6. Mrs. Green is a client of your agency.She has been diagnosed with multi-infarct (vascular) dementia. She has been assessed to be in the first stage and is only mildly forgetful the majority of the time. She is most comfortable when she gets the answers she needs, although she may forget them in a short period of time. Today she asks you "Have you seen my daughter? I haven't seen her in a very long time." You know that Mrs. Green's daughter visits on a regular basis but you are unsure as to when she was last in. (5 marks) disappointed iii) How might Mrs Green's forgetfulness interfere with her safety needs? iv) Considering effective communication techniques , how would you respond to Mrs.

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6. Mrs. Green is a client of your agency.She has been diagnosed with multi-infarct (vascular) dementia. She has been assessed to be in the first stage and is only mildly forgetful the majority of the time. She is most comfortable when she gets the answers she needs, although she may forget them in a short period of time. Today she asks you "Have you seen my daughter? I haven't seen her in a very long time." You know that Mrs. Green's daughter visits on a regular basis but you are unsure as to when she was last in. (5 marks) disappointed iii) How might Mrs Green's forgetfulness interfere with her safety needs? iv) Considering effective communication techniques , how would you respond to Mrs.

Answer 1

i) **Appropriate response to Mrs. Green:**"It sounds like you're missing your daughter. She visits regularly, and I'm sure she'll be here soon. Would you like to look at some photos of you two together while we wait?" (This validates her feelings, reassures her without lying, and offers a comforting distraction.)ii) **Why this is an appropriate response:**This response acknowledges Mrs. Green's feelings and provides comfort without resorting to falsehoods. It avoids directly confronting her memory lapse, which could cause agitation or distress. Offering a distraction like looking at photos can redirect her attention and provide a positive emotional experience.iii) **How Mrs. Green's forgetfulness might interfere with her safety needs:*** **Medication:** She might forget to take her medications or take them incorrectly, leading to potential health complications.* **Meals:** She might forget to eat, leading to malnutrition. She might also forget to turn off the stove after cooking, creating a fire hazard.* **Personal hygiene:** She might forget basic hygiene practices, increasing the risk of infection or illness.* **Wandering:** She might forget where she lives and wander off, putting herself in danger.* **Emergencies:** She might forget how to contact help in an emergency.iv) **Effective communication techniques to use with Mrs. Green:*** **Speak clearly and slowly:** This gives her time to process the information.* **Use simple sentences and avoid complex vocabulary:** This makes it easier for her to understand.* **Maintain eye contact and use a gentle tone of voice:** This conveys empathy and respect.* **Be patient and allow her time to respond:** Don't rush her or interrupt her.* **Use visual cues and reminders:** Photos, calendars, and notes can help her remember important information.* **Validate her feelings and avoid arguing or correcting her:** This helps maintain her dignity and reduces anxiety.* **Redirect her attention when necessary:** If she becomes fixated on a forgotten detail, gently guide her to another topic or activity.* **Focus on the present moment:** Reminiscing about the past can be comforting, but avoid dwelling on things she may not remember clearly.* **Involve family members in her care:** They can provide valuable support and information.

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