Mod 11 Dementia Assignment

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Instructions

This is a read and response-based assignment. You will be given a case or general question and will be asked to respond in short answer form.

Part 1: Questions

  1. Cognitive impairment can disrupt the person’s ability to participate in their ADL’s. List three examples of specific difficulties with ADL’s that could arise, and then provide one action the PSW could implement to support and assist the client to promote autonomy and dignity with the task. (6 marks)

    • You will be asked to provide 3 responses. Each response should include an example of an ADL task and how the PSW could support the task

  2. Case:

    Mr. Heron is a 78-year-old client of the agency you are employed with. He lives in a retirement home but is supported by your agency two mornings each week. He has been a client of yours for a month. Mr. Heron’s forgetfulness is progressing slowly, but he remains a person with precise ideas and preferences regarding how things should be done. Mr. Heron’s occupation was a high school principal. He held that position for over thirty years. He is married and has two adult children and five grandchildren.

    Three times in the last two weeks when you have visited Mr. Heron you have found him hovering near the elevator in his building. He has appeared slightly agitated and has not been fully dressed. Today you find him in the same location wearing a suit jacket with no shirt underneath, and he seems particularly upset. He says to you, “The train is leaving and I’ve got to be on it or I will be late for school.”

    Questions:

    1. How might Mr. Heron’s personality and past experiences influence the behaviour you witness today? (2 marks)

    2. What actions or verbal direction might you do or suggest in order to make Mr. Heron more comfortable? (2 marks)

  3. Why is depression often mistaken for dementia? (1 mark)

  4. Using the three stages of dementia, explain how you would support your client with their meal times and eating in each of the stages. (3 marks)

    • You will be asked to provide 3 responses. One for the Mild Stage, the Moderate Stage and the Severe Stage

  5. A client you are assigned by your home care agency has been diagnosed withAlzheimer’s Disease – Stage 2. List five safety concerns you would have in the client’shome. (5 marks)

  6. Case:

    Mrs. Green is a client of your agency. She has been diagnosed with multi-infarct (vascular) dementia. She has been assessed to be in the first stage and is only mildly forgetful the majority of the time. She is most comfortable when she gets the answers she needs, although she may forget them in a short period of time. Today she asks you, “Have you seen my daughter? I haven’t seen her in a very long time.” You know that Mrs. Green’s daughter visits on a regular basis but you are unsure as to when she was last in. (5 marks)

    Questions:

    1. What is dementia? (1 mark)

    2. What is meant by multi-infarct dementia? (1 mark)

    3. How might Mrs. Green’s forgetfulness interfere with her safety needs? (1 mark)

    4. Considering effective communication techniques, how would you respond to Mrs. Green? (1 mark)

    5. Explain how this approach would be helpful (1 mark)

  7. “ When a resident is cognitively impaired, does it really matter whether he/she is attractively dressed? Are we just trying to make an impression on visitors and other residents? If the confused resident doesn’t know or care how he/she is dressed, why should we? It’s not bothering him/her.”

    • Do you agree or disagree? Explain your answer (2 marks)

  8. You have been assigned a client with a diagnosis of schizophrenia. At the time of their in-home assessment, the client was well controlled on medication and had excellent outside support from social work and family who live in the area. Desiring to be prepared for any change that could potentially occur from non-compliance with their medication regime.

    • What are three signs that you would take note of that your client may be in mental health crisis? (3 marks)

  9. “The elderly are not at risk of committing suicide.” Do you agree or disagree? Explain your answer (2 marks)

  10. Define “Affective Disorder” and provide one example (2 marks)

  11. Define “Anxiety Disorder” and provide one example (2 marks)

Submission

To submit your assignment, go to your class page and click on the “Dementia Assign - Response” button

This will lead you to the response page where you can answer each of the questions above and submit.

Note: Answers should be in your own words and not copied and pasted from your sources. Assignments which have been found to plagiarize sources, will be asked to re-write this assignment.