1. Communication Strategies
1.1. Between Jack and his children
1.1.1. Allows for identifying needs and preferences
1.1.2. Encourages connections and growing relationships
1.2. Between children and nurses
1.2.1. Allows for consistency in care
1.2.2. Allows for educational purposes on both ends
1.2.2.1. Nurses can learn more about Jack
1.2.2.2. Children learn more about dementia
1.3. Between nurses and jack
1.3.1. Allows for nurses to identify likes and dislikes and can provide more individualized care
1.3.2. Jack can build relationships with the nurses hopefully build connections and become familiar with each other
2. Recreation Strategies
2.1. Exercise
2.1.1. Walking rusty
2.1.1.1. Why is Jack no longer willing to walk Rusty?
2.1.1.1.1. Jack may be fearful of falling and injuring himself again.
2.1.1.1.2. Jack maybe forgetting that Rusty needs to be walked.
2.1.1.1.3. Jack may still be in pain from his previous fall and break.
2.1.1.2. Intervention/Prevention Strategies
2.1.1.2.1. Find someone who may be able to walk with Jack and Rusty to ensure Jack remains safe.
2.1.1.2.2. Explore if Jack is still experiencing pain and manage accordingly.
2.1.1.2.3. Examine neighbourhood in which Jack would be walking - sidewalk conditions, hills, presence of cars and other pedestrians.
2.1.1.2.4. Find a track nearby that Jack may go to to walk Rusty on an even, flat surface.
2.1.2. Participation in group outings and activities
2.1.2.1. Jack worked with the fire department so was probably very active throughout his life.
2.1.2.2. Encourage Jack to attend or participate in community events put on by the fire department (community picnics, or BBQs)
2.2. Music
2.2.1. Why is Jack avoiding choir?
2.2.1.1. Jack is not remembering what day to go to choir.
2.2.1.2. Jack does not want to put strain on his body after the injury
2.2.1.3. Jack is afraid or re-injuring himself either going to, while at or leaving choir practice.
2.2.2. Intervention/Prevention Strategy
2.2.2.1. Jack is afraid to interact with people as his challenges with memory may cause him embarrassment and stress.
2.2.2.2. Jack has previously participated in a community choir and may wish to continue to do so.
2.2.2.3. Allowing Jack to be part of his normal activities can help him to maintain autonomy and give him purpose.
2.2.2.4. Listening to the music can bring Jack joy and happiness.
2.2.2.5. Provide Jack the support he would need to attend choir as often as he would like.
2.2.2.5.1. Offer drives to Jack
2.2.2.5.2. Find someone from the choir who may be able to take him to and from choir
2.2.2.5.3. Incorporate more music into his life to remind him that he has choir
3. Prevention and Intervention Strategies
3.1. How can we support Jack to live the best life possible.
3.2. Empower Jack to be able to help himself
3.3. Identify unique characteristics of Jack in order to provide customized person centred care.
3.4. Allow Jack to be highly involved in his own care providing him as much autonomy as possible.
4. Activities of Daily Living
4.1. Eating
4.1.1. Why is Jack not eating his prepared meals?
4.1.1.1. Jack is forgetting to eat his meals.
4.1.1.2. Jack is not interested in the food provided.
4.1.1.3. Jack is having difficulty chewing and swallowing so opts not to eat at all.
4.1.1.4. Jack does not like to eat his meals alone.
4.1.2. Communication Strategies
4.1.2.1. Discuss with Jack what foods he would like to eat.
4.1.2.2. Ask Jack if he would like reminders set out to eat his meals
4.1.2.3. Find out if Jack is having any difficulty chewing or swallowing and needs changes made to the diet to make it easier for him to consume.
4.1.3. Intervention/Prevention Strategies
4.1.3.1. Change meal plan to something more appealing to Jack.
4.1.3.2. Set up reminders for Jack to eat his meals.
4.1.3.3. Change foods to be more easily consumed by Jack.
4.2. Performing hygiene/dressing
4.2.1. Is Jack still able to effectively perform hygiene and dressing
4.2.1.1. Is Jack still remembering to brush his teeth?
4.2.1.2. Is Jack still able to safely get in and out of the shower?
4.2.1.3. As we know Jack is not eating it would be important to check on other aspects of his day to day live to ensure that he is remaining healthy
4.2.2. Communication Strategies
4.2.2.1. Discuss with Jack if he needs reminders to perform these tasks.
4.2.2.2. Explore concerns around safety in the bathroom
4.2.2.3. Determine Jacks abilities in performing these tasks on his own.
4.2.3. Implementation/Prevention Strategies
4.2.3.1. Leave tooth brush out with tooth paste, laying clothes out for the next day, or notes and clocks reminding when to shower, change, or brush teeth.
4.2.3.2. Install non slip mat in shower, shower chair, support bar in bathroom.
4.3. Responsive Behaviour
4.3.1. Why is Jack agitated when confronted about Margrets concerns?
4.3.1.1. Jack is embarrassed that he is struggling to remember things.
4.3.1.2. Jack has dementia so is more prone to aggressive outbursts.
4.3.1.3. Jack does not recall the things he is being questioned about and is confused so becomes angry.
4.3.2. Communication Strategies
4.3.2.1. Have serious conversations in person so she can read Jacks body language and allow for Jack to read Margrets body language. Margret should use relaxed/positive body language to ensure Jack is in a non-judgemental environment.
4.3.2.2. Questions should come from a place of genuine curiosity rather than a place of judgement or concerns.
4.3.3. Implementation/Prevention Strategies
4.3.3.1. Remind Jack of information calmly.
4.3.3.2. Do not argue with Jack if he is upset by questioning and agree with what he is saying.
4.3.3.3. Approach the topic at a different time in a new way.
4.3.3.4. Remove Jack from the situation or change the subject to something more positive.
5. Understanding Behaviours
5.1. Why is Jack forgetting things and reacting differently to his family members?
5.1.1. Jack is suffering from early stages of dementia and may be experiencing depression.