Evidence Based Intervention
Case Information
Mary has been diagnosed with Alzheimer’s disease at a moderate level. She also has other health issues including high blood pressure, diabetes and depression. Her husband, John has these additional health issues as well and is currently Mary’s caregiver. They receive home health services as well. John understands that Mary will need to go to a nursing home at some point, but would like to keep her at home for as long as possible. What are effective interventions that provide support to spousal caregivers that prolong home care of Alzheimer’s patients?
Caring for a patient with Alzheimer’s is exhausting emotionally and physically. People with Alzheimer’s require a higher level of care due to the
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Individual sessions were tailored to the caregiver and their needs, which included things like learning techniques for behaviors, and promoting better communication. The family sessions were with family members the caregiver suggested, the Alzheimer’s patient was not included in the sessions. The support groups were for ongoing emotional support and education within a peer group. The telephone counseling was available for support or crisis when the caregiver needed it and as much as they needed over the course of the …show more content…
Research shows that Alzheimer’s disease may triple in the coming decades. In 2004, the annual cost averages $60,000.00 for nursing home care in the United States. Prolonging home care will cut that amount. The study did not provide a cost analysis but future research should consider this topic. Another strength is that the study demonstrates that evidence based interventions are effective for caregivers, including all caregivers not just of Alzheimer’s patients (Mittelman, et el., 2006). A considerable strength is the extended period of time that this study lasted, the large sample of caregivers provided, and the continuous follow up that was conducted. Other strengths were that the counselors hold master’s or doctorate degrees in social work, psychology, and gerontology, and that the was a low attrition rate.
SMART Goals
Goal: To actively take care of Mary at home as long as possible.
John will participate in a local support group for Alzheimer’s caregivers one time a week over the next 12 months. This is to emotionally decompress and receive knowledge of resources and skills that he can use in caring for Mary at home.
Intervention: Alzheimer’s support
The second article I reviewed was Dementia and Caregiver Stress: An Application of the Reconceptualized Uncertainty in Illness Theory. This is a qualitative study involving four focus groups with six-ten volunteer participants were held, each last approximately 90 minutes. 15 caregivers cared for their parents and the remainder cared for their spouses. Multiple themes (Antecedents) emerged from the interviews and were categorized by the five dimensions of uncertainty of illness. Four of the five themes causing uncertainty involved dementia related symptoms and included lack of personal boundaries, repetitive behavior, hygiene, verbal and physical aggressiveness, and need for constant care.
With input from all parties, a care plan can be developed. In many cases, both a home health aide and an in-home caregiver will be required to ensure the proper level of care, one that allows the senior to stay in his or her home. In the event a patient needs home health care in addition to a personal care aide, we are happy to help. We work with home health agencies to ensure our clients have the help they need at all times, regardless of what is involved.
My family friend's dad is a patient of Dementia. She was telling me that his dad cannot spend even a minute alone. He needs someone to be with him all the time because he cannot handle himself alone. One day he was coloring in a book and he forgot how to open the cap of the pen and it took him almost five minutes to figure out this with the help of nurse.
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
Alzheimer 's is a hard disease to deal with, and more often, caregivers are needed for patients with Alzheimer 's disease. As a caregiver, it will not be an easy thing to do. In fact, caregivers are often stressed and overwhelmed because of the frequent care the Alzheimer 's patients require. They require help with eating, bathing, dressing, taking prescribed medication, communicating, help going to the bathroom, and more. Patients with Alzheimer 's are not able to perform these daily tasks because they may forget how to do them.
Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several
Which under the current design addresses long- term care for a limited amount of time, such as for rehabilitation purposes. These services cannot be received outside of a Medicare-approved facility, which means the person cannot reside in their home and receive the long-term care assistance under the current system. Therefore, we propose to amend this portion of the program to extend the funding for long-term care to include home care. Which consist of the relatives receiving monetary compensation for their care. Under the current policy, 41% of the Medicare budget of $50,000,000,000 is being advocated this particular area.
There is a ultimate compromise that my family decided to turn to when the elderly home seemed to expensive and my grandpa didn’t need a home health nurse just yet. This compromise would be to care for the alzheimer’s patient at home and by family members. In my opinion I do think being cared for by family members in the comfort of the patient’s own home would be the best opinion in favor of the patient with alzheimer’s. Depending on the family everyone may have their own opinion on how a alzheimer’s patient should be cared for. In my argument the compromise of taking care of a patient with the help of all family members would be most comforting to the alzheimer’s
Under Martha's leadership, Eva's Home Care has become a trusted provider of in-home care services in the community, known for its exceptional quality of care and dedication to client satisfaction. Martha is committed to providing a supportive and empowering work environment for her caregivers, fostering a culture of respect and professionalism. She understands the critical role that caregivers play in the lives of their clients, and she takes great care to ensure that her team is trained and equipped to provide the highest level of care
Student Name: Kayla Stradomski Course # and Section/Time: COMM 101 DAH; Monday, 11:00 a.m. - 1:50 p.m. Topic: Alzheimer’s disease General Purpose: To inform Specific Purpose Statement: To educate my audience on the aspects of Alzheimer’s disease. INTRODUCTION Attention Getter: Can you imagine your life if your memories and cognition slowly started deteriorating?
This study can lead to focusing on more specific sectors of care such as a dementia care unit. My focus on nursing homes and assisted living facilities could easily be mimicked in home care, hospitals, hospice and other avenues of caring for sick or elderly people. Awareness found through the practice of research is a helpful way to improve health care for people of all ages and
You don’t know it 's Alzheimer’s until it hits you right in the face. Millions of people have Alzheimer’s. This forces other people such as family members or nurses to have to help many hours of the day, because the patients of Alzheimer’s can’t do things by themselves. Since the Baby Boomers of the 60s were born, there will be double the elders by the year 2050.People who haven’t experiences Alzheimer’s don’t realize how blessed they are. Alzheimer’s is a an awful disease.
Alzheimer’s is a noncommunicable disease that is dear to my heart because of the effect it had on my family. My great grandmother, Margaret Anita Morris, was diagnosed with Alzheimer’s. When I was but a child, she still had the ability to function and love me. As I grew, however, I realized she no longer remembered who I was, who my mother was, or who anyone, in fact, was. My great grandmother was so affected, she couldn’t even remember to use the toilet when she had to use the bathroom.
Every decade our population gets older and a whole new generation of seniors comes along with a new set of attitudes and expectations as to what they want from an assisted living facility. And now that people are living longer, there is a much greater need for these facilities. They can provide a refuge to many family members that may become severely burdened by the arduous task of taking care of a loved one who can no longer take care of themselves. When simple tasks such as bathing and feeding become near impossible to manage alone, not to mention driving to the store and shopping, decisions about placement into a home become paramount. Most important to the family members is the ability of the facility to provide the adequate care that is needed for their loved ones.
Vitale, Shaffer, and Acosta-Fenton (2014) make the case for the utilization of the theory of self-transcendence by Pamela Reed. The authors discuss how the theory of self-transcendence can be employed to provide dignity to Alzheimer’s patients and support to families and caregivers. In the case study, Reed’s theory was used to guide the nursing care of an older adult female in the early stages of Alzheimer’s disease. Interventions were designed and implemented with Reed’s theory as the foundation (Vitale, Shaffer, & Acosta-Fenton, 2014). The issue then is how effective can the theory of self-transcendence be as Alzheimer’s disease progresses and cognitive ability declines?