Reference no: EM133443658
Case Study
Mr John B is a 68-year-old retired Irish Anglican Priest with mild Alzheimer's Dementia.
He lives with his daughter, Leah and her 2 year old son, after his wife passed away one year ago.
Recently Mr B has had issues with stability, which resulted in a fall.
Mr B was admitted to the Rehabilitation ward following a repair of his L) #NOF (Neck of Femur). He was extremely anxious and refused to engage in any rehabilitation exercises. He also refused to speak to any health professionals regarding follow up care and community home care, following discharge from hospital.
Mr B's daughter is a single mother and works only part-time as she stays home to care for her father because he refuses to go into a nursing home. He also refuses any home help nor does he go to church anymore. He also refuses to go the senior community centre for daytime activities, after he was told he would not be welcome for his anti-social behaviour.
History:
Mr B suffers from early Alzheimer's Dementia, hypertension, Hyperlipidaemia and Depression.
Social:
Leah states that due to his stubbornness and change in behaviour they no longer go out anywhere to socialise as a family. She stays home to care for him on her days off as she fears for his safety if left alone. Leah is concerned that her father's mental condition has deteriorated but he feels he is fine.
She also states that he mentioned on multiple occasions that he feels he is a burden on Leah as she takes time off work for him.
He also has not been compliant with medication and refuses to attend his GP appointments. Leah also states her concern for his ongoing health and also the stability of her job if she takes many more days off work.
Medications:
Glantamine for his dementia,
Citalopram (anti-depressant), which he commenced 6 months ago and did not attend GP for review.
Lisinopril,
Simvastatin
1. Discuss the clinical manifestations of Alzheimer's and discuss all physical, psychological and social impacts of the health issues on Mr B and his family.