Imlan, Al-Moazz E.
BSN IV-D
RLE Level 4 Catch-up Session
July 8, 2021
1. Identify one (1) scene from the movie when Tonio showed signs of Alzheimer’s.
Give two (2) nursing interventions for this. State the Rationale.
2. What are your thoughts or how would you feel about caring for an elderly with Alzheimer’s?
Alzheimer's disease is the most common type of dementia. It is a progressive disease beginning
with mild memory loss and possibly leading to loss of the ability to carry on a conversation and respond
to the environment. Alzheimer's disease involves parts of the brain that control thought, memory, and
language.
The scene from the movie when Tonio showed signs of Alzheimer’s is when he wakes up in the
morning and shout his wife’s name that he is going to be late for work but in reality, he is no longer
working and retired from his job after soon he realizes it and lay down again to his bed.
For the nursing intervention I would Orient patient to environment as needed, if patient’s
short-term memory is intact. Using of calendars, radio, newspapers, television and so forth, are also
appropriate the rationale is that Reality orientation techniques help improve patient’s awareness of self
and environment only for patients with confusion related to delirium or with depression. Depending on
the stage of Alzheimer’s Disease, it may be reassuring for patients in the very early states who are aware
that they are losing their sense of reality, but it does not work when dementia becomes irreversible
because the patient can no longer understand reality. Television and radio programs may be
overstimulating and may increase agitation, and can be disorientating to patients who cannot make a
distinction between reality and fantasy or what they may view on television. Another nursing
intervention is Limit decisions that patient makes. Be supportive and convey warmth and concern
when communicating with the patient the rationale for this is Patient may be unable to make even the
simplest choice decisions and this will result in frustration and distraction. By avoiding this, the patient
has an increased feeling of security. Patients frequently have feelings of loneliness, isolation and
depression, and they respond positively to a smile, friendly voice, and gentle touch.
My thoughts or how would I feel about caring for an elderly with Alzheimer’s is Caring for a
person with Alzheimer’s disease or dementia can often seem to be a series of grief experiences as you
watch your patient memories disappear and skills erode. The person with dementia will change and
behave in different, sometimes disturbing or upsetting ways. For both nurses and their patients, these
changes can produce an emotional wallop of confusion, frustration, and sadness. As the disease
advances through the different stages, the loved one’s needs increase the caregiving and financial
responsibilities become more challenging, and the fatigue, stress, and isolation can become
overwhelming. At the same time, the ability of the loved one to show appreciation for all your hard work
only diminishes. Caregiving to elderly can literally seem like a thankless task. The act of caregiving can
help you appreciate your own life more. Many people find that their priorities change afterwards. The
trivial, day-to-day worries that once seemed so important seem to fade away and they’re able to focus
on the things that are really meaningful in life. By making some simple changes, you can help ease your
patient stress and improve their well-being, along with your own caregiving experience.
