You are assigned to care for Mr.

You are assigned to care for Mr. Andrasziuk, 85, who has Alzheimer’s disease. He often wanders from room to room and tries to open outside doors. He frequently displays increased agitation, confusion, and restlessness, especially in the evening. Most of the time, Mr. Andrasziuk is unable to feed himself and he is often incontinent. He keeps repeating, “Help me, help me”, all day long. Answer these questions about how you would care for a person who has dementia: § How do you feel about caring for a person with these behaviours? o Frightened? o Angry? o Impatient? § How do you deal with your feelings so that you can give care to the person? o Identify your feelings. o Describe how you deal with or manage those feelings. § At what stage of Alzheimer’s disease is Mr. Andrasziuk? o What signs and symptoms support your answer? § Why would it be ineffective to remind Mr. Andrasziuk of the date and time during your shift? o Relate your answer to your knowledge of Alzheimer’s disease. § Why is reminding a client of the date and time a good technique with some confused people and not with others? o Relate your answer to your knowledge of Alzheimer’s disease. § Why does Mr. Andrasziuk’s behaviour become more agitated, confused, and restless toward evening? o What is this called? § What methods could you use to make sure Mr. Andrasziuk receives the care needed to maintain good personal hygiene? o How could you get him to cooperate or participate in his care? § What parts of Mr. Andrasziuk’s behaviour would be most difficult for you to tolerate? o Explain why. § What would you do if you found yourself becoming irritated and angry with Mr. Andrasziuk’s behaviour? o Describe several options. Read the questions carefully and take careful note of the verbs used e.g. feel, deal with, identify, describe, relate, why, what, how, explain; these are key words in guiding your answers. This is a written essay assignment and it should be completed individually. Six marks are awarded for essay standards. RATING GUIDE for the CONFUSION DELIRIUM DEMENTIA ASSIGNMENT Evaluation Criteria Each item is fully, clearly, and is guided by the verbs (underlined) Each item is well but may not respond fully to the verbs Each item is but sparsely with little or no reference to the verbs No answer or explanation not included 3 2 1 0 Describes how you feel about caring for a person with these behaviours Fully and clearly describes how you feel about caring for clients displaying the behaviours within the scenario Partially describes how you feel about caring for clients displaying the behaviours within the scenario Poorly describes how you feel about caring for clients displaying the behaviours within the scenario No description. Identifies and describes how you deal with or manage your feelings so that you can give care to the person Identified and described fully how to deal with or manage own feelings about the behaviours described within the scenario, so that you can give care to the individual Partially identified and described how to deal with or manage own feelings about the behaviours described within the scenario, so that you can give care to the individual Poorly identified and described how to deal with or manage own feelings about the behaviours described within the scenario, so that you can give care to the individual Omitted identification and description Identifies the stage of Alzheimer’s disease of the client Correctly identified the stage(s) of Alzheimer’s disease Did not identify or incorrectly identified the stage of Alzheimer’s disease Lists the signs and symptoms to support your answer Listed all the signs and symptoms to support your answer. Listed most of the signs and symptoms to support your answer. Listed only a few of the signs and symptoms to support your answer. No list or it is completely incorrect. Explains why it would be ineffective to remind the client of the date and time during your shift A full explanation is given. A partial explanation is given. A poor explanation is given. No explanation is given, or the explanation is completely incorrect. Explains why reminding a client of the date and time is a good technique with some confused clients and not others Fully explained both why and why not. Partially explained both why and why not. Poorly explained both why and why not or only explained either why or why not but not both. No explanation given or it is completely incorrect. Explains why the client becomes more agitated, confused, and restless toward evening A full explanation is given. A partial explanation is given, missing some important points. A poor explanation given, missing too much information. No explanation given or it is completely wrong. States what that is called Correctly stated Incorrect or omitted statement Describes methods you could use to ensure client receives care to maintain good personal hygiene Described fully methods that could be used… Described partially methods that could be used… Described poorly methods that could be used… Not described or description is incorrect. Describes how you could get client to cooperate or participate in his care Full & viable description given. Partial description given missing some key points. Poor description given missing too many important points. No description given or the plan is not viable. Describes what parts of client’s behaviour would be most difficult to tolerate Clearly described what parts of client’s behaviour would be most difficult to tolerate Poorly described what parts of a client’s behaviour would be most difficult to tolerate. No description given. Explains why A credible and full explanation of why the described parts of a client’s behaviour would be most difficult to tolerate. A credible but partial explanation of why the described parts of a client’s behaviour would be most difficult to tolerate. A credible but poor explanation of why the described parts of a client’s behaviour would be most difficult to tolerate. No description given or it is just not credible. Explains what you would do if you became irritated and A full explanation is given, and it is A partial explanation is given, and it is A poor explanation is given and/or it is No explanation given. angry with the client appropriate. appropriate. not very appropriate. Describes several options Three or more options described Two options described One option described Not described Marks 42 Evaluation Criteria Fully addresses criteria Partially addresses criteria (some is missing) Poorly addresses criteria (much is missing) Not completed 3 2 1 0 Standards: § Typed § Font size 11-12 § Use separate paragraph for each section § Leave one line space between paragraphs Three of four of the requirements are satisfied. Two of the requirements are satisfied. One of the requirements is satisfied. None of the requirements are satisfied. Marks 3 SCIENCE HEALTH SCIENCE NURSING ENGLISH ENGL220

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