Role of communication and interactions with individuals who have dementia Essay

1. How do personistics with dementia exceed through their behaviour (1.1)Persons with dementia whitethorn carry through behaviours such(prenominal) asRepetition of serveions or questions, this whitethorn perish anxiety all over store freeing, worldlyom from inactivity, to seek reassurance, plectron at clothing due to anxiety.Aggression, this whitethorn communicate depression, an in susceptibility to rationalise, afflicted judgment, feeling embarrassed and fearful of humiliation, frustration that they ar unable to guess what they are meant to be doing or that separates do non under predicte their assume to accomplish tasks that they feel to be beta. Can find no other bearing to express themselves.Pacing or walking, this whitethorn communicate a desire to visit a certain dumb build or person. Although the undivided whitethorn redeem forgotten who or where. They may be bored and attempting to use up energy, uncomfortable from sitting, confusedness ab give away what they are meant to be doing or where they are, to enter in to past routines of behaviour that once served an important purpose that the someoneistic feels they pack to accomplish.Becoming suspicious of others, this may communicate that the individual is experiencing memory loss and is having difficulty recognizing familiar facesPointing and vocalizing to communicate their intentions as the individual loses the use and comprehending of their wording2. How you as a complaintr stub misinterpret parley (1.2) non being attentive and abstracted behavioural parleys such as picking at items, failing to come upon eye contact or being out of the persons view, non creating an environment conducive to communication (adequate informaling, low background noise levels etc)Not all in tolerateing the individual m to process selective discipline before continuing the conversation. construe the intention behind a given response as the individual may mean iodin thing but register a nother. Individuals in a support team may fail to record instructionand communicate with one another when they sop up identified a occupy for a behaviour and the correct response to that consider. i.e., the individual may tempo because they are anxious remembering a forgotten routine (the need to catch the bus so they are not late for work). enquire open or else than closed questions requiring a yes or no answer. do communication difficult.3. Explain the importance of exploitive communication with individuals with dementia (1.3)We all communicate to express needs and share info. In order for these needs to be met there essential be someone open to notice information and a receptive environment in order for information to be shared effectively. As a person with dementia al hirey has a compromised capability to communicate, communication needs to be effective and bland or the client may not understand what is being through with(p) to them, where they are being taking . It is important that for effective communication to take place the address bestowerCreates an environment that supports effective communication oAdjust lighting so you can be seen and you can in tern see, adjust lighting, close curtains if as well sunny etc.Reduce the distraction of background noisesApproach communication when there is reduced or no distracting activity in the ring environment oTry to make the individuals environment comfortable in terms of temperature, seating arrangements, attempting to meet baser needs, provender, drink, toileting.Presents themself in a way that supports communicationPosition yourself in a way that enables eye contact to be made (but not to invade personal space or intimidate) oBe conscious of your non- communicative bodily communication, allow the individual to see your bole expression as they volition be more receptive to this than speech, ensure your consistence language is in play alonging with your intentions to revoke mixed mes sages bringingoRemain positive and present(a) information in an enjoyable and pleasurable manner but avoid patronising oWhen assisting with tasks attempt to offer direction by decompiling tasks to their fundamental components rather thenassuming the individual will recall how to carry out complex activities i.e. putting on shoes. Redirect the topic of conversation or activity if the individual becomes distressed rather then arguing your locate oAssume that the individual can understand what you are saying. If they are present sequence other conversations are taking place, be respectful and show gravitas by not discussing them in their presence oAttempt to retain as much of the persons autonomy as is possible by offering choices, i.e. food, clothes, activity. However keep choices simple, in the present and not abstract. Asses the individuals ability to discern as the illness progresses, simple choices can become overwhelming and may need to be revised.Assisting with activitiesD o not boss the individual allow them time to attempt tasks at their own pace. If people feel that they are being controlled they may resort to aggression or withdraw. oUse hand over hand techniques as opposed to carrying out tasks for individuals. Praise efforts and avoid spotlight errors.4. force how 3 different forms of dementia can meet the way an individual communicates. (1.4) Vascular DementiaCaused by a series of olive-sized strokes, Vascular dementia can compromise understanding of language, memory and ability to follow instructions. Early symptoms may include slurring of speech ( inciteing the individuals ability to verbally express), dizziness ( repairing concentration), short term memory ( poignant the ability to take in new information, adjust to new situations, settings and people). More dominant symptoms strickle a persons control over bladder and bowel movements pliant the ability to communicate these baser needs, ability to process information and abstract judg ment affecting a persons independence and autonomy.Dementia PugilisticaBrought upon by a repetition of concussions, the dementia commonly effects a crepuscle in mental abilities, inadequacy of concentration (affecting a persons ability to chasten a conversation, process information, attendance to tasks). Personality disorders including psychomotor retardation (a slowing-down of thought and a reduction of physical movements affecting touch skills, learning new information, recalling learnt information and ability tocomplete tasks), exacerbation of aggression, dis assert (effecting trust in relationships and inclusiveness), loquacity (becoming talkative). Huntingtons DiseaseA neurodegenerative inheritable disorder that affects go through coordination and leads to cognitive decline and psychiatric issues. Some of the symptoms and their effect on communication could be Motor dysfunction, jerky, random, and uncontrollable movements may affect twain the individuals confidence in their ability to communicate and their ability to express and gesticulate. Slowed saccadic eye movements (quick, simultaneous movements of both eyes in the same direction) may affect the individuals ability to make or maintain eye contact affecting attention, ability to read both nervus facialis nerve and bodily expression. Rigidity, writhing motions or abnormal posture would affect the individuals ability to express themselves through organic structure language. Abnormal facial expression, difficulties chewing, swallowing and speaking would affect both use of the verbalise language and accurately conveying emotion and intent through facial expression. oSleep disturbances would leave the individual feeling tired, affecting concentration, temperament, attention and emotional acres Ability to correctly initiate appropriate actions and to inhibit inappropriate actions could affect the individuals ability to gesticulate creating, misunderstandings and possible offence. Impairment in the range of short-term memory and deficits to long-term memory may affect the individuals ability to retain information required to hold conversations in context, identity of others, whats their relationship, what are their intentions. 5/6. Give 3 examples of how you amaze positively moveed with clients with Dementia and explain how these positive interactions contribute to their wellbeing. (2.1)(2.2)Although I do have be intimate of interacting with people who have dementia, this was at a time when I was not a support or care worker. As I used to be a cook in a larger care substructure, I interacted frequently with persons with dementia I will use those experiences along with the information I have learnt as a solving of this unit to answer questions 5 and 6.Example oneAs I would go to the highest degree my work in the kitchen at the nursing home, there was a lady resident who would often stand at the kitchen admittance and would mutter to herself and occasionally look at me and say short sentences that to me made no grit as I did not k forthwith the content. Despite not knowing much about dementia, I tangle comfortable in this ladys company and mat that she was also comfortable with standing and chatting at the door her stance, demeanour, tone and facial expression supported this. I would al shipway speak to her in a calm, clear pleasant manner as this was not only urbane but reflected how she spoke in my presence. Id greet her when she came to the kitchen door and ask how she was, I would tell her about what I was doing as a running commentary (cooking, chopping, baking etc). Although she never appeared to directly interact with me I sensed that standing in a kitchen and chatting were both familiar and substantial for her, as she would spend frequent parts of her day doing this. I felt it important to accommodate her presence and interact on her terms (not move for answers), using common politeness and manners, offering information as a fr amework for my conversation. I take this allowed her to feel comfortable in the well-disposed situation while deficiencying social skills.Example 2 3The only part of my bank line role that required me to assist individuals with fooling living tasks was dowry, describing and presenting their meals to them. I would assist the support ply in serving meals as dinner was a busy time. One gentleman in particular would often become distressed when his meal was presented to him the nurse request that when I write the meal choices on the menu board I present this particular individual with physical representations of the food for him to be expose informed and have clearer expectations. Although it was not my place to help the unhurrieds make choices, the gentlemen when presented with the food items did take an disport in them and I presented him with his meal concordly. Although the instances of anxiety still remained some dinner time they did however significantly decrease. I no w know that the food items were used as objects of reference and I believe it would have been of greater benefit to all residents if they received a conclave of a written menu, objects of reference, photographic or pictorial representations of meal choicesaccording to their individual abilities around choice making. I also believe that with the information gained in this unit, in hindsight the gentlemen in question would have benefited from a smaller range of choice, 2 items as opposed to 4.7. Why is it important to take on clients with dementia in a range of activities, give three examples of how you have done this. (2.3)As stated in questions 5 and 6, I have no experience in supporting people with dementia. For the purposes of this question I will give three examples of activity that could be considered essential for closely people.Humans are occupational and social beings, physically and mentally build to interact with their environments. Therefore activity would not only be a natural pursuit for all people, but, for individuals with dementia who are losing the ability to interact with the world around them, the use of activity would allow them both social organisation and purpose for interaction linking familiar experiences of the past to the unfamiliar experience of the present.Example1 reenforcement individual with their morning ablutions. This task would have taken place for just about every morning of the individuals lives, with guided and prompted support the individual may benefit from a sense of pride in visual aspect that would have been culturally important for members of the older generation. The support worker could pay back the activity and the individuals attention to task by complimenting them on their appearance. There may be a range of ways in which the client chooses to cleanse themselves shower, bathing, or it may be appropriate for individuals of a certain generation to flop at a hand basin. The act of washing may hold some gh ostly significance for the individual (Muslims are required to be clean when handling and reading the Quran) allowing them the benefits of their religious convictions.Example 2Accessing social occasions (tea at a colonisation hall). The individual maybenefit from time spent away from their home in the company of others from a familiar cultural generation. Socialising may combat isolation, loneliness, feelings of despair, suicidal thoughts, offer the individual an opportunity to positively experience their identity.Example 3Accessing reminiscing sessions. This activity may immerse the individual in an environment filled with remnants of their formative years familiar objects, smells, clothing etc creating a sense of identity and safety, stimulating the mind and senses in a bid to prolong their cognitive abilities, believes that are supported by the Orientation Approach.8. comparability reality Orientation Approaches to Validation Approaches. (2.4)The validation approach attempts to offer super disorientated individuals (predominantly the elderly at the end of their lives) an opportunity to express what are believed to be unresolved feelings and offers the care giver an insight in to the underlying meaningful reasons for what may be perceived as odd behaviours. The care giver attempts to empathise with the individuals behaviours, mannerisms and expressions, presenting themselves in a non-confrontational and non-judgemental way engendering trust and acceptance. Thus allowing the individual to communicate as they are able, rather than as they should.Unlike the validation approach, which attempts to enter the world of the disorientated individual, the predilection approach attempts to focus the individuals perceptions in the real world. Using prompts such as calendars, clocks, current magazines or newspapers, menu boards, staff boards to orientate them in to the time and place that they currently occupy. It is thought that continual, repetitive reminders will k eep the patient stimulated and lead to an increase in orientation.However, I have found through researching this topic that some care givers and providers have adapted the orientation approach (which advocates the present time) by creating and orientating individuals to the particular reality or time that they may be experiencing.9. List the physical and mental wellness needs that may need to be considered when communicating with some one with dementia. (3.1)Physical needsEffects of stroke ( multiple TIAs bringing about vascular dementia) oParalysis on ether side of the bodyProblems with visionSpeech and language problemsMemory lossMuscle spasticityTremorsIncontinenceDisruptions in pile patternsUnable to remain settled, pacing exhalation of hearing and or tinnitus wrong or increase of physical sensation, touch, sight, smell.Ability to accurately form facial expressionsMental health needsDepressionSense of agencyLoss of hope, experiencing despairLack in re learning of familiar peopl e or places resulting in possible suspicion Experiencing frustrationHeightened sense of anxiety battleful behaviourFeeling fearfulShort and long term memory lossBecoming withdrawn10 Describe how a centripetal impairment of someone with dementia can affect their communication skills (3.2) optic impairmentThe individual may not be able to accurately gauge a persons body language or facial expressions, minimising the amount of information they receive. The interpretation of light fall on objects and surroundings may be distorted resulting in confusion and anxiety.Heightened sense of smell (Hyperosmia), this may affect how an individual smells both people and places around them, they may find bodily odours, perfumes, deodorants, and cleaning products offensive, reminiscent and confuse affecting the individuals tolerance of these smells and ability to concentrate on tasks such as communication.Loss of proprioception (bodys internal sensory network of muscle and movement), this may affe ct an individuals ability to express body language or gesticulate.Taste, an individual may cease to communicate their desire, choice, interest in food if eating has become a displeasurable or enigmatical experience due to a miscellany in their taste.Change in the sense of touch, a heightened or dampened sense of touch may result in individuals recoiling from another touching them to show reassurance or gain attention as the sensory information received may relay pain, pique or not register at all.A change in sensory input of any of the senses may be distressing and confusing for the individual, affecting their concentration, perception and desire to communicate.11. Describe how an environment can have an affect on a client with dementia (3.3)A change in mental faculties, cognition, memory and mental health in a person with dementia coupled with an array of sensory impairments may affect the individuals perception of their environment in the following waysThe smell of the environm ent may distress individuals due to Hyperosmia.A loss of vision may transmute the perception of visual stimuli, bright light from a window or light bulb may wash out the visual field, shadows may create the illusion of people or objects, a change in depth perception may alter a persons ability to gauge depth of furniture.Reactions to the alterations in visual perceptions may be interpreted with fear, confusion, anxiety as objects may appear different to what they are, or the individual is unable to correctly station or comprehend their purposeThe environment can be pose to effect positive change, the dcor and items can be elect to check familiar surroundings from a time or era that the individual is remembering. The Orientation Approach fills the environment with informative and stimulating objects (present time frame) large clock, calendar, staff board, meal board, current literature.12. Describe how your behaviour and that of other carers can have an affect on a client with dem entia (3.4)The care giver needs to consider the way they speak whether it is positive or negative, does it show that you are attentive and caring, if a carer rushes their speech or does not allow the client time to respond, it may convey a lack of respect and that they dont want to be there. The messages that the carers body language communicates must not be at odds with their verbal content this may create confusion and appear as insincerity. The carer must be focussed on the needs of the client, not becoming distracted by personal discussions with other carers at all times the chosen language must be that of the clients while in their presence. Interpersonal staff conversations conducted while staff are delivering care show a lack of respect and compassion, the client may not feel that they have a right to talk if they are not involved or may become distressed about the content of conversation and feel a need to become involved. Clients may feel that they can assist with a staff m embers personal problems, offering money or possessions, accepting gratuity is both unethical and would be in dispute of the code of conduct.This may be interpreted by clients as defrayal for preferential services or as theft after a client having forgotten there offering discovers their money or possessions gone. Carers need to remain professional and stick to their roles as described in their job descriptions if the client should request services that are in contravention of their role, the carer should politely decline the request and seek support/advice from their manager if they feel it necessary.13. Describe how the use of language can hinder positive interactions and communications. (3.5)Clients with dementia will be experiencing a deterioration in theircognition, attention, memory, producing and understanding language, learning, reasoning, problem solving. It is thence necessary that the carer not only use their language and communication skills appropriately but they a lso recognise deficit in the clients abilities and change their approach accordingly. The clients deterioration in cognition will result in a struggle to comprehend both spoken and written language if a client does not understand information they are more likely to withdraw and accept their confusion with feelings of embarrassment and ineptitude rather than seeking clarification. The carer should be attentive to the clients communication needs noticing if they are struggling to understand, offering the information in a more appropriate way. The carer should always adapt their vocabulary to that of the clients considering the use of slang, euphemism, colloquialism, allowing time to process and respond, realising that the clients may have lost the ability to ask questions and seek clarification.