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Rock ‘N’ Roll King

Karola Martáková
Language: English
Country: Slovakia
Typology: health care professionals
Text:
Peter lives with his wife in a family house. They are both retired having a cat, a dog and a garden with a swimming pool. Peter needs permanent presence of another person. Sometimes he looses orientation, walks uncertainly. If walking without an assistance he often falls down. Most of the day time he spends sitting or lying down in bed, his mood goes up and down. Sometimes he is angry and averse. Peter is 77 years old, he has his better and his worse days. He has been working as locksmith and was head of the family. He was used to control and command. He has a son who helps him regularly and visits him. Peter is 3 years after the operation of a brain tumor; he is partially disoriented and has impaired ability to coordinate his movements. He needs complete care during the personal hygiene, he uses the room toilette but he also needs protective diaper. It is needed to warn him to drink enough, to control whether he took his medicine, and cut his food. Sometimes he watches TV or reads newspapers. There are days when he is calm older man, but then there are days when he yells at his wife, requests various illogical and impossible things, blames people from stealing his wallet which he has under his pillow or he denies the help during his hygiene. He can be upset and deny cooperating without explanation. Sometimes he refuses his medication. The nurse was changing her approaches towards him repeatedly; from accepting, mirroring, through attempt to argue to authoritative, but all of them met with rejection and anger. Peter was not able to say the reason why he is so frustrated, he was angry at everything and everyone. His wife sometimes also lost her temper and responded to his requests snappily. The tension was growing. The nurse was searching for something what would be achievable and acceptable for Peter in the moment. She had an interview with his wife about his interests before the disease and what improved his mood. The wife told her that her husband has a favorite music, so the nurse asked her to turn on the player; the songs of Elvis Presley started to play. The nurse directed Peter’s attention to the music and started to ask him whether he recognizes it and whether he likes it. Peter has visibly quickened and with the flame in his eyes started to explain the nurse his relationship to the songs, he started to sing and move to the rhythm. The nurse supported him by nonverbal communication and started to dance standing against him. The wife looked at them with a smile and said that Peter has always loved dancing. The nurse proposed to Peter that today they could dance rock & roll instead of exercising. He agreed and so she helped him to control the balance by holding his hands. They stopped dancing when Peter cannot take his breath with the rhythm. The tension has gone away and it was possible to talk to him. The nurse proposed that from time to time they could dance together instead of walking. Peter agreed and said that he have to work on his condition. The tension in the family has completely disappeared. Since that the nurse and the wife use Peter’s favorite music to improve his mood. OBJECTIVES: Support in Peter willingness to cooperate, divert him from the negativism, tune his mood. MEANS AND STRATEGY: The nurse asks Peter’s wife to play music he likes and to which he reacts positively. She leads a talk and listens actively. Then she suggests to Peter they dance rock & roll together instead of the ordinary assistance exercise and mobilization around the house. CONCLUSIONS: Peter is alive again, his communication is oriented in the situation. He is aware of his movement and stability limits while trying his old familiar dance moves. Contact with the nurse while dancing made him feel like a man and improved his mood.


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