73yr ripened diabetic next to advanced glaucoma which cause blindness?
Her diabetes is poorly controlled as she lives alone and has become increasingly confused i have be asked to visit twice daily to prepare and supervise her meal.What communication problems might i encounter and how would i overcome these?
Answers:
the domestic or her socal worker should have explained the full story to you. Her communication should be good unless in that are more prombems
eat lots of cereal and pasta! great confidence booster! ok!
I don't think communication is her main issue here.
It sounds as though she wants to have a thorough assessment from a suitable health professional to find out if nearby is any reason for her increasing confusion - she could have something as simple as a urinary tract infection.
If at hand is no medical reason for a delerium, then she may enjoy a dementia and will need to have a dementia peak. Which should include an assessment to see if she is cognitively intact and safe to live alone.
If she is cognitively intact then her consent must be obtain for all interventions, otherwise consent is given by a power of attorney or legally appointed administrator.
If she is competent to remain living in her own home, then she may require some suitable community supports.
The types of things that will inevitability to be addressed are medication management, diabetic organization, falls risks and safety, shopping, housework, transport, personal care and social issues.
She might also benefit from a referral to the local blind society for aids to comfort her cope as her eyesight deteriorates. These aids should also help her to communicate, and be communicated to.
Does the lady hold any family, and are they supportive?
Someone must have asked you to prepare and supervise her meal, so go to them and express your concerns so that a plan of action can be put into place.
Her GP would be a suitable place for her to start.
I hope this helps.
There are diabetic classes being held contained by most hospitals.
If you both attend that would help educate the two of you on the most recent studies.
When I become a diabetic I had no idea nearby were two kinds.
With different collation structure.
Have her examined by an Endocrinologist and an Ophthalmologist as soon as you can. Her blood sugar level are out of control which can cause her confusion. Sounds approaching her blood sugar level is falling too low. Make sure she has snacks which are flowing for her to prepare herself. Peanut butter on crackers is a good snack that she can keep on the table subsequent to her at all times. Cheese cubes are also a snack high contained by protein. Diabetics need to eat at lowest 4 small meals per day and a snack since retiring to keep their BS levels surrounded by check. Good luck. Source(s): father has diabetes also and is 80
I work in a home for the elderly and you may come across many problems not basically with communication. You say she is confused, and the diabetes is poorly controlled, this female should not self medicate and should have some one do it for her as she might forget and and you would not know, she sounds like she might enjoy a form of altzimers.
If you are not in the profession then I would consult the lady's home and discus options about her safekeeping which is the most important. I would ask to speak to this lady's own G.P to have this female assessed to see if she is at risk of isolation and malnutrition and things like that. This is a extraordinarily hard subject to go into detail give or take a few on a forum like this as there is so much that one should know when civilized for the elderly, however I hope this has helped and that you can sort things out for the lady's benefit.
I find the best way to deal near confused patients is to ask the same question within two different ways or repeat their answer to them, this helps you to gauge their height of confusion, which can vary from hour to hour or even question to sound out. The blindness you can deal with, but the confusion is a concern. Watch closely when giving medication, as confused elderly tend to feel they don not need their meds, and may hoard them contained by the side of their mouth. Once you think the person have swallowed, ask them a question, and watch their mouth as they answer, to see if in that are any sudden shifts of the tongue or cheek. Another problem may be their reluctance to eat. Try engaging them within conversations about what they ate when they were younger, and try to cook things similar. Ortherwise ask them to opt what they would like for dinner. When serving meals, set the dinner up resembling the face of a clock, and then direct their appendage to each item stating the time, ie: dinner at 6o clock, drink at 3 o'clock salt and pepper at 10 o clock. Honestly, from experience, a confused elderly tolerant is similar to a child in the methods and techniques I use (obviously short being patronizing) and it rarely fail. Good luck Source(s): Nurse
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Answers:
the domestic or her socal worker should have explained the full story to you. Her communication should be good unless in that are more prombems
eat lots of cereal and pasta! great confidence booster! ok!
I don't think communication is her main issue here.
It sounds as though she wants to have a thorough assessment from a suitable health professional to find out if nearby is any reason for her increasing confusion - she could have something as simple as a urinary tract infection.
If at hand is no medical reason for a delerium, then she may enjoy a dementia and will need to have a dementia peak. Which should include an assessment to see if she is cognitively intact and safe to live alone.
If she is cognitively intact then her consent must be obtain for all interventions, otherwise consent is given by a power of attorney or legally appointed administrator.
If she is competent to remain living in her own home, then she may require some suitable community supports.
The types of things that will inevitability to be addressed are medication management, diabetic organization, falls risks and safety, shopping, housework, transport, personal care and social issues.
She might also benefit from a referral to the local blind society for aids to comfort her cope as her eyesight deteriorates. These aids should also help her to communicate, and be communicated to.
Does the lady hold any family, and are they supportive?
Someone must have asked you to prepare and supervise her meal, so go to them and express your concerns so that a plan of action can be put into place.
Her GP would be a suitable place for her to start.
I hope this helps.
There are diabetic classes being held contained by most hospitals.
If you both attend that would help educate the two of you on the most recent studies.
When I become a diabetic I had no idea nearby were two kinds.
With different collation structure.
Have her examined by an Endocrinologist and an Ophthalmologist as soon as you can. Her blood sugar level are out of control which can cause her confusion. Sounds approaching her blood sugar level is falling too low. Make sure she has snacks which are flowing for her to prepare herself. Peanut butter on crackers is a good snack that she can keep on the table subsequent to her at all times. Cheese cubes are also a snack high contained by protein. Diabetics need to eat at lowest 4 small meals per day and a snack since retiring to keep their BS levels surrounded by check. Good luck. Source(s): father has diabetes also and is 80
I work in a home for the elderly and you may come across many problems not basically with communication. You say she is confused, and the diabetes is poorly controlled, this female should not self medicate and should have some one do it for her as she might forget and and you would not know, she sounds like she might enjoy a form of altzimers.
If you are not in the profession then I would consult the lady's home and discus options about her safekeeping which is the most important. I would ask to speak to this lady's own G.P to have this female assessed to see if she is at risk of isolation and malnutrition and things like that. This is a extraordinarily hard subject to go into detail give or take a few on a forum like this as there is so much that one should know when civilized for the elderly, however I hope this has helped and that you can sort things out for the lady's benefit.
I find the best way to deal near confused patients is to ask the same question within two different ways or repeat their answer to them, this helps you to gauge their height of confusion, which can vary from hour to hour or even question to sound out. The blindness you can deal with, but the confusion is a concern. Watch closely when giving medication, as confused elderly tend to feel they don not need their meds, and may hoard them contained by the side of their mouth. Once you think the person have swallowed, ask them a question, and watch their mouth as they answer, to see if in that are any sudden shifts of the tongue or cheek. Another problem may be their reluctance to eat. Try engaging them within conversations about what they ate when they were younger, and try to cook things similar. Ortherwise ask them to opt what they would like for dinner. When serving meals, set the dinner up resembling the face of a clock, and then direct their appendage to each item stating the time, ie: dinner at 6o clock, drink at 3 o'clock salt and pepper at 10 o clock. Honestly, from experience, a confused elderly tolerant is similar to a child in the methods and techniques I use (obviously short being patronizing) and it rarely fail. Good luck Source(s): Nurse
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