use the Roper, Logan and Tierney 1980 Activities of Living Mode
evaluate the care plan
The case study is as follows ,
This paper is a case study of a service user with complex needs whom the author worked with on placement. Personal history obtained from his care plan notes will be used to track changes in his needs. The notes were reviewed with consent through the exercise of all the values and ethics promoted by the Nursing and Midwifery Council (2010). The paper will conclude by looking at how collaborative practice is fundamental in meeting his complex needs.
In this case study the service user will be called Mr X. The name has been changed in order to ensure anonymity in accordance with the Nursing and Midwifery Council (2008). Mr X is a 45 year old male who has a diagnosis of Downs Syndrome and Type 2 diabetes. He has two brothers and a sister who live nearby and visits often. A year ago he was greatly affected by the loss of both of his parents. In addition, Mr X lives in supported accommodation with three other adults who have learning difficulties.
Since 1996 Mr X has attended a day centre service five days a week which he loved. At the centre staff had a weekly planned time table for his activities which included going out on Tuesday mornings to buy a weekly magazine. He enjoyed reading magazines, watching football and playing games. In addition, Mr X always joined the walking group on Monday afternoons and on Wednesdays he goes out for lunch with the church group. Mr Cook liked hot black tea and always brought ham sandwiches and yoghurts for his lunch. Although Mr Xs speech was limited he could verbally communicate. He was always cheerful and liked people to be happy. He was independently mobile and could get involved in activities he chose for the day. He could wash and dress himself with prompts and liked to look smart.
Recently Mr X has also been diagnosed with Alzheimer Dementia. Since this diagnosis his physical and mental health have deteriorated rapidly. Staff reported, at
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first he was showing signs of depression and increased confusion. He no longer engages in his daily living activities and now needs assistance with his personal care. He has become verbally and physically aggressive towards staff and other service users. Mr X has a disturbed night routine as he does not settle at night and now wanders around at night. Sometimes he says he is sad, angry and frightened with no identifiable triggers. Furthermore, Mr X is no longer able to recognise his siblings.
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