Lare of the Client with Alzheimer’s Disease reverted to speaking uninese and could no longer comprenend English.

Lare of the Client with Alzheimer’s Disease reverted to speaking uninese and could no longer comprenend English. Mrs. wong wound nave Case Study: to call Kai to follow his father in the car while he was out for a "walk". Mr. Wong was born in China and moved to Canada with his wife 30 years ago, They had one son Kai who was their pride and joy. Together, the couple opened a floral shop and ran their Mrs. Wong business for decades. Kai helped out at the busy times of the year, although he eventually went to university and became a successful software engineer. Both Mr. and Mrs. Wong were very Mrs. Wong was a very independent lady. She now needed Kai’s help with shopping, cleaning social and involved in their community. and running errands so she could continue to care for his father. Kai recognized that his mother When Mr. Wong was in his late 60’s, he had trouble concentrating. He had trouble making his was not as joyful as she used to be. She was constantly worrying about her husband’s increasing care needs and could no longer participate in her woman’s group and volunteer favourite flower arrangements and his movements were sometimes uncoordinated. Kai noticed work. She was not eating properly nor sleeping well at night. Mrs. Wong was unable to leave his father misplacing tools, losing paper orders, and forgetting important pick-up times which Mr. Wong alone for fear he would hurt himself or go outdoors alone Mrs. Wong recognized she was out of character for him. At home, Mrs. Wong noticed her husband having problems finding could no longer manage Mr. Wong’s around the clock care needs in their home and he was the right word in conversation, and even the names of some of his favourite flowers. Mr. subsequently moved into a long-term care facility close to their home. Wong’s behaviour was changing. He was becoming irritable at home and at work which was unusual for him. He began saying no one was arranging the flowers correctly. Admission to LTC One afternoon when the Support Worker arrived, Mr. Wong awoke from his nap and was very During his first few weeks in LTC, the team noticed Mr. Wong preferred to stay in bed. During confused. He didn’t know where he was. He was screaming and saying that there was a large meals, Mr. Wong ate very little despite encouragement and assistance. He often coughed and monster sitting on the end of his bed. He was frightened and did not recognize his wife nor son. had difficulty swallowing his food. He was very thin. During personal care Mr. Wong grabbed onto the bed rails. Mr. Wong was a two person assist for personal care Mrs. Wong immediately called 911. Mr. Wong was hospitalized for several days and treated for dehydration. Mr. Wong’s acute confusion resolved in hospital after he received intravenous fluid Mrs. Wong came every day after lunch and spent the afternoon by her husband’s side. He was and he was then discharged home. calm and content during her visits. Mrs. Wong hid her sadness during her visits but was often seen crying when she was leaving. The remaining time Mr. Wong was withdrawn and rarely Mr. Wong was diagnosed with Alzheimer’s disease at the age of 70. The family decided to sell spoke. Kai visited several times per week despite Mr. Wong’s lack of awareness, their business. By age Mr. Wong was having increased difficulty remembering where things were kept in his home. He frequently asked if he could call his mother to pick him up. He was Mr. Wong’s Alzheimer’s disease progressed, and he was completely dependent for all his very restless and was frequently pacing after his evening meal. His sleeping habits changed. activities of daily living. He was totally incontinent of bladder and bowel. He was no longer He woke his wife in the middle of the night by screaming loudly and insisting it was time to get mobile and spent most of his days in bed sleeping or a reclining wheelchair by the window. He up and get ready to go to work. Mr. Wong lost strength but did not seem to perceive his rarely opened his eyes, even when Mrs. Wong visited. He communicated by groaning, limitations. He fell twice in 3 months. His appetite had decreased, some days he ate and other screaming and at times crying. Mrs. Wong shared that the "light in his eyes told her he still days he ate poorly, and he was losing weight. Most times he needed help to eat as he was loved her". The team spoke with Mrs. Wong and Kai about a comfort care approach. Mrs. unable to feed himself. One evening after dinner, Mrs. Wong noticed her husband urinating in a Wong and Kai were in full agreement and Mr. Wong passed away with his family by his side potted plant by the front door. one week later. The following year Mr. Wong’s younger brother came to visit from China. Mr. Wong did not recognize who he was and began cursing and swearing, he accused his wife of having "another man around the house to replace him". He was angry and hostile towards his brother whom he loved very much. Mr. Wong continued to worsen and was now incontinent of bladder and occasionally bowel, He often hid wet or soiled clothing around the house. He required assistance with bathing and dressing and when receiving help would tell his wife he already had his bath and changed his clothes when he in fact did not. Mr. Wong was starting to leave the house for walks, and regularly became lost and disoriented. This was especially concerning because Mr. Wong D Focus Text Predictions: On Accessibility: investigate

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