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Case Background

By adopting the pseudonym Rose, the patient’s and her daughter’s identity will remain confidential according to NMC (2018). Rose is a 77-year-old female with Alzheimer’s disease who lives with her only daughter (who has been her primary carer). Rose can’t learn new things and has poor long-term memory. Rose slurs and sees individuals who are not there. She needs help with hygiene, dressing, eating, and toileting. Rose has been presenting severe behavioural and psychological symptoms of dementia, including verbal aggression, disorientation, day-night sleep reversal, and reduced oral intake (Cerejeira, Lagarto and Mukaetova-Ladinska, 2012). Rose was transferred to a specialist hospital for a physical assessment, she was medically cleared.

Rose sustained a fractured right clavicle after a fall a year ago. She is being administered 15mg of codeine for pain. Rose is also on PRN Lorazepam for agitation.

 

Social History

Kate, Rose’s daughter, was interviewed to learn about her past and personality. Kate characterised Rose’s free, autonomous childhood. Rose lived in a little town with her two siblings. Rose was married to Kate’s father, Charles, for 40 years before he died 10 years ago. Carol mentioned Rose and Charles were very close. Rose moved in with Kate after being diagnosed with Alzheimer’s 2 years ago.

Kate described her mum as a strong and independent lady who liked making people happy. Katie stated that Rose taught in a primary school for 25 years. Rose loved teaching and would do anything to help a child. Rose is a non-smoker and does not drink or use drugs.

 

Marking  Criteria

Critically analyse the process of assessing a chosen service user with complex needs. 
Critically evaluate the role of the nurse and healthcare professionals, in relation to engaging in collaborative approaches and the delivery of evidence based interventions to aid the on-going care delivery for the person with complex needs. 
Critically appraise the values and ethical practice considerations underpinning the assessment and on-going care delivery to meet the needs of this person and their families. 

 critically analyse the assessment process undertaken with an individual service user and details the care plan as a result of this assessment 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 0715

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