BriefDescription of the Case Study
Mrs. B who is in the 6th stage of Alzheimer’s diseaserequires constant supervision because of the nature of her condition.The 6th stage is characterized by confusion andunawareness of the environmental surroundings. Indeed, her constantneed for support in doing daily activities such as bathing, dressing,and toileting can be attributed to the stage of her condition.Particularly, there is a loss of normal behavior in this stage ofAlzheimer, and this is depicted by Mrs. B’s irritability includingpulling off staff hair when they are attending to her. Thepersonality changes arise as the condition continues to deteriorate.Mrs. B has depicted such traits, and this is reflective of the 6thstage of Alzheimer’s disease.
NursingInterventions with Rationale Supported by Current Nursing Research
The first intervention that can be adopted to help in addressing thecondition is the use of non-pharmacological therapies to help improvethe quality of life led by people suffering from the disease.According to Olazarán et al. (2010), thenon-pharmacological therapy can be used to enhance cognition. Theresearchers identify that the adoption of the technique isinstrumental in helping the patient gain improvement in specificcognitive skills. In the case depicted, Mrs. B portrays inability incognitive skills, and this is illustrated by the constant need to usedepends. She is unable to handle various activities by herself hencethe support she gets from staff at the nursing home. The therapy willfocus on cognitive training to improve her skills, and this can beachieved through individual sessions. The use of cognitivestimulation group has been shown to result in significantimprovement, and this could be helpful to Mrs. B.
The second nursing intervention that can beadopted entails the use of tailored lighting intervention that wouldbe instrumental in improving sleep, depression, and agitation that ischaracteristic of patients suffering from Alzheimer’s disease.According to Figueiro et al. (2014), the adoption of lightingintervention is helpful in improving behavior among patientsdiagnosed with the condition. The case study depicts the patientsuffering from behavioral problems. However, through the tailoredlighting intervention, it would be possible to help address thepatient. The researchers identify that the approach is helpful inenhancing other factors such as sleep quality. The light therapy willbe instrumental in ensuring that there is an improvement in thecondition of the patient.
Evaluationof Outcomes of Intervention
The evaluation of the outcome of theintervention adopted can be done by assessing the change in behavior.For example, there is the aspect of behavioral change depicted by thepatient. Mrs. B has been shown to have a change of behavior includingharassing the staff by pulling off their hair when they attend toher. The outcome of the intervention can be evaluated by monitoringthe change of behavior of the patient. For example, when she ishaving a meal, the patient refuses to sit. The ability to change thisbehavior can be a confirmation of the fact that the interventionsadopted are efficient.
Overall, patients admitted at the nursing homewith Alzheimer’s disease at the nursing home require adequate care.The staff at the nursing home should evaluate the identifiedintervention to help Mrs. B in overcoming the condition. Mrs. B needsto gain access to the interventions to help alter her behavior whileimproving the condition.
Figueiro, M. G., Plitnick, B. A., Lok, A., Jones, G. E., Higgins, P.,Hornick, T. R., & Rea, M. S. (2014). Tailored lightingintervention improves measures of sleep, depression, and agitation inpersons with Alzheimer’s disease and related dementia living inlong-term care facilities. Clinical Interventions in Aging, 9,1527–1537. http://doi.org/10.2147/CIA.S68557
Olazarán, J., Reisberg, B., Clare, L., Cruz, I., Peña-Casanova, J.,Del Ser, T., … & Spector, A. (2010). Nonpharmacologicaltherapies in Alzheimer’s disease: a systematic review of efficacy.Dementia and geriatric cognitive disorders, 30(2),161-178.
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