Michael Matthews is 70 years old and has been diagnosed with Alzheimers disease. He has been living at home with his wife, Jenny. They have 5 children and 18 grandchildren. The highlight of Michaels day is seeing his children. Recently, Jenny states his confusion is getting worse by the day. He has attempted to leave the house twice, during the night. Jenny is very upset about Michaels condition and feels placing him in a long-term care Alzheimers unit is the safest decision for him. Michael is more alert in the mornings, but by evening, his confusion is at its peak. Michael is being admitted today in the unit for Alzheimers patients. (Learning Objectives 2 and 3.) 1. What ifYou are an employee of the nursing home and want to try to make Jenny comfortable with the facility? In doing this, you tell Jenny about the other patients that eat at the table with Michael. You want Jenny to know their background, so Michael has something to talk about with the other people. What issues can the facility have with you in doing this? 2. What ifMichaels physician wants him to have a swallow evaluation completed, due to a challenge Michael is having when eating meat? Consent needs to be signed with Michael. Is Michael able to sign an informed consent? 3. What ifJenny is having trouble deciding whether to sign a do not resuscitate (DNR) order for Michael? She does not want to make him suffer but does not want him to decide for him. What advice can you give Jenny on advanced directives? 4. What ifYou are aware of the legal aspects of providing care to clients, especially those have cognitive impairments but are not sure what safeguards can your put in place to protect yourself and your clients while providing sound nursing care? 500 Word Minimum
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