Q1 – I would choose option 1, in order for Eve to receive care in the community she will require dementia nursing care input due to her formal diagnosis of Alzheimer’s disease. Post falls the physiotherapy team will help rehabilitate her mobility and the occupational therapist will assess risks involved within the environment, also advising on how to promote independence. Eve already has her daughter as the main carer, though it seems evident that home care from external carers may be of use to provide additional support.
Q2 – I would choose option 1, though Eve has Alzheimer’s disease both the children have not gained power of attorney status. It seems in this situation, Eve does not have a clear mental capacity assessment (MCA). It would be advisable to schedule the MCA and a best interest meeting with the children, involving the social worker and mental health team to assess if Eve is capable of making an informed decision or that she lacks capacity.
Q3 – I would choose option 1 only if it is Eve’s best interest, with her consent and a supportive plan is in place. Safety is highly compromised for a person with deteriorating neurological deficit. It is important to keep Eve’s home environment safe enough for her to live in. It should be the least restrictive option and decisions should promote safe independent living. Adapting an individual’s environment for their own safety is a timely, careful and well thought decision that involves the patient, family and the multidisciplinary team. However, it seems the most likely choice and popular choice would be option 2 at this stage.
Q4 – Unfortunately, voicemails are unavailable.
