Case Study Scenario: Mr John B is a 68-year-old retired Iris

Case Study Scenario: Mr John B is a 68-year-old retired Irish… Case Study Scenario:Mr John B is a 68-year-old retired Irish Anglican Priest with mild Alzheimer’s Dementia. He lives with his daughter, Leah and her 2 year old son, after his wife passed away one year ago. Recently Mr B has had issues with stability, which resulted in a fall.Mr B was admitted to the Rehabilitation ward following a repair of his L) #NOF (Neck of Femur).  He was extremely anxious and refused to engage in any rehabilitation exercises. He also refused to speak to any health professionals regarding follow up care and community home care, following discharge from hospital. Mr B’s daughter is a single mother and works only part-time as she stays home to care for her father because he refuses to go into a nursing home. He also refuses any home help nor does he go to church anymore. He also refuses to go the senior community centre for daytime activities, after he was told he would not be welcome for his anti-social behaviour. History:Mr B suffers from early Alzheimer’s Dementia, hypertension, Hyperlipidaemia and Depression. Social:Leah states that due to his stubbornness and change in behaviour they no longer go out anywhere to socialise as a family. She stays home to care for him on her days off as she fears for his safety if left alone. Leah is concerned that her father’s mental condition has deteriorated but he feels he is fine.She also states that he mentioned on multiple occasions that he feels he is a burden on Leah as she takes time off work for him. He also has not been compliant with medication and refuses to attend his GP appointments. Leah also states her concern for his ongoing health and also the stability of her job if she takes many more days off work.Medications:Glantamine for his dementia,Citalopram (anti-depressant), which he commenced 6 months ago and did not attend GP for review.Lisinopril,SimvastatinUsing the case study above, address the following s outlined in the assessment criteria below.R1.Critically examine and discuss the current health complaints of Mr B, including physical, social and psychological aspects from the health data above.R2.Discuss the clinical manifestations of Alzheimer’s and discuss all physical, psychological and social impacts of the health issues on Mr B and his family.R3.Identify health literacy issues that potentially inhibit Mr B’s capacity to access, understand, evaluate and communicate information in order to maintain and improve his health.R4.Identify the potential risk factors and prioritise an interdisciplinary approach to minimise risk of harm.R5.Discuss the strategies/ interventions you would implement to support Mr B in understanding information and the potential risk factors that you identified in R4? Ensure your nursing interventions reflect the individual’s needs, culture, religion, age, gender, health issues and social needs.R6.In view of Mr B’s deteriorating health condition, discuss what in-hospital and community resources may already be available to him. Use the link and then select ‘Southern Metro Region’ to help you. the resources in terms of preventative, curative and rehabilitative strategies for Alzheimer’s.R7.Discuss all possible follow up care Mr B will need following his discharge from hospital. Include possible interdisciplinary teams that may contribute to Mr B’s care.R8.Following discharge from hospital Mr. B is not coping and needs wound management care as well as assistance with ADL’s.  His daughter, Leah fears for his safety and is also having difficulty coping as she is unsure of what she is doing. You are his community nurse (employed at the same Rehabilitation facility) and have been referred to see Mr. B at his home.What nursing interventions can you implement in the community to adjust to Mr B’s needs in his home to facilitate his independence with ADL’s? Remember to include family to help assist with Mr B’s self-care.R9.You notice during conversation Mr. B is SOB (short of breath), holds his chest and complains of mild chest pain and of having palpitations.As a community nurse what policies and procedures are you likely to follow. Explain the first aid management you would undertake in this situation in the community.Health Science Science Nursing HEALTH HLT54115

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