Helmi, 86-year-old woman, who has Alzheimer’s disease, lives in an assisted living. At times Helmi feels confused, she has difficulties to express her thoughts and she needs assistance with daily activities and self-care.
Today, Helmi has sauna-day. She has been in sauna in the afternoon, and, after the sauna, she hopes to get some cognac. In addition, Helmi hopes to have rollers in her hair and her nails polished. The nurse doesn’t have time, but there is an international nursing student who helps Helmi according to her wishes. The student can use Finnish language in simple work-related situations.
The student plans to put a basic lotion on Helmi’s skin, but Helmi wants to put a night cream on her face herself. When Helm asks for cognac, the student goes little confused and ensures from the nurse on duty that it is ok. Helmi does not understand all what the student is saying, and it makes her restless and agitated. The student knows, based on the information Helmi’s Life Story, that Helmi enjoys singing. The student starts to sing to Helmi, Helmi calms down and starts singing along.
Remind the goals.
Emotion phase:
• Ask about the feelings during the exercise: first the client, then the nurse.
Fact phase
• What happened – describe what happened step by step.
• What went well?
• Feedback from observers on verbal and non-verbal interaction and critical activities.
Analysis phase
• Why specific decisions were made?
• How it should / could be done (ideas are generated by students, the tutor leads to the 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)?
• What should happen (select 3-4 items here that should always be discussed with students regardless of whether they happened or not)?
• Point out step by step what the students’ behavior should look like – exemplary.
• Motivate students to think reflectively while deceiving strengths and correct paths.
Cultural aspects
• How was the client approached as an individual?
• How the nurse demonstrated cultural sensitivity in interaction with the client?
• What is the meaning of own home and familiar environment for the older person and safe living at home?
TOPIC
Implementation of a care and service plan in assisted living: securing the self-determination (autonomy) of an older person
PREBRIEFING
Introduce:
– scenario topic
– the procedure that will be practiced in the scenario
– prerequisites (what the student should know)
– learning outcomes to be realized
– what the division of tasks will be
– scenario execution time
REFERENCES, MATERIALS FOR CLASSES
- Alzheimer’s society UK. The Dementia Statements and rights-based approaches. https://www.alzheimers.org.uk/dementia-professionals/dementia-experience-toolkit/dementia-statements-and-rights-based-approaches
- Wolfe SE, Greenhill B, Butchard S, Day J. The meaning of autonomy when living with dementia: A Q-method investigation. Dementia. 2021;20(6):1875-1890. doi:10.1177/1471301220973067 https://journals.sagepub.com/doi/pdf/10.1177/1471301220973067
PREREQUISITES
- The student knows the legislation in terms of assistive living.
- The student knows the principles of respect for autonomy of a person with memory disorder.
- The student has the ability to encounter the older person with memory disorder and interact with him/her.
INTRODUCTION
Helmi, 86-year-old woman, who has Alzheimer’s disease, lives in an assisted living. At times Helmi feels confused, she has difficulties to express her thoughts and she needs assistance with daily activities and self-care.
Today, Helmi has sauna-day. She has been in sauna in the afternoon, and, after the sauna, she hopes to get some cognac. In addition, Helmi hopes to have rollers in her hair and her nails polished. The nurse doesn’t have time, but there is an international nursing student who helps Helmi according to her wishes. The student can use Finnish language in simple work-related situations.
The student plans to put a basic lotion on Helmi’s skin, but Helmi wants to put a night cream on her face herself. When Helm asks for cognac, the student goes little confused and ensures from the nurse on duty that it is ok. Helmi does not understand all what the student is saying, and it makes her restless and agitated. The student knows, based on the information Helmi’s Life Story, that Helmi enjoys singing. The student starts to sing to Helmi, Helmi calms down and starts singing along.
CURRENT CLINICAL CONDITION
86-year-old woman, who has moderate stage Alzheimer’s disease, lives in an assisted living.
INTERVIEW
Understanding client’s wishes and assisting her in a client-centered way.
