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Nursing Case Study: Advanced Stage Dementia

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Nursing Case Study: Advanced Stage Dementia
Mr. John Kelly,83 years old is admitted to a long term care centre of older adults due to his physical and psychological difficulties after death of his wife . After six months of his wife’s death ,he visited his GP and diagnosed depression and referred to a geriatrician .Also, John was diagnosed with Alzheimer’s disease and rheumatoid arthritis on prescribed medications. The aim of this case study is to explain and discuss the major nursing care of a 85 year old man who has recently been diagnosed with advanced stage dementia. This case study will express my knowledge and understanding of evidence based nursing practice whilst exhibiting my ability to outline a plan of care, which is based on this.

a)
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As a nurse it is essential to identify the use of an advanced plan of care s would enable John, while he is in the nursing home, to write a statement which outlines the way in which care has been prioritised as it is appropriate to him.
Impaired physical mobility
Impaired physical mobility of Mr. John is due to neuro muscular damage and decreased Muscle tone and strength as evidenced by inability to perform activity of daily living. As Mr. John has dementia with his old age, he cannot interfere with his ability to care for himself. It is suggested that activities of daily living (ADL) are vital errands that one require to perform to survive. These include bathing, eating, toileting, and grooming. Mauk
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John has been suffering from rheumatoid arthritis and it causes him to limit his mobility and he is using stick while walking as an assistive support and he is on pain management medication. It is evidenced by various studies management of pain is difficult for older patient with dementia.
To begin with, according to a demonstrated study, the strategies depicted are more paramount to caliber estimation, fragile more seasoned persons, a more-dependent number over those powerless one assembly mulled over. Measures of nature are meager to such groups, to some degree due to worries that caliber measures will not apply a result those profit starting with intercessions is thereabouts little for patients in the greater part weakened state thatquqlity indicators( QIs) are inapplicable. Solomon, 2003 p.no

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