Coping with the Changes of Aging

Coping with the Changes of Aging

Create a care plan for the Unit 6 Case Study. I have uploaded a template for the careplan. Then summarize the careplan.
Summarize your care plan for Mrs. Potter in a 1-page summary. ( I uploaded my paper from unit six) Please go by the rubric for this project.

Unit 6 Case Study
Lewis and Potter
Case Study:
Carla Lewis, age 49, and her 53-year-old husband, Bill, are caring-for her 71-year-old mother, Mrs. Potter, who has middle-stage dementia of the Alzheimer’s type. The Lewises moved Mrs. Potter into their home when she was no longer able to care for herself. Both Lewises work full-time outside the home, but Carla works days and Bill works nights. They have two children – one is married, and the other, Jeff, lives with them and attends junior college.
The visiting nurse agency was asked to come to the home to evaluate whether the family was eligible for any services that might help them with Mrs. Potter.
Carla Lewis: I don’t know what I’m going to do. I feel as if my life is falling apart. I’m so tired and depressed all the time. I get up early for work but Mom is up late at night and I can’t leave her alone, so I’m not getting much sleep.
Mom complains constantly that she is hungry. She says no one loves her and I don’t take care of her. My sister, who lives 6 hours away and doesn’t help with Mom at all, believes what Mom tells her and calls me to complain about my care of Mom. I feel guilty that I’m gone all day but we need my paycheck to make ends meet. Mom gets a Social Security check, but I don’t feel right using that. I can’t take her income. She took care of me; it’s my duty to take care of her. Besides, what if she gets really sick, we may need that money to pay her hospital bills.
My husband is getting really put out about all of this. He’s so impatient with her, and it makes me mad. If it were his mother, it would be a different story But I still feel guilty that he’s having to put up with Mom’s problems. We used to do lots of things together: We went for long walks in the evenings; we were real close. Also, I don’t think Bill finds me attractive anymore. I’m afraid our marriage won’t survive this.
Sometimes I get angry at Mom when she won’t bathe or asks the same question over and over. I resent the intrusion into our lives. Then I feel so guilty. I’m a terrible daughter.
Page2
My daughter and her husband have a darling baby, but I just don’t have the time to spend with them. My daughter is unhappy that I’m not available to do things with her There’s so much to do taking care of Mom. My son, Jeff, is staying out late at night and complains about his grandmother. I can’t ask my husband or son to help out, they have their own things, and it’s my job anyway My husband does watch Mom when I’m at work, but he also needs to be sleeping, since he works at night.
I really miss my Mom; I mean, the mother I knew. Sometimes Mom doesn’t even remember who I am. She often says, “I want to call Carla.” I have to tell her that I am Carla. That hurts.
I’ve always enjoyed crafts. I’ve been a member of a handcrafts club but can rarely participate now, and I don’t have time to work on crafts at home. Whenever I get my materials out, Mom tries to help, and usually makes a mess and sometimes ruins my projects. My work is now my only social life. I’d go crazy if I didn’t have that.
I expect that Mom will eventually need to be placed in a nursing home, but I’m afraid that she won’t have good care there, and won’t be happy. I think I should care for her at home as long as possible, at least until she’s bed bound and has to be fed and diapered.
Bill Lewis: Having my mother-in-law living with us is wrecking our home. We used to be such a close family. Now my wife and I are barely speaking to each other and were rarely intimate with each other. We used to go to the health spa twice a week and kept in good shape. I still go, but Carla has stopped, and she’s gaining weight. She was always quite a looker, but she’s really let herself go.
Sure, I understand that we need to take care of Mom. After all, it’s our duty. I wish my sister-in-law would take her for a while, though.
I’m really worried about my family’s safety Mom tries to help in the kitchen, but she leaves the burners on and sometimes sets dishes or even paper on them. I’m afraid she’s going to bum the house down. I’ve got to sleep during the day, so I can’t watch her every minute, but she’s getting dangerous. I’m afraid to go to sleep. She let’s our dog out the front door and he gets into the street. I yell at her about that, but she just does it again the next time he wants out. She also feeds him several times a day. If I hide the dog food, she opens cans of tuna for him. He’s getting fat, too.
Page3
One of the things that really annoys me is that we can’t go anywhere. We can’t leave Mom alone so if we want to go out to eat, we have to take her with us. Her behavior can be so bizarre, it’s really embarrassing. Our son won’t stay alone with her, and I can’t blame him. He’s having a real hard time with this.
Jeff: Grandma has really messed up our lives. She says the dumbest things, and she’s always dirty and smelly. I know Mom tries to bathe her and wash her clothes, but Grandma puts up such a fuss that it’s easier just to let her be. She wears the same things every day, won’t even take them off to be washed. I used to have my friends in all the time. They thought my folks were cool. But now I stay away as much as I can. I can’t bring my buddies here.
Mom and Dad are fighting all the time now. When they start yelling, I get a real bad stomachache, so I just leave. They don’t have time for me any more, either. I can’t talk to either one of them; they’re so busy and stressed out. I want my home and my parents back!
Based on these data, what nursing diagnosis would you make?
Source:
Case study: Family stress and Alzheimer’s disease Nursing Diagnosis, Oct-Dec 1999 by Jensen, Betty Ayotte

Care Plan Template

Develop a nursing care plan.  In formulating your plan, use the care plan model given below.  You may type right into this template; it will expand. If needed, you may additionally submit a few narrative paragraphs.  Hint:  Elements of assessment, planning, intervention, resources, referrals, follow-up plans, and support for family should all apparent in your care plan.

NURSING CARE PLAN FOR: Patient Initials

ASSESSMENT
ANALYSIS    PLANNING    IMPLEMENTATION    EVALUATION
Data:

Nursing Diagnosis:

Definition:

Defining Characteristics:

Related Factors:
Goals/Outcomes:

Nursing Orders/
Interventions/Activities

Rationale:

Assessment of Client’s Progress of Lack of Progress Toward Resolution of Nursing Diagnosis:

For the purposes of this assignment leave this column blank.

.

The following is a copy of the paper I turned in for unit six.

Caring for Alzheimer’s
Living with or taking care of a terminally ill patient is never easy for both parties. Dementia of the Alzheimer’s is no exception and care givers are drained off of physical and mental energy while trying to juggle between the responsibilities that can be overwhelming (Alzheimer’s Society, 2012). On the other hand, it is never easy to make the choice of placing a loved one in a long-term care facility because often times one feels like they are abandoning or neglecting that person. However, according to the World Alzheimer Report (2013), the patient’s family will always play a central role in the patient’s life, regardless of whether they live with him/her or they have placed him/her in a residential facility. This report also argues that the societal costs incurred while providing care at home are very similar to those incurred for the provision of the same in a care home.
Recommendations for the patient as well as the family
In this case study, caring for Mrs. Potter who is dependent on her family is also bringing negative implication such as psychological and economical strain on her daughter’s family. Therefore, I would recommend that Mrs. Potter attend regular or routine medical checkups so that her progress may be fully monitored. Also recommend that she be attended to by someone who fully understands her condition such as a trained nurse aid, or she be placed in a facility such as a nursing home where she will receive quality care. This is very important for her well-being according to (My Senior Care, 2011)
Carla Lewis and her family are experiencing psychological distress in their own individual levels. There is an urgency to mend the family relationship and therefore a quick decision needs to be made about the provision of care for Mrs. Potter. I would suggest that Carla and her husband Bill visits the nearest Alzheimer’s resource center where they will get information about the resources and services they can use. On the other hand, I recommend that Carla seeks the services of a psychological counsellor to help her deal with the conflicting emotions and feelings she is dealing with. In addition, this will be instrumental in helping her realize that this is a family problem, and she need not overburden herself.
Services available to help Mrs. Potter and her family cope with her Alzheimer’s Diagnosis
Adult day care services would be useful since Carla Lewis demonstrates a resistance to place her mother in a nursing home. This service ensures that her husband Bill gets enough rest during the day and Carla can take care of her during the night. Besides the mother benefits from socializing with others of her own nature, and meals are provided for during the day.
Respite care allows Carla and Bill to rest while somebody else steps in and takes care of Mrs. Potter at home (Alzheimer’s Society, 2011). This may help Carla and her family gets time off to themselves and mends their relationship. They can take their mother to a day care facility where the respite caregiver attends to her then they can have time together at home or on a family outing. This way, none of the family members will feel neglected.
Joining a local support group would be very efficient for Carla and her family. This would be useful for her to realize that she is not alone and it would be instrumental in easing the guilt surrounding her. Additionally the whole family requires undergoing a training that empowers them with knowledge regarding the condition so that they may learn how to cope more efficiently (World Alzheimer Report, 2013).
There are facilities known as assisted living facilities, which provide comfort and safety for the patient. In this case Carla would not have to worry about leaving her mother in such a facility since there would be medical staff available throughout in case of any emergency. On the other hand Mrs. Potter will be allowed autonomy, though help is available when she needs it (My Senior Care, 2011).
Home care would be an excellent way of solving the hurdle the Lewis’s are experiencing. Since Carla’s sister does not play a proactive role in helping with the mother’s problem, Carla can instead ask her to contribute financial support that will go into hiring the services of a home care attendant. This way Mrs. Potter remains at home with the attendant taking care of her needs, much to the relief of Carla, her husband and son. Additionally, there are resource centers that provide information and referral services for care-givers. These are instrumental in helping Carla and her families explore the options available to them given the financial resources they have.
Conclusion
There are numerous programs and services available for people living with or caring for someone with Alzheimer’s disease. However it is up to the caregivers (Carla and her family) to choose the most convenient option, given the psychological and cost implications on their end. Finally, it is important for family members to understand a condition before taking the full responsibility of helping out. This way they are able to minimize the risks of psychological distress that tag along with the decision.
References
Alzheimer’s Society.(2011). Putting care right campaign – care at home.Retrieved February
15, 2014 from http://www.alzheimers.org.uk/supportstaysave
Alzheimer’s Society. (2012). Dementia 2012: A national challenge. Retrieved February 15, 2014
from http://www.alzheimers.org.uk/dementia2012
MySeniorCare.(2011). Alzheimer’s disease Care Options.

http://www.myseniorcare.com/alzheimers/treatment-care/alzheimers-disease-care

options-article
World Alzheimer Report. (2013). Journey of Caring: An Analysis of Long-term Care for
Dementia. London: ADIT
This is the grading rubric ;

Scoring Rubric
Issues with the Aging Population
[50 points] – Due Unit 7

Project:

Create a care plan for the Unit 6 Case Study. A care plan template is available by clicking below, or you may use a template that you are familiar with.

Summarize your care plan for Mrs. Potter in a 1-page summary.

A. Project Content Criteria

80% (40 points possible)    Unsatisfactory
0 points    Satisfactory
1 points    Above Average
2-3 points    Excellent
4 points    Total Points
Care plan is submitted    Care plan is not submitted.
Care plan is submitted, but focus needs to be clearer.    Care plan is submitted, with clear focus, but it was brief.      Care plan is submitted with clear focus and detailed presentation.

Care plan summary is submitted    Care plan summary is not submitted.
Summary is submitted, but focus needs to be clearer.    Summary is presented with clear focus, but it was too brief.    Summary is presented with clear focus and appropriate level of detail.
Total points earned on this project    ___/8 points
Percent Accomplished    ___%
A.  Project Content Points
(___% x 40 pts)    ___/40 points

B. Format/Style

20% (10 points possible)
Paper or project was organized and well written
No paper or project submitted    Paper or project was unorganized and poorly written.      Paper or project was somewhat organized and overall writing left room for improvement    Paper or project was thoroughly organized and well written
Ideas were stated clearly and logically
No project or paper submitted    Ideas were not stated clearly or logically    Some ideas were stated clearly and logically    All ideas were stated clearly and logically
Relevance of content    No project or paper submitted    Paper or project was off topic and not relevant    Some portions of paper or project were on topic and relevant    Paper or project was thoroughly on topic and relevant
Course Policies formatting guidelines
No project or paper submitted    No formatting guidelines were followed    Some guidelines were followed    All formatting guidelines were followed
Spelling and grammatical errors
No project or paper submitted    Greater than 6 spelling or grammatical errors    Less than 6 spelling or grammatical errors    No spelling or grammatical errors
0    16    18    Total points earned on this project    ___/20 points
Percent Accomplished    ___%
B.  Format & Style points
(____% x 10 pts)    ___/10 points

Total Points:  (A +B) /100
___/100 points

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