Consequently, a hypertension care plan must be drafted at first.
2. Next, Miss Downs must pay more frequent visits to the patient and consistently labor to build confidence and engage in dialog. Miss Downs must tell her about cleaning herself. She must show firmness over the issues regarding proper sanitation.
3. After the initial counseling, there is less likeliness of a discernable effect. The reason is that Miss Jenkins has already got very much habituated in her appallingly untidy way of life. So, it should be clearly understood and elucidated at this stage that Miss Downs cannot come to see Miss Jenkins again and again and do the things like clearing her bedpan and mending her footwear.
4. Next, Miss Downs must first collect necessary feedbacks and reports from the neighbors of her patient. Then, she should utilize community care manpower for removing Jenkins from her place. This is to be done by force if necessary in the presence of a qualified gerontologist.
5. Finally, Jenkins would be referred to the community fiduciary. Psychiatric intervention will be immensely necessary at this stage. Medics experienced in handling psychiatric cases can figure out if Miss Jenkins is suffering from any mental disorder that makes her reluctant to clean herself.
The matter of cleaning oneself cannot be left to one’s sole personal discretion. If there is an outbreak of a communicable disease (for example, influenza), then an old, untidy person is highly vulnerable. Moreover, Miss Jenkins lives alone and she won’t be able to take care of herself if she develops problems like skin disease or severe dysentery due to untidy living. She may also fall prey to food poisoning if she does not wash her hands before taking her meals. Instead of high level philosophical thinking, some practical work has to be done in this scenario.
Experts like Bondeson and