27 Oct Evaluate how current practice in dementia care meets the needs of an individual with dementia, through managing its effects and maintaining health and wellbeing.

Evaluate how current practice in dementia care meets the needs of an individual with dementia, through managing its effects and maintaining health and wellbeing. 

Raymond Boston is 76 years old and has vascular dementia. Raymond has recently moved from his own house to residential accommodation as his symptoms have increased. He would frequently turn on the gas rings on his cooker and forget to light them. He was also becoming confused about money, declaring that he was penniless which was not true. Raymond frequently became irritable, shouting at the Admiral Nurses who came to support him. He also accused them of being intruders who had come to rob him.

His daughter has a child with additional needs who requires full-time care and so could not manage to provide the level of support needed by Raymond.

Raymond has now been admitted to the Red Rooves Residence where the staff have produced a care plan, centred on Raymond and incorporating information provided by his daughter, with regard to his interests, likes and dislikes, including diet, hobbies and any issues which tend to trigger his irritability.

Raymond retains an interest medical matters and the staff have introduced him to Winston who is also a retired G.P. Together they discuss old cases and share the medical magazines brought in by Raymond’s daughter when she comes to visit. Raymond has a television in his room, where he can watch documentaries, and a desk where he can make notes following discussions with Winston. 

As Raymond has general forgetfulness, it is important that the staff ensure his safety. For example ensuring that he takes his medication, rather than placing the tablets into his hand and walking away. Raymond likes to buy things from the local shop when out walking with a member of staff. As he cannot manage his money, the staff member helps him to count it out, but does not take over.

Raymond likes to walk in the residence garden and sit and read there. The staff ensure that he is not disturbed but also that the gate is securely locked to prevent Raymond wandering into the road beyond the garden. Raymond does not sleep well and is often restless in the early hours. There are several staff on duty overnight, and one will sit with Raymond until he falls asleep.

Raymond prefers to be called by his title, (Doctor) and the staff have all agreed to this and it is included in his care plan.

if you can explain the question and link to the case study