Question 1

You must consider both the person with dementia as well as the family in the context of care
giver role and decision making.

Best answer: see slide 19 of your PPT material.

Ø Health care is sought when the family cannot deal with the situation or
meet the client’s needs

Ø Family members cannot meet the client’s needs

Ø The client no longer knows the caregiver

Ø Family members have health problems

Ø Money problems occur

Ø The client’s behavior presents dangers to self and others

These answers would also be in association with the client themselves

i.e. need more assistances with ADLs, Feeding, etc

Question 2

1. delirium, as this is sudden 

2.

 Ensure you are in a safe position, if able to then approach the client

 Ensure he is safe and has not injured himself. This is your first priority before you do
anything else.

 reposition him, in bed,

 get assistance if needed,

 reassure him, turn off distraction like the tv/radio.

 Inform the nurse and document 

Question 3
An individual with Parkinson’s disease (see page 813) will have issues with controlling
movement, tremors, stiffness, difficulty walking, balance and dementia line symptoms later on.  

The main priority is helping the resident with his ADL's. Physiotherapy and daily exercise to
maintain strength, posture, balance and mobility. The resident needs regular rest periods and
avoid stress, therefore have a routine for activities and naps. safety practices to prevent falls and
choking.

Therefore based on these things what would you do for care or keep in mind?

1. Safety (reduce fall risks, i.e. floor mats, proper lighting, clutter removed) 

2. Go at the pace of the client as they move slow (encourage mobility where able)

3. Choking risk, thus supervise meals (follow care plan)

4. Assist with ADLS where needed

5. Be patient provide compassionate care, speak slow but appropriately. Always preserve the
clients dignity and be respectful

Question 4

See pages 806, and 825 (think about safety section and paragraph on sleep):

Confusion and Delirium may increase if a person has increased lack of sleep, inadequate diet,
days and nights getting mixed up thus the importance of following a day night 

i.e.

 Open curtains, Shade, drapes during the day

 Close them at night 

 use a night light at night 

 client should wear regular clothes during the day-not sleepwear 

 follow care plan, follow routine for the day, meals, bathing, exercise

 turn off radios, TVs at night 

 discourage naps during the day

 limit caffeine intake during the day 

Question 5.

See page 831

Catastrophic reaction: extreme responses to what the client thinks will cause danger, or tragedy.

There was nothing wrong with Mrs. Peters, the over stimulation in the external environment the
noise in the dining room caused her to react unexpectedly and to the extreme