You are working with a new client, Mrs Indira Pradesh, who is at the moderate stage of dementia. This means that, while she is still living in her family home, Mrs Pradesh is struggling to think clearly and is often unable to recognise family members or friends. She has limited skills in daily living activities such as cooking and is neglectful of her personal hygiene and eating. Mrs Pradesh is also often restless, with a tendency to wander. Unfortunately, due to her dementia, she can easily become lost in known, as well as unknown, places.
Mrs Pradesh lives with her husband, Ajay, who has limited experience caring for a person with dementia. While their extended family are supportive, Ajay is struggling to cope. However, he is determined to keep his wife at home for as long as possible.
Instructions
Your task is to use a person-centred approach and an understanding of the latest research into caring for people with dementia to develop a strategy to provide Mrs Pradesh with an environment that will help her to maintain her independence. At the same time, you need to consider how to provide support to Ajay and the rest of the family.
When developing this strategy, you will need to:
Describe activities that aim to maintain Mrs Pradesh’s independence and reduce social devaluation, using familiar routines and existing skills. These must be appropriate to her, reflecting the family’s cultural background. Pay attention to her safety, communication, mobility and spiritual needs.
Demonstrate how you would use appropriate communication strategies to access information about Mrs Pradesh’s reminiscences and routines.
Provide support and guidance to Mr Pradesh and the family, so they are better equipped to support Mrs Pradesh as her dementia progresses.
Ensure Mrs Pradesh’s safety and comfort, balanced with autonomy and risk-taking.
Outline what you will consider when you evaluate the implemented strategies with the support planning team so that you ensure its effectiveness in minimising the impact of Mrs Pradesh’s behaviours.
Make sure you include relevant images to support your responses to each section.
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