Gloria Oaks Case Study

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Use this as one of your sources:
Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). Springer Publishing.

Gloria Oaks is a 66-year-old divorced Caucasian woman who has lived alone for about two years. Although Gloria was reluctant to seek any help, her adult children have convinced her to come see you. Gloria has not cleaned her home or taken care of herself for months. Her son Jeremy and her friend Jeanne come with her to the first appointment.

Jeanne, Gloria’s only good friend, calls her every day. They have been friends since high school. Jeanne is no longer able to visit Gloria because there’s too much stuff in the house. Jeanne says Gloria’s problems really started after her parents and her younger brother were killed in a car crash during their senior year of high school. After Gloria’s family died, she lived with an aunt and uncle for a year before heading off to college. Gloria married after her first year of college and the couple soon had two children. Gloria and her husband divorced after 47 years of marriage.

Gloria continues to live in the family home. Jeremy states that he and his sister had tried to help her clean up a few times, but their mother continues to bring more and more stuff into the house. He states he believes his mother is depressed, is not sleeping, and is starting to experience some health problems from not leaving the house.

Here are two questions that need to be addressed:
1. Identify two assessment tools to use with Gloria. Provide a rationale.
2. Identify three of your most important safety concerns for Gloria. Provide a rationale.

 

 

 

Sample Solution

Alzheimer’s Disease

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chart of Alzheimer’s DiseaseAlthough mankind has significantly progressed in the matter of treating different illnesses, there still are medical issues that neither medication nor science has had the option to settle. Disease, HIV, Ebola, and other significant ailments slaughter a large number of individuals consistently. Nonetheless, there are disarranges that impact the human body, yet in addition curve and twist the manner in which the human brain works. Among such maladies, one of the frequently analyzed issues is Alzheimer’s infection. It is difficult to fix, yet conceivable to forestall; subsequently, individuals everything being equal and callings ought to know about this issue, and the manners in which one can keep away from it—particularly considering the quantity of misguided judgments encompassing this infection.

Alzheimer’s illness by and large methods memory misfortune and the decline of scholarly capacities in a degree that meddles with the every day life of a patient. Not at all like numerous individuals will in general believe, Alzheimer’s infection is definitely not an ordinary piece of maturing, in spite of the fact that most of individuals experiencing it are over 65 years of age; in any case, there are situations when individuals in their 50s or even 40s as of now show a portion of the indications. In its beginning periods, patients endure a mellow loss of memory, yet at later stages, they lose their capacity to carry on discussions and to react to their condition. Overall, it takes from eight to twenty years for the side effects to get observable, contingent upon the patient’s age and other wellbeing conditions (Alz.org).

The improvement of Alzheimer’s infection is a slow passing of synapses. The paces of degeneration are critical—the mind size of a patient with Alzheimer’s psychologists as the tissue logically loses nerve cells and associations. Post-mortem examinations of Alzheimer’s patients show incorporations in the nerve tissue, called plaques and tangles. Plaques are found between the perishing cells in the mind, and tangles are inside the cerebrum neurons, framing because of crumbling of the tau-protein (MNT). As years pass, the sizes of synapses biting the dust develop, and it begins influencing patient’s lives legitimately.

Indications of Alzheimer’s infection incorporate losing things (generally littler ones, for example, keys); overlooking ongoing occasions, discussions, or individuals whom a patient has addressed; a powerlessness to locate the correct words during a discussion; overlooking significant dates, for example, commemorations; out of nowhere becoming mixed up in a commonplace spot. Different manifestations incorporate the interruption of reasoning, thinking, and observation. Specifically, a patient may begin to lose the purpose of a discussion or rehash themselves; they can scarcely make sense of the separation among themselves and different articles or individuals; they can’t concentrate on what they do, just as they can’t perform consecutive errands, for example, cooking or sewing (Alzheimer’s Society). This makes the life of an individual with Alzheimer’s significantly more troublesome.

Despite the fact that there is no solution for Alzheimer’s infection, considers show that physical exercise (or physical movement, when all is said in done) may assume a job in decreasing the danger of Alzheimer’s sickness. Additionally, various examinations propose that eating certain nourishments can help an individual keep their cerebrum more beneficial, consequently forestalling the improvement of Alzheimer’s sickness. Specifically, such a preventive eating regimen ought to incorporate loads of organic products, vegetables, and entire grains; it ought to be low in fat and included sugar. Specifically, individuals who eat a “Mediterranean eating regimen” are accounted for to have had a 28 percent lower danger of building up a gentle intellectual debilitation, and a 48 percent lower danger of advancing from this hindrance to Alzheimer’s ailment. This proposes appropriate sustenance can help forestall the advancement of Alzheimer’s infection.

References

“Alzheimer’s Disease and Dementia.” Alzheimer’s Association. N.p., n.d. Web. 24 June 2015.

“Alzheimer’s Disease: Causes, Symptoms and Treatments.” Medical News Today. MediLexicon International, 17 June 2015. Web. 24 June 2015.

“What is Alzheimer’s Disease?” Alzheimers Society. N.p., n.d. Web. 24 June 2015.

“Alzheimer’s Disease.” NIHSeniorHealth. N.p., n.d. Web. 24 June 2015.

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