INTRODUCTION
James is years old. He is a widower.( his wife died in other Nursing Home). He has a 14 children ( 6 daughters and 8 sons). When he was young he worked as a civil servant in the Army. He admitted in St James Hospital) in June 2007. He has problem with breathing and left side weakness. He spend 5 months in the hospital.
His diagnosis are:
- Previons TB
- Right CUA
- Respiratory failure
- Diabetic type 2
- Hypertension
- Renal failure
James admitted in this Nursing Home on 22.04.2008. In between he went in Connolly Hospital because of Aspiration pneumonia.
For duration:
- He is on the soft diet and liquids with thickener,
- He use nebulisers and oxygen,
- He needs 2 carers to personal care,
- We have to use hoist and special chairs for him.
Physical
James is unable to continue his personal care. He needs help for washing, dressing and transferring ( with hoist use) 2 persons. He has special chairs. Resident usually sped on this armchairs about 2-3 hours in the morning after this time he goes back to bed.
He feels better and more comfortable in his owe bed. He wishes is cover him with blanket. James likes to put the pillows under his legs and arms.
He is on normal food but sometimes he eats large soft diet. He can eat himself. Sometimes he likes to eat during night. He cant to eat bread with crust. He is sitting in upright position when eating and drinking. Staff have to ensure that James sits fully back in his chairs at all times not slumped or leaning to the side also that James’s foot is on the plate at all times. We have to remind James to push his heel towards the floor to stretch his calf muscle.
Emotional
Mr James likes to call him Jim or James never Jimmy. He has got a big family. They visit him very often.
Sometimes he feels lonely especially when his family can’t come to him ( then he uses the alarm bell a lot of time because he likes that he is very important person and he needs more attention).
Social
James likes to watch TV (his passion is football matches) and reading newspapers and magazines. He loves to talk about news, politics with people especially with family and staff. Because of spend more time in his own room, not in the day room he does not like to talk with others residents.
Sometimes he feels weak and he needs to take rest. When his family are unable to visit him he feels lonely and depressed. He asks about reason why they can’t come to visit him but he wants to be alone in the room always and doesn’t like to communicate with other residents.
Intellectual
James is a very intellectual person. He can remember the names of all the staff. He likes to watch TV and read newspapers. After that he loves to give opinions and suggestions about that.. James is not very cooperative – he doesn’t understand that hygienic care needs time. He wants to do everything now and quickly.
Spiritual
James is devoted R. C. and his usual observed practices was attending mass on every Friday in Nursing Home, but now he is attending occasionally with other residents.
Course of actions
James is giving a chance to be independent as much as possible by eating himself. Staff can not use the shaker for hot drinks. Use a fork or spoon to mix the thickener in a large cup or mug. We have to make sure that James has got enough to eat and drink during the day. The resident can not go to bed hungry. We have to keep drinks and snack on his bedside table at night. He may be reassured to know that we are close at hand to lend emotional support whenever he needs it. We have to explain what we are going to do and why.
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