Possible Treatment and Management Plans †MyAssignmenthelp.com

Question: Discuss about the Possible Treatment and Management Plans. Answer: Introduction: The stage of dementia calls for personalized care which demands she remains at the facility. Given her condition, it is necessary to use both verbal and non-verbal communication to discover what names she likes and use the same towards persuading her to remain within the facility. Once she accepts, the family shall be informed of the case before proceeding with the admission, and possible treatment and management plans begin right away. The transition will be easier with one of the family member mostly desired remaining within the area for observation. Information about Mavis has to partly come from the patient, and the other bit come from the relatives or person taking immediate care of the patient. Besides, relevant information on the activities that one desired or loved doing has to be collected and the medical history of the condition given to determine if it is a first-time case or a relapse case. The information can be compared with the one offered by the client to check on the type of condition and characteristics presented to determine the type of dementia developed. Person-centered care calls for a focus on the needs of a patient rather than that of the service to be rendered. In this case, I would act or seek consent from the patient and the immediate relative on the best means to explore in handling to try and be relevant to the problem at hand. Instead of following the process, I would opt to ask the patient the issue directly and find the most feasible way of restoring one without deviating from the interests. On the other hand, I would use the patients emotional and spiritual well-being to act in accordance to what one desires and follow the protocol based on the wishes. At the same time, I would make use of both verbal and non-verbal means to answer the questions brought forward to ensure understanding and ease the healing process. In gaining her trust and acceptance, I would use the names she desires and loves to be called while giving maximum attention to the patient and the welfare progress. In the process, I would use an accessible language free from terminologies in promoting dignity to the patient. Such acts involve saying out words loudly, using facial expressions, and shaking of the head in acceptance or denial. Activities such as dancing, singing church songs, and leading in social events should be given to remind one of the hobbies thus boost their self-esteem and independence based on their preferences. Assist her in recognition exercises such as telling the time of the day and acknowledging images from photos. At the same time seeking one's opinion on issues and seconding their ideas assist in boosting self-esteem and independence in thoughts and acts. Stigma for such patients arises from cases that portray lack of ability or negative comments and views on the condition. In this respect, I would stay away from making negative comments even in cases where one fails to meet required standards and instead encourage one in his efforts. At the same time, I would encourage every little progress made and communicate with the zeal that everything was doing fine to boost patient morale and ability to recover. Moreover, I would ensure one takes part in activities that are easy and manageable thus turning positive results. Beth exhibits several characteristics that are of concern to the caregiver. First, she argues and hits the husband thus showing signs of intolerance and later accuses one falsely without prove. Further her movement around the garden and moving pots while accusing others of the same elicits behavior of concern. The behavior of hitting the husband registers worries as the same can occur in other patients and the caregiver thus raising serious safety concerns to personal safety. In managing hallucination, emanating from the thought of events not occurring in reality, I have had to reassure individuals of their security and that nothing of the sort happened. I have had to provide assurance of safety and instill trust among the patients. At the same time, memory loss problems have been handled through labeling items within ones vicinity, installing automatic sensor lights, and other applications that boost memory and making them stay out of danger (Dewing Dijk, 2016). The methods have been effective in reminding patients of the time and name of the item thus mention it and experience a high self-esteem. The strategy is suitable for the present, and the future gave the benefits it delivers to clients. The behaviors could have been triggered by the disease which led to memory loss and other affairs happening at home that might lead to suspicion. Memory loss leads to forgetting of an issue, items, and time thus call for reminders to keep up with the pace. Team members could be of value by handling patients according to intuition as well as through experience and concern to preserve their self-esteem and independence. It would add value for individuals to reason, stay happy, and always use effective communication techniques in keeping patients happy. Beths husband needs to be encouraged and made to understand the reasons behind the behavior and have it perceived as normal for such individuals. In this respect, one would understand the underlying reasons and appreciate the importance of the services in restoring the normal thoughts and activities of the individual. Counseling has to be given to ensure the husband understand and take no offense on the wifes acts against him. Proper safety measures have to be considered to ensure the patient does not hurt the husband. Besides, a record has to be kept of the personal history and the progress report based on the incidences observed. The records would assist in determining during the next visit if the patient improved and if the husband needed more counseling services (Dewing Dijk, 2016). The information would be collected and treated with utmost confidentiality and only shared with the relative and other persons of concern allowed by the family. The information shall remain in safe storage with backup information and only remain accessible by authorized personnel. Information needs to be kept secret and only released or accessed by persons recognized by the policy. The illness could render the husband stressed; given the reaction and the slow pace of recovery if at all the situation occurred previously. The family would remain worried about the progress and wonder at the hostility registered which would be a stress factor and a worry once the wife left the facility. At the same time, the husband shall have a fear of losing a sane wife as one ponders on the future undertakings. The case presents no form of abuse but rather a case of restraint and restricted practice. The son in the case restricts or ensures the father receives no mails owing to his condition but rather decides to do so on behalf and have the issues addressed promptly. Therefore, no abuse occurred in the process but only prevented the father from forgetting on key issues spelled out in the mails by having them sent personally. Cases of abuse are to be addressed through the relevant authority. Noted cases have to be reported to the family members if the perpetrator is external and on the other hand report to caregivers or the police if the case occurs internally. At the same time, the victim has to be encouraged and assured of safety and that no further harassment or abuse shall happen in future. There is a need to explain the matter to the individual and point out the dangers of leveling further abuse cases on older persons. Besides, it is fundamental to dispense any fears that the information might be coming from the victim to do away with cases of victimization. Making the issue clear would lead to a change of habit. Stressful events can impact negatively on the life of a caregiver. Whenever I begin to feel emotional or preoccupied with an individual issue, I understand how it might affect my practices thus seek for help. Getting nervous or less concerned with patient progress shows a shift in attention thus a need to reorganize oneself. In a stressful event, it is proper to seek counseling help to improve ones well-being. At the same time, I preoccupy myself with books and other social activities to forget the worrying situations. Moreover, I communicate with colleagues on issues and have them assist in wearing them out. Dementia is a progressive health problem which bears significant consequences to the health and quality of life of individuals and their families. The impacts of the disease increase as the severity of the condition grows thus increasing dependency on the care providers. The state presents memory loss and possible actions resulting from the same. The changes in people are noticeable and come out gradually as in the case of memory lapse that may begin in a small way but turn out large in the long run. After that, impaired judgment may follow thus affecting the ability to reason and carry out things. The condition occurs in four distinct stages with the first being mild and the last being worse than the rest. The onset of dementia correlates with the case of Alzheimer which accounts for a significant percentage of the condition. Dementia refers to a collective description pointing to various symptoms of decline in cognitive ability which results in forgetful nature. In this respect, it bears a connection to several underlying diseases and brain disorders. An approximate number of over 47 million people in the world suffer from the condition which affects mostly the seniors. In as much as it is connected with aging, the condition is not a normal part of aging. The condition is caused by damage to the brain which leads to the cognitive challenges. Once damaged, the act interferes with the general ability of the brain to communicate with each other thus affecting the feeling, thinking, and behavior of individuals. Several parts of the brain may be damaged such as the memory, movement, and judgment sections which lead to a dysfunction (Brooker Latham, 2015). Some injuries are permanent and can worsen over time while others can be improved or treated. The conditions that can be treated include thyroid problems, vitamin deficiency, and alcoholism and depression cases. The situation is split into two groups depending on the part of the brain that has been damaged. The cortical dementias occur due to problems in the outer layer of the brain known as the cerebral cortex. The part plays a critical role in the retaining of memory and language. Persons affected by the condition present severe memory loss and find it hard to comprehend language previously understood. Typical forms of the disease include the Creutzfeldt-Jakob and the Alzheimer diseases. The second type is known as the sub-cortical dementias which result from the damage in parts of the brain beneath the cortex (Brooker Latham, 2015). Persons affected with the condition find it hard to think quickly or start activities promptly. There exists no test in the determination of persons with dementia but rather depend on the medical history and observable characteristics and changes in thinking. Therefore, it 's hard to determine the exact type of condition unless one observes the features over a stretch period. Once detected, a patient is prescribed to a doctor based on the level where specialized care may be recommended. Persons with the condition exhibit memory loss, difficulty in accomplishing tasks as earlier done, communication challenges, distortion in thoughts, changes in moods, personality changes, and the loss of initiative where people reduce interest in events earlier perceived as a hobby. Treatment of the condition depends on the cause since some can be cured while others contained or suppressed as one continues to live with the condition. Drugs and practices are administered to slow the pace of the condition and suppress the symptoms. Non-drug therapies can be used to ease in some conditions. Increased research and study can be used to find means towards preventing and controlling the situation in manageable levels. There are several principles surrounding the patient centered practice. The principles include respect for patients preferences in given cases, coordination and integration of care. At the same time, it introduces information and education to patients to furnish them with issues surrounding their progress. Physical comfort is another principle which ensures patients are safe and comfortable and the principle of emotional support. Besides, there are principles dealing with involvement of family and friends in patient care information and handling, continuity and transition as well as the access to care for patients within facilities. Sexual assault for the group involves indecent assault and exploitative behavior on people without their consent. Emotional abuse includes threat of maltreatment and intimidation to individuals facing the condition. Neglect involves the deliberate failure to provide protection to patients and failure to provide medical attention to the individuals. Examples of physical abuse include infliction of pain as a form of discipline and attempted suffocation. Psychological abuse relates t torture of mind and the act of subjecting individuals to stress when facing the condition. The use of facial expression is a strategy essential in enhancing communication with individuals facing dementia. On the other hand, communicating using familiar words accompanied by non-verbal cues would assist in understanding communication aspects. The strategy of mixing the two assists in fostering understanding and the power of intuition essential in decoding information. Engaging individuals in activities must be done with a careful consideration on the persons. Time is crucial in that patients do not have to be involved in activities that take long as they lose concentration fast. Moreover, the activities have to promote self esteem and maintain skills learned by individuals. Similarly, the activities must not be competitive as they may make individuals give up. It must be interesting to the individuals taking part in the activities for relevancy purposes. Persons with dementia can be assisted by having them participate in activities that thrill them and keeping them in watch while removing objects that may endanger them from vicinity. Independence would arise in cases where people are free to do what they want and those that please them. Information can be collected from the previous medical history while the rest can be retrieved from the immediate family or persons taking care of patients. Such records are to be storeed and treated with confidentiality. Assisting a family with a case of the condition involves administering of advise on handling of persons, providing education and information on treatment, developing mechanisms towards transferring patients for specialized care. Care givers can be motivated and emotionally appraised to learn easier means of taking care of patients. Financial impacts might be there as the process is costly especially I seeking specialized services. At the same time, if a bread winner is involved in the case, it causes a financial strain to the family. Psychological torture can exist as in the case where one was well previously and thus affected by the change of events. Homes can be made safe for persons with dementia by evaluating the environment with attention to work rooms, basement, and garages to be free from chemicals and other items requiring supervision. Secondly, it is important to prepare for emergencies by keeping a list of hospital response teams, fire departments, and the local police contacts. The emergency procedures must be common to individuals and surety put to ensure all equipment work. Installation of safety locks have to be set to prevent dementia persons from wandering and getting lost or causing destruction. Guns have to be disabled and stored far from reach to avoid fatalities. Fourthly, it is important to avoid safety hazards to avoid dementia clients affecting them. Documentation at the workplace are stored in the stores and an access control system put in place to avoid interference. A back up data center exists where information can be retrieved in case of theft or destruction of the same. Information can be stored only with the consent of the immediate family where disclosure remains discrete to the interested and authorized persons only. Reporting to the supervisor occurs in cases where the condition of a patient has gone overboard or remains in danger. In this case, the supervisor comes in to assist in restoring safety for individuals. Stress levels can be monitored by remaining aware of the present and normal status of oneself. In this respect, it would be easy to detect and address the cases early through relevant means. In monitoring the levels, I would weigh my engagement level and productivity at the workplace. As such, it becomes easy to seek relevant services from the colleagues to avoid passing the same to the clients. I would take periodic tests and precautionary measures to ensure I remain healthy. At the same time, I would follow all the required factors in remaining well and safe in the working environment. Besides, I would be proactive in noticing patient with communicable diseases and addressing their needs adequately to avoid spreading. It is important to maintain environments for dementia people to avoid stressing them in coping with different environments as their adaptation remains low. The organization ensures each care giver understand patients and encourages so by rotational shifts to ensure information on the different people remain accessible. Improvements could be made where the supervisors could be discussing the cases to prompt understanding among the care givers. Stigma can be handled by allowing individuals work freely and not making patients realize their serious state of affair but rather normalize the same. Making things normal and avoiding amusement and surprises on given cases would reduce the stigma level among patients. References Brooker, D., Latham, I. (2015).Person-centred dementia care: Making services better with the VIPS framework. Jessica Kingsley Publishers. Dewing, J., Dijk, S. (2016). What is the current state of care for older people with dementia in general hospitals? A literature review.Dementia,15(1), 106-124.