Assignment brief -3000 word (+/- 10%) essay assignment which will be a reflective analysis of a critical incident relating directly to practice and the management of a patient with dementia. The key focus to be on:
• Maximising the participation of the person with dementia and their carers/family;
• Effective communication/interpersonal skills to develop and maintain the quality of relationships through the stages of dementia;
• The importance of a multi-professional team approach to maximise independence, safety and person-centred care.
This assignment has been designed to provide you with an opportunity to demonstrate your achievement of the following module learning outcomes:
LO 1 Critically appraise and integrate evidence based knowledge for a multi-professional team approach in person-centred dementia care.
LO 2 Demonstrate application of in-depth knowledge and understanding of the neurobiological basis of dementia and link these changes to the clinical presentation of the disease.
LO 3 Discuss and critically analyse the key issues contributing to effective person-centred dementia care.
LO 4 Critically explore the promotion of client independence and safety within the context of the working environment.
Gibbs model of reflection.
Specific information:
NB – Need to streamline introduction:
– Embellish all patient information as needed
My individual:
Recently retired gentleman aged 67. Former maintenance engineer team leader.
Highly educated – physically changes marginal.
Married 40 years, 2 adult children – away from home
Admitted to Accident and Emergency (A&E) with rapid onset of pyrexia, rapid laboured breathing, hypertensive
Diagnosis of dementia 6 months prior – however not staged – need to build this into part of the essay.
– appeared agitated, pupils dilated, physical shaking, demanding to be left alone, disorientated and not recognising hospital environment.
– Wife at side, appeared distressed, pale, quiet, holding hand attempting to reassure.
– Health had changed over last 6 months since retirement.
– Wife reports:
– symptoms/Cognitive and sensory changes:
Memory loss, generally noticed by the near and dear ones
Difficulty in communication, especially finding the right words to communicate
Reduced ability to organise, plan, reason, or solve problems
Loss of or reduced visual perception
Agnosia – sensory information misunderstanding objects/shapes – linked damage to occipital temporal (refer to session with RT).
– Psychological changes:
Changes in personality and behaviour
Depression
Anxiety
Hallucinations
Mood swings
Agitation
Apathy
Type of assignment: Essay
Subject: Nursing
