Karl Carandang - PFC Matrix Exercise

LEC 14

Components Patient-Centered Family-Focused Community-Oriente

d

Data Gathering 68/M, known case of Widowed, lives with Patient’s symptoms
hypertension, known family-paid caretaker of dementia
case of Alzheimer’s, (nighttime wandering
presenting with All three children live and isolation) raises
symptoms of abroad concern for his and
dementia the community’s
Some relatives safety and well being
reported to check on
him at least weekly No other information
on Sundays was provided

Family can be
categorized as
“Family in the later
years”

Analysis Degrading cognitive Patient has poor Concerns of the

function, Decreased support from patient’s safety and
activities of daily immediate family isolation
living specifically members
dressing and using
the toilet Patient receives daily
support with activities
of daily living from
paid caretaker

Patient has relatives

that occasionally
checks on him

Diagnosis/Conclusi Alzheimer’s disease Dysfunctional family Detachment from

on/Assumption dynamics community

Socially isolated Safety risks

patient

Management/Interve ● Treat ● Conduct ● Recommendi

ntion hypertension family ng the
by starting on meeting with patient’s case
antihypertensi 3 children and to local
ves relatives in authorities so
● Start attendance, they are
medications even online if equipped and
specifically for physical informed if
 Alzheimer’s presence is patient is
such as not available seen
cholinesteras with the wandering
e inhibitors agenda of again and
(donepezil, reconnecting know who to
rivastigmine, children with contact
galantamine) patient, and ● Consider
or NMDA how to enrolling the
receptor support the patient in an
antagonists patient Alzheimer’s
(mementine) ● Consider support group
● Consider enrolling the ● Consider
non-drug patient in an having the
therapies for Alzheimer’s patient join
Alzheimer’s support group community
such as ● Consider activities and
cognitive enrolling the programs
stimulation, patient in a supervised by
physical nursing care paid caretaker
exercise, and home geared (i.e. daily
occupational towards care walks at a
therapy for patients certain time)
● Maintain with
quality of life Alzheimer’s
through
supportive
therapies
such as
speech
therapy if with
problems with
communicatio
n and
behavioral
and
psychological
interventions
to manage
behavioral
symptoms
and improve
mood and
well-being