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He like his indenpendence and privacy. He like to be active and work in the garden.

He does not like to talk abou illness or to be a burden to anyone.

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memory, planning, and daily tasks. He often forgets appointments, repeats himself in conversations, and has trouble managing his finances. Some days, he seems more confused than others, especially in the evenings.

he wakes up late, naps during the day, and often skips meals.

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*Mr. Bell.Values his independence and privacy .

*Takes pride in being self sufficient.

*Dislike talking about his illness and does not want to be a burden.

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He does not like to talk about his condition and sometimes denies anything wrong with him.

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Mr. Thomas values his privacy and independency and he also didn’t want to be a burden in life.

And doesn’t like to be talking about illness.

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Type of dementia is vascular

Stage is moderate

Signs and cognitive patterns:

*Problems with Planning memory and daily task

*Trouble with Finances

*Lack of daily structure

*Isolation

*He is not doing activities what he used to do

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Mr. Bell does not really like expressing his feelings. He gets irritable when talking about illness and care, he is socially isolated. Yes, there is a change in his behavior he does not like going Out as much, no chess club,he has lost weight. He may not be eating well and he is now more indoors.. Isolated

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The type of severity of Dementia that Mr Thomas has can be seen in Alzheimer’s because of the type of memory loss, doesn’t eat on time and skips meals.

Observations are that he wakes up late, naps during the day time, often skips meals and doesn’t go outside.

Despite the sunny weather haven’t been outside in weeks.

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He has problem with the family beging involved in his life and privacy. Because they have to help him out. Due to the fact that he dont like to be burden. He isolated himself does not go out anymore.

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Mr. Thomas becomes irritable and insist to do things his way, and refuses to discuss any changes in his living situation.

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He has high blood pressure, diabetes, and some mobility problems. He has lost weight recently.

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Mr. Thomas has been independent his whole life and because of this, with his current doesn’t want to cope with the changes in his life situation.

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He insists on doing things his own way

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Health issues are, high blood pressure, diabetic, some mobility problems and weight loss.

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Mr. Bell prides themselves and being self sufficient.

He likes his independence

He He copes by not engaging in conversation about his illness or care

He gets irritable

His past may have formed his coping..he was an account. This is a less social job. More independent.

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Adl care, he’s not able to do cooking, forgets to take meds, and can’t manage his finances any more. socially isolated and not able to make donations. Not checking his email.

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Physical conditions that affect him:

Hypertension

diabetes

weight loss

Mobility problems

Health risks

Not taking medication

Skipping GP appointments

Fall risks

No concept of danger(no coat in the cold)

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All areas need support

No structure in daily activities.Often inside and disconnected from people.

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No structure and he is often inside disconnected from people. Minimal engagement.

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His daughter supports him. She is frustrated and needs more help. His sister stops by every now and then. Sometimes the neighbors check in. On the long run...this is not very sustainable.

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The professionals involved are the caregivers and house doctor. But is not always accepted. The care is not adequate, also not well coordinated.

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He has a very small social circle. That consists of his sister that lives far and neighbors. The caregiver only when let in has social contact.

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Bo his living situation is not safe and suitable. He left the stove on one time and because he is alone he wound up outside in the cold without a jacket. Changes and support to this are very much needed.

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Safety is definitely a issue. He can harm himself and he is making questionable financial decisions.