Question

ting Reverend Welikii Sundowning Can supporting How Sunda upset Families Reverend Weliki at home with his He was admitte because of his de usually a quiet, sofi the facility had 1 becoming increasi velikij, 72, a retired clergyman, lived with his wife until several months a o an extended care facility f his dementia. Reverend Welikij was quiet, soft-spoken man, but the staff at lity had begun to notice that he was ing increasingly agitated in the evenings. night, he took his pants down and started ing on his penis while his wife and daughter visiting him in the lounge area. They were horrified and embarrassed and could not under- stand why he was behaving in such a way. The support staff took him to his room to provide him with privacy, assisted him to the bathroom, and then to bed. They then reported this behaviour to the nurse in charge, who con- veyed the information to his doctor. It was later found that Reverend Welikij had a UTI, and because he was unable to state that something was Wrong, he acted out to show his discomfort. this information decided to visit hin he was more like Mrs. Welikij's Vis Wife and daughter were very relieved when information was relayed to them. They ded to visit him earlier in the evenings when more like himself.” This helped make Velikij's visits with her husband less distressing.

Answer 1

Q. No. a) Answer :

Wheel of health for the client includes :

1. Physical,

2. Social,

3. Environmental,

4. Financial,

5.Spiritual,

6. Emotional

7. And Intellectual.

These are included in the wheel of health.

If all these dimensions are maintaining equally our health also will be good and healthy.

Q. No. b) Answer :

Five dimensions of Health :

1. Physical : he is feeling discomfort due to urinary tract infections, which is caused by external or internal environment.

2. Emotional : disturbed and agitated due to UTI.

3. Social : not having social awareness.

4. Mental : client is having dementia.

5. Spiritual : client is not having spiritual health.

Q. No. C) : Answer :

Supportive strategies :

* Client is having dementia so that we need to encourage the things what they have to do regularly.

* administer and Encourage adequate oral fluid as he is having urinary tract infections.

* provide comfortable clothing and privacy.

* Support in daily living activities.

* maintain Alarm system to attend for needs of clients.

* Encourage to use drugs regularly as prescribed.

For example norfloxecine for UTI.

Q. NO. d) Answer :

Positive outcomes of strategies :

By following above all supportive strategies we can reduces the UTI and by remembering the things every needed time of the client we can also reduce the dementia symptoms.

Negative outcomes of strategies :

If the patient is not follow all the instructions and there is no support from staff and family there will be a less achievement of goals.