The Program Development and Implementation for Just Like Home As an intern for Acme Behavior Consultants, I have been hired to provide consultation to Just Like Home nursing home. Specifically, I am providing a comprehensive plan for program design and evaluation that will be effective an evidence-based. Just Like Home has contacted us seeking to assess the potential need for a new behavior management program to prevent Alzheimer’s patients from wandering unsupervised and endangering themselves. Problem Analysis Program planning begins with problem analysis. I need to achieve a thorough understanding and a comprehensive study of the problem that the program is to address, to include the type, size, and scope of the problem as well as its relevant …show more content…
This can be true even at the onset of dementia, they can become disorientated and confused (Alzheimer's Association, 2015). This type of situation should therefore be anticipated, and the staff trained in what to do in the event it occurs: (1)carrying out a structured daily routine to minimize confusion, (2) identification of the most likely times of day that wandering can occur and planning activities during those times, (3) activities to reduce anxiety, agitation and restlessness,(4) reassurance scripting for when a person feels lost, abandoned, or disorientated, (5) the use of non-corrective dialog that is focused on exploration and validation when the patient starts talking about wanting to leave to “go home”, or “go to work” etc., (6) ensuring that all the patient’s basic needs are met-like food, drink, and toileting, and (7) avoiding busy hectic places like shopping malls and grocery stores during outings (Alzheimer's Association, …show more content…
Need is both qualitative and quantitative. Qualitative because it can be labeled and mitigated, and quantitative as common problems among similar groups can be categorized, measured, and translated into services. In this way, need assessment is concerned with amassing similar individual needs in quantified terms (Kettner, et. al, 2013).The goal for need assessment is to estimate the target population, the numbers at risk, and match services to needs. Clinical staff agreement on what need is can be reached by considering the four types of perspectives for viewing need: Expressed need is determined by the percentage of those who seek the services and those who are actually receiving it. Nursing homes, are designed for people who are in need of twenty-four hour nursing care; these facilities provide residential services such as room and board, personal care, protection supervision, and. nursing care, provided by RNs, LPNs, and aides at any time inside the facility. Nursing homes typically provide custodial care, to include assistance with eating, dressing, bathing, medication management, and walking. Most people with Alzheimer's disease require custodial care (Alzheimer's Association,
Recommend instructional activities and /or interventions to address goals. All plans must be based on your analysis of the data.
All of the patients on my unit in my former position were in the beginning and mid stages of Alzheimer’s with one or two very alert ones. The challenge was keeping the more alert residents from rapid mental decline. The key in maintaining the resident’s dignity is providing an environment where they can participate in their level of care,
When living at home with dementia the individual will have professional help come to them to help with daily tasks such as supervising medication intake, enabling optimum health and safety at home, providing a patient listening ear and friendly face, cooking, housekeeping and general errands, helping to facilitate routine, familiarly and comfort for their loved one at a difficult time. When someone moves from their home into a care home it can be very
Nursing homes and assisted facility homes are all examples of long term care facilities. These facilities are usually targeting individuals who are of geriatric age or need around the clock care (mental health and physical health). The residents in these communities have access to individually-tailored levels of individual or group-centered activities, programs, and assistance whether it is with home or personal care. Long term care facilities are generally for those who are unable to manage independently in the community. Specific types of long-term services include nursing homes, hospice care, home health agencies, and residential care facilities. The goal of these programs is to make sure each patient has a safe and comforting environment
Patients that have Alzheimer's get cared for just as well in care facilities as they would in their own home. In care facilities these patients are equipped with 24-hour staff that is there to help them, housekeeping, and transportation. Many times, when the patient with Alzheimer's is home alone they may decide to wander around outside. This is a sign that a person needs care at all times and it may be time for them to be put in a facility where they have 24-hour care. Even if a loved one is put in a care facility, they can always be visited by their families so that they can feel more
Alzheimer’s disease (AD) can be a devastating disease for patient and families, the patient would need 24-hour care and they would become dependent on their families. I used to take care off a lady with AD at a facility. The facility had several room, one for people with early signs of AD where the patients were still doing ADL’s on their own and another where patients needed total care. My client
Long-term care assists individuals who cannot adequately perform their routine activities of daily living. These activities include dressing, bathing, walking, meal preparation, and taking medications ( Batnitzk,A.,Hayes,D.,& Vinall,P.E. 2014,(c. 5.1). These services are typically for clients over the age of 65 years old and is used to promote independence and security for those who cannot take care of their needs due to illness or debility (c.6.1). The type of provider will depend on the type of care a client needs. For instance, some elderly people that need help with food preparations or everyday activities will request to stay at home and have a family member take care of them. This is one way that long-term care is rendered but is unpaid. Another way is through nursing facilities, skilled nursing facilities and assisted living that will handle more complex or full-time
Assisted living facilities offer 24-hour supervision, personalized care for each individual, social activities, limited nursing
As a DNP practice scholar, this project will focus on “The relationship between effective behavior intervention and prevention of disruptive behavior in dementia patients living in a long-term care facility in Dallas Texas.”
Declining health and depression are two of the largest reasons families look into assisted living homes for aging loved ones. Making sure that the healthcare needs of the elderly are met becomes a priority for every family as the roles begin to reverse from the parent being the primary caregiver of their children to the children being responsible for meeting the needs of aging parents. Diseases such Alzheimer’s and dementia are very difficult for not only the
Dementia is an extremely common disease among the elderly, with 4 million Americans currently suffering from the Alzheimer’s type alone. Figures show that 3% of people between the ages of 65-74 suffer from the disease, rapidly increasing to 19% for the 75-84 age bracket, and as high as 47% for the over 85s. Therefore, it is easy to see why Dementia is such a large part of many people’s lives, whether they are suffering from the condition themselves, or have an elderly relative who requires full time care just to undertake simple day to day tasks. The disease can be extremely traumatic for the patient and their families, as the person, who may have been extremely lively and bright throughout their
Out of the rapidly inclining population in the world, there are people who develop dementia every 66 seconds(“2016 Alzheimer’s Disease”). Being such a common disease in the elderly, there are 47.5 million people in the world with this disease(“2016 Alzheimer’s Disease”). Once families start to realize that their parents and grandparents have developed this, they start to wonder if they are able to live on their own. Within a few months, a decision is made whether if it is best for them to be put into a nursing home. Most often, those with dementia do happen to end up in nursing homes. Many wonder if being put into a nursing home will actually cause their dementia and their ability to live on their own to worsen. With the effects of activities, this could change. Activities help slow the deterioration of the brain(Smith). The activities and exercises performed by nursing homes to help improve the overall cognitive development in dementia patients. Nursing homes should induct purposeful daily activities to improve cognitive, social, and psychological development in dementia care
A study by Lauriks et al.,(2012, pp.233) reveals that Information and Communication Technology (ICT) devices identifies thirteen interventions that are focused on wandering behavior of the dementia people. The purpose of this device is to detect the wandering behaviour and timely management for the risk. The examples of (ICT) are Global Positioning System (GPS): to detect the location of a person, wristband that activates the boundary alarms, floor lightning system that are activated with the movement of wandering person, communication system instructing person to return to his bed and alarm alerting the caregiver for wandering behavior of person. The study was completed in residential home, hospital and home settings. The effectiveness of the use of ICT was found to be reliable, effective and successful detecting the wandering, finding the lost person and reduced the stress to the care giver. However, the method is only to detect wandering person but not the treatment but the early detection decreases the risk of fall injury and other injury associated with
To be aware of a client’s actions, such as knowing what to do when a client wanders, when a client is hallucinating, or having a delusion and when a client is experiencing sun-downing or sleep disturbances. Wandering: Make sure the client is always wearing their identification bracelet (or Alzheimer’s Safe Home Registry identification), and they are properly dressed. It is always good for the support worker to distract the client from leaving the facility. Hallucinations and delusions: Reassure the client that they are safe with a soft touch to promote comfort, and to distract the client with an item or activity, such as walking the client in a different
Needs Assessment (NA) is a systematic set of approaches that is used to establish the needs of a community by identifying; at-risk groups, risk factors associated with the health and establishing resources available in the community that can be used to mitigate the health problem (Lebron et al. 20016, p. 111). NA therefore, requires community participation, is conducted before planning an intervention and is used to tailor interventions that suit the target population (Lebron et al. 20016, p. 111).