Assisting individual with dementia can be very rewarding but circumstances can arise that are hard for the client with dementia or carer and can even be both parties. Hence, as an experienced carer it is vital to try to see things from the service user’s point of view. When dementia progresses it will create behavioural problems that can be very confusing, irritating or strenuous for family or carers to cope with and this could make the carers, family members and others very upset and stressed. As a carer it is good to understand that there are many reasons why anyone with dementia may not be prepared to do exactly what we would like them to do. Individual with dementia should not be expected to go along with our wishes or stick to our standards. Therefore, I always do my best to cooperate with them and consider my approach and try to gain as much knowledge as I can about the service user, their standards and preferences (Social Care Institute for Excellence, 2016).
4.1 Applying the best technique for someone that has dementia can be determined by their stage and their level of understanding of the world. It is critical not to use these approaches if it causes distress or ill-being in any way to them. Hence, these two very distinctive approaches can aid to reinforce an individual’s sense of self and belonging,
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Its reinforce information pertaining to the current time, place and people involved in the present moment. A good example of techniques that promote the reality orientation approach could be, having labels on doors and drawers, having large clocks with the time and date on it around the home. Thus, helping to orientate someone with dementia can assist good lasting relationships to form as well as encourage social interactions and also working to reassure the service
2.1: Describe how current legislation, government policy and agreed ways of working support inclusive practice for dementia care and support
There are many different types of roles and responsibilities that come with being a care worker for somebody with dementia. The care worker has to promote dignity for the service user. Respect them and give them independence, their rights and privacy. Again giving them privacy could just be by closing their toilet door so nobody can see them when on the toilet. Focusing on strengths and the things they have the ability to do. For example when lied in bed if they can’t sit up to help themselves out of bed, rather than saying ‘you know you can’t do that on your own, you don’t need any help’ ask them ‘do you want some help? I’ll help you up, you swing your legs out of bed then you can get up’. By focusing on the things they can do you’ll be helping to promote their independence to do something else. Involving their friends
Current legislation and government policy were put in place to ensure that care providers provide the best possible care for dementia patients. Government equally provide funding to improve care environments to help to manage the condition of people with dementia as they are less likely to get confused or become distressed within an environment designed with their needs in mind.
How the Impacts of change supported: The efficiency and the quality of the service provider is very important. Ensure that the staff are well-trained and experience in dealing with people with dementia. Members of the family of the person with dementia should be updated all the time. You need to develop an activity plan in order to retained the persons abilities and interests from their past. Staff and family member should be well-informed about the different support services offered with
Focusing on dementia, it is not constantly possible to involve the dementia sufferers in the decision making course of their care without encouragement and assistance by
Person-centred care is not just about giving people information. It is about considering people’s desires, values, family situations, social circumstances and lifestyles; seeing the person as an individual. Being compassionate, thinking about things from the person’s point of view and being respectful are all important. In my care home we make care plan as an person centered, while implementing the care plan we involve client, families, friend and the carer. They all care gave the proper information of the person with dementia. This will help us or the care giver to treat people as an individual. Through their life history we can understand their likes and dislikes. Support their right and choice. It also help us to improve their health and needs and reduce the burden on health service.
Dementia patients rely and wholly depend on their caregivers to ensure that they are kept safe and properly cared for. In my distinct role as caregiver and advocate, I need to implement a therapeutic approach not only in dealing with my patient, but also with those around him. Significantly, observing therapeutic communication at all times is integral to building that trusting nurse-patient relationship. Once that relationship was established, it provided for a little bit of understanding of my patient’s way of thinking as well as a chance to evaluate and rationalize some of my own biases. Although, establishing clear boundaries proved to be a challenge for patients who are afflicted with dementia, constant reinforcement with my patient proved to be therapeutic. Similarly, since the patient’s behavioral disturbances stemmed from his mental condition and further aggravated by the progression of the disease, I can only therapeutically minimize and control external stimuli that triggers his
As volunteer support worker working with dementia client in hospital and within the local community my duties include providing support, information to the clients we support and advocacy to enable them to make informed choices and decision. Offer emotional and practical support to all our clients also helps clients to maintain their independence as long as possible in all areas of their life by providing appropriate information, opportunity, counselling and support. For example; Mary was admitted in hospital due a fall she has and could not remember anything about it. When doing activity in the hospital ward singing for the brain she would recall most of the song. Gregor, K, (2012).
The importance of working in a team is vital to avoid feelings of being overworked and hurried. In order to implement quality-assured care, caregivers, families and patients need to feel a sense of belonging, purpose, security, significance and continuity. (BW) Applying the senses framework will improve the ability to be open about care provided and allow relationships to blossom as caregivers, families, and patients work together. (Brown Wilson). Including families and patients in decision-making will enrich the environment giving a sense of significance and stimulating conversations. Of up-most importance is including family in decision making on topics such as finances, advanced directives and the future. Approaching this early and being open about these topics is beneficial so that the patient can partake in conversation while they are competent, creating a positive foundation where everyone has the same understanding. As dementia progresses, it may become tougher for the patient to make these decisions so approaching it early will only ease the
Communication- Clear verbal and non-verbal communication is vital while assisting aged people. If an individual suffers from dementia, then keep messages simple and short, and provide instructions step by step. If a person has difficulty in finding the right words, just ask broad yes or no questions like, "Does it have to do with lunch?" When offering care, be aware of gestures and non-verbal clue that can be displeasing to the care receiver. Also be watchful to the person's body language when helpinh him. A flinch or grimace can bespeak soreness even if the words say differently.
You spend your saturday visiting your mom at her nursing home. You walk up to her and for a split second you seem familiar to her, but that changes when you go in for a hug. She no longer knows who you are and begins screaming and becomes combative. This is what family members of those living with alzheimer’s experience. The nursing homes, with the help of research, have found practices that work best for those living with this horrible disease.
Alzheimer’s disease is the most common form of dementia. It is a degenerative neurological disease and progressively affects the severity of cognitive skills, memory loss, language, disorientation of time and difficulties in performing daily tasks. In 2014 almost 800,000 people in the UK over the age of 65 years had dementia and that number was estimated to increase substantially (Age UK, 2015), putting excessive pressure on the residential care home now and even more so in the future. The World Health Organisation (WHO) have recognised globally, structural barriers in the health and social care system. The Active Aging policy released by the WHO date recognises the rights for the older generation and states that they have the right to equal opportunity and treatment in all aspects of life.
According to Alzheimer’s Association (2010) seventy percent of total number of people living with Alzheimer’s disease are not institutionalized which means that they are provided with care of caregivers. Montgomery and Kosloski (2009, 47-48) claimed that caregivers must be provided with aid in order not to stop looking after people living with Alzheimer’s disease. It is apparent that caring necessitate much time, which can have effect on a caregiver’s personal life (job, relationship with friends and etc.). Providing caregivers with help required much effort and it is not an easy task. Many interventions have not taken into account that every caregiver is unique. Different services such as ‘educational programs, counseling, support groups, and respite services’ have been used (ibid,47). However, many caregivers refuse the supports, but the amount which was achieved in supporting services is considered to be useful for caregivers. Many support providers complain that caregivers do not use the services very much, because they think that they are not beneficial. This can apply
Because when caring for a client with dementia their behaviour can change they can sometimes become more confused, irritated and angry but what you need to do is try and help find out what is actually wrong with the client why they are acting out maybe they miss their family or they could be in pain and this is what the problem is they might not be fit to tell you this so you as the healthcare assistant needs to have good interpersonal skills such as active listening to help and understand why the client is behaving in this particular way. You need to get down to their level, speak clearly to him/her, let the client know that you are there for him/her let them feel comfortable around you never try and rush the client or get annoyed towards
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