Full Answer Section

Recommendations:

1. Evaluation and Diagnosis:
   • A thorough evaluation by the facility psychologist is crucial to assess the severity of her cognitive decline and any potential contributing factors (e.g., depression, anxiety) to her behavioral issues.
2. Non-Pharmacological Interventions:
   • Validation Therapy:Acknowledge and validate Eleanor’s feelings and experiences, even if they seem confused.
   • Redirection and Distraction:Offer calming activities or familiar objects to redirect her attention when she appears agitated or confused.
   • Environmental Modifications:Ensure her room feels safe and familiar. Consider using visual cues like pictures or calendars to help her orient herself.
   • Music Therapy:Music can be calming and evoke positive memories.
3. Pharmacological Interventions (if necessary):
   • The psychologist, in consultation with her PCP, can determine if medications can help manage anxiety, agitation, or sleep disturbances that might be contributing to her behavior.
4. Staff Training:
   • Train staff on de-escalation techniques, non-violent crisis intervention, and recognizing signs of triggers for her behavior.
   • Staff should be trained in providing care for patients with dementia.
5. Family Support:
   • Involve Eleanor’s daughter in care planning discussions.
   • Provide support and resources for managing the emotional and logistical challenges of caring for a parent with Alzheimer’s.
6. Safety Measures:
   • Consider alternative methods to physical restraints whenever possible. Explore options like door alarms or redirecting her to a secure activity room.
   • Ensure the safety of both Eleanor and staff by having clear protocols for wandering and aggression.
7. Quality of Life:
   • Focus on activities that bring Eleanor comfort and joy, such as spending time with loved ones, listening to music, or participating in adapted social activities.

Communication and Collaboration:

• Maintain open communication between the psychologist, staff, and Eleanor’s daughter.
• Regularly review and update the care plan based on Eleanor’s changing needs and responses to interventions.

Ethical Considerations:

• Respect Eleanor’s autonomy as much as possible.
• Minimize the use of restraints and prioritize person-centered care.
• Ensure the safety of both Eleanor and staff members.

By implementing a comprehensive plan that combines non-pharmacological interventions, potential medication, staff training, and family support, we can strive to improve Eleanor’s quality of life and manage her behavioral issues effectively.