Nursing Home Dementia Case Study
One of the hardest moments for not only the person with dementia, their caretaker, and their family, is
deciding the appropriate time to relocate to an assisted living facility or a skilled nursing home. Like
the variety of the disease symptoms and durations, the question of when to accept outside help also
has different answers depending on the situation and the caregiver s abilities and resources (Smith, J.,
2016). Many caretakers may view the idea of placing their loved one in a home as a sense of failure on
their part; however, it does not have to be this way. With the increasing demand for assisted living
facilities and nursing homes, improvements in the standards of care for dementia patients as well as a
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The development of the Therapeutic Environment Screening Survey (TESS), include items that cover
specific domains such as exit control, maintenance, cleanliness, safety, orientation, privacy, unit
autonomy, outdoor access, lighting, noise, visual stimulation, space/seating, and familiarity/home
likeness. Another recent development is the Environmental Audit Tool (EAT), which groups items by
the following 10 principles: The environment should: be safe and secure, small, simple with good
visual access, rid of unnecessary stimulation, highlighting helpful stimuli, prepared for wandering
patients, familiar, designed to encourage communication and community, and domestic in nature
providing opportunities for engagement in the ordinary tasks of daily living (Fleming, 2011). The
study conducted by Richard Fleming, he showed that these environment assessment tools provide
accurate measurements in regards to the quality of the environment and informs facilities of their
environmental
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