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Abstract on dementia
Abstract on dementia
Chapter 93 dementias and related disorders
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Introduction
Margaret is a 77 year old who has a diagnosis of dementia and type 2 diabetes mellitus. She has been recently separated from her daughter who was her primary carer and her husband who were both unable to cope with her agitated behaviour. Margaret now resides in an age care facility. Margaret’s mental and emotional health is a cause for concern and the family are upset and are struggling with feelings of guilt and anger. This paper with discuss the intervention professional healthcare workers can implement to reduce the turbulence of this transitional period for all individuals involved. The reassuring of the family will firstly be discussed as will the interventions used to reduce agitation and unsafe wandering. A description of dementia will follow with a discussion of the importance of carer education and capability. Lastly the salient points of medication adherence will be considered following information on type 2 diabetes mellitus, examined in relation to the experience of dementia. This paper will focus on information, reasoning, methods and the choosing of appropriated interventions. Desired outcomes are a healthy, content client and a family relieved of situational stress.
Consoling the family
Family caregivers are sometimes referred to as “secondary patients,” who deserve and require sanctuary and direction (Reinhard, Given, Petlick, & Bemis, 2008). Margaret’s husband Edward and daughter Sally, Despite giving primary care to the age care facility are very much part caregivers themselves and perform an indispensable role in Margaret’s health. Despite this, research on interventions to increase support for family caregivers have lagged far behind those provided for patients (Reinhard et al., 2008). The fami...
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...re, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American journal of geriatric psychiatry, 12(3), 240-249.
Thorpe, C. T., Thorpe, J. M., H, Bartels, C. M., Everett, C. M., & Smith, M. A. (2012). Receipt of Monitoring of Diabetes Mellitus in Older Adults with Comorbid Dementia. Journal of the American Geriatrics Society, 60(4), 644-651. doi: 10.1111/j.1532-5415.2012.03907.x
Tripathi, M., & Vibha, D. (2010). An approach to and the rationale for the pharmacological management of behavioral and psychological symptoms of dementia. Annals of Indian Academy of Neurology, 13, S94-S98. doi: 10.4103/0972-2327.74252
Wigg, J. M. (2010). Liberating the wanderers: using technology to unlock doors for those living with dementia. Sociology of Health & Illness, 32(2), 288-303. doi: 10.1111/j.1467-9566.2009.01221.x
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
Dementia is a difficult disease to understand and handle. A major problem involving these patients are caregivers that are not properly trained and educated to care for people with the disease resulting in issues such as neglect and abuse.
Informal supports, such as aid for housekeeping and running errands, are crucial to maintaining the lifestyle of individuals with Alzheimer’s in the community; however, the disease’s erosion of physical, cognitive, and communicative abilities often creates tremendous strain for family caregivers. Individuals and family caregivers dealing with Alzheimer’s often experience increasing social isolation as the disease’s progression undermines both mobility and the capacity for meaningful and appropriate engagement with the community (Banerjee et al., 2003). A number of studies have documented the physical and mental health costs borne by unsupported caregivers, and the link between caregiver stress and the institutionalization of their ill family members (Andren & Elmstahl, 2005; Banerjee et al., 2003). Taken together, the stress and isolation of dealing with Alzheimer’s disease undermine the health and quality of life of everyone involved, eventually precipitating institutionalization.
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
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.
Leggett, A., Zarit, S., Taylor, A., & Galvin, J. (2010). Stress and burden among caregivers of patients with lewy body dementia. The Gerontologist, 51(1), 76-85.
Delirium, Depression, and Dementia are some of the most common psychological diagnoses in the elderly today. The three D’s are difficult to differentiate between in older adults because they overlap with each other and can all exist in the same patient at once. Delirium, Dementia, and Depression all affect the elderly’s quality of life and often increase the risks for one another (Downing, Caprio & Lyness, 2013). For the purpose of this paper I will be focusing primarily on the diagnosis of Dementia, the prevention, and nursing measures associated with it, but first I would like to differentiate between Delirium and Depression because Dementia is often associated with the two in the older adult population.
This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.
There are many issues that can be related to carers of people with dementia. The physical and psychological workload can be attributed as the most common concern among carers (Fjelltun et al., 2009). In addition, O’ Dowd (2007) has stated that carers are more likely to endure more anxiety, and feeling of liability which resulted to carers’ negligence of their own wellbeing. Moreover, carers suffer more stress than those who are not giving care to elderly with dementia. In relation to this, carers’ health is not interrelated with their emotional functioning (Bristow et al., 2008). These different reports suggested that carers undergo psychological issues more notable in comparison with just ordinary people. This can be regarded to carers’ exposure to a stressful environment.
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.
Dementia is a major neurocognitive disorder that interferes with the independence of the elderly by inhibiting memory and thinking skills. Fifty to eighty percent of dementia cases constitute of Alzheimer’s diagnoses; consequently Alzheimer’s disease is the most common type of dementia and currently affects 5.2 million Americans. Most of these cases are patients above the age of 65 and by 2050; 13.8 million Americans in total will suffer Alzheimer’s due to aging of the general population, specifically the baby boomers. Total cost to society ranges from $157- $215 billion (Associated Press). Some would assume the cost of Alzheimer’s to be incurred by pharmaceuticals or medical costs, however RAND Corp suggests dementia cost to society is from care rather than treatment. Therefore, assistance provided by informal providers and directs caregivers incur a majority of the financial and social cost. Currently, the workforce does not have the capacity or training to care for these unique patients; the delivery system needs to address Alzheimer’s as the population ages and more and more fam...
It was a pleasant day at the Dementia unit and I was assigned to care for a lady whom we can call Miss K. She is a lovely, warm and nice lady who was recently admitted to the Dementia unit two weeks ago. I went to her room to meet her, I introduced myself, greeted her and gave her a hand shake for me to establish rapport. She was very cooperative, participative and independent with her cares. From my observation, I noticed that she is very organised and very particular when it comes to cleanliness. She also wakes up early in the morning and makes sure that all of the things that she needs for morning care are neatly arrange in the bathroom. When having a shower, she cleans her body very well. She also brushes her teeth and cleans her dentures very well. She always likes to wear red coloured clothes and red floral nighties. Before leaving her room, she makes sure that her glasses are clean before wearing it, her used clothes are neatly kept in the empty drawer and she wants to have a handkerchief in her pocket. I also noticed that there is always a glass