Question

Case Study

Rhonda works in the community as part of a team that assists with showering people in their own homes. Thomas is an 88-year-old man with Parkinson's disease and moderate dementia. Thomas lives at home with support from Rhonda and some other home services. He has a son who comes over every evening to provide him with a hot meal and help him change for bed. Thomas has significant memory loss, becomes agitated by background noise, can not express his emotions and is at high risk of falls. Thomas previously played violin in an orchestra, so ho loves the sound of the violin.

Question

1) How will establish a relationship with Thomas and his family help Rhonda to provide a person-centered approach to care?

2) What are some ways that Thomas's family can tailor the environment to his needs?

3. What are some ways that Rhonda can tailor her care approach to meet Thomas's needs and abilities?

Answer 1

1.Some of the ways to establish relationship with Thomas and his family members to provide a person centered approach in the care are

• Communicate with the patient and family in regards to the routine of them , so that Rhonda could plan accordingly for an effective time framed care.
• Explain the level of care which will be provided to the client ,which can avoid many unnecessary incidents.

2.The Thomas family can tailor the environment in the following way

• Keeping adequate space for moving around in the house, so that accidental falls can be prevented
• Adequate lightening to see the objects around
• Skid proof floor, handle bars in the bathroom
• An alarm can be provided to the patient to call in case of help
• Playing violin as a background music with technology to comfort the patient psychologically

3.Some of the ways Rhonda can tailor her care approach are

• Treat the patient with self-respect and dignity
• Communicate with the patient which can increase the comfort zone and provide a patient centered care
• Not to be arrogant or annoying if the patient forgets certain things due to dementia, rather has to try to recollect the information for the patient