Q1. Option 1: I would take option one as Eve would benefit from different professionals considering her complex needs. Dementia Nursing Team will assess Eve better as they are experts in the area. Physiotherapist will help Eve build confidence with her mobility. They will also assess if she needs any walking aid. Occupational Therapist will assess Eve’s need in terms of her living environment and educate Eve on adopting with her current condition. It would also be helpful to consider carers coming in to assist Eve’s daily needs.
Q2. Option 1: I would say, Eve has a say in what care she receives. Currently she is aware of her condition and the risk that are involved. She might need the help of different professional as discussed in the above question to manage her condition better. However, if Eve’s mental capacity is affected by her condition upon assessment, she would have appoint one of her children or a next of kin to act on her best interest.
Q3. Option 2: In this case, I would go for option two. It is important to look out for Eve’s safety however, I would recommend visual guides to help Eve better. She could have labels, direction and signs to help her navigate the house better. Restricting her from the kitchen would maker her condition worse and reduce her confidence.
Task 3.
The conversation between Eve and the student nurse seems to be very brief. Eve does not remember most things and would be very hard to do any sort of assessment over the phone. She believes that she hasn’t had a fall because she cant see anymore injuries. It looks like she only eats and drinks when her daughter is around and doesn’t remember when she ate the last time. we can also work out that Eve doesn’t have access to the kitchen and upstairs. It is fair to assume that Eve’s diet and fluid are on the poor side as well as her personal hygiene. I say this because the lack of access to bathroom. We can say Eve receives minimum care and empowerment from her daughter because she only comes occasionally and offers help “here and there”. Josie has also withheld Eve’s fall history and didn’t make a report so that early interventions could take place. my understanding of Josie is that she lack information about Eve’s health condition and takes a layback approach towards Eve’s needs. she also doesn’t ask any question about any help that is available or show the willingness to learn so that she can care for Eve better. On the other hand Eve’s son is doing what he can to assess Eve’s needs but feels helplessness. Eve needs professional help and encouragement to help her put a few measures to reduce her falls.
