Alice is presenting with immobility, due to arthritis, forgetfulness, agitation and low mood. Forgetfulness can be attributed to cognitive impairment and subsequent memory loss and is a symptom of dementia (DH, 2009). Agitation and low mood can be attributed to symptoms of anxiety and depression which are common symptoms of dementia (Hynninen, M., et al, 2012) (Seignourel, P. J., at al 2008) (O’Connor et al, 2009) and the presence of these symptoms may indicate accelerated cognitive decline and relate to poorer cognitive performance (Beaudreau, 2008). Dementia, as a health condition is a degenerative condition which leads to progressive decline in a number of areas of function such as memory, reasoning communication skills, and the capacity
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Passos et al, (2012) recognises that “dementia patients present a wide range of needs in physical, psychological, and social areas that require a comprehensive integrated care assessment and great physical and psychological availability of professionals and services once the assessment is completed”. Alice requires a care assessment which should be tailored to her preferences, goals and needs (Thompson and Roger, 2014) and should also be based around the Roper, Logan, Thierney (RLT) model (Activities of Daily Living) (RLT????) and, as advocated by the Department of Health (2009), coupled with a person-centred care approach using an individualised care plan formulated following the assessment. The care assessment should include the relevant services that Alice is likely to require and should also be performed to access Alice’s ability to perform ADL’s (Kim, 2007). The RLT model should be used since, as Pearson et al, (2000) state, the model “promotes the active involvement of the person with dementia in all aspects of support and life, and promotes the importance of maintaining the ‘personhood’ of people with dementia by ensuring the same respect and consideration is given to individuals as before they developed dementia”. The model puts the person, rather than the illness, at the centre of care and ensures that an …show more content…
Alice’s needs are associated with physical health and pain, immobility, memory, psychological distress caused by loneliness, diminished self-esteem, and reduced social interaction. Her needs include household skills, self-care, safety, daytime activities, behaviour, and social interaction (Passos, 2012). The RLT model of care primarily addresses ADL’s and provides an understanding that no one activity takes place without being related with any of the other ADL’s and so therefore provides a framework that encompasses a complete level of holistic care (Holland, 2010), including interventions that both work to resolve current problems and take steps to prevent possible problems in the future (Pearson, 2000). The RLT model also addresses psycho-social needs for comfort attachment, inclusion and identity which, when effectively managed, will improve Alice’s well-being (Kelly, 2010). Interventions that reduce cognitive impairment and that do not increase the risk of falls are important when addressing dementia, arthritis, and immobility (Oliver, 2009) and should be coupled with preventative measures that promote the enablement of Alice to remain mobile with the inclusion of therapies that encourage stimulation which
Passos et al, (2012) recognises that “dementia patients present a wide range of needs in physical, psychological, and social areas that require a comprehensive integrated care assessment and great physical and psychological availability of professionals and services once the assessment is completed”. Alice requires a care assessment which should be tailored to her preferences, goals and needs (Thompson and Roger, 2014) and should also be based around the Roper, Logan, Thierney (RLT) model (Activities of Daily Living) (RLT????) and, as advocated by the Department of Health (2009), coupled with a person-centred care approach using an individualised care plan formulated following the assessment. The care assessment should include the relevant services that Alice is likely to require and should also be performed to access Alice’s ability to perform ADL’s (Kim, 2007). The RLT model should be used since, as Pearson et al, (2000) state, the model “promotes the active involvement of the person with dementia in all aspects of support and life, and promotes the importance of maintaining the ‘personhood’ of people with dementia by ensuring the same respect and consideration is given to individuals as before they developed dementia”. The model puts the person, rather than the illness, at the centre of care and ensures that an …show more content…
Alice’s needs are associated with physical health and pain, immobility, memory, psychological distress caused by loneliness, diminished self-esteem, and reduced social interaction. Her needs include household skills, self-care, safety, daytime activities, behaviour, and social interaction (Passos, 2012). The RLT model of care primarily addresses ADL’s and provides an understanding that no one activity takes place without being related with any of the other ADL’s and so therefore provides a framework that encompasses a complete level of holistic care (Holland, 2010), including interventions that both work to resolve current problems and take steps to prevent possible problems in the future (Pearson, 2000). The RLT model also addresses psycho-social needs for comfort attachment, inclusion and identity which, when effectively managed, will improve Alice’s well-being (Kelly, 2010). Interventions that reduce cognitive impairment and that do not increase the risk of falls are important when addressing dementia, arthritis, and immobility (Oliver, 2009) and should be coupled with preventative measures that promote the enablement of Alice to remain mobile with the inclusion of therapies that encourage stimulation which