ISSUES – ASSIGNMENT
Namet:tRajeshkumartMakwanat
Datet:t09/06/2023
1. Cognitivetimpairmenttcantdisrupttthetperson’stabilityttotparticipatetinttheirtADL’s.tListt
threetexamplestoftspecifictdifficultiestwithtADL’stthattcouldtarise,tandtthentprovidetoneta
ctiontthetPSWtcouldtimplementttotsupporttandtassisttthetclientttotpromotetautonomytand
t dignitytwithtthettask.
i) ADLttask:tBathing
PSW tsupportt:tmaintaintprivacytandtprovidetsafetytmeasures
ii) ADLttaskt:tEating
PSW t supportt :t Introducet thet moret varietyt oft food,t maket thet patientt enjoyt it,t selectt well-
balancedtfood
t
iii) ADLttaskt:tDressing
PSW t support:t Bet flexible,tAllowt enought timet fort herselft fort dressing,t uset easyt uset clothestandts
hoes.
2. Mr.tHerontistat78-year-
oldtclienttoftthetagencytyoutaretemployedtwith.tHetlivestintatretirementthometbuttistsuppo
rtedtbytyourtagencyttwotmorningsteachtweek.tHethastbeentatclienttoftyourstfortatmonth.tM
r.tHeron’stforgetfulnesstistprogressingtslowly,tbutthetremainstatpersontwithtprecisetidea
standtpreferencestregardingthowtthingstshouldtbetdone.tMr.tHeron’stoccupationtwastathi
ghtschooltprincipal.tHetheldtthattpositiontfortovertthirtytyears.tHetistmarriedtandthasttwota
dulttchildrentandtfivetgrandchildren.
ThreettimestintthetlastttwotweekstwhentyouthavetvisitedtMr.tHerontyouthavetfoundthimtho
veringtneartthetelevatortinthistbuilding.tHethastappearedtslightlytagitatedtandthastnottbee
ntfullytdressed.tTodaytyoutfindthimtintthetsametlocationtwearingtatsuittjackettwithtnotshirtt
underneath,tandthetseemstparticularlytupset.tHetsaysttotyou,t“ThettraintistleavingtandtI’vet
gotttotbetontittortItwilltbetlatetfortschool.”
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, a. Howt mightt Mr.t Heron’st personalityt andt pastt experiencest influencet thet behaviourtyo
utwitnessttoday?
Fromtthetabovetparagraph,twetknowtthattMrtherontworkedtastathightschooltprincipal.tHetistverytm
uchtpunctual,tfromthistbehaviortwetcantknow.tDementiatistatdiseasetthattmakestthetpersontforget
t everything.tSo,tastatcausetMrtherontpasttexperiencetastathightschooltprincipal.tTodaytItwitnesse
dtMrtherontbehavetintthistmanner.
Thetforgetfulnesstprogressingtslowlytcouldtbetantearlytsigntoftcognitivetdecline,twhichtmaytbetca
usingthimttotbecometagitatedtandtconfusedtwhenthetcan'ttremembertortfollowthistroutines,tliketg
ettingtdressedtproperly.
b. Whatt actionst ort verbalt directiont mightt yout dot ort suggestt int ordert tot maket Mr.tHer
ontmoretcomfortable?
Dementiatcausestmemorytloss.tTotmaketMetherontcomfortabletyoutshouldtprovidetemotionaltsu
pporttandtrelaxedtenvironmenttandtmakethimtfeeltsafetandtcomfortable.tAstatpersontbehaviourtdi
ffertfromtothertandttotmaketthemtcomfortabletyoutshouldt addtmeaningfultandtfun-
filledtactivities.tAndtyoutshouldtassuretthatthetwilltnottneedtthettraintbecausethetistnottworkingtast
atprincipaltnowtatdaystandtmakethimtunderstandtcarefully.
3. Whytistdepressiontoftentmistakentfortdementia?
DepressiontoftentMistakentfortDementiatbecausetit'sthardttottelltthetsymptomstbecausetdementi
atalsotdeveloptsignstoftthetdepression.tThesetcouldtbetastLowtconfidencetandtlowtselftesteem.
Problemstwithtappetitetandtconcentrationtmighttbetsufferedtsottheytaretcommonttotbothtsotit'stha
rdttottelltiftwetdiagnosetnottproperly.
4. Usingtthetthreetstagestoftdementia,texplainthowtyoutwouldtsupporttyourtclienttwithtthei
rtmealttimestandteatingtinteachtoftthetstages.
MildtStage:tProvidetatcalmtandtfamiliartenvironment:tCreatetatpeacefultatmospheretduringtmeal
s,tminimizingtdistractionstandtnoise.tPromotetindependence:tEncouragetthetclientttotparticipatet
intmealtpreparationtandtdecision-
making,tsuchtastchoosingtfromtatlimitedtmenutortsettingtthettable.
ModeratetStage:
Simplifyttheteatingtenvironment:tMinimizetcluttertandtdistractions,tandtcreatetatcalmtspacetspecific
allytdesignatedtfortmeals.tProvidetcleartinstructions:tUsetsimple,tstep-by-step
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