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Collaborative Questions to Discuss for Eve Edwards
Q1: What services would you consider referring to for Eve to remain at home?
1. Dementia Nursing Team, Physiotherapist, Occupational Therapist and consider carers.
2. None the family have got this under control.
3. Mental Health Services, local council, and GP.
Q2: Eve has Alzheimer’s disease, and her son and daughter are both inputting into her care. Who should be making the decisions about Eve’s care?
1. Eve.
2. Her son.
3. Her daughter, the person who lives closest.
Q3: It is ok to adapt the home to ensure that Eve does not do things that may put her at risk. Stopping her going into the kitchen area by using black mats next to the door is an effective way to manage falls.
1. Yes, this is a good strategy as it keeps Eve away from risks.
2. No, this is not good. It is not supportive and is going to cause further complications within Eve’s house and life.
3. It is up to Eve’s daughter how she looks after her mother.
Q4: What did you understand from the answerphone messages left on Eve’s telephone? How did these messages sound to you? How do you feel about putting yourself in Eve’s shoes and hearing the answerphone messages as if you were her?
Q1: I would choose option 1 for Eve to remain at home, considering referrals for the Dementia Nursing Team, Physiotherapist, Occupational Therapist and carers.
Q2: I would choose option 1 as although Eve has Alzheimer’s disease, with her son and daughter both inputting into her care. Eve can still input to make choices in the way she is cared for and communicate what she wants, so that care can be person-centred.
Q3: I would choose option 2 because stopping her going into the kitchen area by using black mats next to the door is not an effective way to manage falls as those with Alzheimers will see it as a hole in the ground which could increase their risk of falls. It is not supportive and is going to cause further complications within Eve’s house and life.
Q4: What I understood from the audio recordings:
(How did these messages sound to you? How do you feel about putting yourself in Eve’s shoes and hearing the messages as if you were her?)Eve was not able to recall whether she had previous falls, what her nutrition and hydration were like, helping her go to bed, helping with her everyday needs. She sounded like she didn’t want to be a burden on her children.
I interpreted that Josie had “no concerns” but then after exploring the subjects in a conversation, such as meals, it was considered Josie “doesn’t know how she gets on” so Eve is clearly not having sufficient intake of nutrition and hydration, as Eve stated she “knows the rules and is not allowed in the kitchen”… there was banging in the background and Josie sounded very anxious, she is not providing full information to professionals on previous falls etc. so I would gain advice on this as a potential safeguarding issue.
Her son John lives over 100 miles away so is not local to physically input however the telephone conversation was valuable and qualitative, informing professionals of the video cameras installed in the house which would need to be checked to ensure dignity, whether there has been a problem with things going missing? John mentioned that he didn’t think “Josie would steal”. He strongly feels something is not right. He has a lot of video calls with Eve and has been able to assess why she may fall and may actually see her more than Josie, despite it being via video call, he is there for support. He stated that emergency help was previously not sought despite numerous ongoing, unreported falls, where Eve was not monitored. John was honest about Eve’s lack of mobilisation for food and drink and has concerns on why Eve is more confused when Josie is there. ? medication – is it being taken or not, could Eve be overdosing?
I would feel alone, waiting for a drink, suffering malnutrition, unable to go upstairs by self or in kitchen, or anywhere. Need to be encouraged to mobilise safely to reduce the risk of deep vein thrombosis, have basic needs met. Lack of personal cleansing and washing, maintaining a safe environment, sleeping, eating and drinking etc. Eve would need a full assessment and urgent referral.
Q1 – I would choose option 1 for Eve as she will need the Dementia Nursing Team as they specialise in her disease, specifically in advising and helping her and also collaborating with her caregivers to help them with her care. Occupational therapists are also necessary as she is beginning to lose her quality of life especially as she loved cooking before and can no longer cook or even make herself a sandwich. The OT’s can assist her in gaining her independence back. Also they could help her prevention of falls – exercise, mobility equipment and so on. Care is also a good idea for Eve now as 7 falls within the last few months is so dangerous for a lady of her age with the illness she has.
Q2 – I would choose option 1 as Eve has capacity at this point and has not appointed anyone to have power of attorney. When it is deemed that Eve does not have capacity due to her dementia, she will appoint someone and then, someone else, her daughter or son, will have involvement in her care decisions. but currently, it is all Eve’s decision.
Q3 – I would choose option 2 as writing my critical piece I found a lot of evidence to suggest that black mats are actually more dangerous than effective – they can cause further injury, falls and confusion. Also stopping her from going into the kitchen is also not beneficial as her son stated he is noticing her not eat for days due to this – this will not aid Eve in getting better if she’s losing weight and not feeding herself (the cause for her UTi in the first place!)
Q4 – I cannot access the voicemails currently as they won’t work. when I fix this I will add a new post with my understanding of these!
Q1- I would choose one because the way I see and assess Eve’s condition living on her own is not safe. She needed further assessment and continuous support. She also mentioned feeling lonely when the daughter is not around since her son stated to the Nurse assessor that she had 6-7 repeated episodes of falls as seen on CCTV. As identified, the home set-up shown in the scenario has many trip hazards that may contribute to additional risk factors in Eve’s condition. It would be appropriate to coordinate all Eve’s issues to a designated healthcare team to deal with her specific healthcare needs, such as the Dementia Nursing team, to make a further assessment and evaluate her present Dementia status, Physiotherapist and Occupational therapies to assess her mobility status and what equipment is needed or rearrangement around her house to keep her safe and might need additional carers to support her daily living activities, extra help to make prepare her meal.
Q2- It depends. If Eve has mental capacity, she may still be capable of making decisions for herself. She has the right to choose what care she needs. But, if her condition worsens and she becomes incapable of making her own decisions, she might need to secure a Special-power-of-attorney that will provide rights among her children to act on her behalf. Eve’s son and daughter could arrange and hopefully compromise what is best for their mother. Considering that the daughter can help and visit Eve physically as she lives closer to her house rather than the son who lives 100 miles away, although the son’s participation is also essential, monitoring Eve’s whereabouts inside the house, then I would consider both of their actions are vital in Eve’s care needs. If there are areas of care that both children could not fully provide, then the issues would be escalated, and a decision would be arranged coming from the designated Healthcare teams for further advice and additional support needs for Eve. She might need a package of care.
Q3- I would choose 2; I do not think putting a black mat as a hole is an effective way to keep Eve safe, and not accessing the kitchen will exacerbate her mental condition. Providing collaborative support from social care teams and other healthcare organisations within the local area where she lives would create better support for Eve’s situation. I would assess the whole house area and identify the probable cause of falls and other risk hazards. Advise and help rearrange the house furniture and keep the lounge tidy, advise to eliminate clutter, and keep the area as clear and clean as possible. Advise for additional support like a stair lift so that she could have access to her bedroom, other equipment such as a walking frame, and easy access to the toilet, or if she might need a commode in the lounge and a trolley for her food.
Q4 – I could not hear the phone conversation properly as the recording had many background noises.
Q1 – I would choose option 1. Eve would benefit from the dementia nursing team to assess how her dementia is progressing, may suggest medication review or therapies, may be able to offer support for Eve psychologically in the way of social activities. Physiotherapists to assist Eve with gentle exercises which may decrease her risk of falls as she gets a bit stronger. Occupational therapist may assess home for any aids Eve may need to help her get around, make herself drinks and snacks, check she has good alarms that are easy for her to activate if she needs assistance, that bathroom and bath/shower is accessible, Eves furniture may need leg raisers. Carers should be considered so that Eve receives more regular and consistent care.
Q2 – I would choose option 1 at the moment as she still has capacity and therefore the decisions over her care. Whatever Eve chooses there would be ways to make things safer for her while still promoting her independence and choices. A power of attorney should be put in place when her dementia progresses
Q3 – I would choose option 2. There are other ways of making using the kitchen safer for Eve such as checking for uneven flooring and clutter, rearrange furniture, put labels on cupboards and objects, instructions on the side incase Eve forgets, lightweight kettles and cutlery, simple to make snacks e.g microwavable. Rather than trying to scare her into not entering the room which could confuse and upset her even more and be detrimental to Eve
Q4 – The messages sounded very muffled at times and quick speaking which meant only half of the message was understandable. I had to listen to the messages a few times to try and understand and then still didn’t get all of it. I feel that Eve would have only listened to the message once as she would not have understood and may have wondered why the equipment didn’t sound clear and presumed it was a faulty line. The messages may confuse her even more and she may write wrong dates/times in her diary. Eve said she didn’t like asking for help so may be embarrassed if she didn’t understand so may not want to call and ask the person what they said incase they thought she was silly or couldn’t cope on her own.
Question 1 option 1. I will choose this option because the dementia team as they are specialise for her care. OT and physiotherapists are also important to assess her mobility to see if she might a walking aid or advise due to this amount of falls that the son oulined, also carers might be needed as we are unsure if the daughter is actually given her meals drinks and medication when required.
Question 2 option 1 Eve is the one to make decision for herslef because neither of her children have power of attorney to make decision for her. Until a best interest meeting is hold and it is diagnosed that she lack capacity Eve is the one to make decision for herself.
Question 3 option 2 i think it is not a good idea . It is not supportive and is going to cause further complications within Eve’s house and life. Although this might help her from falling where the risk is but this could cause her fear and anxiety and also restrict her from moving around which is not good as no movement can cause patient legs to become stiff and might then need assistance with walking for exanple.
Question: I would admit i struggled to try and get something from those messages it was not really possible if i was in Eve shoes i will feel so frustrated.
Q1 is option1 because she will have a package of care involving different professionals to meet her needs and better her life..
Q2 is option 1 because despite everything she still capable of making her own decisions
Q3-is option 2 because in long term, it may cause more mobility issues and instabilityQ1 – 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.
Q 1. I would choose option 1; Dementia Nursing Team, Physiotherapist, Occupational Therapist and consider carers. I would urge Eve to obtain some help from the Dementia Nursing Team and Occupational Therapist who will examine Eve,s capacity, determine whether her home environment is risk-free, evaluate Eve’s abilities to do things, review her medicine and determine what sort of help (Care Package) Eve needs for her daily routine. A physiotherapist will examine Eve’s physical abilities and determine whether she needs any special mobility aids. Eve will be able to keep her independence and remain in her home environment at this point while reducing the danger of falling.
Q 2. Option 1; Eve is currently capable of participating in and making decisions over her life.
Mental Capacity Act(2005) The 5 Statutory Principles;
i. Unless it can be demonstrated differently, assume a person has the ability to make a decision for himself.ii. Help individuals make their own decisions wherever feasible.
iii. Do not dismiss someone as incapable of decision-making because they make a poor choice.
iv. It must be in the person’s best interests if you make a choice on their behalf if they lack ability.
v. The least restrictive of their fundamental rights and freedoms should apply to the treatment and care provided to someone who lacks ability.
The MCA also enables individuals to express their choices for care and treatment and to choose a reliable individual to act on their behalf in the event that they lose ability in the future.Q 3. I would choose option 2; Restricting Eve by placing the black mat will make the house’s hole more obvious, increasing confusion and anxiety. There are other things that may be done to minimize falls, such as organizing the house by removing obstructions and displaying pictures or signs at the door as a reminder without limiting her.
Q 4. It was really difficult for me to comprehend the caller despite my repeated attempts to listen to the voice message. I could only hear “The Emergency Department on Friday afternoon” and I was not sure whether I heard between 1-2 or 1-3. Very ambiguous and perplexing.
Q1. I would choose option 1 Dementia Nursing Team, Physiotherapist, Occupational Therapist and consider carers. Eve would need the intervention of these health professionals as the Physiotherapists and OT would be able to review Eve’s ability/mobility and explain the risk of falls and also decide if she needs any mobility aids to prevent her frequent falls, the carers would be able to help her meet her ADL needs and also help improve her health and the Dementia Nursing team would be able to discuss with her family about the effects of Dementia on Eve as they do not seem to have a clear understanding about Dementia and its effect on Eve’s health.
Q2. I would choose option 2, Eve still has the capacity to make her own decisions with informed choices, neither of her children have POA and Eve has a right to make her decisions while she still has the capacity, if in the event that her mental capacity declines she would need to have a POA in place who could make decisions for Eve in her best interest.
Q3. I would choose option 2 No, this is not good. It is not supportive and is going to cause further complications within Eve’s house and life. I believe there are other ways to prevent Eve’s frequent falls like ensuring that her environs are trip/hazard free and stopping her going into the kitchen would only make her nutritional intake worse as she was already struggling with her nutritional intake at the moment
Q4. The audio messages left on the answering machine for Eve were not clear enough, I believe Eve would have struggled to comprehend any of the messages left on the answering machine and because of that might have caused increased confusion for Eve .
Q4 – After finally getting hold of the voicemails, they were very muffled / too much background noise to the point I could not understand what was being said. Therefore, I think Eve would have listened to these once and upon them being inaudible, she’d have ignored them from here on. I believe this would have confused her even more just like my colleagues have also pointed out. I think she will feel quite disheartened as these could be important messages that she is missing out on. One message I did hear was a lady – maybe a carer? saying she won’t be able to come today but she will leave pasta for her to eat??? My understanding is that she doesn’t have carers at this point in time so its hard to say. Also another lady going to a trip to France? Again, cannot be sure due to faultiness of the volume!
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.Q1 – I would go with option 1 because signposting to specialists is extremely important as they are equipped to address the issue. The Dementia Nursing Team will help to assess the level of support required to achieve, improve, and sustain better outcomes for Eve to be able to lead quality live for longer.
The Physiotherapist will help Eve to manage her pain from the injury sustained from her fall and Occupational Therapist will provide practical support that will help Eve to adapt to her home and prevent future falls.
Adult social care will assess Eve to know the level of support required to determine the carer she will need until she can do independently. Considering that her daughter has caring responsibility it is important to have a carer come in to assist with activities of daily living (Preventative Services).Q2 – I would go with option 1. Considering that the mental Capacity Act expects practitioners not to assume that lacking capacity means a person lacks capacity in every decision. I will continually assess Eve until I’m sure she is unable to make that specific decision. Secondly, Eve is allowed to make bad decision like every other person irrespective of her diagnosis.
Q3 – I would go with option 2 because every decision needs to be in the patient’s best interest and considering the principles of Safeguarding, this approach does not seem to be proportionate. Option 3 should not be considered because Eve is my patient, and her safety is my priority although everyone needs to be safe.
Q4 – I tried repeatedly to open it but it keeps showing ‘’ Your connection isn’t private’’
Q1: I would refer Eve to Dementia Nursing Team, Physiotherapist, Occupational Therapist and consider carers. This multidisciplinary team would be able to support Eve to reduce her falls risk through interventions such as strength training and making her home environment safe. They would also be able to support eves family to help them give eve all of the support she needs.
Q2: Eve should be making the final decisions about her care as she has insight. Furthermore her son and daughter do not have power of attorney so cannot make decisions about her care without Eves consent.
Q3: this is not good as it is causing more harm. For example not having access to her kitchen could have lead to Eve being dehydrated and then getting a UTI. It is also negatively impacting on eves quality of life.
Q4: it was very confusing listening to the message on Eves telephone. The words were all jumbled and the sentences didn’t make sense. I think the message was about a missed appointment and getting some pasta for dinner. If i was eve i would be feeling very confused and worried as i wouldn’t know what was going on.
Q1. Option 1 because bringing together healthcare professionals (MDT) from various fields helps in determining a patient’s care plan. This will help in providing better care for Eve.
Q2. Option 1 because Eve has mental capacity, she is able to make informed decisions for herself, providing her with the information she needs in making decisions, allowing her time to think, and providing her with resources to ease her decision making (for example using pictures for her to choose what to eat or drink).
Q3. Option 2, because Eve should be supported and restricted in carrying out her activities of daily living
Q1 – option 1 – Eve would benefit from a dementia nursing team as she could learn how to manage her condition without limiting her autonomy and learn how to enjoy life living with dementia, Physiotherapist and Occupational therapist to expand her mobility and reduce the risk of falls and carers to ensure she is getting all the support with daily tasks she needs.
Q2 – Option 1 – Eve should be making decisions about herself as she does not lack capacity and she would have to be assessed first and assigned a poa for any of her children to be able to make any decisions about her
Q3: option 2 -It is unethical to place those mats as dementia patients will think that there is a hole in the floor and might become frightened. It also infringes on their ability to walk around their home without getting scared of their surroundings. It is a manipulative technique that uses fear to limit dementia patients autonomy and I do not believe it it an ethical method to keep dementia patients safe.
Q4 I would feel very confused by the messages if I was Eve.
1 – The message on the answering machine was really hard to understand. The only words I could work out was information and goodbye and a few digits from the phone number
2 – the second message was clearer but I did not hear who the caller was but that they will be there on Friday between 1 and 2
3 – this time understood who the caller was – mikes daughter but didn’t understand everything. There was something about a taxi and that they will pick her up tomorrow morning
Overall it is really hard to understand what the people are saying through the answering machine. It could be useful to change the answering machine message to include that Eve has auditory processing issues and instruct the caller to be succinct and clear.Q1: I would choose option 1 Eve to remain at home, considering referrals for the Dementia Nursing Team, Physiotherapist, Occupational Therapist and carers. Eve to receive care at home would need dementia nursing care since her formal diagnosis of Alzheimer’s disease and would benefit from different professionals in regard to her complex needs.
Q2: I would choose option 1 because Eve has the capacity to make her own decisions with the right decision-making tools in place as her family members have no provision like the power of Attorney to make decisions for her.
Q3: I would choose option 2 because using black mats next to the door to prevent her from entering the kitchen area is not an effective method of controlling falls because people with Alzheimer’s would see that as a sinkhole, increasing their risk of falling. It is not encouraging and would add to the health issues in her life and home.
Q4: The voice messages on Eve’s answering machine were just not completely clear, I genuinely think Eve might have sought to understand all of the other messages left on the answering machine, which could have accelerated Eve’s uncertainty.
Q1. Option 1 because bringing together healthcare professionals (MDT) from various fields helps in determining a patient’s care plan. This will help in providing better care for Eve
Q2. Option 1 because Eve has mental capacity, she is able to make informed decisions for herself, providing her with the information she needs in making decisions, allowing her time to think, and providing her with resources to ease her decision making (for example using pictures for her to choose what to eat or drink).
Q3. Option 2, because Eve should be supported and NOT restricted in carrying out her activities of daily living
Q4. What I understand from the answerphone message left on Eve’s telephone is that she sounded lonely and isolated. The message to me sounded like she has NOT been receiving adequate care and support. She’s been restricted. Putting myself in Eve’s shoes, makes me feel isolated and restricted. Social and emotional isolation is linked to dementia and cognitive reduction.
Q1. I would choose option 1 because it is to important to bring different expertise from the multi disciplinary team to determine what things to put in place in terms of her care need and assessment.So that her general well-being can be look well looked after.
Q2.I would choose option 1 because Eve can make informed decision because she does not lack capacity in anyway,therefore she needs to be given time and resources to be able to contribute to her care needs.
Q3. I would choose because the mat is causing her restrictions from entering the kitchen this can lead to dehydration and starvation and can cause her more harm than good.
Q4. I couldn’t access the voicemail,it’s not allowing me.
Q1. Option1: Reason: Eve is at high risk of falling and it is not safe for her to stay on her own. Therefore, it is important to have a care plan constructed considering the amount of falls she had. She will need a physiotherapist to assess her mobility to have a care plan implemented with multidisciplinary team working alongside to create a plan for Eve.
Q2. Option1: Reason: The reason I choose this option is because Eve Knowing requirements, her daughter is mostly as she has mentioned that she’s
always in a rush and her son can only speak to her virtually rather than been physically present.Q3.Option1: Reason: This option could help prevent Eve from falling. Alzheimer patients feels anything dark colour is a hole and this could prevent it. However adjustments needs to be made for this take into consideration.
Q4. It was had to understand the message on the answering machine. What I can gather is that Eve needs all the support and she she needs to be restricted in carrying out her daily activities.
Question 1: Option 1: It is very important to educate the patient Eve Edwards her present health situation. Recommend her for assessment and measures to be put in place in terms of her care and also bringing together healthcare professionals further help she might need in recovering.
Question 2: I will recommend option 1: Because patient has got capacity and she can make informed decision. She’s encouraged to make input to her own personal care.Question 3: Refer to telephone conversation Eve sounds isolated and lonely. I will recommend further help and regular visits and complete engagement in her daily activities.
Question 1: I will recommend option 1: Eve should remain in her apartment while receiving help from specialist, dementia nursing team, psychologist, occupational therapist and healthcare professionals since she was diagnosed with Alzheimer disease.
Question 2: I will recommend option 1: Because she can make informed decision. She’s got capacity to contribute to her care. Unless she’s given her family member’s power of attorney.
Question 3: I will choose option 1: Eve should be supported and not restricted and be made aware of any danger implication.
Question 4: The voice communication of Eve’s answering machine indicate that she’s lonely and isolated. I will suggest regular visit and support in her daily activities to help improve her mental health. Adequate health care support given.
Q1 – I would choose option 1 and advise Eve to seek assistance from the Dementia Nursing Team and Occupational Therapist, who will examine Eve’s capacity and assess Eve’s abilities to do things independently. They will also review her medication, and be able to determine what type of assistance Eve requires for her daily routines. Eve’s physical abilities will be evaluated by a physiotherapist, who will also determine whether she requires any special mobility aids and help do exercise that will help with her stability. With the risk of falls being reduced, this will allow Eve to maintain her independence and remain in her home.
Q2 – I would choose option 1 as neither of Eve’s children have power of attorney and Eve has the capacity to make decisions for herself.
Q3 – Option 2: Using black mats will be confusing for Eve and may lead to more falls and other complications in her life, such as mobility issues in the future. There are more effective ways to prevent falls, such as removing trip hazards and clearing areas. Eve should encouraged and supported to continue doing daily tasks.
Q4 – The voicemail had a lot of background noise, making it difficult/confusing to follow. Eve is unsure whether she has had any falls since leaving the hospital, so it should be suggested that Eve receive regular support. Eve has also expressed loneliness and isolation as a result of her inability to carry out her daily activities independently.
Q1. Option 1 for Eve to stay at home and get help from Dementia Nursing Team, Physiotherapist, Occupational Therapist and consider carers. They would give her an assessment and come out with a suitable care plan to meet her needs.
Q2 Option 2 because Eve is still capable of making her own decision.
Q3 Option 3 because it might be unsafe for Eve she should feel safe and supported in her home. maybe an occupation therapist can visit her home and assess the environment.
Q4 I couldn’t hear the voice messages properly.
Q1. Option 1: It’s best for Eve to stay home and get help from the team. The team will organise a care plan that suitable for her needs. It would be nice to have carers come to her daily to assist her.
Q2. Option 3: Eve has Alzheimer’s disease. She is not capable of making informed decision that suits her needs. Eve’s daughter lives very close to her mother, she’s best to make that decision, however, Eve can be involved in the decision making process but to leave it solely for Eve to take the decision, isn’t appropriate due to her stat3 of health.
Q3. Option 2: Although the idea of the mat is good for preventing falls. It’s ethically wrong in the sense that the mat is kept in the kitchen door way. This prevents Eve from goin into the kitchen when she’s hungry or need to have a drink. It isn’t supportive. It deprives Eve of some of her rights. A more supportive care plan can be put in place to reduce the risks of falls.
Q. 4: The phone messages were’t too clear. This could further put Eve who has Alzheimer’s disease into a state of confusion. Eve feels lonely, helpless and probably frightened. If I were in Eve’s shoes I’d feel the same way too. When asked if she had any falls, Eve didn’t seem to remember. Therefore, she lacks the capability to make informed decision in relation to her care. Eve’s son said he lives a 100miles from where his mother lives and has put in CCTV camera and he speaks to his mother Eve. Eve needs more face to face interaction. He needs more support.
Q1. Option 1, this is because Eve can benefit from the physiotherapist team to aid her mobility and increase her independence, the dementia team can assist with advise on how to best care for Eve and the make an ideal decision on her daily living and wellbeing, Occupational therapist can assist with the family with the best logistic approach to assist Eve and how and when the black mat can be used for Eve and also the attribute for a career is vital to give Eve the support she needs with her daily activity.
Q2. Option 1, it has been indicated that Eve has some capacity due to her being self reliant, so therefore her care and plan of care can be decided by Eve and if by peradventure she feels she needs and attribute of her children’s then that could also be considered or if her health gets deteriorated then she can get a power of attorney that can speak on her behalf in her best interest.
Q3. Option1, it will be useful to use as a preventive measure of health hazard in the aspect that Eve’s daughter is not available to care for her.
Q4. The message was unclear and that could stress me in trying to understand what was left on it, it will add to my stress and get me more confused.
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