Question

Case study 1 Rhonda works in the community as part of a team that assists with showering people in their own homes. Thomas is an 88-year-old man with Parkinson’s disease and moderate dementia. Thomas lives at home with support from Rhonda and some other home services. He has a son who comes over every evening to provide him with a hot meal and help him change for bed. Thomas has significant memory loss, becomes agitated by background noise, cannot express his emotions and is at high risk of falls. Thomas previously played violin in an orchestra, so he loves the sound of the violin.

qsn 1. What are some things that Thomas’s family and carers should consider when interpreting his individual care plan?

qsn 2. What are five signs of moderate dementia that Thomas may display?

qsn 3. What useful information could Rhonda share with Thomas’s family about the motor and non-motor symptoms of Parkinson’s disease?

qsn 4 How can the physical and social design of Thomas’s environment address his individual needs?

qsn5. How can Thomas’s family increase his safety when they take him out into the community?

qsn 6 What are some ways that Thomas’s dementia may impact upon his ability to express his emotions?

qsn 7 What signs and behaviours could make Rhonda suspect that Thomas was being neglected by his carers or family?

qsn8 What should Rhonda know and do about elder abuse?

Answer 1

• Thomas family consider he is diagnosed as parkinson's disease and dementia. He has agitation due to noise,risk for fall , emotional disturbanceand memory loss.He also loves the sound of violin.
• Here Thomas has agitation, significant memory loss, emotional disturbance, need assistance with task, risk of fall fall due to cognitive impairement.
• Parkinson's disease is central nervous system disorder in which nerve cell damage causes decreased dopamine level.
• Motor symptoms are the following resting tremor, rigidity,bradycardia, festinating gait,micrigraphia,retropulsion,hypophonic speech
• Non motor symptoms are depression,anxiety sleep disturbance,autonomic dysfunction, urinary dysfunction, dementia etc.
• Physical signs are significant memory loss, agitation due to noise,emotional disturbance. His social support system only his son provide the care in evening .He has dementia however hot meal provided by his son. He also has risk of fall.
• He agitated even background noise and he loves sound of violin.
• Even Thomas has significant memory loss he was alone.His son provide care during evening and provide hot meal.