DBL COLLE

The Audit Commision,s is looking to promote the independence

and well being of older people,they like to be independent.The carer is the one who
can give support for well-being.Carers are a very divers group from all ages from 20
to 65.Some of them live with the person who care,some are going for one hour or
more.The carer must to respect few rolls :to be nice, respectable,good,seriously.
In the 21st century many families no longer have the option to take on the
task of caring for the older generation.The isrish population gets older and life
expectancy continues to increase,the pressure on residential care homes will
continue to increase.Many private homes have faced closure due to reduced
funding,spiralling costs and new regulations.Favours home care packagesover
nursing or residential home care.With a flexibility of Live in care you can keep the
one you love in his own place .The family can visit on their own schedule and can
have more hands on involvement if they choose to.We have to offer them
individuality and independence in their later years .
Alice is a lady of 66 years old. She lives in Malahide with her housband and
her girl.She cames from a family with 9 childrens from Kildare.She was born like a
healthy child but at 4 years she got polio posterior syndrome.during on apedemic in
both legs from the waist down.That affected 25-50%people who have previously
contracted poliomyelitis a viral infection of nervous system afher the initial infectio
What is post-polio syndrome?
PPS is a condition that affects polio survivors yPost-polio syndrome (PPS) is a
condition that affects polio survivors years after recovery from an initial acute attack
of the poliomyelitis virus. PPS is mainly characterized by new weakening in muscles
that were previously affected by the polio infection and in muscles that seemingly
were unaffected. Symptoms include slowly progressive muscle weakness,
unaccustomed fatigue , and, at times, muscle atrophy. Pain from joint degeneration
and increasing skeletal deformities such as scoliosis are common. Some patients
experience only minor symptoms. While less common, others may develop visible
muscle atrophy, or waist.Usualy people diagnosed with PPS are concerned that they
will have polio again and this happen with Alice the polio come again.She started to
have significant changes in her mobility .For the begin she start walking in crutches
and this make other problems like shouders ostearthrits from walking in crutches.
{1}She start working in a factory and afther a while she decided to use the invalid
chair to keep her mobility.She got married with a men with a hand disability.25 years
ago she born a baby girl jean perfect healthy and beautiful.
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Because of PPS she got breathing insuffieency who affect her lungs
capability.She has sleeping problems so she takes every night a sleping tablet to
calm her down.Breathing and respiratory problems and she takes inhailers twice
daily.Artrities in the right leg shes not able to straight sometimes because is very
painfulll.Three years ago the kidneys started to make her problems.One year ago
her kidneys colaps so she was for 1 year in hospital in Beoumount Hospital Dublin
when she started her dialysis,
What is a dialys?
Dialysis is a type of treatment that involves replicating many of the functions of
the kidneys. It is often used to treat cases of kidney failure - also known as end stage
renal disease - which is where the kidneys have been severely damaged and lost
almost all of their functioning capacity. The functions of the kidneysThe kidneys are
two bean-shaped organs that are located at the back of the abdomen behind the
liver and the intestines. Every day, your kidneys filter your blood, removing waste
products that are collected as part of your normal bodily functions, along with any
excess fluid. The waste products and excess fluid become urine, which is stored in
the bladder until you go to the toilet.If the kidneys fail, an excess of waste products
can build up in your blood, leading to a range of symptoms including:vomiting,itchy
schin,fatigue and swelling of the feet hands ankles.{1}
There are two tipes of dialyses:haemodialysis and peritoneal dialysis.
Haemodialysis is the type of dialysis that most people are aware of. It involves
inserting a needle into a blood vessel, which is attached by a tube to a dialysis
machine. Blood is transferred from your body and into the machine, which filters out
waste products and excess fluids. The filtered blood is then passed back into your
body.
Peritoneal is a less well known method of dialysis, although it is a method that is
being used more commonly. Peritoneal dialysis involves using the peritoneum as a
filter.The peritoneum is a thin membrane that lines the inside of the abdomen, and
surrounds and supports the abdominal organs, such as the stomach and the liver.
Like the kidneys, the peritoneum contains thousands of tiny blood vessels, making it
useful as a filtering device.During peritoneal dialysis, a small flexible tube known as
a catheter is attached to an incision in your abdomen, and a special fluid, known as
dialysis fluid, is pumped into your peritoneal cavity. The peritoneal cavity is the space
surrounding the peritoneum.As blood moves through the peritoneum, waste products
and excess fluid are moved out of the blood and into the dialysis fluid. The dialysis
fluid is then drained out of the cavity.
Alice started to do the peritoneal dialysis 3 years ago when her kidneys started to
make her problems.And now shes going 3 times a week to hospital for
haemodialysis for few hours.The leg bag need to be changed every week and the
catheter every six weeks in hospital.

. She didnt have never a carer becuse she said she was able to manage herself
and she liked to be independent but when she come back from hospital she had two
carers to help her to put in bed and to get her out of bed.The way she gose to bed is
the bord and she cross the bord streight to bed.Because shes more confident she
has just a carer who is coming 3 times a day for one hour each.In the morning the
carer has to give her a wash in bed ,to dress her ,to help the nurs when shes coming
three times a week to help her to go to the toilet.In the morning i give here breakfast
like poridge and tea and the morning tablets.At 3 Oclock we have to cook something
for dinner .The night call is to put her in bed with the board to give her a cup of tea
,something to eat and her tablets.
Because haemodialysis was the first type of succesfully dialysis used to treat the
renal failure the diet has been an important part of the tratament .The average
amount of time spent on haelodialysis is 9 hours per week.It is very important to
make some adjustments to the intake of food and fluids in order to avoid excessive
acumulation of waste products and fluid between trataments.. Renal dietitians will
give advice according to your own blood test results and nutritional needs. She has
to eat proteins.She has to avoid excessive salt beeing very important because if she
eat to much salt the blood raise cause a fluid rate.She can safely drink an amount
equal to the volume of urine that you pass each day, plus 500ml. Whether more than
this is safe for you needs to be judged for you individually. If you eat too much salt,
you will not be able to keep your fluid intake Because all renal patients are at extra
risk of developing heart disease its important to live and eat healthily,eating a varied
diet and avoid fatty foods.She eat every time low fat product diet.
One of the natural needs is the central heating and this is very safetly.We have to do
the cooking because she cant hold with her hands heavy thing when the family is
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not home because are working persons. The interpersonal skills are the skills we
use to interact or deal with others. Interpersonal skills are sometimes also referred to
as communication skills, people skills and/or soft skills. How we deal with others
can greatly influence our professional and personal lives, improving these skills
builds confidence and enhances our relationships with others.
We all have interpersonal skills. We've been learning them, usually
subconsciously, since birth. We learn how people are likely to react to what we say
and do. How these actions are likely to make them, and us, feel. People with good
interpersonal skills have learnt to identify which are the best ways of interacting with
others in different situations. Interpersonal skills are easily developed, a little time
and effort spent working and practicing your interpersonal skills will pay huge
rewards in your professional and personal lives.Alice is a very comunicativ person
very friendly .She spend all her time reading books who are ordered regulary and are
coming straight to the door.She can cooperate in every situation.Because she is
going every two days to the hospital for here dialyses she said she dont want to go
in a day centra spending the day there doing nothing.
One of my lady who i mind sayd one day you will grow and understand what i am
saying.until then please try and understand that we are people with feelings and
minds too and treat us more consideration

Bibliograpfie:{1} Internet explorer.