...Prevalence of dementia in elderly patients with hip fracture.PUBMED.GOV Hip fractures occur commonly and are a cause of disability for older adults and lead to increased dependence and requirements for social support. Dementia is one of the possible risk factors for falling and hip fracture, a potential source for complications during surgery and during the postoperative period, difficulties in rehabilitation and a risk factor for hip fracture reccurence. However, in previous studies of hip fracture patients, cognitive status has not been formally assessed during the inpatient stay and diagnosis was based only on previous history. Additionally, no previous studies have compared prevalence of dementia between elderly patients with hip fracture and patients with other surgical pathology. Our aim was to define whether dementia was more prevalent in older subjects with hip fracture than in other elderly patients undergoing surgery. In this study, we prospectively assessed all patients aged 68 and older admitted to our hospital for hip fracture surgery during a one year period and compared them with age and gender matched patients attending other surgical departments. 80 hip fracture patients and 80 controls were assessed for dementia. Dementia was common in both groups, presumably reflecting the advanced mean age of both groups and cognitive deterioration due to hospitalization-status. Dementia was significantly higher in the hip fracture group (85%) compared to the control group...
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...PSYCHIATRY, VOL. 12: 907±912 (1997) PSYCHIATRIC DISORDERS IN ELDERLY FROM THE INDIAN SUB-CONTINENT LIVING IN BRADFORD KUMUD BHATNAGAR1Ã AND JUDITH FRANK2 1 Consultant Psychiatrist for Elderly, Bradford Community Health NHS Trust, UK 2 Senior Experimental Ocer, University of Bradford and Bradford Community Health NHS Trust, UK SUMMARY In our community study of the prevalence of psychiatric disorders among elderly South Asian immigrants from the Indian sub-continent (India, Pakistan and Bangladesh) living in Bradford (UK), we found depression in 20%, dementia in 4% and anxiety neurosis in 4%. Subjects were interviewed at their place of residence by a consultant psychiatrist familiar with their culture and language. The Hindi translation of the community version of the Geriatric Mental State schedule (GMS-A) was also administered. Psychiatrist's ICD-9 diagnosis was compared with GMS±AGECAT computerized diagnosis. We found low-level agreement in dementia cases (kappa 0.33) whereas the agreement in subjects with depression was high (kappa 0.81). In many subjects GMS-A made a diagnosis of dementia not diagnosed as cases by the psychiatrist, who had the bene®t of additional history information from carers in this population from a dierent culture and educational background. These ®ndings are discussed along with suggestions and present limitations of GMS-A in the diagnosis of dementia in cross-cultural research. Larger studies are needed in this population...
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...concepts in relation towards the inequality and discrimination expressed towards this group of the population. I will examine how the health service and social care professionals conduct themselves towards care of the elderly, and the actions they take to resolve discriminatory practices to reduce social inequality in respect of the elderly. Patch1 After reflecting on my own attitudes regarding my understanding of the elderly, I found that I held similar views in that once an elderly person had reached a particular age they can be easily disregarded as a useful member of society, however my views were not based on any known facts or any valid experience that I had encountered, but rather on my personal interpretation and general stereotype towards the elderly, after our group discussion and after reading relevant literature concerning ageism my opinion has changed. Ageism was introduced by Robert Butler (1969) suggesting it was a process whereby an older person was systematically stereotyped with prejudicial attitudes directed towards them. This was deemed as discrimination. According to (McGlone and Fitzgerald 2005) views ageism similar to Robert in that they believed that negative beliefs were embodied deeply in society towards elderly people, as result this process gave rise to age discrimination. Society has created this belief and it is reinforced on a daily basis and can sometimes be seen or observed through various types of media, resulting...
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...An Overview of Dementia: How It Has Touched My Life Dementia is an illness that occurs when there is a loss of brain function as a result of the presence of certain diseases. Dementia affects a person’s memory, judgment, behavior, thinking, and language. Dementia includes Alzheimer’s disease (AD) and tends to increase the most from the age of 65. Various references and literature in reference to dementia indicate that the number of patients with dementia will increase significantly as society ages, especially within the next three decades. Dementia causes significant family issues and can become a financial burden on patients and their family members. These burdens impair the ability of a person to function independently and also have a tremendous impact on his or her relationships and quality of life. The subject of this paper will discuss an overview of dementia, treatments of dementia, how it affects human lives, and also the affect dementia has had on the life of the writer of this paper An Overview of Dementia: How It Has Touched My Life As a child growing up in the early 1970s, the writer of this paper can recall his neighborhood. It was peaceful and had a several people who were known elderly and considered as senior citizens. The writer of this paper also remembers when the adults of the neighborhood would speak of the elderly and tend to talk the most about their strange behaviors. Although this was often the case, the talk of...
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...Aunt Gail Top Disabilities: * Dementia * Alzheimer’s * Loss of motor skills Family Essay The top person in my life is my mother and the top disability is dementia. Dementia is a loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. It is a common disease that adult and the elderly can develop overtime. If my mother got this disability I would be completely devastated. I couldn’t do all the things I did with her before she got this disability. I couldn’t go shopping, cook, travel, or even talk to her like I did before. Life wouldn’t ever be the same and would change drastically once her disability got severe. My family would be supportive and would help us take care of her. My family and my extended family are so supportive and would do anything for each other. I am glad my family is like this so no one is afraid to ask for help or getting judged. If my mother needed to be taken to an appointment or therapy and my siblings and I couldn’t take her someone else would in a heartbeat. The worst about this disability is the memory loss. If my mother had dementia she would forget about her whole family. It must be heartbreaking to know that your mother doesn’t know your name or all the good memories you’ve had together. I would be so supportive and do anything in my power to help my mother. I know that the role switch when your parents get old but them having dementia would make it worse. The normal thing...
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...a large challenge within the population and from a health perspective. This essay will explore the social, cultural and psychological health related issues linked with growth in the aging population and will focus on the baby boomer generation and the co-morbidities that are notably prevalent in the elderly. This essay will also consider the future role of the nurse and how their profession will be impacted in response to these trends. WHY DO WE FACE AN AGING CRISIS? As fertility rates decline and longevity increases we are coming to face a shift in population distribution with a greater proportion of older adults (Anderson and Hussey, 2013). It is important to note that this increase is due particularly to the Baby Boomer generation growing older and associated aging co-morbidities on the rise. The Baby Boomer generation consists of those born from the years 1945-1964 (Berman et al., 2012). As this generation grows older the world is faced with a huge increase in older adults, greater than any generation before them. Because the population is living longer they are faced with a number of co-morbidities that are particularly prevalent in older adults. The elderly will experience physical deterioration more commonly than the younger to middle aged population. Changes in the sensory functioning are...
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...and NM would have to decide whether the proposed change would be beneficial for the patients and their outcomes and do further research which they would then propose to the directors. From there, they would decide whether the research was sufficient enough to implement a change. C Full APA citation for at least 5 sources | Evidence Strength (1-7) and Evidence Hierarchy | 1. H., Bell, J., Karttunen, N. M., Nykänen, I. A., M., & Hartikainen, S. A. (2013). Analgesic Use and Frailty among Community-Dwelling Older People. Drugs & Aging, 30(2), 129-136. doi:10.1007/s40266-012-0046-8 | 2 and Experimental | 2. Haasum, Y., Fastbom, J., Fratiglioni, L., Kåreholt, I., & Johnell, K. (2011). Pain Treatment in Elderly Persons With and Without Dementia. Drugs & Aging, 28(4), 283-293. doi:10.2165/11587040-000000000-00000 | 2 and Experimental | 3. Nipp MD, R., Sloane MPH, R., Rao MD, A., Schmader MD, K., & Cohen MD, H. (2012). Role of pain medications, consultants, and other services in...
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...Dementia is a syndrome that affects twenty five percent of individuals over the age of eighty five. Dementia causes several cognitive deficits, such as; behavioral disturbance and a change in personality. dementia is directly linked to elderly suicide attempts. It is important for us to become educated on dementia and its signs so that it can be detected earlier. The sooner dementia is detected the sooner the patient can receive professional care. We must ask ourselves what can be done to help the elderly suffering from dementia? Is it dementia that causes elderly depression and even suicide attempts? There are many unanswered questions on dementia that with a little extra research could be answered. Dementia has been around since the dawn...
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...development through the life stages p5 physical and psychological changes associated with ageing. menopause. The menopause is caused by a change in the balance of the body's sex hormones. In the lead-up to the menopause, oestrogen levels decrease, causing the ovaries to stop producing an egg each month. Oestrogen is the female sex hormone that regulates a woman's periods on average woman reach the menopause at the age of 52, some woman experience the menopause in their 30s or 40s . when woman have the menopause under the at of 45 it is called a premature menopause. as the woman is starting the menopause she might get really heavy or could be light periods. also The frequency of a woman periods may also be affected. woman may have one every two or three weeks, or you may not have one for months at a time. when a woman is going through a menopause they have mostly emotionally and physical symptoms. for example when woman are going through the menopause a woman would experience hot flushes night sweats which may cause lack of sleep palpitations headaches tiredness mood changes such as depression and anxiety. lose interest in having sex with their partners self conscious If you experience the menopause suddenly, rather than gradually, your symptoms may be worse. Symptoms will usually last between two and five years before disappearing, although they can last longer. m3 the menopause can cause an affect on the woman's self confidence...
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...Asian J Gerontol Geriatr 2012; 7: 59–63 Policy implication and the way forward WM Chan FHKAM(Community Medicine) Elderly Health Service, Department of Health, Hong Kong SPECIAL ARTICLE Correspondence to: Dr Wai Man Chan, Elderly Health Service, Department of Health, Hong Kong. E-mail: w_m_chan@dh.gov.hk ABSTRACT Care for the elderly was one of the 3 main policy objectives of the Hong Kong Special Administrative Region in 1997. Many policy initiatives have been introduced in terms of financial support, better housing, and long-term care services. For active ageing, an innovative project known as the ‘Elder Academy’ aimed at promoting intergenerational cohesion, which is now under threat owing to changing social patterns. With the rapid increase in the number of ‘old-olds’, more resources on dementia care, community support, professional staff development, carer training, and coordination of care are necessary. In terms of financing, shared responsibility is the only viable option. In the 2012-13 budget speech, a pilot for community care service voucher as a means of promoting ageing at home was announced. As the coming cohorts of elders are more affluent and knowledgeable, they tend to be healthier and have different demands and expectations, such as independent living with better quality of life. The private sector may explore the markets of community care services and elder-oriented products. To meet the emerging needs, a holistic approach should be adopted, with...
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...of all dementias and is the sixth leading cause of death in the United States and is the fifth leading cause among persons age 65 and older” (Heron, 2009). II. Seniors with dementia A. “Dementia is the progressive deterioration in cognitive function - the ability to process thought (intelligence)” (Nordqvist, 2013, pp. 1). “Dementia is a non-specific syndrome in which affected areas of brain function may be affected, such as memory, language, problem solving and attention” (Nordqvist, 2013, pp. 3). Dementia is most commonly seen in the elderly. B. Symptoms include; memory loss, moodiness, and communication difficulty. C. Causes of dementia include; Alzheimer’s disease, stroke, dementia with Lewy bodies, Fronto-temporal dementia, Huntington’s disease, and many other diseases. D. Two main categories 1. Cortical Dementia-“The cerebral cortex is affected. This is the outer layer of the brain. The cerebral cortex is vital for cognitive processes, such as language and memory. Alzheimer's disease is a form of cortical dementia, as is CJD (Creutzfeldt-Jakob disease)” (Nordqvist, 2013, pp. 9). 2. Subcortical Dementia-“A part of the brain beneath the cortex (deeper inside) becomes affected or damaged. Language and memory are not usually affected. A patient with subcortical dementia will usually experience changes in his personality, his thinking may slow down, and his attention span may be shortened. Dementias which sometimes...
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...Mental health concern is becoming more common in today’s society. However, there is a raising concern for the correlation between aging and mental health. With age comes health concerns due to the fact that all organ systems in the body undergo an aging process. Mental illnesses in older adults include, but are not limited to: depression, bipolar disorder, anxiety, suicidal thoughts, substance abuse, dementia and Alzheimer’s disease. This paper will discuss the raising concern of mental health and aging, new treatment options, approaches to mental health in the elderly, and recent studies conducted on each of these critical and debilitating diseases. Depression is a very common, yet devastating disease originating from the brain. It can affect...
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...Strickland HCS 490 11-28-11 Dr. Cindy Perkins Demographic Paper American men and women do to medical science and technologies are living much longer. This paper will discuss the demographics of senior citizens’ living longer than they ever had in the United States. This paper will gather data about the senior citizens’ population demographics. It will gather information and try to discuss what type of impact the senior citizens’ have on the healthcare market. This paper will also discuss the issues with the elderly immigrants and what type of effects they have on our healthcare market. This paper will also discuss challenges to this population, such as increases in health care costs, increases in prescription drug costs. This paper will also discuss How can the individual patient, the community, and society as a whole address these challenges and how a chronic disease wellness program may affect the costs for this demographic. The Effect That the Elderly Have on Healthcare According to this committee (National Committee to Preserve Social Security & Medicare, 2009) reports has triggered analysis on claims that an aging population is the major cause of spending growth on Medicare and other social insurance programs. They also goes to say that those that would like to undermine the current Social Security and Medicare programs can be expected to use the Trustee's reports' data on solvency as a rationale for privatizing, or otherwise dismantling, these successful programs...
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...suffering from neurological disorders, such as dementia, often commence their adjustment process with an awareness of their illness and loss of function in their usual lives (Ownsworth & Gracey, 2010), followed by the stage of appraisal of what happens to them (Dröes et al., 2010; Finnema et al., 2000; Ownsworth & Gracey, 2010). The coping and adaptation stage is usually the next stage in the adjustment process of patients (Dröes et al., 2010; Finnema et al., 2000; Ownsworth & Gracey, 2010). There are different ways to conceptualize the stages...
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...working with District Nurses who are involved with visiting patients in various homes in the community, I encountered patients with various psychological and physiological disorders. Prudently, it is worthwhile to note that the patients who we visited had various health problems that ranged from individuals who were housebound and could not travel to seek medical attention. Besides, some of the patients had nursing needs such as leg ulcer dressing, wound dressing, pressure ulcer dressings, and catheter insertion as well as its removal. Description One of the most complex situations that I experienced was trying to take blood from an elderly patient with dementia. Since the patient was at her residential home and had never seen me before, she was not aware of my main purpose for visiting. Moreover, I had no prior knowledge of her state with dementia. At the time of my arrival, the patient was comfortably sitting in her chair while cradling her dolly. Her attention was mainly drawn to the dolly’s hair as she sang her various songs. One member of the care staff helped me take blood from the patiently by distracting her with songs and books but the patient ran out of patience and began being anxious thereby lashing out at me. Despite my disruptions using the baby, the patient never allowed me to complete my attempts to take blood from...
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