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Case Study Review

exhibition
by

Amber Goodlin

on 16 August 2013

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Transcript of Case Study Review

Case Study Review
Team B
HCS/449
August 15, 2013
John Weiss

Introduction
Case Study Review

Seven Stages of Alzheimer's

Challenges

Strategies

Security Features

Implementation of Strategies

Health Care Team's Role

Potential Barriers

Potential Solutions




Case Study
Seven Stages of Alzheimer's
No impairment

Very mild decline

Mild decline

Moderate decline

Moderately severe decline

Severe decline

Very Severe decline

Challenges Faced by Alzheimer's Facilities
Challenging behaviors

Electronic tracking

Ethical considerations

Risk management

Strategies to Tackle Escaping Patients
Addressing potential triggers

Understanding wandering

Plan activities and other
distractions

Exit control
Wandering Paths
Individual away places
Common space structures
Outdoor freedom
Residential design
Autonomy support
Sensory comprehension



Security Features of Alzheimer's Facilities
Designing facilities for patient needs

Staffing for patient needs

Benchmarking

Encouraging family support

Engaging patients in distractions

Animal therapy

Implementing Strategies
Role of the Health Care Team
Knowing the patients’ behaviors

Frequent meetings

Security training

Compliance standards

Policy and processes

Potential Barriers
Patient consent forms

Power of attorney

Restrictive hospice eligibility

Patient Escapes

Potential
Solutions
Expedient process for guardianship

Timely admission of dementia patients

Incentives for early admission

Required insurance benefits to extend length of stay

Patient Assignments

Patient Check-up’s


Conclusion
Case Study Review

Seven Stages of Alzheimer's

Challenges

Strategies

Security Features

Implementation of Strategies

Health Care Team's Role

Potential Barriers

Potential Solutions
References
Alzheimer’s Association. (n.d.). Electronic Tracking. Retrieved from http://www.alz.org/documents_custom/statements/electronic_tracking.pdf

Legislative Committee on Health Care Task Force on Alzheimer’s Disease. (2012). Retrieved from http://www.leg.state.nv.us/Interim/76th2011/Exhibits/Alzheimers/E071112I.pdf

Mayo Clinic. (1998-2013). Caregivers. Retrieved from http://www.mayoclinic.com/health/alzheimers/HQ00218

PR Web. (1997-2013). The Alzheimer’s Caregiver Now Recommends Animal Therapy for Alzheimer’s Patients . Retrieved from http://www.prweb.com/releases/Alzheimers/PetTherapy/prweb10583007.htm

Seven Stages of Alzheimer's. (2013). Retrieved from http://www.alz.org/alzheimers_disease_stages_of_alzheimers.asp

Ziesel, PHD, J., Hyde, PHD, J., & Levkoff, ScD, S. (1994, March/April). Best Practices: An Environment-Behavior (E-B) model for Alzheimer's special care units. The American Journal of Alzheimer's Care and Related Disorders & Research, 4-21.

Questions??

Comments??
Janice is the head nurse in a 24-room Alzheimer wing of an assisted-living center. All 24 patients in this wing have various stages of Alzheimer’s disease. Due to the nature of the disease, the unit is permanently locked so that patients are not permitted to leave the area. Flo, one of the residents,frequently tries to escape the unit. Janice has informed the staff about security issues in her wing and they are required to ensure that no one enters or leaves when the doors are opened. One evening, Janice receives an emergency call from Flo’s family saying that when they arrived to visit her, she was not on the ward.


Alzheimer’s Association. (n.d.). Electronic Tracking. Retrieved from http://www.alz.org/documents_custom/statements/electronic_tracking.pdf

Legislative Committee on Health Care Task Force on Alzheimer’s Disease. (2012). Retrieved from http://www.leg.state.nv.us/Interim/76th2011/Exhibits/Alzheimers/E071112I.pdf

Mayo Clinic. (1998-2013). Caregivers. Retrieved from http://www.mayoclinic.com/health/alzheimers/HQ00218

PR Web. (1997-2013). The Alzheimer’s Caregiver Now Recommends Animal Therapy for Alzheimer’s Patients . Retrieved from http://www.prweb.com/releases/Alzheimers/PetTherapy/prweb10583007.htm

Seven Stages of Alzheimer's. (2013). Retrieved from http://www.alz.org/alzheimers_disease_stages_of_alzheimers.asp

Ziesel, PHD, J., Hyde, PHD, J., & Levkoff, ScD, S. (1994, March/April). Best Practices: An Environment-Behavior (E-B) model for Alzheimer's special care units. The American Journal of Alzheimer's Care and Related Disorders & Research, 4-21.

References
Full transcript