Dementia care plan management

Description

A 3,000 word report examining case management planning, showing in detail how person-centred needs will be met and exploring how the practitioner will work to meet those needs. Recommendations for practice incorporating underpinning policy should be considered.

The second learning outcome (which has a weighting of 80% of the total marks for the module) involves the production of a 3,000-word business report. Unlike essay style writing you can utilise headings when writing the report. This has three related elements: firstly demonstrating an understanding of what dementia is from the perspectives of different professionals, secondly, examining the case management plan created to evidence Learning Outcome 1 and showing in detail how the plan will meet the needs of the service user or patient in a person-centred manner. Thirdly, recommendations for future practice from a multi-disciplinary perspective should to be considered with attention being given to underpinning policy.

You will utilise the case management plan created for CW1 to examine case management planning in detail, in relation to how the service users’ or patients’ needs will be met. You will also explore how the professionals from each of the different disciplines will operate to meet these needs. This will involve you in considering factors relating to the roles and skills of the professionals such as their ability to work with other professionals and how they might build good working relationships with each other as well as with the service user or patient living with dementia and their family.

You will also need to examine the impact of the wider issues associated with case management such as:

* Shared vision and objectives

* Effective collaboration and close links between health and social care professionals and organisations.

* Range of services and support available to meet the service users’ or patients’ needs.

Finally, in order to meet Learning Outcome 2 yo

DEFINITION
Dementia is not a regular part of aging it’s an umbrella term, which explains a set number of symptoms that affect the brain. Contributing to memory loss, the ability of not being able to perform essential daily day to tasks. There are many types of dementia, Alzheimer, Lewy body, vascular and frontotemporal. Alzheimer’s Society, {2017} Created By Daisy Schembri Scicluna on Wednesday, 1 August 2018 12:48:31 o’clock BST
Last Modified by Daisy Schembri Scicluna on Thursday, 2 August 2018 10:17:53 o’clock BST
Assessment Description
A collaborative production of a person-centred case management plan.
Authors

Daisy Schembri Scicluna
Rachel Saffa
Mandy Mooney
Zoe Minors
Najma Mohamed
Stacey Lane
Case Study (ficticious)
Jane Broom is a widowed 72 year old lady. She is a known case of type 2 diabetes on oral hypoglycaemic agents and suffers from hypertension however is on treatment. Jane used to work as a librarian before she retired at the age of 56. Mrs Broom’s husband passed away 2 years ago. Jane lives in a top floor apartment with her 35 year old son. She enjoys to attend her local church group on Tuesdays and Friday, and communion on Sundays. Jane loves to be active and is generally physically fit.
One day on the way home from the shops, Jane got lost. Neighbours found her wandering in the streets looking very puzzled the next day. She was taken to hospital on the 5th of May,2017 for check ups as this was not normal for her. On admission Jane was not able to answer the questions asked by the doctor. She had trouble completing sentences and repeated words. During assessment Jane was stating that there were rabbits bouncing on the bed. Nurses noted that Jane was very upset and confused, a referral to liaise with a psychiatrist was done. Blood investigations where carried out to rule out other possible reasons for the confusion such as infection and hypoglycaemia (nhs.uk, n.d.). A CT scan and MRI where also done, these showed atrophy in the cerebral cortex. Mrs Broom was then diagnosed with dementia. According to her son, he had recently noticed increased clutter at home and also noticed that his mother was sometimes skipping baths. It was not the first time that he heard his mother say that she has to cook dinner before her husband returns home from work. A Barthel assessment was done and she scored 70. The doctor carried out an MMSE (mini mental state examination) where the result was 18 – moderate cognitive impairment (Alzheimer’s Disease and Dementia, 2018). Ulcer preventive measures were also carried out.
Assessment (Daisy)
When carrying out an assessment, it is important to take in consideration the individual’s current level of ability, together with their physical and social care needs, as a part of a thorough case management process. Generally, clients that are chosen for case management do not have only health issues, but also social care needs. These health and social needs would not be very straight forward. This is according to the paper that was published by the King’s Fund in 2011, written by Ross, Curry and Goodwin. It is of great importance to take a holistic approach for the best care plan for the patient.
General health status and clinical background by nurse Jane is a type 2 diabetic and suffers from hypertension. Patient on Metformin 500mg po B.D and Gliclazide 80mg po O.D for diabetes and on Perindopril 4mg O.D
parameters on admission:
Blood pressure: 97/ 60
Pulse: 89
Temperature: 36.7°C
SPO2: 99%
BGM: 13 mmol/L
weight: 92 Kg
Mobility Mobility is stable according to physiotherapist assessment
Activities of daily living It is important to push fluids as on examination patient found to be dehydrated, hence the low blood pressure. Food intake is however adequate, appetite is still present. Jane is continent of both urine and faeces however, when assessed by the occupational therapists, they found that assistance of one person would be ideal for toilet use and bathing.
Speech and language assessment by the speech therapist is done to rule out any difficulty with swallowing and communication.
Level of Social care needs After assessment, it was concluded that Jane would like to be taken care of by her son at home, her son agrees to this however because of work he wont be present all day. Therefore a telecare system will be installed at home

pon admission, the care team, including Doctors, nurses, activities coordinators and Social workers conducted their assessments, then team up together in developing a care plane for J.Broom. After completing all initial evaluation reviewed each care aspect with the son and revised where vital with is input. At the end of the care plane rule, all caregivers came up with the best understanding of who Mrs. Broom was, both past and current of how to help her get the best care in the interest of her daily capacity.
The care plane addresses all the following
– Biography
– communication

– Mobility
-Eating patterns
– personal hygiene and

Toileting
– Cognition/Orientation
-Medications
– Recreational Activities
Each of these areas covers a full description of her current functioning of wants and difficulties, expected aims and results of the management of Mrs. J. Broom. Are carers chosen to look after her will always know what is expected of them and will make them aware who she is and what is expected of them when working with her.

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