...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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...Alzheimer's disease is a disease of the brain that is eventually fatal and affects how a person thinks, feels, and acts. It is an "irreversible disease and destroys brain cells causing thinking ability and memory to deteriorate." ("Alzheimer's Disease", 2016). Each individual with this fatal disease is affected in different ways. There is no order in which symptoms occur or the speed of their progression. Alzheimer's disease affects a person's ability to make decisions, perform simple tasks, or follow a conversation. It also affects a person's emotions, mood, and physical abilities. Individuals with this disease can lose interest in their favorite hobbies, become less expressive and withdrawn. An individual may also seem "different" or out...
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...Epidemiology of Alzheimer' Disease Ronya Bentz NUR/408 March 4, 2013 Patricia Schwartz Epidemiology of Alzheimer' Disease According to the World Health Organization (WHO), mental health is “not just the absence of mental disorder but as a state of wellbeing in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (Perry, 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...
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...swelling of the membranes around the brain and spinal cord. There are different types of meningitis, but most are caused by viruses or bacteria. Viral meningitis can make you very sick but it often doesn’t have lingering effects. Bacterial meningitis is more serious. It progresses rapidly and can cause permanent damage or even become life-threatening. CT scans of the head may reveal swelling or inflammation. These tests can also help your doctor look for infection in other areas of the body that may be associated with meningitis. Spinal tap (lumbar puncture). The definitive diagnosis of meningitis requires an analysis of your cerebrospinal fluid (CSF), which is collected during a procedure known as a spinal tap. In people with meningitis, the CSF fluid often shows a low sugar (glucose) level along with an increased white blood cell count and increased protein. CSF analysis may also help your doctor identify the exact bacterium that causing meningitis. 2. Memory: repeating statements and questions over and over, not...
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...Neuropsychology Name: Institution: The working of the human brain is an aspect that many have tried to fathom as well as study in a bid to understand how it works. Many have been taken aback by what they have been able to figure out about the brain and its functions. The brain has over time been regarded as one of the most important organs in the body, and that can be tied to the fact that most bodily functions can be controlled by the single organ. The destruction or the dysfunction of the brain could mean death or even other problems such as mental disorders. The field of memory, cognition and thought are unique areas when it comes to understanding the functioning of the brain. Cognitive psychologists are concerned with being able to study how the brain works as well as why people act as they do. Some areas are involved in the field of neuropsychology with each of them being a crucial pillar. Cognitive neurology deals with studying the mental process such as memory, creativity, thinking and perception (Mohn & Rund, 2016). That means being able to understand the inner workings of the brain and its relation to the mind. Clinical psychology deals with the management as well as the rehabilitation of individuals who have suffered from illnesses as well as injuries that cause neurocognitive problems. That may include post-traumatic stress disorder patients or bipolar disorder patients. The field also covers behavioral neurology which deals with memory, behavior and cognition...
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...effect of Music therapy on Human Brain Music therapy started in late 18th century but architects in the medicine industry had long interest and research in the entire field trying to find out all the issues and aspects in the field. It is under this case that statistics shows that actually healing activities dates to ancient times. This kind of principle is evident through the biblical aspects that have been put forward to explain the issues of concern. Some of historical aspects that have been used to explain these issues relating to music therapy were retrieved from ancient writings from civilizations such as Greece, Rome, China, India and Egypt. In present scenario, the power of music tends to be the same as it was used in those old days. However there is a modification of the same in the present times due to enrichment of various ways that have been used to facilitate realization of amicable goals accordingly (Aldridge 65). In United States the profession within the Music therapy started to be developed during the two world wars whereby music was extensively by veterans administration Hospitals as a tool to address and cushion traumatic war injuries that were being experienced. Many veterans in these days were wholly involved passively and actively involved in music activities which revolved in relieving perceptions that occurs in pain. Many doctors and their nurses during those days had the chance to experience all the effects that were directly as a result of music. This...
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...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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...happens over the course of the film. Away from Her is a motion picture designed to depict a realistic story of the challenges individuals must face when a family member is diagnosed and is experiencing the effects of Alzheimer's disease. The onset of the film describes the lives of Fiona and Grant Anderson, who had been married for over forty-four years. They lived in Fiona's grandparent's home in Ontario for most of their marriage, and shared similar interests in their hobby's and lifestyle. The movie progresses by depicting their routine ski trekking on a frozen lake and casual readings together. The purpose of depicting aspects of their everyday life was to enhance the sharp contrast in Fiona's behaviors as her Alzheimer's progressed. At first, Grant believed that her moments of forgetfulness were just that, but the occurrences became more drastic over time. The turning point that clearly demonstrated Fiona's Alzheimer development was her wandering across the forest in the freezing cold, where Grant had to drive around town to find her looking at the sights over a bridge far from home. This led to an official diagnosis of Fiona's Alzheimer's disease, and left them with the difficult challenge with what to do next. The option to admit Fiona in Meadowlakes Alzheimer's care center was strongly supported by Fiona herself, and Grant was resistant towards her placement after visiting the center. After mild deliberation, Grant gave in to Fiona's request and she was admitted...
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...Taylor Hutson Dr. Dennis Winston English-104 13 October 2015 Writing in My Field Radio expands far beyond the bounds of hip-hop, rhythm and blues, and pop music streamed from countless stations across the nation. It is much more than mundane news, traffic and weather updates and is not limited to sports broadcasts. Much like a painted canvas radio paints a mental masterpiece, filled with life stories, musical applications and paired with contextual reporting and analysis. For me, radio grasps my mind from the familiar confines of the world around me and places me in a world far beyond anything that I have actually experienced. Accounts of how a French scuba diver nearly drowned to death in a pursuit to save the life of another diver followed by the scary reality of death among the lives of senior citizens in hospice care are only some of the many intriguing stories that inspire me write for radio broadcasting. “How A Woman’s Plan to Kill Herself Helped Her Family Grieve” written by Alex Spiegel is another story that specifically captures the listener within the confines of its broadcast. Sandy Bem had Alzheimer’s disease—a disease that corrupts the mind’s capacity to remember important family members, read, and write. This disease left Sandy feeling helpless and depressed, later causing her to “commit” suicide—assisted suicide. As Sandy’s health began to deteriorate her feelings of helplessness grew to the point of despair. After wallowing in sadness for countless months...
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...University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various medications used to treat BPSD, majority of practice...
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...III Parkinson disease, hypertension, and urinary incontinence (UI). She is receiving carbidopa/levodopa, pramipexole, selegiline, tolterodine, diazepam, metoprolol, and hydrochlorothiazide. When she comes to your pharmacy to get her prescriptions, she walks slowly with a cane, and she 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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...“set of of decisions and actions that result in the formulation and implementation of plans designed to achieve a company's objectives” (2004, p.3). This paper reviews six firms and the forces and trends in the remote and industry environments that affect them. The firms are Wellpoint, Inc, The Alzheimer’s Association, ABB Ltd., The Beth El Synagogue. AkzoNobel and Steinway Musical Instruments, Inc. Specific areas of focus within the remote environment include economic factors, social factors, buyer power, technological factors, political factors, ecological factors, and entry threats. Specific areas of focus within the industry environment include buyer power, product differentiation, industry structure, substitute products, entry threats, powerful buyers and suppliers, and jockeying for position (Pearce and Robinson, 2004). Research in forces and trends allows a corporation to better understand their [pronoun agreement: since the antecedent (corporation) is singular, the pronoun (their) must be singular {his or her}] potential for maximizing profits; therefore, creating an understanding of strategic adaptability within the context of the relevant force or trend. Overall Analysis Companies are influenced by a large number of external elements, which ultimately shape the company’s approach to conducting business and serving the market, and which also guide the company’s internal...
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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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...spelled correctly? Choose 1 answer ANSWER A – B is spelled correctly but it’s the wrong use. A. The principal sent the student a letter of congratulations. B. The principle ate lunch with the students. INCORRECT – wrong version of word for sentence C. The prinsipal signs the final grade reports. INCORRECT – no ‘s’ D. The princepal earned minimal interest. INCORRECT – no ‘e’ 4. Classify each sentence according to whether it exhibits or does not exhibit parallelism. Select your answer from the pull-down list. ANSWER – say sentences out loud. They should flow well if they demonstrate Parallelism. Tap dancing requires different steps than to line dance. NOT Parallel The elevator was hot, crowded, and there was no music. YES Parallel The patient complained about pain and asked for a doctor. YES - Parallel The buyer came, saw, and received. ?? NOT -...
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...ENVIRONMENTAL CHARACTERISTICS AND STAFF RATINGS OF NEWER AND OLDER SPECIAL CARE UNITS FOR DEMENTIA IN BRITISH COLUMBIA by Annie Murray B.A. St. Thomas University 1998 A PROJECT SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN THE GERONTOLOGY PROGRAM Annie Murray 2001 SIMON FRASER UNIVERSITY JUNE 2001 All rights reserved. This work may not be Reproduced in whole or in part, by photocopy Or other means, without the permission of the author. ii APPROVAL Name: Degree: Title of Project: Annie Murray Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia Examining Committee: Chair: Dr. Barbara Mitchell _______________________________________________ Dr. Gloria Gutman, Senior Supervisor _______________________________________________ Dr. Kate Oakley, Supervisor _______________________________________________ Dr. Robert Horsfall, External Examiner Date Approved: _______________________________________________ iii Abstract Due to the greater availability of community resources as well as changes in admission policies, seniors are entering care facilities at an older average age and with higher levels of health needs than was the case twenty years ago. The number of dementia cases has also increased dramatically as well as Special Care Units (SCUs) to house persons with dementia. The purpose of this study was twofold. First it described the physical...
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