...Dementia gradually robs people of their independence, dignity and loved ones. For the purpose of this assignment the author is going to use evidence based research to critically discuss the care of two couples who have lived together for a long time, because of the cruelty of Alzheimer’s disease they have been separated. For the purpose of confidentiality pseudonyms will be used in this assignment (National Midwifery Council, 2002). Jim Blake’s care will be discussed first followed by the care of his wife. An overview of Dementia will be explored first followed by Jim’s care. Analysis of risk assessment and management will be incorporated in the delivery of Jim and Mrs Blake’s care. Different psychosocial interventions will be applied in the care of the two couples. Throughout the assignment government directives will be used in support of these interventions. Lastly implications for clinical practice will be analysed prior to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia...
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...Most people in the worldwide can face to Alzheimer disease. Nowadays, the majority of elderly people can develop Alzheimer diseases. Moreover, type of young onset of dementia is also common and young people who are under the age of 65 can have dementia. Alzheimer disease (AD) is the most common cause of dementia. Ivan Seah Yu Jun (2014) claims, every four second someone is diagnosed with Alzheimer diseases. Alzheimer’s brain structure develops irregularities and their brain abnormalities cause neurological decline. This decline leads to difficult sleeping, drastic mood changing, memory loss, language problems and increasing confusion for patients. Alzheimer diseases have three different levels of the stage that are mild, moderate and severe....
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...SLO Week 14 Spring, 2015 14 SLO: Older Adult OBJECTIVES 1. Identify common myths and stereotypes about older adults. 2. Identify selected biological and psychosocial theories of aging. 3. Discuss common developmental tasks of older adults. 4. Describe common physiological changes of aging. 5. Differentiate among delirium, dementia, and depression. 6. Discuss issues related to psychosocial changes of aging. 7. Describe selected health concerns of older adults. 8. Identify nursing interventions related to the physiological, cognitive, and psychosocial changes of aging. Joseph Lawrence, a 78-year-old retired attorney, was admitted to the hospital with chest pain that was diagnosed as a myocardial Infarction. He was treated with a stent 2 days ago. He has a history of hypertension. He is active and plays golf twice a week with a group of friends. He is married and has a daughter who lives out of town. His wife has been at the hospital with him constantly. He is now pain free and is ready to go home. Katy Summers is a nursing student assigned to Mr. Lawrence today. 1. ------------------------------------------------- Katy is to first determine whether Mr. Lawrence is meeting the development tasks for an older adult. Which of the following would Katy use to determine this? Select all that apply. A. ------------------------------------------------- He has adjusted to retirement. B. He maintains satisfactory living arrangements...
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...Caregivers of Dementia patients Vascular dementia is the second most common form of dementia after Alzheimer’s disease. Caused by problematic supply of blood to the brain, symptoms include challenging communication, depression and anxiety, strokes, physical weakness or paralysis, confusion, changes in behaviour and difficulties in walking and unsteadiness. This paper discusses the problems faced by caregivers of patients suffering from vascular dementia who are above the age of 65 and possible recommendations to improve their plight through the review of the movie, Amour (a movie about an octogenarian couple, Georges and Anne, where Anne develops vascular dementia) and current literature pertaining to the topic. Georges “Put yourself in my place. Didn’t you ever think it could happen to me, too? Anne: “Of course I did. But imagination and reality have little in common.” Anne’s sudden speech arrest and frozen stare at the breakfast table with no recollection afterward are the first signs of a partial seizure. Caregivers, like Georges, who are not prepared for looking after patients are under pressure because of their increasing needs. Georges does not seem to mind this responsibility of taking care of her initially, but Anne’s condition deteriorates fast. She experiences profound right sided weakness and is bound to the wheelchair. Georges struggles to lift her from the wheelchair and make her sit on a chair or go the bathroom. Increased stress in his behaviour is...
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...1. Describe the unique challenges of managing the human resources function for your specific organization. One of the main challenges for human resources for a nursing facility is the nursing staff, admissions, and social worker. Due to the nature of the business, caring for the elderly, patients with dementia, etc. it’s very difficult to find the special kind of persons needed for this type of environment. Most facilities have a high turnover rate in nursing, especially CNA’s (certified nursing assistants). This is due partially because CNA’s are usually nursing students, or those who are studying to obtain their LPN (licensed practical nurse) or RN (registered nurse) license. A nursing home is not for everyone. The following staffing standards statistics are summarized primarily from a December 2010 study, “Nursing Home Staffing Standards in State Statutes and Regulations”, by Charlene Harrington, Ph.D. R.N. “Federal Staffing Standards Section 483.30: Nursing Services requires that "... the facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care..." MA Staffing Standards Section 150.007: Nursing Services requires that "...all facilities provide appropriate, adequate and sufficient nursing services to meet the needs of patients or residents and to assure that preventive...
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...Mental health disorders, during the Greek and Roman period, were called things like melancholia, dementia, hysteria, and hallucinations (“Abnormal Psychology,” 2010). These ailments were thought to be caused by some physical problem. Hippocrates believed that these brain pathologies were causes by humors. These humors were yellow bile, black bile, blood, and phlegm (“Abnormal Psychology,” 2010). Plato and Aristotle were also of the opinion that mental disturbances came from inside the individual and not outside forces such as evil spirits (“Abnormal Psychology,” 2010). As the presence of Christian priests grew across Europe during the Middle Ages mental health disorders were viewed as the conflict between good and evil (“Abnormal Psychology,” 2010). During this time, patients suffered cruel methods of treatment to rid them of evil spirits. These methods often resulted in death of permanent disability. It was during the Middle Ages that hospitals for the mentally ill began to emerge (“Abnormal Psychology,” 2010). The Renaissance, a time when science grew, saw a German physician named Johann Weyer specialize in mental health. Johann Weyer is considered the father of psychopathology. There was some progress in the treatment of the mentally ill made in England and Belgium but by the mid sixteenth century it began to fall off as asylums were being built to replace hospitals (“Abnormal Psychology,” 2010). During the time of the French Revolution, Philippe Pinet...
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...Schizophrenia is characterized by a broad range of unusual behaviors that cause profound disruption in the lives of people suffering from the condition, as well as in the lives of the people around them. Schizophrenia strikes without regard to gender, race, social class or culture. Schizophrenia is a chronic, severe, disabling mental disorder typically characterized by a separation between the thought processes and the emotions (Torrey). Schizophrenia is a common disorder, striking one person in every hundred (Schizophrenia). For most people, young adulthood means leaving home, starting a job and starting a family. For most schizophrenics, young adulthood means first admission to a psychiatric hospital. An unfortunate reality for young schizophrenics is the need for hospitalization during their most vibrant and productive time. The age of the first admission is younger for men than women, early twenties for males and mid-twenties for women. The reasoning behind this variation is not exactly known but there is speculation. One biological theory that exists is the help of the female sex hormones. Scientists speculate that these hormones may help delay the horrifying symptoms that afflict schizophrenics. Another question raised is who gets schizophrenia more commonly, men or women? Studies have shown there is no great variation in the numbers but in the severity of the symptoms. Men seem to suffer more severely. Scientists have attempted to explain this through differences...
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...Dementia Supporting people with dementia and their carers in health and social care Issued: November 2006 NICE clinical guideline 42 guidance.nice.org.uk/cg42 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at www.nice.org.uk/accreditation © NICE 2006 Dementia NICE clinical guideline 42 Contents Introduction................................................................................................................................... 4 Person-centred care ..................................................................................................................... 6 Key priorities for implementation .................................................................................................. 8 1 Guidance ................................................................................................................................... 11 1.1 Principles of care for people with dementia ...................................................................................... 11 1.2 Integrated health and social care ..................................................................................................... 17 1.3 Risk factors, prevention and early identification...
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...INTRODUCTION Psychosocial is a result of psychology and sociology Psychosocial development is how a person’s mind, emotions, and maturity level develop throughout the course of their lifetime. Different people will develop psychosocially at different speeds depending on the biological processes and environmental interactions. People living with HIVAIDS have specific psycho social issues they deal with. It is important to understand that the mind and the emotions have impact on their immune system and quality of life. Psychosocial support is an intervention that enhances the wellbeing of a person affected by life threatening events. Being healthy in this context is much more than the mere absence of disease or infirmity. A healthy person is the one who; * is socially integrated and accepted, has friends and a social network, and has a recognised and acceptable social status in the community * is socially competent; which means that he/she is able to cooperate with others and can also deal with pain, tension and conflicts * Can express feelings, has good self esteem and is confident, can manage stress and is able to make decisions. HIV disease is among the most devastating of illnesses, having multiple and profound effects upon all aspects of the bio-psychosocial and spiritual being. HIV as an illness affects the person first and foremost at the biological level in the form of an aggressive virus that compromises immunity. Every illness experience represents a unique...
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...Presley-Cantrell, and Dhingra 2010). Mental illness, “refers collectively to all diagnosable mental disorders that are characterized by alteration in thinking, mood or behavior (or some combination thereof) associated with distress and/or impaired functioning” (Perry, Presley-Cantrell, and Dhingra 2010). Mental health is an increasing concern with the vulnerable population of the elderly across America. Dementia and Alzheimer’s disease are the two leading psychiatric diseases effecting the elderly, causing deterioration of intellectual functioning. Scientists cannot completely comprehend the etiology and progress of these two diseases. Scientists have learned that both diseases have signs and symptoms parallel to one another (Fisher Center for Alzheimer’s Research Foundation, 2011). It is important to get a better perception of the development of these diseases, so the importance of understanding epidemiology is relevant. The author’s paper contains the meaning and description of epidemiology, the stages and approaches that will assist in determining cause and effect of the illness. Also the writer will examine how the epidemiologic benefits of the triangle, a preferred population and disease of interest, and the correlation of the different levels of prevention with the disease. According to...
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...Supporting individuals with Dementia Legislations which govern work with of individuals with Dementia Enduring Power of Attorney Act An enduring power of attorney is a legal agreement that enables a person to appoint a trusted person – or people – to make financial and/ or property decisions on their behalf. It is an agreement made by choice that can be executed by anyone over the age of 18, who has full legal capacity. ‘Full legal capacity’ means that the person must be able to understand the nature and effect of the document they are completing and the nature and extent of their estate. An enduring power of attorney cannot be made by another person on behalf of a donor whose capacity might be in doubt due to mental illness, acquired brain injury, cognitive impairment or Dementia. It can be operational while the person still has capacity but may be physically unable to attend to financial matters. The benefit of the ‘enduring power of attorney’ is that unlike an ordinary power of attorney; it will continue to operate even if the donor loses full legal capacity. However, it does not permit an attorney to make personal and lifestyle decisions, including decisions about treatment. The authority of the attorney is limited to decisions about the donor’s property and financial affairs. To cancel (revoke) the ‘enduring’ power of attorney the donor must have full legal capacity. The revocation must be made in writing. If the donor has lost capacity, an application must be made...
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...Schizophrenia Stephanie Renee Huston PSY 326 Research Methods Instructor: Keisha Keith 11/23/2015 Schizophrenia Introduction Schizophrenia is a serious brain disorder that gives a misleading or false account of the way a person thinks, behave, communicate their feelings, realize or understand, and relates to others. Schizophrenia has been considered as one of many chronic and disabling conditions for people that suffers with a major mental illness. People with schizophrenia often have problems fulfilling a task in the general population, at work, at school, and in relationships leaving an individual not wanting to communicate with other people and frightened. Schizophrenia suffers will live with it the rest of their life, it cannot be cured but treatments are available and controllable with proper and advance treatments. Contrary to popular belief, schizophrenia is not a split or multiple personality. Schizophrenia is a psychosis, a type of mental illness in which a person cannot tell what is real from what is imagined. In writing this paper on Schizophrenia I will show how popular belief, has an antithesis of what is really Schizophrenia? Is it really a split...
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...During this case scenario review, I will take a closer look into Mrs. Ellis, a seventy year old woman, who has recently been brought into her healthcare provider by her concerned son. I will use her provided health history and medical information to develop a care plan that fits the needs of both Mrs. Ellis and her family. My Thoughts on Diagnosis After analyzing the patient’s medical and health history, I feel she was diagnosed with many conditions. Though she had a very low score on the Geriatric Depression Scale, I feel she may suffer from depression. Many times older adults can confuse low feelings and associate them with presence of chronic illnesses, making the test scores inaccurate. Depression can also be an effect of the medication...
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...turned up normal. After at least 5 more falls the pts family took her back to the hospital with complaints of chest pain and palpitations. Pt was more confused than usual & and was having increased difficulty in gait. Physician suspected pt to have some left-sided weakness greater than left-sided weakness and chest pain. A second CT of the brain turned up normal. VS stable, but pt remains confused, weak, & complains of some dizziness and palpitations. Physician referred pt for admission to nursing home with admitting chief complains: chest pain, palpitations and frequent falls. PRESENT ILLNESS HISTORY: Patient currently has a diagnosis of essential (primary) hypertension, chest pain, palpitations, chronic kidney disease, dementia w/o behavioral disturbances, hyperlipidemia, and anemia. *Give a brief definition/description of each diagnosis. Essential hypertension is another term for high blood pressure. It is a systolic reading that is above 140 or a diastolic reading that is above 90 continuously. 120/90 is a normal blood pressure reading. (Burton & Ludwig. 2015, Pg. 345) Hyperlipidemia is a condition where high levels of fat accumulate in the blood (Hopper & Williams. 2015, pg. 471). Coronary Artery Disease (CAD) is a disease that damages the hearts major blood vessels when fat deposits (plaque) build up in the...
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...responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from the residential home where she lived. Her mental state was assessed: she was aware of her surroundings and had some degree of understanding, although communication was difficult due to her hearing problem. During discussion with her carer it was established that she was having difficulty sleeping due to nightmares. The consultant explained that this was a common side effect of the medication...
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