Emanuel is a 70-year-old widower that lives alone in a council house. He is brought to the hospital by his daughter who is his primary care giver. She lives in a village nearby but visits her Dad regularly. She has noticed that Emanuel has been forgetting to eat, is losing weight and is becoming aggressive at times. Recent changes to his character and social behavior have been noticed by his daughter. After being evaluated by a neurologist he was diagnosed with dementia of the Alzheimer’s type. Emanuel’s daughter is very concerned and would like her father to be taken care of in a long term facility.
The student will be administering the Mini Mental Exam to Emanuel and developing a plan of care in conjunction with Emanuel’s daughter.
Emotion phase:
• Remind the goals (student doing the exercise.
• Ask about the feeling during the exercise.
Fact phase
• What happened – describe what happened step by step (student)?
• What went well?
Analysis phase
• Why specific decisions were made?
• How it should be done (ideas are generated by students, the tutor leads to the right conclusions)?
• What to do to make it better?
• Students’ questions.
• What do you remember from the exercise (each student says 1 item – preferably everyone should say something different?
• Point out step by step what the students’ behavior should look like – exemplary.
• Motivate students to think reflectively while deceiving strengths and correct paths.
TOPIC
Assessment and management of eldelry patients with Dementia.
REFERENCES, MATERIALS FOR CLASSES
The scenario was prepared based on the content contained in the literature:
- Cohen-Mansfield, J., Jensen, B., Resnick, B. and Norris, M. (2011). Assessment and treatment of behavior problems in dementia in nursing home residents: a comparison of the approaches of physicians, psychologists, and nurse practitioners. International Journal of Geriatric Psychiatry, 27(2), pp.135–145.
- Del-Pino-Casado, R., Pérez‐ Cruz, M., & Frías‐ Osuna, A. (2014). Coping, subjective burden and anxiety among family caregivers of older dependents. Journal of Clinical Nursing, 23(23-24), 3335-3344.
- Innes, A., Abela, S. and Scerri, C. (2011). The organisation of dementia care by families in Malta: The experiences of family caregivers. Dementia, 10(2), pp.165–184.
- Scerri, A., & Scerri, C. (2012). Dementia in Malta: New prevalence estimates and projected trends. Malta Medical Journal, 24(03), pp. 21-24.
- Scerri, C. (2015). Empowering Change: A National Strategy for Dementia in the Maltese Islands. Parliamentary Secretariat for the Rights of Persons with Disability and Active Ageing. Valletta, Malta.
PREREQUISITES
- The student has knowledge regarding the pathophysiology of Dementia.
- The student will be aware of assessments and management done in dementia care.
INTRODUCTION
Emanuel is an 70-year-old widower that lives alone in a council house. He is brought to the hospital by his daughter who is his primary care giver. She lives in a village nearby but visits her Dad regularly. She has noticed that Emanuel has been forgetting to eat, is losing weight and is becoming aggressive at times. Recent changes to his character and social behavior have been noticed by his daughter. After being evaluated by a neurologist he was diagnosed with dementia of the Alzheimer’s type.
CURRENT CLINICAL CONDITION
Patient looks anxious and confused about his whereabouts.
INTERVIEW
The student should engage in therapeutic communication with the patient.
