Contextual Factors

Neurological: Alzheimer’s (6a)

Cognitive: Attention well preserved. Memory impairments. Disorientation.

General Health: Good. Guidance and assistance for all daily activities.

Psychosocial: See genograms.

Proximal Factors

Nine Compromised Personal Priority Needs:

Territoriality: New, invades other people's personal spaces, takes their belongings. Communication: Needs to express concerns related to her past life (Retrogenesis). Self-Esteem: Mainly related to her role and previous activities as a mother, wife, and farmer. Harsh words or insults from other residents. Gets orders, being told what to do. Safety/Security: Could get hurt or injure others in an altercation. Risk of exiting the unit and getting lost. Autonomy: Loss of control over her living environment and habits. Personal Identity: Returned to an earlier stage of life: about 33-years-old. Few personal belongings. Comfort: Anxiety related to the thought that she must go home, take care of her children, and her farm.

Social environment and communication: Inadequate communication: Orders, injunctions, invalidation of emotions, temporal and spatial reorientation. Family in distress.

Physical Environment: Closed unit, common areas with 12 other residents and visitors. Private room not very personalized.

Organizational Environment: Staff knowledge, leisure-time activities.