Care strategies need to be review regularly over a period of time this is done to ensure that they are in focused on the individual at the centre of the care. Medication that has been given to the individual has to also be reviews as it may have reached its time limit this means that they might become immune to it like some antibiotics people can become immune to so that this drug will not be affective.
Checks have to be done to make sure that the medication is still effective and is working correctly and the patient isn’t suffering any side effects.
If there are side effects occurring or the individual has become immune to their medication there will be investigations in to which alternative medication can be given to them that won’t react the same.
Scans and x-rays may need to be repeated by the people that have put together the care strategy this is done so that if anything has changed that the individual Is getting care for or physic then this can be assessed again if they need this level of care and it can be changed, or on the other hand if the case has gotten worse and they symptoms are worsening then this also can be looked at and things can be done so that the individual is receiving the right care.
After these have been undertaken then the patient will be referred back to their GP so that they can be monitored so then if anything changes in the patients’ health they can be referred to a specialist in this scenario the GP will act as a gate way.
All these things are done so that the best possible care is being given to the individual and that they are at the centre of the care plan, as well as this it is done so that there is no overlap of the same physio and treatment and there is no waste of resources. Statutory care Statutory care is care that is required by law and is governed by legislation.
Statutory care includes things like the dentist, primary care trusts and care given at the hospitals. Non statutory care Non statutory care is a type of care that is run by the private and voluntary sector. Health and social care services are more than likely delivers by the companies in the business of care who aim to make a profit out of the things they do. This type of care offers things like ; NHS walk-in-centres, NHS run treatment centres, Dental access centres, Health promotion units, Primary care support agencies, Units within an NHS Trust and Multi-trust working groups.
Most of the time residential care will be funded by the NHS this falls under the NHS continuing care, and sometimes do not come at any cost. Residential care helps out with the individuals with their personal care e. g. ashing and dressing, the people in the residential home are given 3 square meals a day this can be useful for them as they may not be able to cook when they are in their own home and this may lead to them not getting enough to eat, the home ensures that the individual is safe and secure and is not in any potential risk also the staff are there to give emotional support and help them to live as independently as possible which they may not be able to do within their own home.
A residential home offers a friendly environment where everybody is encourage to join in activities and events, this can give the individual a sense of confidence now they are socialising because they may have socially withdrawn themselves when they are living at home, these events and acidities may include a wheelchair fitness routine, karaoke nights, coffee mornings and days out to local attractions.
The Alzheimer’s sufferers will have a health and mobility assessment before they go into a residential home they will only have a place in a home if they cannot live independently in their own home or they are struggling alone and depending on home care. Services may also come into the home to visit like hairdressers, chiropodists, nail technicians and also medical visitors such as a local go to doc the individuals GP may make a visit if they can’t go to check-ups and social workers if they need this service.
The individual will be put into a home with their permit ion because Alzheimer’s is a very progressive disease and their skills within their home can decrease rapidly which can become very frustrating for the individual as they are used to living independently. As the individual starts to deteriorate they may find they need extra care other than the home care they are receiving isn’t enough for them to live independently.
This is where they will be given the choice of moving into residential care so that they can be supported as much as they need to be so that they are not in and danger. As well as this being a reason for the individual moving into residential care they also may need the residential support because they may not have any direct family to care and support them with their progressive disease, family can play a huge part of the caring process with somebody with Alzheimer’s as they can help with basic everyday things such as washing up, shopping and even socialising.
Even if the individual does have direct family they may not have the time the individual requires because they have full time jobs, children and other priorities so they might think about moving into a residential home so the carers can provide this care for them and their family can visit when they have the time.
Also the individual may become a severe danger to themselves because there house isn’t adapted to their needs, there mobility is deteriorating and they are at risk of trips and falls , ,they may start to forget to do simple things such as forgetting turn the gas cooker off, forgetting to turn the tap of and leaving on the fire they can become oblivious to these things because of their memory loss due to the disease attacking there short term memory, as well as this they can become very confused and start to do thing such as ring family or friends and telling them something that isn’t true which may make them very alarmed for example they may tell them that they are being burgled or they have are moving away etc. the individual dose this because they can revert back to their childhood and past memory this can become very distressing for family and close friends.
This can also make the individual very vulnerable to danger as they may forget to lock doors and windows and this can make them an instant target if they live alone and confused. An occupational will do a needs assessment with them within their home to see if they can do anything practically to assist them to carry on living independently but if this can’t be done and they are a great danger to themselves they may be given the option to move into residential care can help this and help control this deterioration by reminding them to do simple things with prompts and sticky notes and also do things for them such as cooking there dinner and washing so the carers can make sure that they have tuned taps off and gas cookers to prevent any danger from occurring.
As well as this the carers that work at residential care homes can assist the individual to take care of their own personal care which they may not be doing well themselves within their own home, they might forget to wash their hair and clean their teeth and carry out personal care steps on a regular basis this can cause them to form infections but carers at a residential home can make sure that they do this so infection can be prevented. Aids for living – Aids for living can assist somebody to live at home independently. There are many things that can help the individual around their house like; food preparation and eating aids, personal care and grooming aids, clothing adaptation aids, reaching and mobility aids and personal home and safety aids.
These things can range from small aids such as adapted cutlery and non-spill cups if somebody struggles with their grip, telephones with bigger numbers if they have developed sight problems also there are phones where there is a speed dial with a picture space so it can hold a picture of their doctor or a family member so it is much easier for the individual to remember who they are and also there phone number instead of having to remember it and dial it. To bigger adaptations such as stair lift’s Zimmer frames and enforced railings for people who struggle with balance, another adaptation for someone with Alzheimer’s is flash cards, instruction posters and post stick notes reminding them to do something and jogging there memory. To get these adaptations and advise the individual would contact there Occupational Therapist who will advise them on equipment and strategies hat can help them with everyday activities.
If the individual does not have a care pan and therefore doesn’t have an occupational therapist then they can be contacted through there GP and social workers. The NHS can provide a certain amount of equipment such as walking sticks, walking frames and wheel chairs. Aids of living are a large support for somebody with Alzheimer’s as they starts to loose there recent memory they may need this extra support such as mobility support, memory joggers and instructions. Flash cards can start to become a regular memory exercise to slow the memory loss process down. Aids of living are designed for the individual who is developing Alzheimer’s to live independently as long as possible with the help of aids that are available to them.
Home care- 70% of people with Alzheimer’s are cared for at home it can give an individual some quality of independent living as well as their family a peace of mind that they are being assisted around their house. Home care can range from a few hours a week to the carer living at their home with the sufferer which is ‘round the clock care’ this is depending on the severity of the disease and how the individual is coping in their home living independently. Home carers help the individual with personal care, everyday tasks such as cleaning cooking and ironing as well as somebody to talk to. To receive home care a social worker will carry out a needs assessment to see if they need they are in need of home care.
The individual may need this home care for a number of reasons one being that because the disease is acting fast and affecting their memory in a way in which stops them from being able to live independently. As well as this they may have had a family member caring for them and they may not be able to do so anymore because of time issue or other commitments, the disease may be progressing and they may have become a danger to themselves and others around them because of their memory loss and confusion etc. , they may lose the skills they have such as skills they may use every day and if they are still in work skills needed for their job may be lost and they are no longer able to carry on working.
They may have had a partner that cared for them and helped them remember everyday things and they could have passed away suddenly and this would have left them with nobody to care for them which can put them in danger of themselves and may not be able to cope alone and therefore need extra care around the house. Also home care can help and individual if they are prone to falling as there mobility can be affected they can be provided with extra support or if they did have a fall because they were unaided around the house by their carer the carer can tend to the individual in a mild case or get in touch with the emergency services if this is needed, this can give reassurance for close friends and family if they are working they know that there relative or friend is safe at home. Day care- Day cares centred are located all over the UK and they provide a place where people with Alzheimer’s can go to visit during the day.
This is a safe environment where they can go to and feel safe and secure, this gives family members a piece of mind knowing that they are safe and able to have a good time while being looked after. Care centres are a great way of keeping the individual active and socially engaged, there are many activities provided at the centre which the guests are encouraged to be involved in these include singing clubs, vegetable growing which they can take home, drama, yoga, crafts and art and chicken dove and rabbit keeping this gives them a sense of responsibility and a feeling that they are able to do things with some assistance, also it is important that the individual stays active and able minded .
The centres are specially equipped for people with dementia and Alzheimer’s the rooms are decorated specifically for individuals with the disease these special rudiments include special carpets and large clear navigation signs that make moving around as easy as possible for the visitors, because they are more mobile than they would be in their home they may find old skills easier to do in the centres such as gardening and dancing. Within the centres there are carers that make sure the visitors are safe and looked after properly, they can help out with mobility issues, feeding and going to the toilet that they may not be able to do so easy at home.