Professor Caroline |Tachejian
October 10th, 2017
PSW 053
How Dementia with Lewy Bodies Can Affect the Family.
1) Joe has Dementia with Lewy Bodies and he also appears to show symptoms which is associated to Parkinson’s Disease because he has muscle tremors and difficulty walking. He also showing symptoms which appears to be associate with Alzheimer’s disease because the illness is affecting his cognitive abilities. Since Lewy bodies happen in Lewy body dementia and in Parkinson disease dementia, experts or of the opinion that the 2 diseases may be part of a extra widespread synucleinopathy disturbing the central and peripheral nervous systems. Lewy bodies occasionally occur in patients with Alzheimer disease, and patients with …show more content…
- Bowel and bladder incontinence.
- Appetite fluctuations.
3) The illness impacts Joes cognitive functioning skills which caused it to decrease tremendously. He also suffered considerable memory lost, disorientation, difficulty concentrating and was also often lethargic. He also experiences muscle tremors because of the illness. As a result of all these effects of the illness Joe has become unable to identify his daughter and his grandchildren. His communication skills were affected also, causing him to revert to speaking Italian, hence making hard for him to be understood. His social skill became affected also since he complains that it hurts when he walks.
4) Joe’s illness has affected his family in a negative way. It has affected their relationship, because his daughter decided not to visit him anymore since she cannot cope with him not recognizing her, or his grandchildren and his outbursts of angry. In Joe’s case he felt betrayed and refuses to accept phone calls from his children as he is upset that they abandoned him.
5) Joe was big on family and believed that family should help each other no matter what and because of this he expected his children to look after him whenever the need arises, so when his children left him in the long-term care facility he felt betrayed and disappointed. His expectations of who will care for him were not …show more content…
If that doesn’t help give the resident some space and time before trying to get him to eat again.
b) I will encourage Joes to join other in the lounge to watch tv, listen to music and socialize with other. Introduce Joe with residents in the home that might have similar interest to him
c) I will try to identify and address the emotions and thoughts behind Joe’s behaviour when he expresses suicidal ideations. I would not focus solely on his words but reassure and comfort him. I would also encourage him to reminisces as a healthy strategy rather than arguing (Mosby’s pg818).
d) For memory loss I would ensure that the resident has access to clock/calendar, establish daily routine with him, explain each activity/care procedure prior to beginning it. I would also give him two choices then presenting decisions. I would also use cueing to assist the