ASSESSMENT 3
I am going to discuss a case of Mrs. Judi Sharman who is 74-years-old widower suffering from severe stage of dementia and has been an aged care home resident for the past two years. At the time of admission into residential care, she was suffering from moderate stage of dementia but now her behavior and psychological symptoms got worsened from past six months. She has been becoming more agitated in evening with sun downing and is physically aggressive at some times and her mood disturbances become problem for other residents and staff members as she starts sudden shouting and disturbs others. She is also experiencing some hallucinations and delusions that represent psychotic illness .Now I will discuss the identification, assessment and management of these symptoms by using current literature.
BEHAVIORAL SYPMTOM
Mrs. Sharman is experiencing many behavioral symptoms like Agitation, wandering and sleep disturbances but agitated behavior has more concern for the care givers. Agitation is an inappropriate and unexplained verbal or motor activity done by client and is most common and concerning behavioral problem in dementia patients and it is at peak in the evening rather than morning with sun downing (Theison et al. 2008). Mrs. Sharman always creates problems for the care giver in evening when she refused to take tea, medicine or wandered in corridor. It is more prevalent in community settings as compared to residential settings. Researches are going on that it is related to some degenerative disorders or related to environmental or cultural factors (Haibo et al. 2013). There are different types of agitated behavior that Mrs. Sharman shows like talking constantly, repetition of questions, shouting and screaming. It ca...
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...nment initiative, Behavior management- A guide to good practice 2012,’Managing behavior and psychological symptom of dementia’ viewed 23 May, 2013.
• Anna Katharina theison, Urban W. Geisthoff, Hans Forstel, Stefan G. Schroder 2008 ‘International journal of geriatric psychiatry, Agitation in the morning: symptom of depression in Denmtia?’ Vol. 24, pp. 335-340.
• Anne Hoolahan, Janelle Brodaty, Daniel O’Connor 2013 ‘Care planning practices for behavioral and psychological symptoms of dementia in residential aged care’ Vol.44. pp 156-169.
• Fight Alzheimer’s save Australia ‘Hallucinations and False ideas’ viewed 21 May, 2013, .
• Xue Haibo, Xioa Shifo, Chen Chao 2013 ‘Prevalence and severity of behavioral and psychological symptoms of dementia (BPSD) in community settings’ vol.17. pp. 749-751.
Rosvik, J., Brooker, D., Mjorud, M. & Kirkevold, O., 2013. What is person-centred care in dementia? Clinical reviews into practice: the development of the VIPS practice model, pp. 155-163, viewed 30 January 2014, < http://search.proquest.com.ezproxy.utas.edu.au/docview/1326128887>
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
Dementia is a significant health issue in Australia (Australian Institute of Health and Welfare 2012) (AIHW 2012). Whilst Dementia primarily affects older members of the community, it can also affect young people and has a significant influence on overall health and quality of life (AIHW 2012). The type of Dementia is a determinant in the severity and development of symptoms in individuals (Department of Health 2013) (DoH, 2013). The gradual, progressive and irreversible nature of Dementia has a considerable social and physical impact not only on the individual, but also on family and friends.
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
...(2012) Alzheimer's Society Dementia A national challenge. Report. Available from: http://www.alzheimers.org.uk/site/scripts/download_info.php?fileID=1389 [Accessed 3 February 2014]
Every older people suffering from dementia or any mental illness should contribute to decision-making process if able on about the services the resident gets and is empowered to practice choice and control over his or her way of life. Healthcare professionals need to offer residents with dementia significant parts in making their own particular care plans. We should give the majority of the residents as much decision as possible around both their care and environment.
Dementia is a disease effecting nearly thirty-six million people worldwide (Whiteman, 2014). Even with so many elderly suffering from the disease, there are many people who don’t know what dementia truly is. People often jump too quickly to the conclusion that dementia is a disease that only effects the memory. They may believe that dementia is inevitable and cannot be cured in any case. They may also believe that dementia is something the majority of elderly will experience when they get older.
Furthermore with the Dementia Care Plan patients, the intervention does not stop even if they are at home. Caregivers must follow-up their appointment with the patients for regular schedule. They should make sure that the pharmacological and no pharmacological approaches should be
Non drug treatment includes counseling of patients and family members of the possible mental changes and what can be done to ease the transition. Environmental changes and daily habits can be altered to reduce any obstacles associated with dementia and cognitive exercises can be performed by patients to he...
One of the most common problems in elders is dementia. The Alzheimer’s Association describes dementia as a range of symptoms rather than just one single specific disease. The symptoms of dementia range from memory loss as well as a decline in thinking skills to severe symptoms that lead to the decline of that person’s ability to perform activities of daily living (What
Dementia involves the gradual deterioration of cognitive, physical and mental capabilities of an individual, therefore, as this disease progresses, the individual’s ability to comprehend her situation, make intelligible choices and execute them independently decreases (Bentwich, Dickman, & Oberman, 2017). Part of the psychological and behavioural symptoms of dementia is aggressive behaviour (Pulsford, & Duxbury, 2006). In the UK, the incidence rate of aggressive behaviour among dementia patients in a residential care setting is 86% (Ballard, O'Brien, James, & Swann, 2003). Therefore, the behaviour that Joan is presenting when she is off her medication is very common, and likely to happen again. Although this case proposal's main focus is on Joan, other people like the staff and other residents are at risk of both physical and psychological harm. According to Pulsford & Duxbury (2006), professional carers that look after people with dementia, experience negative feelings, considerable amount of stress and burnouts as a result of being the victims of aggressive behaviour. These are just the consequences of the staff members as a result of aggressive behaviour, imagine the harm of such behaviour does to the other residents who are more fragile than the staff. Part of Joan's medication is keeping her dementia symptoms such as the aggressive behaviour at bay, therefore, giving Joan her medication by any means necessary is deemed appropriate as not only one
Goldmann, David R., M.D. Memory Loss & Dementia. New York: Dorling Kindersley Publishing, Inc. 1999.
A person with dementia has a decreased ability to concentrate and communicate that continues to decline with the progression of the disease. Dementia will inevitably rob the individual of self-expression, which can result in changed behaviours.
Dementia is a growing problem in the United States and around the world. There are currently 5.3 million people in the United States who have been diagnosed with Alzheimer’s or other dementias and this number is expected to increase by 40 percent in the next decade (Alzheimer’s Association, 2015). Dementia care is typically provided by an unpaid caregiver that is a relation or close friend until the patient is admitted to a long term care facility such as assisted living or a nursing home. Once the patient has been admitted to a facility, the caregiver still provides care for the dementia patient just in another capacity.
Dementia can be defined as a clinical syndrome that leads to progressive neurological deterioration. The patient usually presents with impairment in various cognitive abilities such as memory, language, decision making, visual spatial function, orientation and attention. Apart from cognitive impairment, patients also show signs and symptoms of impairment in personality, emotions and social behaviour. Collectively, person experience interference in work, social activities, and relationships as well as inability to perform routine activities such as driving, housekeeping, cooking among others (Kolorev 2014).