This essay will examine the nursing care for an older person with Parkinson type dementia. To achieve this I will define dementia and describe the impact of the problem created by the disorder on an elderly patient whilst on my clinical placement. The care objectives implemented for the patient including how they were implemented will be discussed. I will finally describe the effect of the patient’s mental health problem on both the informal and the formal carers and ways of minimising this impact will be discussed. I will conclude this essay on how my personal knowledge, skills has improved as a result of my involvement in this patient’s care.

Throughout this essay in other to maintain confidentiality and protect the patient’s identity, which is in line with the NMC Code of Professional Conduct (2004), the patient will be referred to as John.

Dementia is a condition that can be caused by different diseases but how it occurs in Parkinson’s disease is not yet understood. Alzheimer’s disease is the most common cause. Dementia is a global impairment of the functioning affecting the intellect, memory, language, skills, personality, affect, behaviour and sense of self. (Evan and Garner, 2004: p216). Those affected with Parkinson type dementia are often forgetful and can not think thinks through clearly. Sometimes, these affected patients remember things from the past, but does not remember what has just happened. Dementia usually affects people over the age of 65. Usually people with dementia gradually get worst and there is no cure. (Alzheimer’s society, 2003).

John is a 72 year old man with Parkinson type dementia. He is married to Mary, 68 and they both used to live together. John worked with as a Police officer before retiring at the age of 60. John was referred to the ward after a domiciliary visit by the doctor. The effects John’s illness on him were impaired thinking and communication, incontinence, difficulties with his memory, and often aggressive. John is fully dependent on his carers as he is been nursed in bed and need help with most of his activities of daily living. His wife, Mary is his informal carer.

Ageing is associated with changes in the human body through phases. John had dried skin as result of reduced collagen fibres which is a sign of ageing. (Nazarko, 2002). Aging also affect the ability to maintain continence in an older person. John was also doubly incontinent. John could not mobilise due to the advanced stage of his condition and his age because physically, ageing affect one’s locomotion. (Goldsmith, 1996). Psychologically, John had impaired concentration and memory. Concerning the social development of his illness, John had a good relationship with his wife but sometimes aggressive towards her.

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A carer is someone who looks after a relative or friend, who, because of disability or the effects of old age cannot manage at home without help. An informal carer consists of family, friends and neighbours and volunteers (Alcock, 1996). The care they provide is always unpaid. A formal carer is someone who is trained and paid for the care they render to clients.  Formal carers often experience physical and verbal abuse from informal carers. This could lead to lack of motivation and negative attitude towards patient.

John’s illness caused various problems for his informal care. Mary ...

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