Principles of Support Relevant: Mr. Mason's Case
In the management of Mr. Mason's case, self-management strategies can be implemented to assist the patient in focusing on his attitude and self-efficacy. For example, the use of motivational approaches and educational programs on the appearance of the dementia symptoms provides a supportive element due to its capacity to enhance self-management in reducing the progression of the condition in addition to medical interventions targeted on the possible healthcare assistants (Buchman et al. 2012). Such methodologies will be effective due to the absence of systematic approaches that can be propagated in the management of diabetes and dementia, especially to adult patients, like Mason. More so, the management of diabetes in diabetes is based on clinical settings indicating a focus on the glycemia need to be individualized according to age, frailty, comorbidities, and dementia. Therefore, the principles of support awarded to Mason cannot be guaranteed due to the limited evidence in the treatment of the condition.
On the hand, realist synthesis approach provides a framework for support amongst diabetes patients who have dementia by enabling the victims to deconstruct component theories. Such a principle underpins different medical interventions that target populations with dementia and diabetes by providing relevant tests on the contextual data to increase understanding of various applications. For example, the development of overlapping systems of care in illustrating the complexities of the conditions in the elderly is significant in understanding the choices and behaviors of the patient in the delivery of care (Hall et al., 2005). Thus, the realist synthesis approach is systematic and essential in managing conditions of diabetes under different settings.
Procedure for Protection from Harm
Various mechanisms can be implemented by Apex Care Home to prevent harm to the diabetes-dementia patients and other parties involved, like the support workers and individual assessing the facility;
Mr. Mason
Increased awareness on the patient on the self-management on the patient will help in controlling the possible harm and complications that would be realized, like hypoglycemia that triggered Mason's collapse. In such a case, the individual will recognize the appropriate the medications used in managing the conditions on the appearance of symptoms. Therefore, education on self-care intervention is suitable for Mason in protection against possible injury from diabetes-dementia.
Healthcare Support Workers
The healthcare team should have a theoretical basis for understanding the realities that exist in the different systems of care provision and how different clinical interventions can be appropriated to avoid the damage. In such a case, the support workers should synthesize new techniques is derived from research evidence. For example, the realist synthesis provides a direct approach to implementation of the compound interventions that are considered effective in the management of the condition. Besides, the mechanisms used in preventing harm amongst the subordinate health workers are founded on the clinical and experiential knowledge associated with physiology and diabetes management amongst the old.
Other Residents accessing Apex Care Home
Amongst the residents accessing the health facility, it is advisable that interests on the control of the glycemia among the old based on personal evaluations, appropriate medical management, diabetes, self-care among other address techniques can be communicated in protection against harm. Besides, the condition can be regulated among the people through proper treatment strategies and enhance access to the facility for early assessment to prevent future harm. Furthermore, the procedure might involve the establishment of associations with health professionals to help in the improvement of diabetes amongst people who have dementia. For instance, the relationship-centered care programs that involve people with health teams, the practice of target care on the affected individuals in the population, and implementing the clinical interventions to protect the people accessing the facility is vital in the process.
Benefits of Person-Centered Approach: Mr. Mason's Case
Mr. Mason will realize certain advantages from the development of person-centered approach since it will help in managing glycemia, which if not controlled cause harm. As well, the mechanism is essential in understanding one's self and condition that enhances self-actualization providing efficacy in the management since psychology will affect the activity of the body. Besides, it is essential in dealing with emergency situations of hypoglycemia because Mason will have to be independent in handling the situation, which encourages self-expression and development. Furthermore, the self-centered approaches enable Mason to explore his strength and personal identity in improving his state of health. Much more, the approach is less involving since various intermediaries are eliminated allowing for the establishment of new knowledge in responding to different diabetes situations that might occur through theoretical orientations (Kovacic, Castellano, and Fuster, 2012). Thus, it is the most efficient way of providing therapeutic support to a patient because of free-association and thoughts in achieving the clinical interventions demonstrating the humanistic nature of beings.
Ethical Dilemmas and Conflicts: Mr. Mason's Case
The care and support for Mr. Mason will encounter various ethical dilemmas associated with the different stages of dementia and normal aging for the 80-year-old man because the initial symptoms appear very slowly that sometimes cannot be realized by the person experiencing the condition. However, Alzheimer type of dementia involves the deterioration of the body neurons due to deficits in the manner in which the brain processes information is making the symptoms unpredictable. Such a provision causes ethical conflicts in the detection of the different stages of dementia in the patient since not everyone might display the symptoms to help in management (Ravona 2011). Nevertheless, the early signs of the dementia are associated with forgetfulness since it affects the hippocampus of the brain making self-management a problem, which could be confused with normal aging of the patient. Such a move might limit the use of the personal-centered approach as a supportive aspect and care for Mr. Mason due to the ability to interrupt with his normal activities, like forgetting appointments of procedures of medical intervention.
More so, Mr. Mason might develop a problem with paying attention, making poor judgments and mismanagement of time and space. Such cognitive symptoms pose a significant problem to therapy since personal traits will be exaggerated, like experience on mood swings, nervousness, anxiety or depression (Mohte 2012). Despite the moral conflicts, Mason has a possibility of leading a slightly independent life because the daughter lives miles away while seeking minimal assistance. On the other hand, the life expectancy of Mason will cause a dilemma since he will be expected to live almost half the time spent by his peers who do not have the disease. For example, past studies have estimated that a 75-year-old Alzheimer's patient is likely to live for about six more years before death yet it is hard to gauge Mason's life expectancy based on the dementia-diabetes.
Implementation of Policies, Legislation, Regulations, and Codes of Practice
The process of implementing policies, legislation, regularities or code of practice is essential for the management of individual health and social care since it ensures the delivery of quality healthcare to the patient from the relevant health professional or home assistant. For example, the national service framework for older people has demonstrated social care and management amongst the elderly in the population. Such a consideration enhances the sensitivity of the practices that healthcare providers should follow in every procedure to improve the accomplishment of the health and personal objectives. As well, it is the duty of the health administration to reinforce the laws and codes of practice in the facility to enhance certified standards of operation that will improve the quality of service to patients. Besides, health workers should strengthen data protection as stipulated by the HIPAA Act, which increases the confidentiality of patient information to unknown parties or sharing without the consent of the patient (Warring 2005). However, based on the requirements of the act, patient's information can only be revealed or exposed in exceptional condition, like when the life of the patient is at risk, and a family member should be informed of the situation or request from a health insurance company among others.
Besides, to enhance the efficacy of the service, the health professional has been barred from the use of chemical or substances, like beaching agents that would negatively affect the outcomes of the patient. Such a move is advocated through the development of the control of substances hazardous to health regulations (COSSH) that permits the accessibility of elements under the category by authorized personnel (Abbott et al. 2004; Cacabelos and Martinez-Bouza, 2011). Furthermore, through a safe and secure environment, quality of care, medication, and handling of equipment can be enhanced to improve the service delivery. However, such a move is reinforced by the dedication of the health management and stakeholders in ensuring safety procedures and allowing the workers to take precautions while delivering care to patients. For example, warning signs should be availed in different sections of the health institution to inform every person accessing the health and social care facilities of the possible implication of the action or risk. On the same note, fire assembly points and exits should be well illustrated by the staff workers to enhance management of a disaster or emergency. Therefore, different laws, regulations, policies, and codes of conduct must be adhered in the care centers by providing adequate training, orientation, and lecture to the staff that will improve their efficiency in providing care while minimizing risks.
Development of Local Policies and Procedures: Apex Care Home
Apex Care Home should provide policies and procedures to the different institutes, fields and health professionals that will guide their delivery of services to improve the state of patients. For instance, local policies implemented at Apex Care have a reflection on the nature of activities that will be performed by the staff, especially concerning health and social care of older people like Mr. Mason in managing the diabetes-dementia. However, to increase the output of the local policies, the support staff should be critically and carefully study, plan and implement the different strategies effectively. In the technological development and enhancement of change in the society through the enactment of policies, Apex Care Home will encounter certain faults and imperfections due to the different perception of the policy users and makers. In such a regard, it is important to synchronize and determine the correlation between local policies in the facility and the national policies.
Similarly, the health policies should be clear and precise to enhance the effectiveness of the implementation process by avoiding confusion. Such a provision will provide limited opportunity for misinterpretation of the policies by adhering to the national and local policies based on the existing culture in the Apex Care Home...
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