The biophysical and psychological processes are important aspects for ethical treatment procedure of old aged dementia patients. Both these processes refer to the physical aspects as well as the social aspects around the person. Lifestyle history is the key elemental reference to provide effective dementia treatment to Rob. As mentioned in the case study, Rob used to forget everything and used to infuriate over trivial issues that clearly indicates psychological impairment of Rob. For example- Once Rob left some important tool out in the rain. However, he totally denied the fact and accused his wife Margaret. This clearly indicates that rob was seriously carrying the symptoms of dementia (Brodaty and Low, 2017). Moreover, the decline in the politeness in the moral behavior of Rob also indicators the biophysical syndromes of dementia. Through the case study, it is assumed clearly that Rob has the problem of memory loss. In the case of dementia, the patient generally is reluctant to go to the physician for the treatment.
1. There are many assessment tools which help the physician for making the better treatment plan for the dementia patient. According to the research and the clinical practice, the ‘cognition’ is one of the key assessment tools to observe in the dementia patient. In addition, the quality of life, change of behaviour, care burden and the dementia severity are the elements of the tool used for this case study (Beech et al., 2017).
One of the key elements of the assessment tools are as follows:
2. The priority care for the mental health of Rob is as follows:
3. As per the given case study, Rob is a citizen of New Zealand. The ministry of health of New Zealand states the assessment for the dementia patient. As per the instructions of the government, the assessment will be conducted insensitive way. The patient can access the general cognitive assessment using the validated tool. As per the instructions of the ministry of health of New Zealand on the dementia issue, the family background, as well as the social history of the patient, will be checked. In addition, the patient will have access to the computed tomography scan.
The condition of the patient, in general, is seen through the biophysical and psychological aspect. It is important to see the patient in the psychologically adverse aspects of the life. In the present case study, Dulcie has been suffering from the mental imbalance. Moreover, despite having all her family members, she misses her memorable time of cooking and shopping habit. After passing away of John, her behavior has been changed over the times. She recently experiences the forgetful mind and an unusual empty feeling. This signifies his psychological impairment. In addition, she barely misses her cooking time and shopping habit even knowing that she is presently incapable to do so which signifies her biophysical imbalance (Rushton, Nilsson and Edvardsson, 2016).
The identification of the best possible assessment tools for a dementia patient is necessary for the mental health development. According to the case study, the self-cognition is one of the important assessment tools for the physician. In addition, it can be stated that the change in behaviour, quality of life. These help the physician to identify the main reason for dementia (Beattie et al., 2018).
Test your memory: This memory test is designed to check the level of self-cognitive in the patient. This test takes about 10 minutes for conducting the entire process. It is useful for evaluating the level of cognitive impairment of Dulcie.
Mini-cog: This test is considered the shortest test for the dementia patient. This test incorporates the task of word recalling and the test of clock drawing. This testing tool is important to locate the amount of impairment in the memory power (Joyce et al., 2018).
The physician and the nurses should perform the best possible care for Dulcie.
4. As per the instruction of the ministry of health, Australia all the citizen of the country should be given the proper care and attention during the old age. In the present case study, the patient should be given the close attention by the government. The patient has the right to accessing the best treatment for dementia in the country (Atoum and Al-Shoboul, 2018).
The biophysical and the psychological processes are helpful; to identify the level of mental impairment. According to the case study, Betty has been suffering from problems pain in her right shoulder and arthritis in her feet. All these physical problems push Betty to the brink of the life which is her present biophysical aspect. Betty is not suffering from any mental illness except her dizziness but this situation she may be driven to the mental illness. She feels low and mentally disturbed that adversely impacts on her confidence level that signifies her psychological disturbance (Anum and Dasti, 2015). In addition, it is not sure about the relatives of Betty who should have been helped for her household work. In this case, the social, as well as the mental condition, are not suitable for the patient.
The assessment tools are helpful to locate and identify the level of cognitive impairment and the situation of mental stability. As per the case study, Betty has been suffering from the hand pain as well as arthritis in the feet. Some of the assessment tools useful for improving arthritis and the pain of the hand. The medication, surgery and the therapy are the most probable tools for evaluation of the disease (Cummins, Vangaveti and Roberts, 2015).
Betty seriously requires physical rest and quality care for the betterment of her situation. The three priorities of care are as follows:
According to the Ministry of health, Australia, the equal rights has been given to every citizen of the country. As Betty is a 72-year-old lady suffering from arthritis and right-hand pain, so the right and the equity of the country must show the equality of every citizen of the country. According to the law of the Australian government, the older person should be given the proper care during the old age (Alstott, 2017).
References
Alstott, A. (2017). The New Inequality of Old Age: Implications for Law. Theoretical Inquiries In Law, 18(1). doi: 10.1515/til-2017-0007
Anum, J., and Dasti, R. (2015). Caregiver Burden, Spirituality, and Psychological Well-Being of Parents Having Children with Thalassemia. Journal Of Religion And Health, 55(3), 941-955. doi: 10.1007/s10943-015-0127-1
Atoum, A., and Al-Shoboul, R. (2018). Emotional support and its relationship to Emotional intelligence. Advances In Social Sciences Research Journal, 5(1). doi: 10.14738/assrj.51.4095
Beattie, E., O’Reilly, M., Fetherstonhaugh, D., McMaster, M., Moyle, W., and Fielding, E. (2018). Supporting autonomy of nursing home residents with dementia in the informed consent process. Dementia, 147130121876124. doi: 10.1177/1471301218761240
Beech, R., Ong, B., Jones, S., and Edwards, V. (2017). Delivering person-centred holistic care for older people. Quality In Ageing And Older Adults, 18(2), 157-167. doi: 10.1108/qaoa-05-2016-0019
Brodaty, H., and Low, L. (2017). DESIGNING BETTER DELIVERY SYSTEMS FOR DEMENTIA CARE IN AUSTRALIA. Alzheimer’s & Dementia, 13(7), P881. doi: 10.1016/j.jalz.2017.07.271
Cummins, L., Vangaveti, V., and Roberts, L. (2015). Rheumatoid Arthritis Referrals and Rheumatologist Scarcity: A Prioritization Tool. Arthritis Care & Research, 67(3), 326-331. doi: 10.1002/acr.22449
Freestone, V. (2016). Person-Centred Dementia Care Brooker Dawn and Latham Isabelle Second edition Person-Centred Dementia Care 224pp £17.99 Jessica Kingsley 9781849056663 1849056668. Nursing Older People, 28(4), 10-10. doi: 10.7748/nop.28.4.10.s12
Haberstroh, J., Vollmann, J., and Moye, J. (2017). ENHANCING THE INFORMED CONSENT PROCESS IN CLINICAL DEMENTIA RESEARCH. Innovation In Aging, 1(suppl_1), 729-729. doi: 10.1093/geroni/igx004.2626
Henkel, J. (2017). Emerging Memory Technologies. IEEE Design & Test, 34(3), 4-5. doi: 10.1109/mdat.2017.2695879
Joyce, E., Howell, E., Senapati, A., Starling, R., and Gorodeski, E. (2018). Prospective assessment of combined handgrip strength and Mini-Cog identifies hospitalized heart failure patients at increased post-hospitalization risk. ESC Heart Failure, 5(5), 948-952. doi: 10.1002/ehf2.12300
O’Keeffe, S., and Valacio, R. (2016). Prediction intervals to assess change in older patients using the abbreviated mental test. Geriatrics & Gerontology International, 16(1), 148-149. doi: 10.1111/ggi.12515
Rushton, C., Nilsson, A., and Edvardsson, D. (2016). Reconciling concepts of time and person-centred care of the older person with cognitive impairment in the acute care setting. Nursing Philosophy, 17(4), 282-289. doi: 10.1111/nup.12132
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