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Case : Mrs Walker is a 72-year-old lady who lives alone and until…

Case :

Mrs Walker is a 72-year-old lady who lives alone and until recently was in her own home with a care package.

Mrs Walker has a diagnosis of Alzheimer’s dementia (4 months) and has deteriorated both physically and mentally over the last 8 weeks, she habitually paces up and down even though she has very poor balance and appears very pale and tired.

Mrs Walker has been deemed to have ‘lost capacity’ by her Psychogeriatrician and the Enduring Power of Attorney has been enacted.

Mrs Walker’s family and the health team caring for her have all agreed that she is a danger to herself and others, a decision has been made to place her in a residential facility within a secure environment. 

Mrs Walker has had to be physically escorted into the residential facility and is very distressed.

Mrs Walker has a severe contracture of her right hand caused by burns received in her kitchen 11 months ago, and her noncompliance with physiotherapy has rendered that hand unusable.

Mrs Walker weighed 62kgs a year ago, today she weighs 34.5kgs. Her family advise you that she is refusing to eat and that they often find Mrs Walker’s ill-fitting dentures in bizarre places around the house, they tell you that Mrs Walker is still drinking plenty.

 

Q. You are concerned about Mrs Walker who seems very anxious and emotional. You have tried various types of communication; however, Mrs Walker is not engaging, and her family are  distressed. 
Identify the person you would immediately discuss your concerns with, stating what communication techniques you may have tried, what name a relevant assessment tool you could use. (50 words)

 

References Please.

 

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