- Strengths-based approach
A strengths-based approach works on the holistic view of the individual’s needs. It can range from several factors and methods tailored to the older person’s requirements and is unique as it is individualised and focuses upon potential and what is achievable. The healthcare team can provide support in formulating resources that aid in an older person’s care transition and empowerment of older patients (Kate Pascale and Associates, 2019). The strength-based approach works in collaboration with older persons, families, carers and healthcare providers in creating an opportunity for success (Kate Pascale and Associates, 2019). With a strength-based approach, we can focus on goal settings that promote positive actions suggesting that the patient is positively contributing and the outcome that the older person can be compliant with as they are achievable and realistic to their identified circumstances or concerns (Kate Pascale and Associates, 2019). In the strength-based approach, we recognise and validate the patient’s strengths and resources accessible to them so we can accompany the diversity and differences regarding the individuals (Kate Pascale and Associates, 2019). As mentioned, the strength-based approach aims to provide patients with as much support that contributes to a better quality of life with an achievable outcome. In this case study, Mr Pretor is an 82-year-old man who is the primary carer for his wife. Mr Pretor mentions concerns such as; wanting to end his and his wife’s life with his GP and how he was finding it hard to maintain social connections due to his carer responsibilities. The strength-based approach is significant for someone like Mr Pretor. Mr Pretor can collaboratively with the health care team and their support, focus on his achievements and strengths whilst also discussing what he can do for himself and implementing resources that aid in carer responsibilities. With the strength-based approach, Mr Pretor can feel encouraged to lead the conversation about his life choices and decision-making process. Mr Pretor can work on what’s important and meaningful for him, which can be beneficial to Mr Pretor and can be used to aid in identifying his resilience.
- Critical reflection
Caregiver stress: While caring for the ones we love can be endearing and rewardful for most, we understand that with such comes stressors that often being a caregiver means it is challenging long term and can become more of a burden despite best efforts in supporting those in care (Smith, 2019). Mr Pretor’s role as a sole carer for his wife who suffers from Alzheimer’s dementia can place significant demands on himself emotionally and physically. This then results in feelings of isolation, stress and burnout, which in turn will negatively impact his health and well-being.
Euthanasia request: According to (Living, 2019), Most older adults have feelings of sustained despair or lack of meaning in their lives. This can bring about feelings of an unfilling life that seems endless and powerless (Living, 2019). Mr Pretor’s request for euthanasia highlights the emotional distress he is experiencing, likely due to the challenges of caring for his wife and the loss of his social network. This distress can impact his mental and emotional health, as well as his overall sense of purpose and well-being.
These issues highlight the importance of considering both the physical and emotional needs of older adults and the impact that caregiving and loss can have on their independence and healthy ageing. A multidisciplinary approach, including support services and community resources, is crucial in addressing these challenges and helping older adults maintain their independence, well-being, and quality of life.
Nursing care plan:
A) Nursing recommendations:
Euthanasia – Recommendation: Instead of addressing the request for euthanasia, the nurse should focus on addressing the underlying reasons for Mr Pretor’s distress and provide support to improve his quality of life. This can include connecting him with support groups for individuals in similar situations, discussing options for respite care for his wife, and addressing any physical or emotional symptoms he may be experiencing.
Carer stress- Recommendation: The nurse can assist Mr Pretor in finding support services and resources for carers, such as respite care, support groups, and counselling services. This can provide him with a sense of community and a break from his caregiving responsibilities. The nurse can also encourage Mr Pretor to engage in self-care activities, such as exercise and hobbies, to reduce stress and improve his well-being. Utilising his interests in the theatre, films, and musicals can provide a sense of connection and enjoyment. The nurse can also explore options for community involvement, such as volunteering or joining a social group, to help Mr Pretor maintain a social network and reduce feelings of isolation.
B) Multidisciplinary services and resources:
To support healthy ageing for Mr Pretor, a multidisciplinary team approach would be highly beneficial. The following team members and resources could be considered:
- Geriatrician or primary care physician: To monitor Mr Pretor’s overall health, manage his chronic conditions, and provide regular health assessments.
- Occupational Therapist: To assess Mr Pretor’s physical and functional abilities, and provide recommendations for assistive devices and modifications to his home to improve his safety and independence.
- Physio Therapist: To develop an exercise program to help improve Mr Pretor’s physical function, maintain mobility, and prevent falls.
- Social Worker: To assist Mr Pretor and his wife access community resources and support services, provide counselling and support for caregiver stress, and facilitate connections with support groups for individuals in similar situations.
- Home Care Services: To provide in-home care and support for Mr Pretor’s wife, and help with tasks such as bathing, dressing, and meal preparation.
- Dementia Support Groups: To provide support, information, and resources for Mr Pretor and his wife, as well as a sense of community and connection with others facing similar challenges.
- Community Centers: To provide opportunities for socialisation and engagement in leisure activities, such as exercise classes, art classes, and cultural events.
These resources and team members would work together to develop a comprehensive care plan that addresses Mr Pretor’s physical, emotional, and social needs. This approach would help him to maintain his independence, improve his quality of life, and support healthy ageing in his current residential location
