...Dementia gradually robs people of their independence, dignity and loved ones. For the purpose of this assignment the author is going to use evidence based research to critically discuss the care of two couples who have lived together for a long time, because of the cruelty of Alzheimer’s disease they have been separated. For the purpose of confidentiality pseudonyms will be used in this assignment (National Midwifery Council, 2002). Jim Blake’s care will be discussed first followed by the care of his wife. An overview of Dementia will be explored first followed by Jim’s care. Analysis of risk assessment and management will be incorporated in the delivery of Jim and Mrs Blake’s care. Different psychosocial interventions will be applied in the care of the two couples. Throughout the assignment government directives will be used in support of these interventions. Lastly implications for clinical practice will be analysed prior to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...this week’s tutorial. Displayed for students information & awareness on the room display boards is “Maslow’s Hierarchy of Needs”, students are asked to interpret this information, discuss & describe how a nurse needs to apply it as professional activity during working hours, keeping in mind OH&S & the level of safety & security. Included in Maslow’s Hierarchy & displayed as a pyramid connecting on thing to the one above are self actualisation, esteem, belongingness & love, safety & physiological needs. For the first case study you have to apply Maslow’s Hierarchy of Needs to Mrs Wall the 80 year old with history of MRSA, diagnosed early dementia & dysphagia. Also discuss the risks for the attending nurse, the client (Mrs Wall) & any others whom could be at risk, like her husband, Bill. Part of the work to be done for week 3 is describe & compare the art of nursing & the science of nursing. We are to evaluate how art & how science is applied for case study with Mrs Greentree, what factors could have been changed to make the scenario better for the client & the nurse providing assistance/ care....
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...Dementia Supporting people with dementia and their carers in health and social care Issued: November 2006 NICE clinical guideline 42 guidance.nice.org.uk/cg42 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at www.nice.org.uk/accreditation © NICE 2006 Dementia NICE clinical guideline 42 Contents Introduction................................................................................................................................... 4 Person-centred care ..................................................................................................................... 6 Key priorities for implementation .................................................................................................. 8 1 Guidance ................................................................................................................................... 11 1.1 Principles of care for people with dementia ...................................................................................... 11 1.2 Integrated health and social care ..................................................................................................... 17 1.3 Risk factors, prevention and early identification...
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...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
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...is to critically synthesize the existing literature on family involvement in residential long-term care. Studies that examined family involvement in various long-term care venues were identified through extensive searches of the literature. Future research and practice must consider the complexity of family structure, adopt longitudinal designs, provide direct empirical links between family involvement and resident outcomes, and offer rigorous evaluation of interventions in order to refine the literature. NIH-PA Author Manuscript Keywords Family Involvement; Nursing Homes; Assisted Living Facilities; Family Care Homes; Family Caregiving; Informal Care NIH-PA Author Manuscript Over the past several decades, various research studies have demonstrated that family members remain involved in the lives of their loved ones following placement in residential long-term care facilities (e.g., Bowers, 1988; Maas et al., 2000; Rowles & High, 1996; Smith & Bengston, 1979; York & Calsyn, 1977; Zarit & Whitlatch, 1992, to name a few). These collective findings have helped debunk the myth that families abandon their relatives in nursing homes or similar settings to die in isolation (Rowles, Concotelli, & High, 1996). Although the roles of families in residential long-term care have continued to receive attention in the literature, the findings are diverse as studies are often conducted from different perspectives and are dispersed across various disciplines. The...
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...that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory. However, the more useful session was the second one where each Registrar presented an “Ethical case history” to the Registrar Group. The Case History summarised an Ethical problem that had concerned the Registrar, and in each case was followed by discussion. As...
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...like you to try this exercise routine.” 19 5. Talking About Sensitive Subjects “Many people your age experience similar problems.” 23 6. Supporting Patients With Chronic Conditions “Let’s discuss living with . . .” 36 7. Breaking Bad News “I wish I had better news.” 40 8. Working With Diverse Older Patients “Cultural differences, not divides.” 44 9. Including Families and Caregivers “What would you like your family to know?” 48 10. Talking With Patients About Cognitive Problems “You mentioned having trouble with your memory.” 51 11. Keeping the Door Open “Effective Communication” 58 Publications At-a-Glance 60 Services At-a-Glance Tear-Off Card Foreword Good communication is an important part of the healing process. Studies find that effective physician-patient communication has specific benefits: patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Research also shows that good communication is a teachable skill. Medical students who receive communication training improve dramatically, not only in communicating with patients, but also in assessing and building relationships with them. Time management skills also get better. Interpersonal and communication skills are now a core competency identified by the Accreditation Council on Graduate Medical Education...
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...ASAN AUTISTIC SELF ADVOCACY NETWORK POLICY BRIEF • MARCH 2013 Organ Transplantation and People with I/DD: A Review of Research, Policy and Next Steps Ari Ne’eman, Autistic Self Advocacy Network Steven Kapp, University of California, Los Angeles Caroline Narby, Autistic Self Advocacy Network Introduction Since organ transplantation was introduced as a viable treatment option, people with disabilities have faced significant barriers to accessing the life-saving procedure. The Rehabilitation Act of 1973 prohibited discrimination on the basis of disability by entities receiving federal funds, and the Americans with Disabilities Act of 1990 extended this protection more broadly across other areas of society. However, it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. Due to the lack of medical knowledge on the part of the average patient or family member, people with I/DD often face little recourse when denied transplantation or even referral for consideration for such a procedure. In the last twenty years, some progress has been made on this issue, yet the need for further action on the part of activists and policymakers remains exceptionally clear. Background … it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. People with I/DD and Organ Transplantation: A History of Discrimination In 1995, Sandra Jensen, a 34-year...
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...issued an order consolidating several lawsuits against the National Football League into one large case of Multidistrict Litigation. All of the lawsuits that have been filed claim “tortious conduct” on the part of the NFL, resulting in neuro-degenerative disease and injury to professional football players. As of January 24, 2013, over 4,500 retired NFL players, more than one-third of players to ever sign an NFL contract, had brought a suit against the NFL concerning the head injuries that they sustained on the field during their playing careers. (Anderson, 1). Given the outstanding popularity of football in the United States, these lawsuits have garnered the attention of national media, prompting debate, discussion, and research about the dangers of football-related head injuries and the future of the NFL. (Fenno, 1). The litigation has the potential to reach the scale of the Big Tobacco litigation of the 1990’s, but the NFL has thrown a substantial roadblock in the players’ suit with a federal employment law preemption defense. (Fisher, 1). The consolidation of all the lawsuits into the Multidistrict Litigation has created the ability for both parties to decide the legal issues presented by the players’ claims and the NFL’s defenses. This paper will examine the merits of those claims and defenses, offer insight into how the players applied rhetorical devices to further their case, address the link established between the NFL and Big Tobacco, and how the court could likely rule...
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...BTEC Level 3 National Health and Social Care uncorrected first proofs issued by marketing 2010. This material is © Hodder Education 2013 and should not be redistributed. Contents Walkthrough About the authors and Photo credits Core units vii ix Unit 1 Developing Effective Communication in Health and Social Care Understand effective communication and interpersonal interaction in health and social care Understand factors that influence communication and interpersonal interaction in health and social care environments Understand ways to overcome barriers in a health and social care environment Be able to communicate and interact effectively in a health and social care environment 1 2 13 15 18 Unit 2 Equality, Diversity and Rights in Health and Social Care Understand concepts of equality, diversity and rights in relation to health and social care Know discriminatory practices in health and social care Understand how national initiatives promote anti-discriminatory practice Know how anti-discriminatory practice is promoted in health and social care settings 21 21 30 34 39 Unit 3 Health, Safety and Security in Health and Social Care Understand potential hazards in health and social care Know how legislation, policies and procedures promote health, safety and security in health and social care settings Be able to implement a risk assessment Understand priorities and responses in dealing with incidents and emergencies 44 45...
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...HOW TO BRIEF A CASE [OR–WHY DIDN’T I CHOOSE TO GO TO MEDICAL SCHOOL] By Dana L. Blatt, Esq. You are just about to start law school. You buy all of your required casebooks [they are about two feet thick–only “slightly” intimidating], and you receive your first assignment. You are simply told, “read the first 100 pages in each book and BRIEF all of the cases!” O.K., you know how to read [hopefully], but what does it mean to “brief” a case? You have heard of “briefcases,” but that is something that you carry around. The last time you sang at a karaoke bar someone may have asked you to be “brief,” but instinctively you know that that is not the kind of brief that is being discussed here. And you may even be wearing “briefs.” But, what is a brief of a case? For that matter, what is a case? The purpose of this article is to teach exactly what briefs are, why they are important, and how to draft them. You will learn most of the various ways to brief a case, the basic elements of each brief, and how briefs are used in various contexts. Additionally, you will read sample cases and briefs of those cases in every format. By the time you finish reading this, you will be so sick of briefs, that you will wish this writing were much briefer! So, now let’s get down to business. What is a case? A “case” starts out as a lawsuit between two or more people. The parties to the lawsuit have a trial and one party wins while the other loses (or possibly there is no...
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... During the course of this induction guide I'll explore various types of abuse in health and social care sector that include; emotional/ psychological abuse, sexual, physical abuse, financial abuse, and neglect. there are other abuse like domestic violence, discrimination. I"ll also identify the sign and indicators of abuse and also explore social and cultural factors which are responsible for abuse. Safeguarding Adults A person over age of 18 years is vulnerable adult if by reason of old age, infirmity, injury, illness, mental or disability, he/she is unable to protect him/herself against significant harm and exploitation (No secrets guidance 2000). So the most vulnerable groups are * individual with mental health issues e.g. dementia, schizophrenia, * Individuals with learning disabilities and autism spectrum disorder * children and young people * Elderly people in nursing home/ care home or...
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...he Beck Depression Inventory (BDI, BDI-1A, BDI-II), created by Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression. Its development marked a shift among health care professionals, who had until then viewed depression from a psychodynamic perspective, instead of it being rooted in the patient's own thoughts. In its current version the questionnaire is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest in sex.[1] There are three versions of the BDI—the original BDI, first published in 1961 and later revised in 1978 as the BDI-1A, and the BDI-II, published in 1996. The BDI is widely used as an assessment tool by health care professionals and researchers in a variety of settings. The BDI was used as a model for the development of the Children's Depression Inventory (CDI), first published in 1979 by clinical psychologist Maria Kovacs.[2] Contents [hide] * 1 Development and history * 1.1 BDI * 1.2 BDI-IA * 1.3 BDI-II * 2 Two-factor approach to depression * 3 Impact * 4 Limitations * 5 See also * 6 Notes * 7 Further reading * 8 External links ------------------------------------------------- Development...
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...Chapter 1: Ethical Theory Meta-ethical positions include: * Ethical non-cognitivism (concept that ethics is a matter of feelings) * Ethical relativism (concept that ethics is relative to a particular point of view) * Ethical objectivism (notion that ethics is objective in nature). Meta-Ethical Positions Ethical Non-cognitivism The basis of ethical non-cognitivism is that ethical disagreement can be a highly emotional affair where no amount of reasoning is likely to convince the other party. * Example: “Let’s just agree to disagree” Ethical Relativism * Ethical relativism says that while ethical statements are cognitively meaningful, they do not hold in any objective sense because they depend on our point of view. * If we accept ethical relativism, then ethical disagreement among people who do not share the same perspective becomes impossible. * It assumes that if people agree on something, then it must be true. * Ethical relativism is suspect for a pragmatic reason: it is fundamentally at variance with our social practice. * Example: “To each his own”, or the belief that what’s right for one group isn’t necessarily right for another Ethical Objectivism * Ethical objectivism holds that right and wrong are objective phenomena. * Example: “I’m right and you’re wrong” What is Ethics? * As a discipline, ethics is a branch of philosophy. * It deals with questions of right and wrong conduct, and with what we ought to do and what...
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