CASE STUDY 1: CHEN Chen is 95 years old. He migrated from China many years ago but has lived largely in the Chinese community. Chen has dementia and is unable to remember any English words. Chen is now in residential care as he is unable to look after himself. Chen has two daughters and a son who come to see him frequently. They feel guilty that they cannot look after Chen at home but they each have jobs and do not feel able to look after him. There is one Chinese worker (Mei) who speaks Mandarin - Chen's first language. : How do you think Mei's involvement in Chen's care team will benefit Chen? List three types of information that Chen's family could provide to help staff understand Chen's individual preferences and practices. You are member of Chen's care team. You do not speak Chinese. You find out from the family that Chen liked playing Mahjong, but he no longer remembers how to play. They bring a mah-jong set in for him and you notice he likes to play with the pieces and look at the symbols. He rubs the pieces between his fingers and sets them out in front of him on his table. : Why do you think Chen gets pleasure from the mah-jong set, even though he can no longer remember how to play? Mei isn't always on shift. List two things you could do to interact with Chen using the mah-jong game as a resource. Describe two ways in which you can communicate with Chen when there is no one available who speaks Chinese. Respect is a very important thing in the Chinese culture. Lists two ways in which you could demonstrate respect your respect of Chen. He is usually quite a happy person. Today he is distressed, restless and agitated. He gets up, then sits down, then gets up again. He is wringing his hands and saying the same thing over and over. He does not seem to notice you.: What action should you take? Mei is brought in to talk to Chen. Apparently he is very distressed as he thinks his children should be looking after him. He thinks they have deserted him for good - he has forgotten they visited yesterday and will be coming again tomorrow to see him.: What support can Mei give to Chen? What action should be taken so everyone knows to call the family if Chen gets distressed? What support can you give to Chen's family to help them deal with their guilt? List two places where Chen's family could find information about dementia and how it is likely to progress..