Reference no: EM133943119

Provide Support to People Living with Dementia

Assessment 1: Questions and Answers

Instructions

You will be provided with the assessment via canvas by your trainer/assessor and all questions must be completed before submitting for marking by the trainer/assessor.

If you have any queries, please speak to your trainer/assessor, who will be pleased to help.

When completing this assessment, you will need to answer all the questions which are listed below and upload your assessment to canvas by the due date.

Your response to each question must be detailed and where possible workplace examples should be provided to demonstrate how you would apply the knowledge in a work context.

All responses to these questions must be in your own words and in-text and reference list must be included as per K2LC referencing guidelines.

If you require more time to complete this assessment, follow the assessments extension policy and procedures.

Question 1:

As an enrolled nurse caring for for dementia clients it is important to stay current with data and research regarding the different types of manifestations of the condition. Get world-class assignment help from subject experts.

Complete the table by researching each listed manifestation using reputable sources and:
a. Provide an overview for each in your own words
b. List the current resource used to access the information

Manifestation Overview
Alzheimer's disease

Resources/weblinks for research conducted

Vascular dementia or multi-infarct dementia

Resources/weblinks for research conducted

Lewy bodies

Resources/weblinks for research conducted

Excessive alcohol intake or Korsakov Syndrome

Resources/weblinks for research conducted

Fronto temporal lobar degeneration (FLTD) including Pick s disease

Resources/weblinks for research conducted

Huntington's disease

Resources/weblinks for research conducted

Parkinson's disease

Resources/weblinks for research conducted

Younger onset dementia

Resources/weblinks for research conducted

Question 2: There are various pathological features of neurological conditions including those relate to dementia.

Conduct the necessary research and outline the pathological features for the following:

Pathological features Outline
Amyloid plaques

Neurofibrillary tangles

Loss of connection between cells and cell death

Question 3: List six (6) common indicators and symptoms of dementia you need to be aware of when assessing and providing support to a client.

Question 4: There are specific behaviours that you need to be aware of when working with clients who have dementia. Address the following points in detail:

a. List four (4) behaviours of concern for an individual living with dementia.

b. Basing your answer on the needs driven behaviour model, briefly explain why these behaviours might be occurring.

c. Provide the de-escalation procedure that you would introduce in order to address and manage the behaviours of concern that you identified.

Question 5: Provide an overview of three possible triggers for challenging behaviour in a dementia client and interventions or proactive strategies you would apply to address each trigger to address their unmet needs.

Question 6: Explain how a client with dementia's environment can impact their behaviour and detail how you would manage these situations.

Question 7: There are specific requirements which must be met regarding any type of restrictive practices engaged in the health and community sector. Complete the table by explaining each listed requirement you must adhere to.

Basic Requirement Explanation
Detail what constitutes a restrictive practice (outline the five key types of restrictive practice?

Outline the key legal and regulatory requirements for restrictive practice
Outline the key inclusions relating to restricted practices in workplace policies and procedures
Detail two positive strategies you can apply to meet legal restrictive practices
Detail at least two key ethical considerations associated with restrictive practices
Discuss any documentation requirements for restrictive practices

Question 8: The impact of dementia is not only felt by individuals who are diagnosed, but also their families and significant others. Complete the table by:

a. Outlining how each of the listed impacts the progression of the dementia and the effect on the client and their families/significant other.

b. Detailing the types of support and guidance you can provide to the family, carers, or significant others as part of your role in aged care.

Part A
Impact Client Families
Depression

Loss and grieving

Anger/Despair

Social embarrassment a family member might feel
Isolation

Delirium

Dysphagia

Loss of speech and cognition

Loss of inhibition

Self-harm

Suicidal ideation

Social devaluation

PART B
Detail the types of support and guidance you can provide to the family, carers, or significant others as part of your role in aged care.

Question 9: Various health issues can affect the behaviour of a dementia patient. Explain the procedure you implement to:

Recognise issues including injury, infection, illness and pain
Report the impacts on the person's behaviour (including who you report to and how your assessment is documented.
Procedure to identify and recognise injury infection, illness and pain in a dementia client.

Reporting process

Question 10: Complete the table below by providing an overview of at least four (4) psychosocial implications that the progression of dementia has on the person.

Psychosocial Implication Overview

Accommodation

Financial implications

Isolation

Heightened vulnerability to abuse
Exploitation

Question 11: Explain the principles of person-centered care and how they are applied to dementia care.

Question 12: Provide an example of how person-centered care can be applied to support the following when working with dementia clients:

Enhance pleasure and self-esteem
Minimise boredom
Create self-worth and personal value

Question 13: Discuss at least four (4) types of abuse neglect or exploitation you need to be aware of when assessing and providing support to dementia clients.

Question 14: Explain cultural safety and provide an example of how it is applied to dementia care.

Question 15: Provide one (1) verbal and one (1) non-verbal communication strategy you would apply to ensure that appropriate support and care is provided to the dementia client for each of the following.

Support requirement Verbal communication Non-verbal communication
Reality orientation

Reminders of the day, the time, relationships, occasions
Reassuring words, phrases and body language

Validation

Empathy

Acceptance of the person s reality

Acknowledgement

Allowing expressions of distress

Frequent reminiscence to connect with person

Question 16: How could you adjust the following sentences, so they are more positive, culturally safe and are a person centred approach to communicating with a dementia client?

Negative sentence Positive sentence
You are not allowed in other people's rooms.
You can't go home - you live here now.
You haven't finished your dinner again.
My name is Angela. I've told you five times in the last half hour.

Question 17: In the following table, suggest two appropriate care approaches that may be used to assist with each type of challenging behaviour.

Behaviour Care approaches
Repetitive behaviour

Paranoia

Aggression

Sundowning

Disinhibited sexual behavior

Question 18: Explain the importance of maintaining accurate, objective and detailed records for clients with dementia.

In your response include the steps you take to ensure the above in accordance with organisational policies and procedures.

Question 19: Provide the steps you complete to implement the referral process for a dementia client.

Question 20: In your own words explain how assistive technology assists dementia clients to:
a. Maintain and enhance their independence
b. Enables participation and inclusion in social interactions with others

Question 21: Complete the table by:
a. Provide an example of assistive technology for each life domain

Life Domains Example of assistive technology and devices
Self-care

Continence and hygiene
Communication

Mobility and transferring
Cognition and memory loss
Vision and hearing

Daily living activities

Recreation and leisure

Education and employment
Home and other environments
Eating and drinking

Pressure area management
Carer support

Question 22: Provide an overview of each listed legal requirement when working in dementia care and your ethical obligations associated with each

Legal requirement Overview Ethical obligation
Duty of care

Human rights

Privacy

Confidentiality

Disclosure

Dignity of risk

Question 23: Explain the legal requirements for mandatory reporting associated with aged care and dementia clients.

Question 24: List the current WHS legislation you must comply with as an Enrolled Nurse. Explain three (3) key aspects of the legislation which you apply when working with dementia clients.

Question 25: Explain how each of the listed stressors impact the health and wellbeing of a dementia client.

Stressor Impact
Infection

Nutrition and dehydration
Continence

Pain

Environmental

Accumulated/cumulative

References