Daniel is a 67-year-old resident of a special dementia unit of a
long-term care facility. His family admitted him following an
incident in which he drove a neighbor's car to NLEX Northbound and
proceeded to enter an exit access going the wrong direction.
Several vehicles were forced into the median to avoid an accident.
He was eventually stopped by police officers who informed his wife,
Elizabeth, that arrangements would have to be made for his
safety.
Daniel owns a construction business and told the police officers
he was "going to work," although he had been unable to work for the
past 3 years because of diagnosed early-onset Alzheimer's dementia.
Since his admission to the nursing home facility, Daniel paces the
halls, pulling on handrails, doorknobs, and window casings. He
repeatedly runs his hands over all door hinges and latches, kicks
the walls and doors, moves furniture around in the rooms. Daniel
wears a sock on his left foot, but refuses to wear shoes. He
becomes agitated and strikes out with a fisted hand if any attempt
is made to put a sock or shoe on the right foot. Daniel will only
take a bath if Elizabeth is present. He becomes physically
aggressive when nursing personnel try to attend to his hygiene
needs unless she is talking to him. The staff has placed pictures
of Elizabeth on several doors in his room and in the shower room
hoping to give him a feeling of security with her perceived
presence. Elizabeth comes to the facility several times each day to
help with her husband's care.
1.Create an NCP
Daniel is a 67-year-old resident of a special dementia unit of a long-term care facility. His family admitted him follow
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