Person Centred Care for Dementia Patients

Person Centred C be for Dementia PatientsIngrid w each last(predicate)ow Moreno CastanedaAbstractThis paper presents the different aspects of someone-centred ascend in the promotion of wellness to the senior with monomania and different geriatric wellness conditions. The principles of individuality, chastises, choice, privacy, independence, dignity, respect and autonomy are discussed. Impacts of equality, culture and diversity in the provision of someone-centred approach are in addition presented within the scope of public health, health promotion, attitudes toward health and the demand for health deal out.The non-person-centred approach videlicet institution perspective and bio-medical perspective are too reviewed. By gathering nurture through the internet, an other(prenominal)(a) approaches to the provision of health manage to the date-worn are also discussed and presented so as to give us a better view of the different approaches that facilities might be using and function us understand the social organisation of contend available.IntroductionWe are all unique in both way, although we may come from bingle heathen understate and nonetheless from the same family, we possess our own set of traits that make up our identity. uniform yet different in many ways.Regardless where life history takes us, I believe that each and every one of us has the right to be respected and as we grow older, we continue to live life with dignity.Health providers are continuously looking for ways to make the provision of health be of quality. With insanity and senile care, a telephone hail of approaches are being arranges in ordinate to make their services pillow slip to the require of the leaf nodes nerve-wracking to put into account the complexity of each person.The TaskPerson-centred approach puts the elderly with dementia the centre of care. It is a holistic approach where the elderly works in p fraudnership with the care giver and the fa mily in maintaining, promoting, and enhancing a quality of life for the elderly with dementia.Question 1Person-Centred Approach is the manner of care that focuses on the person as a whole and as an individual. Its care recognizes the uniqueness of the person, his individual(prenominal)ity and personal identity which all contri only whenes to the persons identity. It supports the person with dementia in all aspect of his or her needs and not just on the physical aspect of care. There are a number of principles that are inter-related with each other in this approach. One principle co-exists with the other and the absence of one volition make it difficult for this approach to be a success. This approach allows personal growth of the elderly towards self-actualization steer to proper coping with the changes that comes with old age.Individuality is what sets a person a go from others. It is that set of qualities or characters that distinguishes a persons uniqueness. This is an approa ch that focuses on dealing with the persons subjective view of life. Basing care from the elderlys achievements, abilities and desires at the same clock treating them with respect and dignity as a person.A right is what is due to the person. The approach focuses on the elderlys right to make his own choices on how to live life. It also supports the person to make his own decisions regarding his care and even allowing him the right to experience knotty decisions.Choice. In person-centred approached the elderly is empowered to make informed choices on how to deal with things and on what they want to do and face the consequences after each decision.Privacy is of great importance in this approach. Confidentiality is kept at all eons. The elderlys principles and views of something are not to be discussed with others without the consent of the person involved. This also includes the persons personal date even past experiences. This is also the reason why when render care to residents the doors of the repay on are kept closed to provide privacy for the lymph node.Independence is having the capability to do things on your own. In this approach it supports the person to be on his own and in nine to allow this, the care provider safeguards the surroundings and puts out assistive devices identical handrails to allow movement with a level of independence. And if capable the elderly is allowed to go out of the facility provided with proper identification.Dignity is being worthy of respect. In here the person with dementia is viewed beyond the malady and his views and principles are honoured. This approach allows the elderly to live according to his moral principles. gaze in person-centred approach gives high regard for the elderly putting into consideration the persons achievements, abilities and qualities. The elderly is allowed to uphold his own beliefs and revalues without being judged.Autonomy is letting the elderly in full fill of his care. This principl e is possible in a health care facility when the elderly is given the right information about his diagnosis and give them the chance to understand fully their health condition in order for them to make informed decisions about their care.Question 2Institution perspective focuses on the set of rules and guidelines by the institution. In here the care providers patterns their plans of care abiding to the set of rules of the facility or institution. Like for instances when the client is compose capable of going out, he will not be allowed to do so if it is not allowed in the facility promoting refuge for the client. Also in cases when the rule is for residents to lease their meals in the dining area, thusly all clients will demand to be there during mealtime and will not have the option to have it in a tray in their room not unless if they are not well enough to do so nevertheless their nutritional needs are met by a prepared well fit meal. Institution perspective puts the laws and rules of the institution and its adherence to it as top priority rather than the desires and needs of the clients but still addressing the health, social, emotional and physical well-being of the elderly.Bio-medical perspective deals with the medical aspect of dementia. It starts with setting the medical diagnosis of the disease basing it from the signs and symptoms manifested by the client. Signs and symptoms of dementia vary from one person to another but in order to diagnose it as dementia, it must have at least two impairments from the core elements namely reposition, converse and language, ability to focus, reasoning and judgment and visual perception. This perspective emphasizes that the disease is progressive in nature with stripped hope for the future and intervention is focuse of drug treatment.Question 3Reality-Orientation Approach is presenting information to the person with dementia, re-orienting the person with the date, time, his or her current location and the person and the situation to bring him back to reality. For those with dementia, there is a need for constant re orientation and reminder of the now. It is important to ask them if they know where they are, and tell time the date, the day, time of the day and even sharing information about what is happening in the society to hold open them up to date to humps. thrill providers washstand all build a conversation by inquire the elderly about his family, their whereabouts, and how they are, this squeeze out also be a way to assess the extent of memory loss of the elderly and provide updated information should there be a need. Pictures, clocks, calendars and reading materials apprise also be used to help the client be oriented of important things and be a arrive at indication of today.Validation approach is acknowledging what the elderly with Alzheimers disease is experiencing. Usually this approach is used with spate in the late stage of Alzheimers. In most cases, when an elde rly is on the late stage of the disease they manifest certain gestures or behaviour that may seem abnormal and incomprehensible. These mannerisms are indications of what the elderly is trying to convey. Un want the reality-orientation approach where there is the reorientation of facts, here the thoughts of the elderly are accepted as it is no matter how bizarre it may be, it is seen as a reality either one belonging in the present or in the past. The care provider empathizes with the elderly by putting oneself in the habilitate of the elderly and seeing things with the eyes of the client, at her or his level and stand point. The approach does not resist nor judge the thoughts of the elderly no matter how abnormal it is thus, reducing the elderlys stress, enhancing dignity, promoting happiness for the elderly and understanding the meaning of the behaviour for the elderly. When the care giver steps into the shoe of the elderly they may get to understand that this abnormal behaviour may be a manifestation of the elderlys marginal issues and somehow can help in resolving these issues. Since the elderlys thoughts are not denied and rejected by the care giver, he or she is able to build trust thus encouraging safe conversation.Assistive technologies are devices or gadgets that are products of technology that are beneficial to the elderly with dementia. These are gadgets that can be used to make the elderlys life easier and near to normal as can be and live a life with dignity. To name a few of these devices, we have the hearing assist to help those who are experiencing hearing loss to help them in proper oral communication. Even items which have censor manage faucets and lamps make it late for the elderly to use these items. Digital clocks are even of great help for them to tell the time. Radio and television sets make it easy for them to know the currents events through the news. In some instances the elderly can also be track using tracking devices to kno w their whereabouts should they be out of the vicinity. Phones are also a product of technology which allows constant communication of the elderly with the family no matter the time and distance. There is also what it called telecare, which are gadgets that help the care provide in rendering care, like hoist to help in mechanically moving the elderly. There are also gadgets like digital thermometer and blood pressure to make vital signs monitoring easier and convenient.Holistic Approach focuses on tetrad aspect of care for the elderly, the environment, the communication between the recipient of care and the provider, nutrition and the activity of the client. The care provider should make the environment or living space of the elderly free of clutter and with safety features like hand rails so as to allow maximum movement for the client with less anxiety. The environment should also be free of unnecessary noise for sometimes this can make the elderly agitated. The care provider shou ld also nurture a good verbal and non-verbal communication with the elderly. If the elderly is not a native of the country and has limited vocabulary then it is just necessary that someone should stand as an interpreter so as for interactive communication to take place. In cases when the elderly cannot talk but can read and comprehend, then care provider can make use of visual materials for communication like pen and paper. The health of the client is also given importance by establishing a nutritional plan starting with the assessment of the nutritional demands of the client and then structuring the diet of the client according to his or her nutritional needs. The care provider should also organize a series of activities for the client may it be physical or mental in nature. Activity like show and tell is an opportunity for the client to show something and express his or her thoughts about it. Then there are also board games or memory games that will help the client put their think ing capabilities to use. There also a number of activities that require a little physical movement like pin bowling which can also be a source of exercise for the client.Alternative therapy Music and Art Therapies. Music therapy makes use of medical specialty to set the mood of the client and to connect emotions and feelings between the client and care provider. Mellow tunes can help soothe the emotion of the client and music of different eras can also evoke feelings from the client by reminiscing past life experiences. Here the client may also be given the option to favor the frame of music he or she wants to listen to. Clapping and dancing are also support to add in the enjoyment. Art therapies should be that which are not too childish to avoid put down the clients. Care givers can assist the clients to start their art work and then they can put their feelings and thoughts into the art activity then they are encouraged and asked to tell the stories behind their work. The acti vity should give clients the ample time to do their art work putting into consideration capabilities of the elderly and that they dont have to hit everything in one sitting to prevent putting stress and anxiety on the clients.Question 4Public Health and Health PromotionPublic health focuses on the promotion of health and the enhancement of life by taking measures and interventions that will prevent and treat dementia and other geriatric health conditions. This is a combined effort by the private and government health firmaments, communities and individuals. In New Zealand, the ministry of health allots a budget for the health promotion of the aging citizens. This benefit is for all New Zealand citizens regardless of culture. The health care providers stand by the principle of equality in rendering care. They give the same kind of care to their clients treating them all as equals. In the provision of person-centred approach to individuals with dementia within public health and hea lth promotion, there might be an issue with regards to cultural diversity. Yes, there is equality in the smell out that every citizen of the country is given the right to have access to this health benefits regardless of cultural background and with this in mind, it is safe to say that these services are assumed to be what the general population needs not putting into account that this is a country with a diversity of culture.Attitudes to health and demand for healthcareThe attitude we have towards health greatly varies on the cultural background that one has. And thus how we value health will also relate to the demand for healthcare. How we live out life during the younger years will result to the health condition that one will have in the aging years. The family and the cultural preferences play a great role in the choices of food that we eat even in citizenry with dementia or other geriatric health conditions.According to the Ministry of Health (2003), a significant issue for Pacific households here in New Zealand is the affordability of food. They are most likely to report that they sometimes wager out of food due to financial strains compared to the Maori and the Europeans. This would only mean that the elderly will not have the sufficient amount of nutrients in their day to day diet.Question 5The different health sector standards and codes of practice basically set the guideline for the person-centred approach in the sense that it covers the entirety of the approach. As what these codes of practice states, every person has the right to be treated with respect. Just like the approach it has it emphasis on the person as an individual who has every right to respect. These codes practice also recognizes the individuality and uniqueness of every one and states that one should not be discriminated for his age, cultural background, religious and political opinion, etc. Just like that in the person-centred approach towards people with dementia and with other geriatric health conditions they should be from discrimination. Privacy and safety are of great importance also as stipulated in the various codes of practice and in the person-centred approach. Although with dementia or other geriatric health conditions, the elderly should viewed as an individual pass his or her health condition that comes with age.RecommendationI highly recommend that for facilities who offer services to the elderly with dementia and with other geriatric health conditions they must try to group their elderly accordingly, those with similar principles, personal backgrounds and traits, in this manner they can somehow establish the necessary routines and activities that would suit the groups personalities. Even with the distribution of food, they can group this in a way that would give them the right nourishment at the same time giving the clients the opportunity to eat the kind of food that they have grown with for this too is a part of their identity. When healthc are providers try to give a personal level in the provision of their services it somehow shows that they acknowledge the individuality and uniqueness of their clients.In the provision of health services, I suggest that services should be pattern to the character of the said community, in this way, the needs of the members will be provided with their healthcare needs accordingly. I also suggest that there should be teams who will visit the communities on a regular soil to continuously assess the health needs of the society and make ways to give the people easy access to their services.ConclusionIn conclusion, there are a number of approaches that can be used in the provision of healthcare services. These approaches cannot be a success without the dedication of the healthcare providers. There are many aspects to consider when deciding on the kind of approach to practice with people with dementia and other geriatric health conditions but we must not forget that although old and frail they are still individuals with a respective identity who are worth of our respect and should be given the due right to live their remaining days with dignity.BibliographyMcleod, Saul (2008). Simply Psychology. Person-Centred Therapy. Retrieved from http//www.simplypsychology.org/client-centred-therapy.htmlCareer Force. 2 Person Centred Care. Retrieved from http//ilearn.careerforce.org.nz/mod/ parole/view.php?id=266chapterid=188Department of Health. Victorian State Government. Australia (2014). Minimising Functional Decline of Older People in Hospital. Best Care for Older People Everywhere. Retrieved from http//www.health.vic.gov.au/older/toolkit/02PersonCentredPractice/MemoryMatters. Reality Orientation. 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