Paper Type:
Case Study

Topic:
What skills could be implemented to provide person centred evidence based care for Frank. including an understanding of health promotion and recovery concepts. Your answer should refer to the case scenario and utilize appropriate supporting references.

No# of Pages:
4 pages (1,000 words)

Subject Area:
Nursing

Paper Style:
Harvard

No# of Sources Required:
8

Language:
English (U.K)

Details:
1. Journals (majority) no older then 10 years and based in UK.CINAHL, British Nursing Index (BNI) and etc Medline.
2. English UK

What skills could be implemented to provide person centred evidence based care for Frank. including an understanding of health promotion and recovery concepts. Your answer should refer to the case scenario and utilize appropriate supporting references.

Frank is an 83 years old man who has Alzheimer’s dementia and is in residential care. His parents died a long time ago, and his wife, Joan, died five years ago. He has two children (Thomas and Jenny) and eight grandchildren, although contact with them has steadily decreased as his condition deteriorated. Concerns were raised when Frank was found wandering a fair distance from the care home in the early hours of the morning. He was unable to find his way back and was dressed only in his pyjamas and slippers.

Frank had years previously worked as a veterinarian, his passion for animals evident in the range of pets (dogs, cats and budgerigars) that he and Joan had kept at their house. After his retirement, he had been keen on outdoor pursuits and had with his wife been a member of a rambling club. He enjoyed meeting other people and had a very active social life. When not engaged in these activities he would content himself with word puzzles and crosswords as a way of “keeping my mind sharp”.

Frank has fluctuating periods of lucidity and confusion, becoming extremely distressed when he is more aware of his deteriorating cognition (on one occasion he was found by healthcare staff screaming and shouting obscenities). He rarely gets involved with activities and poor concentration and confused thinking have made crosswords and word puzzles very difficult. His mobility is poor and he has fallen on a number of occasions. Frank is also periodically incontinent (sometimes doubly), his poor orientation and levels of confusion causing problems. He rarely leaves the residential home and seldom has visits from his family, as they are often a distressing and confusing experience for all concerned.

Recently, he has become increasingly confused and disorientated, usually when carers asked him to do something. On an occasion when he was asked to come to the table for his meal, Frank became very confused, crying out and asking for his mother. Using a reality orientation approach, the carer explained to Frank that his mother, father and wife are dead.