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Case study 1

Lila is a support worker at a care facility. Lila provides care to people who experience memory loss.

Every day at work Lila faces new challenges as she tries her best to use the most appropriate communication strategies to meet each person’s individual needs.

Some of the people Lila works with have severe dementia and can become distressed when spoken to. Others she cares for are not aware of anything that is going on around them – they are disorientated to the day, time, relationships and occasions.

Sometimes they confuse the past and reality taking place around them. Lila has found that no single strategy works for everyone, and that everyone has unique communication needs.

 

1) a) Explain the meaning of empathy.

b) Provide at least THREE ways Lila could show empathy.

 

2) What should Lila do if a person with dementia is distressed?

 

3)A person with dementia is sometimes experiencing a different reality. Why is it important that you accept and acknowledge (validate) their reality and respond according to what they are seeing and experiencing?

 

Case study 2

Richard is part of a team who support people with dementia. One of the most challenging aspects of Richard’s job is managing the problematic and disruptive behaviours of the people he is caring for.

Richard realises that in most cases these behaviours are a way of expressing unmet needs and concerns. Unfortunately, it can be tricky to identify these needs, especially for those like Karin who have severe dementia.

Karin is unable to use words to explain her thoughts and feelings. Richard tries to use a range of strategies to reassure her and minimise the impacts of the behaviours of concern. However, he has noticed that sometimes the effectiveness of a strategy will change and require the team to review the behaviour support plan to better meet the needs of the people receiving care.

 

1)What verbal communication strategies could Richard use to communicate with Karin?

 

2)What non-verbal communication strategies could Richard use to communicate with Karin?

 

3)What appropriate type of support and guidance could Richard provide to family, carers and / or significant others?

 

Case study 3

Miyuki is a carer for Mr Ling, a 76-year-old man who has dementia and lives at home on his own.

Miyuki visits Mr Ling three times a week to assist with personal care. 

Mr Ling is often surprised to see Miyuki and doesn’t always understand why she’s there. He sometime’s thinks she’s his daughter.

Today he told her to go home because he has to go to work.

 

1) Explain how Miyuki should respond to Mr Ling by using reality orientation.

 

2)Explain how Miyuki should respond to Mr Ling by using validation strategies.

 

Case study 4

Tua works in a busy care facility that provides care to many older people who have memory loss.

Today he is bringing the residents, one-by-one, to the morning activity but one of the gentleman says he doesn’t want to join the activity. He wants to sit at a nearby table because he was waiting for his father to pick him up.

Tua knows the activity officer wants everyone to join the activity because it is good for them to socialise and be engaged in something interesting to relieve their boredom.

 

1)What person-centred approach should Tua take in this situation? Explain your answer.

 

2)Using validation strategies, how could Tua respond when the gentleman tells him he’s waiting for his father to pick him up?

 

SCIENCE
HEALTH SCIENCE
NURSING
HEALTH 1000

 

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