CNA427 Mental Health Well-Being and Dementia Care - Assignment Help

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CLINICAL REFLECTION OF PRACTICE

case study patient

Mr . XXX was Brought by ambulance from a residential age care facility ., following an unwitnessed fall, had a head strike with Loss of consciousness unsure. The patient was found on the floor by the nursing staff .

The patient was faceally incontinent and urine incontinent

The patient had stated some neck pain, on cervical stabilization

The patient had a laceration on the right side of the eyebrow . On presentation patient was confused, dried blood was noted on the face and forehead and right eyebrow. No active bleeding

HISTORY

ALZHEIMERS DISEASE

Atrial Fibrillation

T2 DIABETES Mellitus

osteoprosis

Chronic obstructive lung disease

HTN

 ON examination

- Airway - patent, maintains own

Breathing - RR- 18/MT , NIL WORK OF BREATHING, Saturation maintaining in ra - 92 /% , speaks full sentences

Circulation - hr - 102 , ecg shows ATRIAL FIBRILLATION,LOOKS WELL PERFUSED, BP -100/74 mm of hg

disability - condused , gcs- 14 in the setting of confusion , puipls- 3mm reactive and equal

WARM TO TOUCH , CAP REFILL < 2 SECS

AFBERILE

resting on the bed

bloods reveals low sodium level , Crp incresed

urine shows - leukocytes postive , nitrates postive

ecg - atrial fibrillation

CT scan brain and neck shows - no hemorraghe or fractures of cspine , c- spine intact .

Patient was treated for Delirium secodary to UTI

INTERVENTIONS DONE

PERPHERIAL VASCULAR ASCESS

IV fluids Normal saline 1000 ml as stat bag

ORAL ANAGLESICS ADMI ISTERED

DRESSING DONE

4 AT assessment

referred to physio 

During the stay at the EMERGENCY, DEPARTMENT Patient was very confused, wandering the department, yelling, and stripping own clothes.

In the department, we have a quiet space called Nell Willams, a specialized area trying to accommodate patients who are dementia or confused.

I Tried to communicate the patient, by offering a cup of tea, asking about the family members, spoke to son on the phone , who stated that he had a great interest on cooking and fishing. The patient was made sure he gets adequate hydration. Unfortunately, the noisy environment was diffcult to provide the sleep

Lights were dimmed in the patient area

Personal care needs were attended

analgesics administered

we had dementia baskets provided by the aged care assessment tream help in the diversional therapy and periods of escalation behavior

the patient had transferred to another medical ward for the continuity of care

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TASK REQUIREMENT -AS DESCRIBED ASSIGNMENT

Reflect on your own practice in the care of an older adult living with disabling mental health and how you have supported that person’s well-being, supported by evidence (experiential and literature based).

Discuss knowledge of current concepts of mental health and well-being in older adults supported by relevant scholarly literature

Writes clearly in an appropriate academic style and structure using in-text references, consistently acknowledging sources per the School of Nursing Guidelines.

The purpose of this task is to critically reflect on areas of your professional practice. Using your knowledge of the pathophysiology of mental health in older adults, challenge your own assessment approach and care practices against current concepts of mental health well-being in the older adult. You will demonstrate your ability to transmit knowledge using professional language, and support your ideas critically using scholarly literature in this essay.

In relation to the issues you raise in your critical reflection, describe and explain how your knowledge of the pathophysiology of mental health in the older person:

(1) has influenced your assessment practice, and

(2) has, or will, change your assessment practice.