Psychology Tutor: Mentor (PSI) Psycho-Social Incarnation

28
May

Critical Analysis of a Holistic Care Plan

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Below is an outline of research suggested to provide information for critical analysis in the development of a holistic care plan.

Again, as in post An Exercise in Developing a Holostic Care Plan: Fill in the Gaps :-)

the coumns are numbered to (try!) and provide a flow to the outline. The word limit for each section is an approximation, with more emphasis placed on outocmes and evaluation of the plan and achievemnt of outcomes.

A Holistic Care Plan (1500w/6 pages)

Cognitive

issues

1.

  • Alzheimer’s disease is a physical disease which attacks the brain resulting in impaired memory, thinking and behaviour. The disease is named for the German physician, Alois Alzheimer who, in 1907, first described it26.
  • As brain cells die, the substance of the brain shrinks. Abnormal material builds up as “tangles” in the centre of the brain cells and “plaques” outside the brain cells, disrupting messages within the brain, damaging connections between brain cells. This leads to the eventual death of the brain cells and prevents the recall of information26
  • Memory of recent events is the first to be affected, but as the disease progresses, long-term memory is also lost. The disease also affects many of the brain’s other functions and consequently, many other aspects of behaviour are disturbed26

Sporadic Alzheimer’s disease

The disease can affect adults at any age, but usually occurs after age 65

Sporadic Alzheimer’s disease is by far the most common form of Alzheimer’s disease

It affects people who may or may not have a family history of the disease

Familial Alzheimer’s disease

The disease runs in a few families and is very rare

If a parent has a mutated gene, each child has a 50% chance of inheriting it

The presence of the gene means that the person will eventually develop Alzheimer’s disease, usually in their 40′s or 50′s

Familial Alzheimer’s disease affects a very small number of people

  • [Identify which form of AD The patient suffers from]

(167w)

Client-focused

evaluation; providing guidance for management and intervention20

  • TIA strokes similar in sign to that of an actual stroke 2
  • The patient may be using cholinterase inhibitors as part of his AD treatment to keep acetylcholine in the brain; excess acetylcholine linked to incontinence19

(67w)

Goals for the patient

(Care Plan)

  • To keep the patient as comfortable as possible
  • Keep The patient stable
  • Lower risks of TIA stroke4
  • Educate The patient to recognise triggers of TIA1
  • Educate The patient in strategies to make lifestyle changes to lower his risk of TIA4
  • Educate family and other supports (e.g., multidisciplinary team) as to The patient’s unique needs7
  • Perform bathing and hygiene needs.
  • Maintain regular bowel and urine continence.
  • Use support systems and develop adequate coping behaviors.
  • Oriented to time, person, place, and situation to the fullest possible extend.
  • Perform dressing and grooming needs within the confines of the disease.
  • Consume daily calorie requirements and show no signs of malnutrition.
  • Communicate needs verbally or by using an alternative type of

communication.

  • Perform toileting needs within the confines of the disease.
  • Hygiene
  • Save him from embarrassment17
  • Aesthetic and hygienic habits for carers17
  • Be sure he is not hiding evidence of incontinence so that his hygiene can be maintained 17
  • Decrease humiliation and enhance carer postiveness in the situation ;17

Approaching the problem with understanding, matter-of-factness and humour can improve the situation for everyone concerned.

  • If someone has an accident, the three most important things that a carer can do are to:

try to overcome any embarrassment or distaste they may feel

avoid being angry or appearing upset

remember that it’s not the person’s fault.

However, this may not always be as easy as it sounds.

  • If a carer finds their feelings about incontinence difficult to handle, it’s a good idea talk things through with a community nurse or continence adviser.
  • It is important not to let dealing with incontinence get in the way of the relationship with the person being cared for 17

(367w)

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2 Responses to “Critical Analysis of a Holistic Care Plan”

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    nursing-world.com » Critical Analysis in a Holistic Are Plan | PSI Tutor:Mentor Says:

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