Final answer:
The nurse should evaluate the effectiveness of the UAP's strategy to redirect the Alzheimer's client when upset and consider if alternative methods may be needed. It's key to ensure the UAP is well-supported and trained, as caregiver stress can negatively impact both their health and the quality of care. Further action may include additional training or support to reduce the risk of caregiver abuse.
Step-by-step explanation:
The action the nurse should take in response to the observation of the unlicensed assistive personnel (UAP) changing the subject when the client with Alzheimer's disease gets upset is to assess the effectiveness of this approach within the context of the client’s care plan. It is important to ensure care strategies are supportive and do not contribute to further distress or confusion for the client. Redirecting the client can be an appropriate strategy for dealing with challenging behaviors and can prevent escalation of distress or agitation. However, the nurse must consider if this approach is consistently effective or whether alternative strategies might be more beneficial. The nurse should consider providing additional training or resources to promote person-centered care techniques and support the UAP in managing the unique challenges presented by Alzheimer's disease.
Studies have shown that caregivers who are under chronic stress, such as those caring for a spouse with Alzheimer's, can exhibit poorer health outcomes, such as a reduced antibody response to vaccinations. Additionally, caregiver burnout, low job satisfaction, and lack of support can contribute to increased risk of caregiver abuse, both verbal and physical. It is therefore essential for nursing supervisors to regularly assess the care provided and the wellbeing of both the caregiver and the client to ensure high-quality care and prevent abuse.