Richard Chen Year Explained for Students (Easy Guide)

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This topic involves richard chen year. A strong answer should include explanation, application, and examples.

Original Question

Mr Richard Chen is an 80-year-old man who lives at home with his wife, Fiona. Richard was a car mechanic for 40 years and ran his own auto-mechanic business. Richard always loved old cars and owned a number of vintage vehicles, which he worked on as a hobby. He was an active member of a local car club for 30 years and enjoyed attending the monthly meetings. Between his business and hobbies Richard was always a busy man. Richard and Fiona have two children, both of whom live interstate with their own families. Richard was diagnosed with Alzheimer’s dementia 7 years ago. He has significant short term memory loss and requires reminding and prompting from his wife as to their usual daily activities. Richard requires assistance with his ADLs. For example, Fiona assists Richard to dress, prompts him to clean his teeth by leaving the toothbrush on the bench with toothpaste on it and sets him up for his shower. Once set up, Richard is able to shower and dry himself. Richard is continent at home and is able to feed himself once Fiona has set him up for a meal. Richard has developed an expressive aphasia and this symptom becomes more severe when he is upset or worried. Fiona has found caring for Richard to be more challenging as result of his expressive aphasia because he often has difficulty verbalising his needs. Richard has recently been admitted to an aged care service for respite while Fiona travels interstate to visit one of her sons. Richard is directed by staff to a large dining room for his meals. There is often a lot of staff movement in the dining room as meals are served. However, often before Richard’s meal is served, he gets up from the table and walks away. A member of staff usually follows him and takes him by the arm and leads him back to the table. Richard often refuses to sit and will walk away. Recently when a staff member tried to redirect him back to the table, for a third time Richard grabbed her hand and squeezed it hard while saying in a concerned voice “no, no, no”. The staff member was startled by Richard’s response and withdrew from the interaction. One evening after Richard walked away from the dining room and did not return to have his dinner, he was found in another resident’s room, which is next to his room. He is dressed in the other resident’s pyjamas with his underpants over the pyjama pants. When the staff member enters the room, she finds Richard eating a packet of biscuits that belongs to the other resident. You are asked to contribute to an interim care plan for Richard which will be used to direct care during his stay. Another staff member has started writing the care plan and you review the nutrition and hydration and activities of daily living domains (see below). Domain Nursing Goal Intervention Nutrition and Hydration Ensure that Richard’s nutritional needs are met. • Direct Richard to the dining room. • At times Richard will not remain at the dining table for his meals – staff need to redirect him back to the table regularly. Activities of daily living Ensure that Richard is supported to attend to his ADLs • Provide physical assistance to Richard in the shower. • Provide regular prompts for toileting, ensure that the toilet door is left open in Richard’s room. • Verbally prompt Richard to clean his teeth morning and evening. question Richard displays a number of common symptoms related to his dementia in the scenario. Identify the symptom (1 mark) that has caused Richard to put on his underpants over his pyjama pants and explain one (1) intervention that could enable Richard to dress successfully.

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