Case study: Abeeku

Abeeku is seventy-nine, he has dementia and is cared for by his extended family. He is not able to communicate verbally and is frequently agitated, which he expresses by spitting and biting. Abeeku was admitted to hospital for further assessment of his condition following a series of falls at home. He prefers to stay in bed, but frequently slides down the bed and needs help to sit up again. You have noticed that he becomes distressed and agitated when he see the nurses preparing to sit him up, which they do by grasping him under both his axilla and dragging him up the bed.

• How would you respond if you witnessed this event and were asked by the staff to help move Abeeku in this manner?

• Why do you think Abeeku becomes distressed and agitated when assisted to move?

• What solution can you offer to improve Abeeku’s care?