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7BTEC Level 3 Foundation Diploma in Health and Social CareUnit 17 Caring for Individuals with Dementia
Anjeela Johal Kaur, 68 – suffers from Alzheimer’s
I have chosen Anjeela Johal Kaur as my case study. She is 68 years of age and
suffers from Alzheimer’s. She was recently transferred to a residential care
setting as her constant progressing stages of Alzheimer’s would put her in
situations which could cause her harm. She was found many times to have been
wandering around and in a confused state and would often be trying to find her
husband who had passed away a year earlier. She would also forget where she’d
put her belongings and could become frustrated and annoyed easily due to this
occurrence. In addition, she would develop mood swings due to the constant
frustration of her forgetting things. Often varying from happy to angry, she would
get difficult to manage. Her children also have had young children of their own
that require full-time care, leave them unable to take her in their care.
Where is your individual living and how is the care plan helping them?
Anjeela has recently been admitted as a full-time resident at Ashfold Residence
where the staff are fully trained to support her. The manager of the residence has
met with Anjeela and her family to discuss the care and support required to
ensure that Anjeela still achieves a high quality of life. The family has informed
the manager of Anjeela’s dietary preferences, her interests, likes and dislikes. The
family have also shared some of Anjeela’s history including her marriage, her
work as a teacher and medical conditions; she has type 2 diabetes and an allergy
to penicillin. Producing an individualised care plan after meeting with Anjeela’s
family has allowed the service providers that care for Anjeela to learn about her.
For example, how she likes to spend her free time, who she likes to spend it with,
preferred activities etc. They have also been able to learn important medical
information, such as that she is allergic to penicillin, which is important for them
to know before administering her any type of medicine needed.
It has been agreed that one of her sons will collect her on Sunday mornings and
drive her to the Gurdwara. It has also been agreed that if no one in the family is
available, due to holidays or illness, then one of the staff will accompany Anjeela
to ensure that she is able to follow her religious practices.
Anjeela was present at all planning stages and her opinions respected. She did
become distracted and forgetful in the sessions, and information gaps were filled
, in by the family. Anjeela was informed about decisions and appeared to be in
agreement. The family have brought pictures from home to place on the walls of
Anjeela’s room in the residence and a CD player, so that she can listen to
traditional music. The residence celebrates all of the major festivals from the
major faiths and Anjeela was supported in making and distributing food for
tasting to the other residents during Diwali.
Anjeela has been provided with photographs of the family and with her previous
career, loves to chat to the other residents about the children she taught. She
sometimes becomes confused and appears to forget where she is. The staff
remind Anjeela that she now lives in the residence, using her preferred title of
Mrs Johal Kaur.
Person-centred care is a way of thinking and doing things that sees the people
using health and social services as equal partners in planning, developing and
monitoring care to make sure it meets their needs. This means putting people and
their families at the centre of decisions and seeing them as experts, working
alongside professionals to get the best outcome.
Person-centred care requires caring provider staff who serve the same customers
regularly and get to know them well. A flexible approach is crucial when planning
care for an individual suffering from Alzheimer’s, such as Mrs. Johal Kaur. This is
because having a flexible approach allows person-centred care to take place by
involving an ongoing reflection and analysis of support such that appropriate
care is provided and a person with dementia’s satisfaction and enjoyment of life
is preserved.
Any changes that are to be made in Anjeela’s care plan should involve herself,
her family and her service providers. If her family know about the changes to be
made, then they can be acted upon quicker. This is because if only Anjeela were
involved in any changes to her care plan and her family was not made aware,
then the situation could be taken advantage of. For example, delaying the care
that was planned to take place. It is important that both her family and her care
workers are involved within the process as they are all individuals who she is
familiar with and she knows them well. The care workers are also people she can
go to if she feels she has any personal problems arising as they are professionals
and would be able to help her with any concerns she develops.
Regarding a patient like Anjeela, who suffers from Alzheimer’s, it is important to
understand that her type of dementia causes symptoms like memory loss and
forgetfulness from the very first stage of alzheimer’s. This means that from the
beginning of suffering from dementia, Anjeela could have struggled to
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