Rose is a 77-year-old female with Alzheimer’s disease who lives at home with support from her only daughter and went into a care home 2 weeks before admission. Rose is now unable to learn most any new information, and her long-term memories are also weak (sometimes forgetting who her husband and children are). Rose is sometimes hard to understand due to the slurring of words, and she appears to see people who are not in the room.
She is needing help with personal hygiene, getting dressed, eating, and using the toilet. She was eventually admitted into a care home due to severe behavioural and psychological symptoms of dementia, including frequent verbal aggression, disorientation, day-night sleep reversal, refusing medications and reduced oral intake.
The care home contacted the crisis team as struggling to manage behaviours. Rose was transferred to a specialist hospital for a physical assessment, she was medically cleared but required IM Lorazepam due to her levels of agitation.
To gather more details about Rose’s history and pre-morbid personality an interview was carried out with her daughter, referred to here as “Carol.” Carol explained that Susan grew up in a small town and her childhood was described as free and independent. Carol said that Rose was happily married to her husband, Charles for 40 years (who was Carol’s father) who later died 5 years ago. Carol stated that Charles and Rose were very close to each other.
Since Charles died, Rose has felt the vacuum left by her husband. Carol explained that Rose decided to move in with her when Rose was diagnosed with Alzheimer’s disease.
In addition to having a strong and independent personality, Carol also described her mother as a creative and social person who loved to sing and play music, such as the guitar. Carol pointed out that Rose was a primary school teacher for 25 years. Rose enjoyed her teaching role and would go the extra length to impact a child’s life.
1) Critically analyse the process of assessing a chosen service user with complex needs.
2) Critically evaluate the role of the mental health nurse and healthcare professionals, in engaging in collaborative approaches and the delivery of evidence-based interventions to aid the ongoing care delivery for the person with complex needs.
3) Critically appraise the values and ethical practice considerations underpinning the assessment and ongoing care delivery to meet the needs of this person and their families.