EHPAD, elderly depression, depression care, elderly care, nursing home, patient stimulation, comfort care, autonomy preservation, malnutrition prevention, cognitive disorders prevention
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Abstract
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Abstract
Understand and manage depression in elderly EHPAD residents through personalized care and stimulation.
Extract
[...] Olivia has lost her appetite. This is reflected in a decrease in food intake, but also in a loss of energy. The concept of 'person' is an important notion to consider in this situation. In fact, when considering the patient's state, it is essential to take into account her psychological state but also her history. In fact, knowing the patient allows us to understand and take into account Mrs. Olivia's expectations. This allows us to have all the information to know the patient's habits. [...]
[...] Communication and stimulation of the resident are necessary elements for the care of the patient. In fact, the absence of external stimulation will be responsible for the aggravation of the patient's loss of interest in the external world. Stimulation and communication aim to re-interest Madame Olivia in the external world and thus reintegrate her into the functioning of the EHPAD. The stimulation of the patient will have the objective of giving her back her enthusiasm. The return of the patient's enthusiasm will allow us to regain her appetite but also to limit the appearance of cognitive disorders. [...]
[...] Thus, caregivers can establish a protocol that will allow them to adapt the patient's care. In this case, the realization of the shower is generally done with the participation of the patient. However, she has refused to participate in the realization of this care for a few days. In the case of Mrs. Olivia, it is essential to continue to preserve the patient's autonomy by having her participate in the realization of this care. Thus, first of all, it is necessary to obtain the person's agreement for the realization of the care, without appearing to impose a constraint. [...]
[...] From a social perspective, Mrs. Olivia finds herself isolated in an establishment. In fact, before her welcome in the EHPAD, she was used to receiving visits and going to the corner store. Since her welcome, Mrs. Olivia is alone in a room. She does not receive visits due to the distance from her children and the death of her husband. Solitude is therefore an aggravating factor of the depressive syndrome. Her distractions being limited to television and listening to the radio, the felt isolation is therefore permanent. [...]
[...] In fact, this will allow her to regain a certain intimacy. The fact of performing the care alone also allows her to preserve her autonomy. The resident was accustomed to visits and outings. Thus, the proposal to resume a social life can be a way to facilitate the realization of care. Thus, the realization of care is thus experienced as a 'reward'. The risks faced by the patient are related to her depressive syndrome: - The loss of appetite can cause malnutrition with subsequent loss of autonomy due to muscle wasting. [...]
