...array of problems created by advanced dementia. A variety of these problems may also be of concern as they arise from the primary disease and may include end of life care for a shorter period, communication problems due to dementia or plain misunderstanding and even chances of lack of family motivation (Blackburn, 1989). The elementary design of palliative care is to provide bodily, mental and spiritual support to the family and patient to facilitate the life quality until expiration (Australian Government Department of Health and Ageing, 2004). In the initial phases of the diseases, palliative care can be imbued with prolonging treatments (WHO, 2003) and it is not intended in any way to either accelerate or reduce the dying timeline but is meant to alleviate distress by lessening pain and other factors that result in it (WHO, 2003). It is vital that preliminary diagnosis, evaluation and therapy of pain and various other requirements such as bodily, traditional, social, spiritual and mental requirements be tended to for the accomplishment of palliative methodology (WHO, 2003). It is proper to start the palliative care in the scenario when the illness has been proven to be incurable and the care of the patient according to the symptoms is specific (Australian Government Department of Health and Ageing, 2004). Symptoms of advanced dementia, termed also last stage dementia include confused or memory failure, unresponsiveness to verbal communication, failure of...
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...Unit 33 LEARNING OUTCOME 1 1.1 DESCRIBE THE RANGE OF CAUSES OF DEMENTIA SYNDROME There are many different types of dementia: Alzheimer’s which is usually found in people over the age of 65 (extract from mayo clinic}Although in most cases the exact cause of Alzheimer's disease isn't known, plaques and tangles are often found in the brains of people with Alzheimer's. Plaques are clumps of a protein called beta-amyloid, and tangles are fibrous tangles made up of tau protein. Certain genetic factors also may make it more likely that people will develop Alzheimer's. Vascular dementia which is the second most common form of dementia which is caused by reduced blood flow or blocked blood vessels or even a infection of a heart valve (vascular condition. Lewy body dementia which is caused from abnormal clumps of protein that have been found in the brains of people with Lewy body dementia, Alzheimer's disease and Parkinson's disease. (Extract from mayo clinic} Frontotemporal dementia (Formally known as picks disease) is caused by break down of the nerve cells in the frontal and temporal lobes of the brain which controls behaviours, language, thinking and concentration as well as movement. Korsakoffs syndrome Korsakoff's syndrome is a brain disorder usually associated with heavy alcoholconsumption over a long period. Although Korsakoff's syndrome is not strictly speaking adementia, people with the condition experience loss of short-term memory. This factsheet outlines the...
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...FLORENCE SMYTH 09TH MARCH 2015 HEALTH AND SOCIAL CARE LEVEL THREE. Unit 3 ENABLE RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA WHILST MINIMISING RISKS 1. UNDERSTAND KEY LEGISLATION AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INVIVIDUAL WITH DEMENTIA. 1.1 EXPLAIN THE IMPACT OF KEY LEGISLATION THAT RELATES TO FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INDIVIDUAL WITH DEMENTIA. The key legislations include , Human Rights Act 1998 , Mental Capacity Act 2005 , Adults and Incapacity Act 2000 , Mental Health Act 1995 , Safeguarding Vulnerable Groups Act 2006 and Carers Equal Opportunities Act 2004.Each and every individual is under a legal obligation to work within legislation and work within the agreed ways of organisation ensuring that the individual with dementia gets treated within their human rights protected from any form of abuse and that their dignity privacy and respect is maintained, allowing them to have a choice , make decisions living a fulfilled life while keeping them protected at all times. Individuals who are involved in the care of dementia suffers must always be observing their deterioration so changes can be made to minimise risk to the individual while still protecting their human rights and keeping everything in-line with the key legislation taking health and safety into consideration at all times. Together these legislations form...
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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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...Important Health Issue In Australia 2013, Dementia. Dementia is a broad term that encompasses a large group of illnesses that cause a progressive cognitive functional decline including memory loss, loss of intellect, rationality, language skills, perception, social skills and physical function. Dementia exists in many different forms including Vascular Dementia, Frontotemporal Dementia, Dementia with Lewy Bodies & the most common form of Dementia, Alzheimer’s Disease. (“Key Facts and Statistics,” 2013.) Dementia affects Australians of many ages and although Dementia is not considered a normal aspect of the aging process, approximately 92% of Australians diagnosed with Dementia are over the age of 65 years. ("Alzheimer’s disease is not a normal part of ageing,” 2012) It is estimated that there are currently over 321,600 Australians living with dementia and approximately 1,700 new cases of dementia diagnosed every week. I believe these incredible statistics combined with Australia’s rapidly aging population make Dementia Australia’s most important health issue in 2013. (“Key Facts and Statistics,” 2013.) The table below highlights the projected population growth & rapidly aging population facing Australia up to 2031. Table 1; [pic]“(Note: Reprinted from (Challenge 1, Community Services & Health Industry Skills Council,” n.d.) Australia’s rapidly aging population will see the number of Australians living with dementia increase by one third, to approximately...
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...The baby boomers have created an increased population of individuals 65 and older (Wilson et al, 2006). As these individuals are living longer, plans must be set in place to support them not only financially but also physically (Wilson et al., 2006). Some individuals look towards institutional facilities or independent living facilities to place their aging relatives, and/or spouse. Elderly individuals would like to stay in their normal environment for as long as possible, but this is often not an option as sometimes the caregivers do not feel they can fully meet the growing needs of these individuals (M. Smith, personal communication, March 27, 2018). Agencies like Diversified Training Consultant Group are making continued care in the home...
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...Unit 4222-371 Understand and enable positive interaction and communication with individuals who have dementia (DEM 312) Assessment Criteria Outcome 1 Understand the factors that can affect interactions and communication of individuals with dementia The learner can: 1. explain how different forms of dementia may affect the way an individual communicates People with dementia often experience a gradual decrease in their ability to communicate as their dementia progress. They may find it more and more difficult to express themselves clearly to others and to understand what others are saying to them. This can become frustrating for people with dementia and for those trying to communicate with them. The different types of dementia affect the brain in different ways and each individual communicates their thoughts and feelings in a unique fashion. However, there are often similarities in their losses. How communication is affected: In the early stages of some forms of dementia people have difficulty finding the right word; and in the late stage words may be lost completely in all forms of dementia. It becomes harder to put sentences together as the disease progresses. Automatic responses such as "hello" are maintained for the longest period of time. In the late stages of the disease a person with dementia may have very limited ability to speak. Remember: There is more to communication than what you say. Communication is made up of: Body language (including facial expressions, posture...
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...to the elderly residents. I found that AINs are the one who provide the basic necessity of the residents such as feeding, maintaining their hygiene, toileting etc. I found her very efficient in using holistic (mind, body and soul) approach to each resident to make them feel appreciated. Later we went to the medium care facility which resides 43 dementia residents. I was a bit distressed looking at their mental condition. After meeting registered nurse Mrs Smith, I came to understand the challenging role of the RN. She informed us that RN has to be involved in all area of clinical procedure such as making care plan, medication, wound care and managing the facility. Being in dementia ward, Mrs Smith uses therapeutic communication technique to deal with the residents who are mostly cognitive impaired. ‘Cognitive impairment in people with dementia may limit their ability to communicate effectively. Therapeutic communication is central to provide good dementia care’ (Jootun & McGhee, 2011). I found this job very difficult since the carers have to be prepared for any unexpected situation due to the mental condition and communication barrier of the resident. Our last destination was the high care facility, where I came to understand the role of a physiotherapist and occupational therapist. The occupational therapist Ms John told us that the main focus of this care was to help the residents to get on with their day to day...
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...Dementia is an additional need that affects one in three people over 65 in the UK and two thirds of people with dementia are women. The number of people living with dementia is increasing as most people are living longer (NHS 2013). Dementia is when the brain is declined and its abilities no longer work as they should. This brings a wide range of problems, which may include language, problem solving, Memory loss and difficulties with thinking. There are a lot of barriers that can prevent a dementia sufferer from being individual, therefore they will need additional help with everyday tasks. Dementia sufferers face a lot of barriers to health care services, and these can prevent the person from getting the care/support they are entitled to e.g. they received a phone call from the doctors, while on the phone the service user made an appointment to see the doctor but due dementia forgot when the appointment was. This is a barrier as they’re not adapting to the needs of the service user. There are many services a person with dementia can access that will help and support them. Firstly there is the NHS this is statutory, it is free and is provided by the government. Most people use the NHS for the GPs. Dementia sufferers can use the health care professionals in the NHS such as nurses that will help with general health problems or injuries, geriatrician are professionals that will provide medicines for older people that have more than 3 medical issues, admiral nurses who...
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...of the Older Person Introduction: In this project I shall discuss dementia, the changes it brings to the clients abilities and faculties, and look at some of the approaches to treating the symptoms. I shall use course notes/handouts, course recommended textbooks, internet sources, and Youtube videos to research and understand the topic. 1. What is dementia? What are the physiological and psychological changes that occur for the older person with Dementia? “The word dementia describes a set of symptoms that may include memory loss and difficulties with thinking, problem-solving or language. Dementia is caused when the brain is damaged by diseases, such as Alzheimer's disease or a series of strokes”. (Alzheimer’s Society UK) Dementias,...
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...This Project can be based on dementia and discuss how these conditions can be addresses to ensure a quality if life for an older person so that they can participate and be considered ‘active living’ within their society. Contents. 1. Introduction 2. What is the condition? what are the physical and psychological changes that occur for the older person with this condition? 3. Exploring the persons needs in relation to the condition. 4. The Role of the carer and the multidisciplinary team in assisting the person with the condition, the practices implemented and the care settings that are available. 5. The Current approaches towards developing quality services for people with the condition. 6. Conclusion 7. Bibliography 8. Appendix Introduction This project is about dementia specifically in cases relating it to older people. It is the attention of the author to discuss the issues that a person with this condition from both a psychological and physical standpoint. The needs of this person will also be outlined in a physical, social, emotional, spiritual and intellectual, financial and environmental basis. The Role of the carer and the role of the multi-disciplinery team and their approach to meet a person’s needs. The author will be discussing the care settings available for people with the condition. The research conducted in this assignment will be form a range of sources such as the appropriate books, websites, leaflets and...
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...Reflective Essay The aim of this essay is to reflect on an incident, which took place in a hospital setting during the first month of my Foundation Degree Assistant Practitioner course. It will explore the importance of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more...
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...Case Study: Treating a Patient with Vascular Dementia Grand Canyon University Case Study: Treating a Patient with Vascular Dementia Vascular dementia is one of the most common causes of dementia, Alzheimer being the most common. Vascular dementia causes around 10% of cases while Alzheimer causes around an estimate of 60% to 80% of cases. NHS Choice (2015) defines dementia as “a loss of mental ability (cognitive impairment) associated with gradual death of brain cells” (para. 2). Vascular dementia occurs when the blood flow to the brain is reduced and usually happens from strokes, it also can be caused by a variety of diseases and damages that affects the brain. One of the most common type of vascular dementia is the Multi-infarct dementia which is caused by minor strokes or (which sometimes are called “mini strokes” or silent strokes”) that at times could go unnoticed. Unlike Alzheimer's disease, there are no licensed treatments for vascular dementia (O’Brien and Thomas, 2015) Multi-infarct dementia is more common in older men than women around the ages of 60 to 75 years old. Vascular dementia is really rare in anyone younger than 65. Global, 48.5 million people have dementia, about 70% of that is Alzheimer’s and around 10% are vascular dementia, there are 7.7 million new cases every year. This case study looks further into Vascular Dementia and the people who have them and shows how a great care system and collaboration can help the patient. A case study will be conducted...
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...NMHD 5003 Practice & Pharmacological Issues in Mental Health Nursing By Neil Drummond Essay 3048 words Care Plan 1676 words Overall wordage 7186 The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage...
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...The Expressive Arts of Dementia Mark Twain once said, “Out of all the things I have lost, I miss my mind the most.” Dementia can have that effect on individuals and their caregivers. The term ‘dementia’ comes from the latin that literally means ‘mind gone’; ‘de’ has the meaning of gone, as ‘mens’ has the meaning of mind (Buijssen 14). Dementia is caused by the damage of brain cells which interfere with the communication process within the brain. Cells within the hippocampus, the part of the brain that help you learn and store memory, are usually the first cells to be damaged, making memory loss one of the first symptoms (“Dementia” par. 6-8). Dementia isn’t memory loss, but rather a chemical and structural change in the brain (Snow par. 6). This change of the brain physically can change a person dramatically mental wise....
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