Dr.Groulx states that potential causes of wailing and screaming are the patient is in physical pain that they cannot communicate. Hunger, mental pain, depression, and medical or physiological factors may all be causes. Changes in the patient’s environment, the environment may be over stimulating/ under stimulating. The patient feels unsafe. Psychiatric causes such as if the patients need to love and be loved are not being met; the patient may feel loneliness and/ or abandonment. Psychosis, with its accompanying psychic pain and symptoms and deep anxiety may as well be causes of wailing and screaming.
In assessing this behavioural problem, Dr. Groulx suggests trying to understand what the person is feeling or the need that they are trying to communicate. Try to find a specific solution for the patient by using the five “Ws,” who, what, where, when and why. Dr. Groulx indicates assessing the patient using Dr. Jiska CohenMansfield, Theoretical Framework, which assesses the patient’s habits and personality, their current condition (Physical and Mental), and their Environment (Physical Psychosocial) to see if there have been any changes. A standard medical checkup should be completed
In regards to intervention, Dr. Groulx suggests beginning with a nonpharmacologic approach. Identify the need that is not being satisfied. Adapt the intervention to the patient’s needs, personal characteristics and environment. These approaches may include Speaking, touching (holding their hand, massaging the patient), placing the patient closer to where there is more action may all be ways to alleviate feelings of loneliness. Putting up pictures of “new family” of nursing staff can help with emotional needs. Providing regular zootherapy, or having a “live in” pet, calming music or having family members record their voices may also help with patients emotional needs. Providing the patient with uncomplicated and repetitive manual exercise, such as folding towels can help the patient feel useful and have a sense of worth. If none of these approaches work and a hidden medical problem has been ruled out, the use of medication to reduce anxiety, tension or depression may be a solution.
Dr. Amella and
Related Documents: Essay on Care Challenges in Dementia
This group is predicted to double in the next 25 years and treble in the next 35. http://www.ncepod.org.uk/2010report3/downloads/EESE_fullReport.pdf http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0010/64675/FullReport-hta13200.pdf 4 Dementia is a particularly debilitating problem associated with ageing, with around one in 20 people aged 65 years and over having the condition, rising to around one in five people over 80 years of age.5 Stroke is also one of the most prevalent causes…
4222-370] ( Written questions [Outcome 1] Understand the concept of diversity and its relevance to working with individuals who have dementia 1.1- explain what is meant by the terms • diversity The Service Users i deliver care to are all different in many ways.This can be along the dimensions of gender, age, ethnicity, race, sexual orientation, socio-economic status, physical abilities, political beliefs, religious beliefs or other ideologies. This means that i have to be aware of a person’s…
them who they are. It helps us to give a person centred approach because of the way of life as they know it and it has been this way for a long time, they are happy and comfortable with it so why try and change it. 1/2 compare the experience of dementia for an individual who has acquired it as an older person with the experience of an individual who has acquired it as a younger person. They both may be frustrated as they carnt do the things they found easy to do. They may not be very different,…
the acute care setting (Australia Institute of Health and Welfare [AIHW], 2007). Dementia is described as a "syndrome, usually of a chronic or progressive nature, caused by a variety of brain illnesses that affect memory, behaviour and ability to perform everyday activities" (World Health Organization [WHO], 2012, p.2). Purpose: The purpose of this literature review was to establish if the delivery of nursing care in the acute care setting, encompasses the older person with a Dementia diagnosis…
What is Dementia? If you, or a friend or relative, have been diagnosed with dementia, you may be feeling anxious or confused. You may not know what dementia is. This factsheet should help answer some of your questions about dementia, including what causes it and how it is diagnosed. The term 'dementia' describes a set of symptoms which include loss of memory, mood changes, and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain diseases, including…
Dementia and eating/drinking Savithri S Iyer Maryville University Dementia and eating/drinking: A person with dementia as such faces a variety of issues and it gets complicated when eating and drinking become a struggle. It is observed that as dementia progresses, eating and drinking become difficult as the person has problems with memory and judgment. He or she may forget to chew or swallow causing poor food intake and dehydration. This behavior can be seen in early as well as advanced dementia…
Loving Someone Who Has Dementia Dementia is more than a physiological condition, it is a relational condition that deeply affects those who care for, and about the person suffering from it. Loving Someone Who Has Dementia is a book that gives revelation about how to live with a profoundly changed relationship that despite dementia, remains a relationship. The author is Dr. Pauline Boss, She is best known for her research as a pioneer theorist and clinical practitioner of stress reduction for people…
Alzheimer's disease effects people in different ways, but the most common symptoms begin with gradually worsening ability to remember new information. As damage spreads, individuals experience other difficulties, such as memory loss that disrupts life, challenges in planning or solving problems, difficult completing tasks at home, work or at leisure, time or place confusion, trouble understanding visual images, changes in mood and personality, poor judgement, misplacing thing and losing the ability to retrace…
Assessment 1 Question 1 Dementia is used to describe a range of symptoms that occur when the brain is affected by certain diseases. Diseases such as Alzheimer’s disease and Vascular Dementia result in chemical and structural changes in the brain. Dementia involves a person’s mental abilities progressively decline; these abilities include remembering things, making rational judgments and communicating. People with dementia will see a change in personality and behaviour; they will also have difficulty…
much as possible, their wishes and choices be adhered to, although discretion may be used in instances that could bring harm or suffering to the service user. The service users care plan should detail the choices and preferred methods of working that suit the service user best and should be adhered to wherever possible. The care plan would have been made with the consent and input of the service user, if there were no communication problems, or with the aid of the family / guardians if there are communication…