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Family Treatment Approach
A new approach of Dementia Treatment at the early to mid stage
In order to achieve significant outcomes in caring for dementia and Alzheimer’s patients, large institutional care facilities must make physical improvements to their architecture. For mild to mid-stage Dementia, the solution I am about to explain is a common one to all since patients live and are cared for in a home-like environment, called cottages. There are 12 patients in an 8,000-square-foot house with private bedrooms and baths, a fireplace-centered living room, an open kitchen-dining area complete with residential appliances and cabinets, and a 16-person common table. In all stages of Dementia and Alzheimer’s, it is an environment that gets away from the vast institutionalized houses, sounds and the grouping of individuals.Learn more by visiting Enfield Home Care Association
The Key Elements
For assisted living or retirement facilities, one main feature of this form of treatment provides a mix of medical, physical and cognitive assistance with an intense emphasis on staff relationships and individual needs. While there are still written care plans for each individual and agreed service agreements, the employees know each person very well and can attend to their personal needs on a regular basis since the employees have only a small number of individuals to take care of. One such example, reported in Provider Magazine, explained how food supplements and eventually a feeding tube are typically used in a traditional medical setting when a diagnosed dementia or Alzheimer’s patient is not eating. The licensed nurse who sat with the residents for meals every day found in this care atmosphere that other female workers sitting at the table were not feeding. She found out that, because of the male residents’ youth protocol, the man was waiting for all the women to be served before he began his meal. From then on, workers were allowed to eat with the tenants and the man’s weight loss increased immediately. Weight loss is also associated with Dementia and Alzheimer’s disease as a clinical symptom, but luckily this has been corrected without the need for supplements or feeding tubes with a supportive staff and small community to care for.
A cultural shift from anti-aging to a developmental view of aging is another key factor in this setting. In a medical model, people become debilitated when large organizations do not support individual needs. An instance of this is that it is hard for certain elderly patients to walk long hallways. For large institutions, the answer is to place the person in a wheelchair. Getting them to where they are going is faster and simpler. As a result, patients get used to being transported in a wheelchair and then, instead of walking, become dependent on that mode of transport. However, because of the manageable size and layout of these cottages, individual patients can comfortably walk from room to room and are supervised by qualified workers so that they do not have an accident. Plus, because the employees are familiar with each resident, they know their ability and promote their physical abilities and support them.
In conclusion, as this article encourages, the most feasible way to ensure adequate care is taken for people with Dementia and Alzheimer’s Disease is a well built physical environment and organizational framework that suits the transition of aging.