Atrial fibrillation and dementia Elsie Smith is an 82–year–old who lives alone since her husband died 8 years ago.
Atrial fibrillation and dementiaElsie Smith is an 82–year–old who lives alone since her husband died 8 years ago. She has onedaughter, who visits twice a week to help out where she can with shopping and cleaning.Elsie was diagnosed with Alzheimer’s disease 6 years ago. Though initially she only demonstratedmild cognitive dysfunction, she has been becoming increasingly forgetful and–on occasions–confused over the past few months.In addition to hypercholesteroleamia and hypertension, Elsie also has permanent atrial fibrillation.Her medication consists of Warfarin, Atorvastatin and ACE inhibitors. She also has a variety ofanalgesics in her home to help with pain from arthritic knees.Elsie has been falling at home recently. Most recently, she was found at home by her daughter afterabout 12 hours on the floor. She has been admitted to the elderly assessment unit–though she hasno fractures, she is badly bruised. Mrs Smith’s daughteris worried about her Mum’s safety at home,particularly in relation to mum’s falls and her ability to take medication correctly.
Write a 4000–word essay in which you:?Examinethe pathophysiology of atrial fibrillation and the risks that thiscondition presents toElsie?Explorethe prevalence, pathophysiology and impact of dementia,with specific reference toElsiewhere appropriate?With reference to relevant policies, guidelines and evidence, analyse how themultidisciplinary team can work in partnership to enhance Elsie’s safety in the homefollowing discharge.