Gerontological Education Toolkit
Advancing Care Excellence for Seniors
Using Case Study Betsy to Understand Down Syndrome & Dementia
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Overview of Teaching Strategy
This case study is about an aging woman experiencing Down's Syndrome (DS) and dementia. People with Down's Syndrome are living longer than ever before. Since the 1980s their life expectancy has doubled and many now live into their 60s, most likely because of advances in medical treatment and improved living conditions.
Patients with DS and dementia typically experience several residential relocations during their lifetime and these may be traumatic events for these individuals. This study explores the complex needs of aging clients with intellectual disabilities. Target students for this teaching strategy have completed medical-surgical or geriatric nursing.
- Perform physical, functional, and social assessment on the older adult with Down's Syndrome and dementia and recognize pertinent assessment findings.
- Utilize "Try This: Monitoring Functional Status in Hospitalized Older Adults."
- Use therapeutic communication to address the unique needs of the client with Down's and dementia.
- Identify family needs and expectations related to disease progression and the support needed for caregivers now and in the future.
- Address issues of advanced directives and durable power of attorney with patient and family.
Aces Essential Knowledge Domains
- Complexity of Care
- Individualized Aging
- Vulnerability During Transitions
Aces Essential Nursing Actions
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- Assess Function and Expectations
- Use Evolving Knowledge
- Coordinate and Manage Care
- Make Situational Decisions
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