When living at home with dementia the individual will have professional help come to them to help with daily tasks such as supervising medication intake, enabling optimum health and safety at homer providing a patient listening ear and friendly face, cooking, housekeeping and general errands, helping to facilitate routine, military and comfort for their loved one at a difficult time. When someone moves from their home into a care home it can be very strange for them and cause them to feel very confused and experience further stress. They will suddenly be in a completely new setting that is full of Strangers and new objects.
The new place will have a set timetable that the individual may not be used to and a whole load of different noises which could be very scary. The individual could have been living on their own for 40 to 50 years and all of a sudden have to live in a new house with strangers. All of this would have en the best case scenario, but unfortunately some care homes fall below expectations. Many of the care homes are struggling to meet the patient’s medical needs. Nurses said, according to a report by the BBC in March 2012 that there is often inadequate knowledge and training known when it comes to dementia.
In that same month David Cameron declared that dealing with the “scandal” of inadequate knowledge and resources is one of his key points. And Sir Mark Waldport, Director of the Welcome Trust, stressed the importance of top social care, “so that patients can be helped to live at home or longer, and so that relatives who care for their loved ones receive the support they need”. Someone who lives at home will receive their care there and this will allow continuity which is a lifeline for Dementia sufferers.
They will be able to see the same career over and over again and this will allow the career to be able to learn their routines and habits, and will spot the best way to reassure them if they become distressed. A relationship like this sets the stage for helpful conversation and mental stimulation for the individual – another fact that experts say is extremely helpful for dementia sufferers. Should the individual who is suffering with dementia have a blank moment, the best place for them to do this would be at home. In their home they will be surrounded by things such as photos and ornaments that will tell a story.
These are details that would be crucial in reminding them who they were and are. Keeping an individual at home will also ensure that they are getting the best facilities. Loved ones can ensure that they are getting a good quality of food and facilities such as bedding. Furthermore, having an individual at home who has a good quality career that their loved ones trust can mean that hey can rest too and not worry about the individual suffering with dementia any more than they already would. On the other hand, someone living at home with dementia could be a bad thing.
Someone who has dementia is more at risk of being involved in accidents at home, particularly as the dementia progresses. This is due to their sense of balance and ability to react quickly is reduced. Their memory and sense of judgment are both increasingly affected too. If the individual is feeling stressed or confused this can also add to the chances of an accident occurring. If their career is feeling red or fed up, this could also result in an accident. An individual suffering with dementia will have memory loss and difficulty in learning new things.
This means that they may forget where they are, where things are and how things work. When caring for someone who has severe dementia at home, they will need help when sitting, standing, moving and lifting. There will be times where they would need to be physically handled, for example, to help them get in and out of bed, the bath, going the toilet or if they have fallen and need help getting back up. However unless necessary precautions are taken while lifting or moving someone, the person helping them could be at risk of causing injury to themselves, for example hurting their back.
Abuse in an informal care setting such as their home for Someone with dementia is very high. The abuse can be from anyone such as careers, children, partners and friends. When an individual is diagnosed with dementia their loved ones will usually want to take care of them at home. But some careers don’t realize how challenging and demanding being a career is. They also don’t realize how life changing it would be for them. As people who are suffering with the dementia earn how to deal with their experience they may sometimes show behavior that seems aggressive or violent.
This behavior can be highly stressful for careers and is highly predictive of mistreatment and abuse on the part of the career. Abuse that is from family can be seen in two ways; deliberate abuse and abuse that is not. Sometimes the person giving the care is doing their very best but just cannot provide the level of care and support that is needed. This can sometimes be due to them not knowing what level of care is needed or not knowing what care and support is available and sometimes because he necessary support is not available.
Abuse that is not deliberate can include a wide range of actions, which include neglect or the unnecessary restraint of a person with dementia. When living at home there is nobody who can see if there is any abuse going on if it is someone close to the individual such as their career, sons, daughters or friends. This is where abuse such as financial abuse can happen. Financial abuse could involve: Forcing someone to give or lend money Withholding money or assets to the disadvantage of the adult to whom they belong Using someone’s credit or debit card without permission
Being charged excessive amounts for services Inappropriate use Of power Of attorney While financial abuse often goes unreported, short changed revealed that 15% of respondents reported that the person living with dementia have been a victim of financial abuse such as cold calling, scam mail or miss-selling. 62% of careers reported that the person they care for had been approached by cold callers or doorstep sales people, and 70% reported that telephone callers routinely targeted the person they care for.
Not only have people lost money, but they and their families have also been suffering stress, exhaustion and frustration as a result. Hysterical and emotional abuse can also take place at the individual’s home. This can also be from their career, family and friends. As there is no one around apart from their abusers, it is often likely that the abuse goes on without anyone knowing. The person abusing could also assure loved ones or the career that the person suffering with dementia is lying about being abused or isn’t mentally able.
This is also a problem when it comes to prosecuting people who have abused individuals at home. If the person with dementia is too far into their illness they are normally too ill to give a statement and therefore there can be no case. An individual can also be abused with their dignity and independence. Many people with dementia and living at home have choose to live at home because they want to remain independent and do things for themselves. When it comes to things such as personal care and helping to get in and out of bed, careers can become impatient and annoyed and become aggressive towards the individual.
The individual will want to remain dignified, such as showering by themselves and getting themselves dressed. The career should aid them in doing so if they ask for the help and not force them to do something that they don’t want to do. All of this abuse is abusing the individual’s human rights. I will now compare what it would be like for an individual living with dementia to live in a care home setting. In a care home the staff there are trained in looking after people who suffer with dementia meaning that they will be able to receive the very best high quality care.
They will be able to provide similar kinds of care to what family members provide at home, such as help with washing dressing and providing meals. Care homes that are for older people will provide personal and nursing care. A care home that is registered to provide personal are will also offer support, ensuring that basic needs such as meals, bathing, clothing, going to the toilet and medication are taken care of. If the person suffering with dementia is more able then they will be able to have independence in the care home and take care of many of their needs on their own but will have the option for help if they need it.
Many people with dementia suffer with mobility problems. Meaning they need help with sitting, moving and walking. When moving someone with dementia you would need equipment and this can be provided in a care home as well as trained staff ho are able to use it properly and safely. Care homes will also provide around the clock care and long-term medical treatment. Most nursing homes have services and staff to address issues such as nutrition, care planning recreation, spirituality and medical care.
Another thing that is good about having a loved one live in a care home who is suffering with dementia, is that their family members can live a normal life. They will not have to stress about if their loved one is getting looked after properly and have the advantage to go visit them when they want to. While living in the care home the individual ill also have access to weekly social activities such as bingo, crafts, singing and plays. This will allow them to socialism with others and stop them from being on their own all the time.
But not all care homes can be trusted to give the best possible care. The individual suffering with dementia would have to move into a new setting that they don’t know. This could cause them great stress and confusion and could cause them to do things such as stop eating or get aggressive and agitated. While in the care home the individual will also be receiving care off a number of different care staff. This will mean that they ill be unable to have a very strong bond with them and the care staff will be unable to learn all of the little things that make the individuals life easier or happier.
As the nursing staff have to stick to a strict timetable, which the individual will be unused to, they will sometimes have little time to spend with the individual. The career could also rush their work in order to get to another individual and this could be the cause Of mistakes and accidents to happen. The individual may like to have their own independence and may feel that when going into a care home this is taken away from them. This can be done by having things such as set meal menus and set meal times.
There will also be a change of lifestyle to the individual which could be very hard for them to get used to as this would happen to them over night, and people who suffer with dementia take time to learn new things so it should be introduced to them slowly for them to not become agitated and annoyed. Little things such as the individual’s personal belongings and pets may not be allowed in the care home. This could cause them to become very upset if they had to get rid of a beloved pet. A lack of proper management in a care home can also exult in dementia suffers to be abused.