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Principles of Care - . Alzheimer(TM)s

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Introduction

Principles of care Introduction. This assessment will look at Mrs Patel. Mrs Patel is a 73 year old Muslim lady who has come to live in the UK from Pakistan. She has lived here for about forty years but still speaks little English she relies on her son who was born in the UK. Her health has started to deteriorate in the last few years and she has now been diagnosed with dementia. She lives at home in a 4 bed roomed house with her husband, son and pregnant daughter - in - law. It is stated in the, Transcultural nursing care for adults that the eldest son should stop at home with his parents to look after them in their later years this is also classed as an honour. RCN 2005 Case Study. Mrs Patel arrived at accidents and emergencies via a taxi with her husband and son. She had fallen down the stairs. Her son was out at work when the accident happened. Her facial expressions clearly indicated that she was in a lot of pain, she was pointing to her leg and groaning also her left arm seemed to be held in a fixed position. Her feelings were made known through her husband and translated by her son from his fathers broken English. ...read more.

Middle

Mrs Patel also had her blood pressure and pulse rate taken and recorded; these were taken to compare with the ones already documented on her hospital admittance, to see if there had been any changes. The neurologist explained to Mrs Patel that he would like do some testing for mental response such as: memory, problem solving, and counting, again this was translated to Mrs Patel who agreed verbally. The tests were carried out in Mrs Patel's dining room, the results were noted down on an assessment sheet. The neurologist asked Mrs Patel if she would attend the hospital for a day visit only, for a Medical Resonance Imaging scan (MRI), visual examination of the brain can reveal structural abnormalities associated with dementia, Hoyle 2005. By doing this they would find concrete evidence of Mrs Patel's condition. Social service's explained that they could contact an occupational therapist (OT) who would assess Mrs Patel in her home to see if she needed any alterations for example: stair lifts, shower seat, bath seats - Muslims only bath after intercourse or when the woman has finished her menstrual cycle, Muslims usually shower as they think that bathing in their own dirt is un-hygienic. Sharma 2006. They explained to Mrs Patel that their aim was to enable her to still be independent in her own home also that when she had received her results from the doctors that she could ring them again, if necessary, to reassess her needs. ...read more.

Conclusion

They informed Mrs Patel, that through lengthy discussions, with her family GP, they had arranged for a community psychiatric nurse (CPN) to visit, they provide treatment, care and support for people with dementia. They were in the process of arranging counselling for Mrs Patel, this would involve regular sessions for Mrs Patel to speak openly about her feelings, as family and friends can sometimes get tied up in their own feelings making it hard to talk to them, and they asked Mrs Patel if she thought this would be appropriate, Mrs Patel nodded. The Social Services explained that there were many services available, which would assist with Mrs Patel living an independent life at home: Equipment adoptions (OT) - for equipment specified on pg five Home Care - women to assist with Mrs Patel person care and well being. Respite Care / Day Care - somewhere for Mrs Patel to go and become acquainted with others who are suffering the same illness also for the family to have a break. The last thing to discuss was the cost of care that Mrs Patel required; this was dependant on the level of care and benefits received to how much of a discount they would receive. All of this was translated to Mrs Patel again by her son. Once matters had come to a conclusion a care plan was put into place to review on a six-monthly basis Mrs Patel's progression of illness, then the whole procedure would start again. ...read more.

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