Managing complexity in adult nursing practice

    Order Description   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.