Anna is a 79 year old lady suffering from the 2nd stage of dementia.
She seems to understand what staff say but is very slow to respond. She is restless most of the day, sitting for only minutes at time. As she wanders, she enters other resident’s rooms and takes possession of whatever calls her attention.
At meal times she will reach and take food from other people’s plates and offer it around. Anna walks with an unsteady gait and falls occasionally.
She enjoys good rapport with staff but she can get very resistive to pleas and requests. Staff have to employ diversionary strategies to retrieve other people’s possessions from Anna and one strategy that works well is inviting Anna to ‘help out’ with something.
Anna’s family is against giving her more medication as they claim that medication diminishes her quality of life.
|Recorded by:||Solange Kindermann (DT)|
|Date of Record:||23/05/2008|
|Activities Support:||Requires supervision at all times.|
Anna requires one to one assistance. Staff will try to engage her family to accompany Anna on bus trips or make sure that there are enough volunteers.
Anna will be escorted to see the hairdresser, podiatrist and all other medical appointments.
Anna will have suitable distractions to absorb the intrusive behaviours.
Anna will feel safe and secure at all times.
Staff will provide Anna with daily sensory stimulation and activities suitable to her capabilities such as garden watering, walks, magazines, puzzles and serviette folding.
Staff will give Anna ample time to understand and answer questions.
When Anna is restless and upsetting others, staff will approach her in a non-directive and sensitive way offering Anna a choice of alternative activities e.g. Hand massage with essential oils, hair grooming, manicure and/or make-up, a walk in the garden. Anna responds well to kindness and this will help staff remove her from challenging situations.
Anna will attend all cooking sessions and staff will assist her to participate actively e.g. stirring, sorting, top and tailing vegetables, measuring.
Anna enjoys ball and balloon games, picture bingo and sing-along.
Staff will orient and guide Anna several times a day making sure she is safe and secure when wandering around. She will attend Music therapy, concerts, visits from children, pet therapy and special screenings of animal/nature movies.
Anna belongs to the Catholic faith and will be escorted to the monthly service in the facility.
Staff will liaise with Anna’s family regarding her well-being and offering support when needed.