1. Introduction
Dementia is a collection of symptoms caused by disorders affecting the brain which impact on a person’s functioning, ranging from thinking to behaviour and the ability to perform ordinary task and there are different type of dementia with the most common types being Alzheimer’s disease, vascular dementia and Parkinson’s disease (Keast, 2015). In 2009, nearly two-thirds (62%) of people identified as having dementia or Alzheimer 's disease were living in a health establishment such as a nursing home, an aged care hostel, or the cared component of a retirement village (Australian Bureau of Statistics, 2012). People with dementia experience problems with communicative, cognitive and emotive tasks.
2. Immediate issues of care
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Caring for Wanda should also focus on involving the family in the care process to promote engagement and improve provision of culturally acceptable nursing care. Ethical issues have an influence on the way different cultures deal with issues of Advance health Care Directive and this may be the case in Wanda’s care. According to Sowmini, & De Vries (2009) the use of advance health directives is shaped by both cultural ideas and social resources. Discussion about End of life decisions in dementia can raise ethical dilemmas and this is subject that should he approached with care and support provided to the patient and family as it is a sensitive subject. Assessment of decision making competence and consenting to treatment normally arise as complexities of the disease process continue to progress. As a result there are emerging conflicts of interest in care provision process that may affect nursing staff. There is a legal obligation of duty of care that health professionals have to fulfil when caring for patients who lack capacity. Staff owe a duty of care to people who lack capacity (Nazarko, 2006, p.179). Wanda has been admitted with the understanding she will only stay for two weeks but is now a permanent resident and this can be viewed as telling her lies. Nursing staff may face the dilemma of whether to reinforce this to help her settle as this can be viewed as unethical. Capacity to consent to treatment should be assessed and this is normally challenging in Dementia patients. An issue of guardianship needs to be considered for decision on behalf of Wanda
In most facilities an initiative lifestyle has been organized to give people with dementia a voice in how and where they are cared for (White). This is how things should be everywhere in the world when it comes to people with dementia. People affected by this disease don’t need people to tell them what to do or make decisions for them, they need the freedom to do it themselves so they don’t give up. Although incapacity is common, many persons with dementia are capable of making their own medical and research decisions (Kim, Karlawish, and Caine). At the early stages of dementia, a will needs to be made so medical wishes can be granted. When people are given the freedom of choice, they are much happier, they live longer, and they have a better attitude about the disease they are suffering from. Individuals that get dementia did not get it by choice, but they live through it day by day with strength and the ability to live
This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between non-maleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.
Huntington's Disease and Its Ethics In “Genetics and Reproductive Risk: Can having children be immoral,” L.M Purdy discusses the notion that the recent advances in reproductive technology impose a moral obligation on individuals to prevent the birth of “affected” babies that will not have a “minimally satisfying life.” There are, however, several assumptions that the author makes in reaching the conclusion that having “affected” children is immoral. The author makes the claim that people with Huntington’s disease are unlikely to live a minimally satisfying life. It is known however, that Huntington’s disease does not take any affect until 40-50 years of age.
Ethical principles is focused on the morals and values of the individual who has dementia (Cribb and Duncan, 2002) Decision made by family to have a person who has dementia to live in a residential home from their personal home can be seen as inconsiderate to the individual values. It is for the best for the decision to be made before the individual was ill, the family members will feel less guilty. In the event that circumstances of the family members are not capable of caring it is understandable (Curthbert and Quallington, 2008). On the other hand this could be the best decision as cares in residential homes have skills development to provide professional care (Nice, 2010). Naidoo and Willis (2009) stated that the consequential theory is there to measure the end result of action in this case considering the health and wellbeing of people with dementia. The pr...
Dementia is a long-term condition that normally affects people aged 65 and over, younger people can be affected. Having dementia can cause loss of key functions to the brain, such as; loss of memory; confusion; speech and language problems; loss of ability to make judgements; loss of concentration; difficulty in processing information; changes in behaviour and personality. These all lead to a person not been able to function properly. The person’s ability to function deteriorates over a period of time and is usually at least 6 months before positive diagnosis of dementia can be made. Dementia is caused when the brain is damaged by diseases such as Alzheimer’s which is the most common of dementia, vascular which is a series of mini strokes,
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
Medical models of Dementia concentrate on the clinical base and how the changes occur in the brain.
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.
People with dementia may have problems with short-term memory, keeping track of their belongings, keeping up with plans, remembering appointments or travel dates. Many dementias are progressive. This means that symptoms start out slowly and gradually get worse with time. Alzheimer’s and other types of dementia are diagnosed based on careful medical history, a physical examination, laboratory tests, and the characteristic changes in thinking, day-to-day function and behavior related to each
In accordance with the Nursing and Midwifery Council (NMC), (2008) all identifiable details have been changed in accordance with (NMC, 2010). The author, a healthcare assistant working in the nursing home, will present a scenario of Mrs. Keller (not her real name) who is confined in the dementia unit of the care home.... ... middle of paper ... ... Cox (2010) reports, “shifting boundaries in healthcare roles have led to anxiety among some nurses about their legal responsibilities and accountabilities due to lack of education in the principles of legal standards underpinning healthcare delivery” (p. 18).
Dementia is the progressive deterioration and impairment of memory, reasoning, and other cognitive functions occurring as the result of a disease or condition. Dementia can affect the person’s ability to carry out daily activities. For example, the person may forget where they live or they might think they have already done their activities but never did. Dementia can also cause the elderly to become incontinent and can’t control their urinary system. Many people get confused that dementia is a disease. Dementia is not a disease. However, it can lead to a disease or condition. Dementia is more common in the elderly population. It’s normal for people to forget things, but to a certain extent it becomes a critical issue. Depression also plays a role in the affects of dementia. Studies have been made to believe that the biological mechanisms for depression relating to dementia is, “interactions with vascular diseases, changes in glucocorticoid steroid levels that can result in hippocampal atrophy, accumulation of amyloid-[beta] plaques, inflammatory processes, and lack of nerve growth factors” (Heser et al., 2013). Dementia is caused because of plaques and neurofibrillary tangles. This can also be known as Alzheimer’s Disease. Dementia is the leading cause for Alzheimer’s Disease in the elderly. For all dementia cases, 60 to 80 percent of people with dementia will have Alzheimer’s Disease. The disease has 3 different stages, the early stage, the middle stage, and the late stage. Each of those stages has a variety of symptoms that affects the memory impairment of the person (Wieregna, Bondi, 2011). Also relating to dementia is Parkinson’s Disease and Huntington Disease. These diseases can result in impairment, which can cause challeng...
Introduction This assignment critically discusses dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementia are elaborated with descriptions of dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discuss actions nurses should take while evaluating patients and treating them.
STEEMAN, E., DE CASTERLÉ, B. D., GODDERIS, J. & GRYPDONCK, M. 2006. Living with early-stage dementia: a review of qualitative studies. Journal of Advanced Nursing, 54, 722-738.
Over 60 countries now have operating genetic databases that contain millions of people’s genetic information. There DNA is used for genetic studies and to identify genetic similarities in a family. This DNA can also be used to identify the perpetrator in a crime by comparing their DNA to the DNA found at the crime scene. But as gene banks have become more common around the world some have grown to question the sharing of this information internationally and the potential for hacking and abuse of the information.(yg, 2015) Gene banks have opened doors to many genetic discoveries, but they have constantly raised ethical questions pertaining to the privacy of one’s biological information and that the information could lead to potential discrimination.