...http://www.alz.org/alzheimers_disease_what_is_alzheimers.asp ALZHEIMER’S DISEASE * Alzheimer's is the most common form of dementia, a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Alzheimer's disease accounts for 60 to 80 percent of dementia cases. Bottom of Form * Alzheimer's is not a normal part of aging, although the greatest known risk factor is increasing age, and the majority of people with Alzheimer's are 65 and older. But Alzheimer's is not just a disease of old age. Up to 5 percent of people with the disease have early onset Alzheimer's (also known as younger-onset), which often appears when someone is in their 40s or 50s. * Alzheimer's worsens over time. Alzheimer's is a progressive disease, where dementia symptoms gradually worsen over a number of years. In its early stages, memory loss is mild, but with late-stage Alzheimer's, individuals lose the ability to carry on a conversation and respond to their environment. Alzheimer's is the sixth leading cause of death in the United States. Those with Alzheimer's live an average of eight years after their symptoms become noticeable to others, but survival can range from four to 20 years, depending on age and other health conditions. * Alzheimer's has no current cure, but treatments for symptoms are available and research continues. Although current Alzheimer's treatments cannot stop Alzheimer's from progressing, they can temporarily slow the worsening...
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...Abstract This paper is written to discuss the ethical dilemma we come across when asking our self whether or not we should place a tube feeding in a patient with a history Alzheimer’s or Dementia. Will this prolong the patients’ life or just the inevitable death? Most often a decision needs to be made regarding the placement of a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discuss how important the role of the healthcare professional plays in advocating for a patient. To help answer this ethical dilemma several issues will be explored. I will focus on the seven principles of ethics, education, utilitarianism, top-down theory alternate treatment options. Will Tube Feedings Prolong Life? While working with the majority of geriatric population, we frequently come across patients with Dementia and Alzheimer’s disease. The most common problem in these patients is the inability to swallow as well as the patients are failure to thrive. Many healthcare workers and family members become upset when the patient does not have proper nutritional intake. As human beings it is our nature to take care of our loved ones when they are ill, this is our ways of showing love and affection tore’s each other. We often question the situation regarding the need for artificial feeding. Care givers have misconceptions if we provide artificial nutrition it will help prolong...
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...University of Oxford Paul M. Bays UCL Institute of Neurology and Institute of Cognitive Neuroscience Working memory declines with normal aging, but the nature of this impairment is debated. Studies based on detecting changes to arrays of visual objects have identified two possible components to age-related decline: a reduction in the number of items that can be stored, or a deficit in maintaining the associations (bindings) between individual object features. However, some investigations have reported intact binding with aging, and specific deficits arising only in Alzheimer’s disease. Here, using a recently developed continuous measure of recall fidelity, we tested the precision with which adults of different ages could reproduce from memory the orientation and color of a probed array item. The results reveal a further component of cognitive decline: an age-related decrease in the resolution with which visual information can be maintained in working memory. This increase in recall variability with age was strongest under conditions of greater memory load. Moreover, analysis of the distribution of errors revealed that older participants were more likely to incorrectly report one of the unprobed items in memory, consistent with an age-related increase in misbinding. These results indicate a systematic decline with age in working memory resources that can be recruited to store visual information. The paradigm presented here provides a sensitive index of both memory resolution...
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...BRIEF REPORTS Greater Risk of Dementia When Spouse Has Dementia? The Cache County Study [See editorial comments by Dr. Peter P. Vitaliano, pp 976–978] Maria C. Norton, PhD,abc Ken R. Smith, PhD,de Truls Østbye, MD, PhD,fgh JoAnn T. Tschanz, PhD,bc Chris Corcoran, ScD,ci Sarah Schwartz, MS,ci Kathleen W. Piercy, PhD,ac Peter V. Rabins, MD, MPH,j David C. Steffens, MD,k Ingmar Skoog, MD, PhD,l John C. S. Breitner, MD, MPH,mn Kathleen A. Welsh-Bohmer, PhD,g for the Cache County Investigators OBJECTIVES: To examine the effects of caring for a spouse with dementia on the caregiver’s risk for incident dementia. DESIGN: Population-based study of incident dementia in spouses of persons with dementia. SETTING: Rural county in northern Utah. PARTICIPANTS: Two thousand four hundred forty-two subjects (1,221 married couples) aged 65 and older. MEASUREMENTS: Incident dementia was diagnosed in 255 subjects, with onset defined as age when subject met Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria for dementia. Cox proportional hazards regression tested the effect of time-dependent exposure to dementia in one’s spouse, adjusted for potential confounders. RESULTS: A subject whose spouse experienced incident dementia onset had a six times greater risk for incident dementia as subjects whose spouses were dementia free (hazard rate ratio (HRR) 5 6.0, 95% confidence interval (CI) 5 2.2–16.2, Po.001). In sex-specific analyses, husbands had higher risks ...
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...Brief Historical Background of psychology Psychology has brief history as a scientific discipline though it has been studied since ancient time under the faculty of philosophy. The word psychology was derived from Greek word 'psyche' and 'logos' literal meaning of which was 'soul' and 'study' respectively. The definition of psychology had ever been in the process of change since then. The development of psychology can broadly be traced into four periods: Ancient Greek period, per-modern period, modern period and current status 1. Greek period: Greek philosophers had contributed much for the development of psychology. Some of the key contributors were Socrates was interested in studying the reincarnation of soul. Soul or mind was considered as the representation of individuals. Plato, a bright student of Socrates expanded Socrates concepts in philosophy about life and soul. It was Aristotle who wrote first book in psychology called Para Psyche; about the mind or soul. In the book, he introduced the basic ideas in psychology today, like law of association. However, the notion of psychology was primarily related to study of soul or mind at that stage. Later on it was found that physical existence of soul was doubtful. Also, there was controversy in defining soul and mind among the philosopher. The contributors of the period never focused on the behavior of individual. That is why the attention was diverted from the study of soul or mind 2. Pre-modern period it was during 1800's...
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...is stooped over. 1. Identify age-related pharmacokinetic and pharmacodynamic changes in older people. 2. Evaluate the pharmacotherapy regimens of older people to support the maintenance of optimal physical and mental function. 3. Identify inappropriate medication prescribing in older people. 4. Recommend appropriate pharmacotherapy for patients with dementia. 5. Evaluate the risks and benefits of the use of antipsychotics (APs) (including atypical APs) in older patients with dementia. 6. Recommend appropriate interventions for patients suffering from behavioral symptoms related to dementia. 7. Identify the types of urinary incontinence and recommend appropriate treatments. 8. Given a patient’s American Urology Association Symptom Index for benign prostatic hyperplasia, recommend appropriate therapy. 9. Recommend appropriate analgesic therapy for older patients with osteoarthritis. 10. Discuss risks and benefits of medication classes used to treat rheumatoid arthritis. 2. Which of the following is the single most important intervention you can make to reduce her risk of falls? A. Suggest to J.T. that her neurologist reassess her Parkinson disease...
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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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...On January 31, 2012, the Judicial Panel on Multidistrict Litigation issued an order consolidating several lawsuits against the National Football League into one large case of Multidistrict Litigation. All of the lawsuits that have been filed claim “tortious conduct” on the part of the NFL, resulting in neuro-degenerative disease and injury to professional football players. As of January 24, 2013, over 4,500 retired NFL players, more than one-third of players to ever sign an NFL contract, had brought a suit against the NFL concerning the head injuries that they sustained on the field during their playing careers. (Anderson, 1). Given the outstanding popularity of football in the United States, these lawsuits have garnered the attention of national media, prompting debate, discussion, and research about the dangers of football-related head injuries and the future of the NFL. (Fenno, 1). The litigation has the potential to reach the scale of the Big Tobacco litigation of the 1990’s, but the NFL has thrown a substantial roadblock in the players’ suit with a federal employment law preemption defense. (Fisher, 1). The consolidation of all the lawsuits into the Multidistrict Litigation has created the ability for both parties to decide the legal issues presented by the players’ claims and the NFL’s defenses. This paper will examine the merits of those claims and defenses, offer insight into how the players applied rhetorical devices to further their case, address the link established...
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...to Dubai! Now we are pleased to introduce our latest business endeavor, an international franchise location in Germany! As far as the market susceptibility of the German market to the Coffee Bean and Tea Leaf Co., Germany is known as a coffee drinking nation. In 2010, per capita consumption of coffee increased to 150 liters in total volume terms. According to the German Tea Association, tea became the favorite hot drink of many Germans, with tea imports reaching 44,000 tons in 2009.According to the German Federal Statistics (Statistisches Bundesamt Deutschland’s), people in Saarland consume the highest volumes of coffee (four cups per day), followed closely by Schleswig-Holstein and Nordrhein Westfalen. However, a coffee cup in Germany is relatively small: 100ml on average. Coffee is expected to register see good total volume sales growth over the forecast period. According to the German Coffee Association, and other sources, coffee is a healthy drink. They claim that coffee stimulates mental activity and positively aids sports activities, such as fitness, but also prevents diabetes and Alzheimer’s disease and protects the liver. Such publicity usually has a significant influence on...
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...NERINX' COMMUNITY SERVICE COURSE PURPOSE: The Theology Departments sponsors this course in Community Service in order to provide an opportunity for you to integrate your religious learning within the Christian call to serve. You are now an empowered woman to share your gifts with the world! OBJECTIVES: 1. to provide an opportunity through service in which you can explore your own giftedness and ways of sharing it with others. 2. to help raise your social awareness through service. 3. to challenge you to broaden your personal commitment to serve others both in the present and the future. 4. to provide you with an opportunity to reflect on particular social issues connected with the population you serve through your reading, writing and discussion with others. REQUIREMENTS: The service project which you choose must comply with the following guidelines: 1. The work must serve persons directly (e.g., secretarial work without relating directly to clientele served is not allowed). 2. These persons should have "special needs" -- those associated with age, social or economic background; physical, mental or emotional deprivation or disabilities. 3. The student may not receive pay (monetary compensation) for her service. 4. The project should include a minimum of 30 hours or service as well as a minimum of 5 days of service; with the exception of Nerinx-sponsored Spring Break Service, the hours cannot count until after Junior final...
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...following questions. 1. What is the MPI and what types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations. Case report form are submitted by health care facilities...
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...THE LAW ON ASSISTED SUICIDE On July 26, 1997, the U.S. Supreme Court unanimously upheld decisions in New York and Washington state that criminalized assisted suicide. These decisions overturned rulings in the 2nd and 9th Circuit Courts of Appeal which struck down state statutes banning physician-assisted suicide. Those courts had found that the statutes, which prohibited doctors from prescribing lethal medication to competent, terminally ill adults, violated the 14th Amendment. In striking the appellate decisions, the U.S. Supreme Court found that there was no constitutional "right to die," but left it to individual states to enact legislation permitting or prohibiting physician-assisted suicide. (The full text of these decisions, plus reports and commentary, can be found at the Washinton Post web site.) As of April 1999, physician-assisted suicide is illegal in all but a handful of states. Over thirty states have enacted statutes prohibiting assisted suicide, and of those that do not have statutes, a number of them arguably prohibit it through common law. In Michigan, Jack Kevorkian was initially charged with violating the state statute, in addition to first-degree murder and delivering a controlled substance without a license. The assisted suicide charge was dropped, however, and he was eventually convicted of second degree murder and delivering a controlled substance without a license. Only one state, Oregon, has legalized assisted suicide. The Oregon statute...
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...MEMORY Memory is one of the most important concepts in learning; if things are not remembered, no learning can take place. Futhermore, memory has served as a battleground for opposing theories and paradigms of learning (e.g., Adams, 1967; Ashcraft, 1989; Bartlett, 1932; Klatzky, 1980; Loftus & Loftus, 1976; Tulving & Donaldson, 1972). Some of the major issues include recall versus recognition, the nature of forgetting (i.e., interference versus decay), the structure of memory, and intentional versus incidental learning. According to the early behaviorist theories (e.g., Thorndike, Guthrie, Hull), remembering was a function of S-R pairings which acquired strength due to contiguity or reinforcement. Stimulus sampling theory explained many memory phenomenon on the basis of statistical outcomes. On the other hand, cognitive theories (e.g., Tolman) insisted that meaning (i.e., semantic factors) played an important role in remembering. In particular, Miller suggested that information was organized into "chunks" according to some commonality. The idea that memory is always an active reconstruction of existing knowledge was championed by Bruner and is found in the theories of Ausubel and Schank. Some theories of memory have concerned themselves with the nature of the processing. Paivio suggests a dual coding scheme for verbal and visual information. Craik & Lockhart proposed that information can be processed to different levels of understanding. Rumelhart & Norman describe three...
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...Diagnostic Testing 1. Beck Anxiety Inventory 3 Description: 4 Rationale: 4 Personnel, Training, Administration, and Scoring Requirements: 5 Population Used to Develop Measure 5 What Are The Symptoms Of An Anxiety Attack? 5 The Beck Anxiety Inventory of the 21 most common symptoms: 5 Scoring: 6 Interpretation of score 6 Psychometric Properties: 7 Reliability: 7 Validity 7 Advantages: 8 Disadvantages: 9 Suggested Uses: 9 Beck Anxiety Inventory used in Pakistani Settings 10 2. Hamilton Anxiety Scale (HAS) 11 Rating: 11 Purpose 11 Use in the field 12 Scale 12 Scoring 12 Criteria for interpretation 12 Versions 12 Psychometric Properties 13 Applied in different researches 14 3. Hamilton Depression Scale 15 Description/Purpose 15 Use in the field 15 Scale 16 Criteria for interpretation 16 Psychometric properties 16 Applied in different researches 18 Correlations among Depression Rating Scales and A Self-Rating Anxiety Scale In Depressive Outpatients 18 Limitations 19 4. Adaptive Behavior Assessment System Second Edition 19 Rationale: 20 What’s New in ABAS–II 20 ABAS–II Rating Forms 21 Scores Reported 22 Sample Items: 22 Psychometric Properties: 23 Standardization 23 Validity 25 Advantages of Using ABAS–II 25 Adaptive behaviour assessment system in Pakistan: 26 5. Symptom Assessment-45 26 Purpose: 26 Description: 26 SA-45 Scales: 27 Psychometric properties: 28 Reliability and Validity:...
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...Brain, Behavior, and Immunity 37 (2014) 134–141 Contents lists available at ScienceDirect Brain, Behavior, and Immunity journal homepage: www.elsevier.com/locate/ybrbi Short exposure to a diet rich in both fat and sugar or sugar alone impairs place, but not object recognition memory in rats Jessica E. Beilharz a, Jayanthi Maniam b, Margaret J. Morris b,⇑ a b School of Medical Sciences, University of New South Wales, Australia Department of Pharmacology, School of Medical Sciences, University of New South Wales, Australia a r t i c l e i n f o Article history: Received 10 October 2013 Received in revised form 11 November 2013 Accepted 25 November 2013 Available online 3 December 2013 Keywords: Diet Fat Sugar Obesity Memory Learning Hippocampus Inflammation Oxidative stress a b s t r a c t High energy diets have been shown to impair cognition however, the rapidity of these effects, and the dietary component/s responsible are currently unclear. We conducted two experiments in rats to examine the effects of short-term exposure to a diet rich in sugar and fat or rich in sugar on object (perirhinaldependent) and place (hippocampal-dependent) recognition memory, and the role of inflammatory mediators in these responses. In Experiment 1, rats fed a cafeteria style diet containing chow supplemented with lard, cakes, biscuits, and a 10% sucrose solution performed worse on the place, but not the object recognition task, than chow fed control rats when tested after 5, 11, and 20 days...
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