Week 6 - Shifting Perspective on Persons LWD

Question 1

How can the SPM of chronic care foster personhood and person-centred care? (5)

Answer 1

• nurses see the person living with chronic illness (person LWD) and supports the person and their perspective (illness or wellness in foreground) to optimize and sustain wellness
• Model emphasizes that the person LWD and their loved ones are partners in care
• focuses on health within wellness
• nurse aims to understand the person’s perspective
• person LWD vs Person who has dementia

Question 2

What is partnership in the shifting perspective of chronic care similar to person centred care?

Answer 2

setting goals with the individual person and their loved ones

Question 3

What is a holistic perspective in shifting perspectives? (3)

Answer 3

• each person’s needs and preferences are considered in the provision of care
• environmental stressors are minimized
• promotes relational care: recognizes the effect that people have on each other

Question 4

The goal of nursing care is to ____ function and ___ of ___.

Answer 4

• optimize
• quality
• life

Question 5

What are responsive behaviours? (2)

Answer 5

• a response to circumstances within the social or physical environment that may be frustrating, frightening, or confusing to a person
• reactions that result from unmet needs

Question 5

What occurs when illness is in the foreground of a person LWD?

Answer 5

• responsive behaviours

Question 6

What are some terms used to describe actions that might be responsive? (4)

Answer 6

• challenging
• behavioural disturbances
• aggression
• behavioural and psychological symptoms of dementia
  range of actions described as responsive

Question 7

What are some conditions precipitating responsive behaviours? (6)

Answer 7

• communication deficits
• pain
• acute medical problems
• sleep disturbances
• depression
• Need for social contact
  there are more but I could not get them

Question 8

Assisting with ADLs (especially bathing) is associated with responsive behaviours. What are some things you can do to help with this? (3)

Answer 8

• make sure you explain
• make sure they understand
• do it step by step

Question 9

What needs to be considered when assisting with bathing? (4)

Answer 9

• trauma
• do not rush
• shame/embarrassment
• comfortable

Question 10

Wandering is a responsive behaviour. What are risk factors? (2)

Answer 10

• visual spatial impairments, depression, poor sleeping patterns, unmet needs, delusions, severe cognitive impairment
• Though older adults in LTC who wander identify several reasons for wandering, including a lifelong habit

Question 11

What are risks of wandering? (4)

Answer 11

• safety
• loss of sleep
• malnutrition and dehydration
• interferes with the privacy of others

Question 12

What are interventions to prevent wandering? (5)

Answer 12

• observations to answer questions on when and why
• alternative therapies that are meaningful, like music, exercise, and social interaction
• camouflaging doorways
• providing pathways for walking
• electronic bracelets