Individual Patient Care in Dementia

Individual uncomplaining Care in DementiaA view ass role decoctes on the attend, dish out and support given to their uncomplainings whilst treating people as individuals and pushing their dignity (The NMC code, 2015). In this essay I will discuss the slipway in which nurses crumb vouch that longanimouss with mania receive individualised affected role role of veneration. The aim of this essay is to demonstrate how care is implemented to patients with madness and how nurses ensure care is individualised to meet the patients necessarily and wants. Nurses push aside identify the individual needs of the patient byfollowing the nursing process. Thenursing process is a serial publication of stages in be givened for nurses to demonstrateexcellent care. It consists of five phases Assessing, diagnosing, planning,implementing and evaluating. Thisprocess is client centred. These stages mean that nurses should individualisewhat is needed for one patient. Apatient needs, and prob lems is identified through these steps. The sound judgmentphase is the first step in which it allows nurses to identify what the patientsneeds are. The nurse collects information from the patient by asking themquestions and running natural examinations. They dissect the information thatis gathered in this stage in which it is further analysed which requires indept thinking. The Diagnosing Phase is the next phase in which the nurses makean boilersuit diagnosis about the information that was collected in the assessmentphase (Gardner, 2003). It is stated that patients tackle a medical diagnosiswith what mental health professionals conjure an anticipatory anxiety. They arenervous and scared as to what they are told and how it may change their day today life for them and their close ones (McClain and Buchman, 2011). The diagnosis of dementia entails ofexamination, cognitive testing and assessment. Nurses informing patients thattheir memory and cognitive function is beginning to change sight be challenging anddifficult to hear hence it is crucial that nurses should uphold their dignityand inform them of the intercession that will be applied and to give them the helpand support they need. (Prince and Martin, 2016). The planning phase lets thenurses bring about a plan of swear out in which ongoing treatment will be discussed.This phase allows the nurses to address patients needs. The implementing phaseis when nurses carry out the plan of action. For dementia patients theirsymptoms tend to go worse. It is vital that nurses demonstrate great care inwhich they can them support with daily activities e.g. washing and dressingthem. They should also monitor the patient and focus on the improvements madeby the patients. It is vital that the nurses care, monitor and support that isgiven to the patients is continuous. The care that is received by the patientswith dementia is much lower as to those patients without dementia hence it isfundamental that the nurses ensure th at care is individualised to the patientsneeds and wants. For the last evaluationphase, it is crucial that nurses complete an evaluation to see if the treatmentthat was carried out is operative and if any changes happen. If the treatmentisnt working nurses can support the client, analyse and understand as to whyit didnt work (Gardner, 2003). Nurses should respect the patients beliefs and pr howevertmaking assumptions mainly grounded on their appearance or other personalquality. They must listen and consider patient concerns. It is vital that thenurse is non-judgmental and sensory(a) minded towards the patient. Nurses can ensurecare is individualised when it comes to fulfilling the nutrition, painmanagement and personal needs of the patient. If the patient cannot manage oris unable to regulate their nutrition, thusly the nurse should support andencourage the patient by placing food within their reach (Kaplan, 1996). Providing care to a patient who suffers from dementia isvital as the patient does not submit the ability fully understand theirdiagnosis. As a nurse, it is encouraged to introduce yourself to the patient tocreate a therapeutic relationship during treatment. Patients who have dementiaare no longer able to maintain their individuality and personhood hence why itis important that nurses can see and uphold and preserve it for them. Patients esteemnurses recognizing their individuality. Nurses reassure patients that one isnot living a horrible and unhappy life by implementing the worth and value totheir life by trying to sign on to know the person behind the patient. Nurses canensure that care is individualised as they could get to know the individual,their values, likes and dislikes and hobbies as this gives the patient an individualitywhilst constantly demo compassion and respect (Collins and Hughes, 2014). Thisis most valued and appreciated by patients as it allows the nurses to know thecharacteristic and the personality of the patient. Nurse s can show perception to the patient by acknowledging their needs and wants and providingcare that is customized and adapted to it. It is important that nurses try andbuild an insight of the patients instauration and how to bond with them. Whencommunicating and engaging with them they must always say their name unless thepatient wishes a different way of being addressed. Nurses can consider the patients perspectivewhen demonstrating care that is exclusively personalised to their needs. Giving recognition to the patient allows therelationship to build much stronger as you are giving your attention and timeto them. Nurses would give the patients the plectrum and responsibility tomake their own decisions when it comes to their choice of food, clothes theywant to wear, getting involved in activities etc. Allowing the patients to makedecision like this lets them know that they are comfortable. It also gives thema sense of enfolding and participation to express their qualities andperso nality. However, when the discussion of making clinical discussions arisesand the patient is unable to make the decisions due to cognitive abilitiesdeclining, the family and doctors will be more involved. Nurses should allowthe patients to create their own pace in which you shouldnt push the patients overtheir limits. It would be much of a benefit to focus on the improvements madeby the patients even if its something small. This would motivate and drive thepatient building their self-esteem. When a nurse is caring for a patient whohas dementia it is important that you do not shop them. Respect for thepatient is a main aspect nurses must implement in their duty of care. Nurses canensure that the care and treatment given to the patients is with some(prenominal) respectand compassion (The NMC code, 2015). Socialisation and interaction isfundamental for patients as it allows the patients to maintain a social lifeand form relationships. Allowing the patients to experience and be around association will progress their communication skills. Nurses should recognise thatall patients including people with dementia is built in relationships and thatdementia patients require a healthy social environs to promote opportunitiesfor personal and mental progress. Dementia affects the way a patientcommunicates. People suffering from dementia can find difficulties respondingback to question (NICE, 2012). When conversing with patientwith dementia they may also find problems to maintain the information during adiscussion.Nurses must validate and shouldnt dismiss what is said by thepatient. They must try to understand and take notice of what the patientexpresses to them. Nurses cancommunicate in a calm and respectful way in which they should speak directly tothe patient. It can be frustrating for a patient with dementia to communicatetheir needs and wants hence it is vital that nurses are supposed to remain calmand patient if the patient becomes agitated (Ellis and Astell, 2017). When a patients conditions begin to deteriorate,health and social care needs begin to increase causing them to require morehelp and personal care. When nurses are relaying information to a patient theyshould give the patient both oral and written information, so it can be fully mum and so it can encourage and boost their communication skills intheir care and treatment. When released from hospital, people with dementia arelikely to suffer a serious tone ending of individuality, and increased needs for helpand support. So, it is important that the care is demonstrated to patients notonly during hospital but when they arrive home. Nurses can try and view the world from the viewpointof the person with dementia, distinguishing that everyones experience has itsown psychological validity, that people with dementia act from this outlook(Brooker, 2007). The ageing population isexponentially increasing sequeling in challenges to nurses in coping andtreating the conditions and health needs that arise with old age (Bhardwa,2015). These barricades that I will be explaining are obstacles that prevent thepace of excellent care being demonstrated by nurses. The barriers todemonstrating care to dementia patients is that they receive poor quality inwhich nurses tend to focus on other patients with severe distemper and diseases. Another barrier would be ineffective realisecare planning. Some people with dementia receive a delayed diagnosis which canresult in them not having the mental capacity to attain decisions. A lot ofpatients find it difficult to vision their self-getting better due to theircurrent state. Nurses can ensure that the care that is provided to people withdementia is quality care during the duration of their treatment. Hospice use isincredibly low for dementia patients. The people with dementia that get transferredto a hospice can result in confusion and distress at a state in which the personis unable to handle change. Also, they have completely different needs comparedto cancer patiences. It is crucial that both staff and nurses have thetraining required to deliver care to individuals with dementia. Agediscrimination is also a barrier that elderly patients face in which thesymptoms demonstrated to doctors and nurses is referred to a getting old. Nursesare failing to spot and notice the symptoms of dementia in a lot of patientswhich creates a poor rate of diagnosis (Collins and Hughes, 2014). Theorganization like the National Health Service also create barriers resulting inpatients not receiving the care they need. They have confine access toresources, lack of time, heavy patient workloads and insufficient staffing. Nurseshave a contribution when it comes to the barriers of providing care topatients. Some nurses have a lack of interest, lack of say-so in criticalappraisal skills, lack of knowledge and them feeling overwhelmed (CAN, 2018). Dementiapatients experience behavioural and personality changes. Patients thatspecifically ha ve advances dementia tend to be physically aggressive, havehallucination and get agitated. These symptoms can result physical andemotional distress to both the patient and the nurse. There is also hostiletreatment for dementia patients that is very familiar in which it consists oftube feeding and antibiotic treatment for infections. This treatment is knownto be wrong and does not improve survival. Families of the patient shows greatdissatisfaction against the aggressive treatment that is demonstrated to thepatients. Nurses can implement excellent care by concentrating on improvingpatients comfort and increase in advance care planning (Collins and Hughes,2014). The points I explained in this essay show how providing andoffering care to people with dementia can be complex and there can be a lot ofboundaries that come along with it however when the when the needs, wants,choices and problems is focused and centred around the patient thats when careis at its best. Nurses should always pu t the patient first. Nurses can valuepatients with dementia by promoting their self -worth and treating them asindividuals. ReferencesThe Code, 2015)Your Bibliography The Code. 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(Patient experience in adult NHS services improvingthe experience of care for people using adult NHS services, 2012) Patientexperience in adult NHS services improving the experience of care for peopleusing adult NHS services. (2012). NICE.Ellis, M. and Astell, A. (2017). Adaptive interaction anddementia. Brooker, D. (2007). Person-centred dementia care. LondonJessica Kingsley Publishers.(Bhardwa, 2015) Bhardwa, S. (2015). Barriers to dementia care. Independent Nurse.(Cna-aiic.ca, 2018)Cna-aiic.ca. (2018).Barriers to Nursing. online Available athttps//cna-aiic.ca/en/nursing-practice/evidence-based-practice/barriers-to-nursingAccessed 26 Apr. 2018. Collins, J. and Hughes, J. (2014). Living and dying withdementia in England Barriers to care. London.