problems with memory and how one thinks, impacting these individual's overall quality of life.
Dementia is characterized as a condition where the mental processes of cognition and memory start to deteriorate. It is described as a syndrome that hinders the daily lives of those who have it and is characterized by memory and thinking impairment. The most common form of dementia is Alzheimer’s Disease and the second most common is vascular dementia. Dementia is a syndrome occurring usually, but not limited, to people over the age of 40 and is due to brain damage caused by natural deteriorating, stroke or can be brought on by factors such as excessive drinking or drug abuse. Dementia is best cared for in its early stages and, therefore, an early diagnosis is essential. Recognizing the symptoms by both the dementia patient and the
In 1901, a fifty one year old woman named Frau Auguste D. was admitted to a psychiatric hospital in Frankfurt, Germany. She had an unusual bunch of symptoms. While she had no history of prior psychiatric illness, her husband had noticed that Frau D. was becoming increasing paranoid, hallucinatory, agitated, disoriented, and having increasing difficulties with language functions and memory.
Alzheimer’s disease slowly steals a person’s dignity and erases precious memories. The “Alzheimer’s Disease Guide”, found on WebMD explains that tasks become more difficult to do often leading to confusion and behavior changes. The article further explains the progression of the disease also brings hardship to family and friends (1). To best cope with Alzheimer’s we must better understand the disease.