My name is Janet Long and I am going to write a case study on Disability Awareness. I have based this case study on one of my clients, Mary, who has a form of disability known as Lewy Body Dementia. In this case study. I will be focusing on the independence value of the social model of care. I will be examining the * The Social Model of Care * Supports that can be put in place * Strategies used by the client to maintain their independence * Recommendations?
Mary’s dementia has restricted her quality of life and her independence and I will be looking at how we can optimise her independence and hence her quality of life. I have spoken to Mary family and ask them who was involved in Mary support team and what her levels of independence are and what ways to improve it. The Social Model of Care Dementia is a form of mental health disability and society finds it hard to deal with mental health disabilities. Supports need to be put in place to allow Mary to carry out as normal a life as possible.
People with a form of dementia need constant monitoring to ensure that they do not harm themselves or others, but as long as this monitoring is in place there should be no reason why Mary or other sufferers of dementia could not integrate into society with a controlled level of independence. There also needs to be better education of the general public to make them more aware of the mental health disabilities and how to interact with the sufferers.
At present people are more likely to cross to the other side of the street to avoid having any interaction with Mary because they feel uncomfortable and do not know how to deal with the situation. Supports Mary support team was made up of GP,District Nurse, Occupational Therapist,and a Psychaitrist. Mary has a lot of support, in fact she has 24/7 support in place which includes her family members, and myself as the carer. There are also a few of the long time neighbours that call in on her from time to time.
This support is needed to care for Mary and give her as much of a normal life as possible while ensuring that she does not come to any harm. Gentle reminders to Mary to remind her where she is and to re assure her can give her a lot of comfort. This constant support is also good to help Mary interact with society and re assure Mary and the people she comes into contact with. It can be very stressful caring for Mary if she is having an off day and a large support network is needed to avoid the stress building up and becoming too great for any one person.
This 24/7 support allows Mary to remain in her own home but her home also needed to be assessed to eliminate any risk that might cause her harm. Strategies Mary can have days where she is disorientated and needs re assurance of where she is and from a friendly familiar face. By having a familiar companion on a regular basis such as her daughter and myself ,Mary can feel safe while still maintaining a certain level of independence.
Just talking to Mary and recognising the different situations and when she is starting to lose her way to gently try to steer her back. Family members and people that come into contact with Mary were explained the impact of dementia and how to interact with Mary to avoid any uncomfortable situations. They were explained how to deal with Mary and how she would be likely to develop over time. A schedule was developed to allow Mary the opportunity to remain in her home with the support of her family and the backing of the necessary care team.
Recommendations In order to help Mary and others like her a level of support and monitoring should be put in place to give a certain degree of comfort to Mary and her family. This monitoring and support needs to be made up of experienced and trained personnel who will be able to support Mary in her own environment while still allowing Mary to have a degree of independence. I also feel that it is necessary to educate the general public in the issues surrounding mental disabilities and how to help them integrate into society.
If people were able to have a better understanding of mental disabilities they would become more tolerant and less fearful. It is the ignorance that creates the fear and if we can remove the ignorance then the fear should be removed. It is important to concentrate on the abilities and not the disability to allow Mary to have a normal life as much as possible. We should not lose sight of Mary’s abilities and rights to use these abilities. Acknowledgements I have obtain my information from my Comfort keepers course materials and Marys family