Write my Paper on Managing complexity in adult nursing practice

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Essay question 6: Atrial fibrillation and dementia
Elsie Smith is an 82
–
year
–
old who lives alone since her husband died 8 years ago. She has one
daughter, who visits twice a week to help out where she can with shop
ping and cleaning.
Elsie was diagnosed with Alzheimer’s disease 6 years ago. Though initially she only demonstrated
mild cognitive dysfunction, she has been becoming increasingly forgetful and
–
on occasions
–
confused over the past few months.
In additi
on to hypercholesteroleamia and hypertension, Elsie also has permanent atrial fibrillation.
Her medication consists of Warfarin, Atorvastatin and ACE inhibitors. She also has a variety of
analgesics 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 after
about 12 hours on the floor. She has been admitted to the elderly assessment unit
–
though she has
no fractures, she is badly bruised. Mrs Smith’s daughter
is 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:
?
Examine
the pathophysiology of atrial fibrillation and the risks that this
condition presents to
Elsie
?
Explore
the prevalence, pathophysiology and impact of dementia,
with specific reference to
Elsie
where appropriate
?
With reference to relevant policies, guidelines and evidence, analyse how the
multidisciplinary team can work in partnership to enhance Elsie’s safety in the home
following discharge.