PSI Tutor:Mentor

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)

2	3
There are more than 200,000 Australians living with dementia including about one in four people aged 85 years and over. This is expected to double in the next 20 years as Australia’s population ages27 In 2005 AD was one of the 10 leading causes of death among women and men; however it is the 3rd leading cause of death in women and the 10th in men22 Deaths from AD have doubled in the past 10 years, from 2.6% to 5.3% of all deaths23 The median age at death due to Alzheimer’s Disease is 86.7 years24 In 2003, 167,000 people aged 60 years and over lived in cared accommodation. The main health condition of almost a third of these people was Alzheimer’s disease or other dementia25 (100w)	Dementia – one of the biggest health problems facing Australia28 In 2020, the number of people with dementia will exceed 330 000, a 50% increase since 2007. In 2050, there are projected to be over 175,000 new cases every year, more than the total number of people with dementia in Australia in 200028 Dementia is a key issue for Public Health policy, a potential target for preventive health approaches and a major cause of chronic disability and carer burden for Australians. Australia has a world class Health and Aged Care system, which is not sustainable unless reforms including additional funding for dementia are put in place in the next 3 years28 Minister for Ageing, Mrs Justine Elliot today welcomed Australian research assisting with the detection of early stage Alzheimer’s disease27 Mrs Elliot also expressed her support for dementia research, funding and support, saying the Australian Government is investing $320 million over five years for dementia research and support27 Rudd Government’s record funding of more than $28.6 the patiention for residential aged care over the next four years27 AIBL Flagship Study of Ageing is an initiative of CSIRO, University of Melbourne, Edith Cowan University – Western Australia, Neurosciences Australia and the Mental Health Research Institute of Victoria. The study is the largest of its type in the world, having now tested more than 1000 people with and without Alzheimer’s disease27 Mrs Elliot said: “The AIBL Flagship Study of Ageing aims to improve the understanding of the causes and diagnosis of Alzheimer’s disease, examine lifestyle and diet factors that may influence its onset, and help develop preventive strategies.” “This discovery offers new hope in reducing the disabling impact of Alzheimer’s on individuals and our community,” Mrs Elliot said27 Dementia Initiative – Making Dementia a National Health Priority The overall objective of the National Evaluation is to provide information to the Australian Government Department of Health and Ageing and other stakeholders that will enable them to assess: What effect the Dementia Initiative has hadconsumers; that is, people with dementia and their carers What added value has been given to current dementia care in Australia as a result of the activities funded by the Dementia Initiative29 (300w)
Assessment of The patient’s transition to nursing care; quality of life surveys for the patient and his carers11. Evaluate the practices of the residential facility13. Ongoing efforts should also include periodic monitoring (a minimum of every 6 months) of the    development and     evolution of cognitive and     non-cognitive symptoms and their response to    intervention (American Psychiatric Association, 1997 as cited in 14). Severe Impairment Battery (SIB), Alzheimer’s Disease Cooperative Study-activities of daily living scale (ADCS-ADL), Mini-Mental State Examination, Neuropsychiatric Inventory (NPI) or Clinical Global Impression of Improvement. Three composite measures were defined by combining the individual response criteria on these outcomes. The impact of baseline disease severity and of concomitant use of psychotropic drugs was also analysed18 (167w)	[You need to refer to your lecture notes; what theories/models have been covered in class?] (167w)
	Start with a set of pre-surveys given to The patient on his presentation at the Residential facility; this will provide baseline data for comparing ongoing data collection (67w)

References can be found at previous post, An Exercise in Developing a Holostic Care Plan: Fill in the Gaps

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