what you think might be the most difficult aspect of this experience for them.

Mrs Patricia Smith who has been admitted to your ward in an acute care hospital with respiratory distress, following several hours overnight in the ED. She has difficulty with breathing and her husband said she has had a ‘bit of a cold’ over the last few weeks. On the previous day he thought she had difficulty breathing and her Doctor told them to go to the ED. Due to her respiratory distress, Patricia has not been able to eat.

Eight months ago Patricia was diagnosed with dementia – no specific type. She has always been a very independent lady, with a focus on helping others and not asking for anything for herself.

After admission you notice that Patricia becomes very agitated and restless while in bed. She constantly calls out and lashes out at you (nursing student) and other staff when they come to check on her observations.

Patricia is 75 years old and lives with her husband Frank. They have 4 adult children, 2 males and 2 females, who all live close to the parents and 4 grandchildren. She has not been a patient in hospital since her last child was born over 40 years ago.

Task

Use Patricia’s scenario to prepare a written proposal for a practice /care improvement for her during her time in hospital, using the headings listed below.

Detailed instructions:

Your proposal should include an introduction and conclusion (200 words). The body of your proposal should include the following 4 sub-headings:

Part 1: ‘Patricia and her family’s experiences of admission to hospital’ (400 words)
From what you have learnt from Module 2 on Experiences of Dementia, write how you imagine Patricia and her family are experiencing her admission into hospital, including what you think might be the most difficult aspect of this experience for them.

References that can be use:
Bloomer, M., Digby, R., Tan, H., Crawford, K., & Williams, A. (2016). The experience of family carers of people with dementia who are hospitalised. Dementia, 15(5), 1234-1245.

Madsen, R., & Birkelund, R. (2013). The path through the unknown: The experience of being a relative of a dementia-suffering spouse or parent. Journal of Clinical Nursing, 22(21-22), 3024-3031.

Helgesen, A., Larsson, M., & Athlin, E. (2013). How do relatives of persons with dementia experience their role in the patient participation process in special care units? Journal of Clinical Nursing, 22(11-12), 1672-1681.

Digby, Robin, & Bloomer, Melissa J. (2014). People with dementia and the hospital environment: The view of patients and family carers. International Journal of Older People Nursing, 9(1), 34-43.

Porock, D., Clissett, P., Harwood, R., & Gladman, J. (2015). Disruption, control and coping: Responses of and to the person with dementia in hospital. Ageing & Society,35(1), 37-63.

Part 2: ‘Person Centred Care (PCC)’ (400 words)
From what you have learnt from Module 3 on Person Centred Care write how a PCC approach would be used in providing care to Patricia in the acute care setting.

References that can be use:
Clissett, Porock, Harwood, & Gladman. (2013). The challenges of achieving person-centred care in acute hospitals: A qualitative study of people with dementia and their families. International Journal of Nursing Studies, 50(11), 1495-1503.

Champion, E. (2014). Person-centred dementia care in acute settings. Nursing Times, 110(37), 23-5.

Person-centred care helps dementia symptoms. (2014). Kai Tiaki: Nursing New Zealand, 20(10), 9.

Ervin, K., & Moore, S. (2014). Rural nurses’ perceptions of a volunteer program in an acute setting: Volunteers delivering person-centred care for patients with dementia and delirium. Open Journal of Nursing, 04(01), 27-33.

Part 3: ‘Caring for Patricia’s BPSDs’ (400 words)
From what you have learnt from Module 4 on Communicating with People with Dementia and Module 5 on Managing Behavioural and Psychological Symptoms of Dementia, write on how you might prevent or minimise her BPSDs.

References that can be use:

Kilgore, C. (2015). Improving communication when caring for acutely ill patients with dementia. Nursing Older People (2014+), 27(4), 35. doi:http://dx.doi.org.ez.library.latrobe.edu.au/10.7748/nop.27.4.35.e672

Nazarko, L. (2015). Top-quality communication skills remove obstacles to communicating with people with dementia. British Journal of Healthcare Assistants,9(2), 60-65.

De Vries, Kay. (2013). Communicating with older people with dementia.(Continuing Professional Development). Nursing Older People, 25(4), 30-38.

Song, Jun-Ah, Park, Myonghwa, Park, Jaewon, Cheon, Hong Jin, & Lee, Mihyun. (2016). Patient and Caregiver Interplay in Behavioral and Psychological Symptoms of Dementia: Family Caregivers Experience. Clinical Nursing Research, Clinical nursing research, 17 November 2016.

Desai, A., & Galliano Desai, K. (2014). Management of Behavioral and Psychological Symptoms of Dementia. Current Geriatrics Reports, 3(4), 259-272.

Cankurtaran, E. (2014). Management of Behavioral and Psychological Symptoms of Dementia. Noro Psikiyatri Arsivi, 51(4), 303-312.

Part 4: ‘Nursing care of Patricia in an acute hospital’ (400 words)
From what you have learnt from Module 6 on Managing other acute care issues for people with dementia write on how you might improve other relevant aspects of Patricia’s care while she is in hospital. Include at least 2 assessment tools that should be used and describe why.

References that can be use:

Banks, P., Waugh, A., Henderson, J., Sharp, B., Brown, M., Oliver, J., & Marland, G. (2014). Enriching the care of patients with dementia in acute settings? The Dementia Champions Programme in Scotland. Dementia, 13(6), 717-736.

Baillie, L., Merritt, J., & Cox, J. (2012). Caring for older people with dementia in hospital Part two: Strategies. Nursing Older People (through 2013), 24(9), 22-6.

Griffiths, P., Bridges, J., Sheldon, H., & Thompson, R. (2015). The role of the dementia specialist nurse in acute care: A scoping review. Journal of Clinical Nursing, 24(9-10), 1394-405.

Houghton, Murphy, Brooker, & Casey. (2016). Healthcare staffs’ experiences and perceptions of caring for people with dementia in the acute setting: Qualitative evidence synthesis. International Journal of Nursing Studies, 61, 104-116.

FOR ASSESSMENT TOOLS should be use and why read this link
https://www.fightdementia.org.au/national/about-dementia-and-memory-loss/for-health-professionals/clinical-resources/cognitive-screening-and-assessment

Francis, Nora J. (2012). Assessment tools for geriatric patients with delirium, mild cognitive impairment, dementia, and depression.(Delirium, Depression and Dementia). Topics in Geriatric Rehabilitation, 28(3), 137-147.