...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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...health and social care, to talk about health and safety considerations, to talk about the ethical consideration of assistive technologies, to give explanation of the impact of budding technology development, on health and social care services, between organisations and care workers, to define the specific needs, to identify specific needs of an individual require to be supported to live independently, and to linked it to Sally' s case study. To recommend which technologies, must support the independent living arrangements, and finally to evaluate the usefulness of technology for users of health and social care services. Task 1 1.1 Explain how technology can be used to support users of health and social care services in living independently. Disability rights commission rule (2002) extracts the word independent living and refers to entirely disable, individuals meeting the equal selection, control and freedom as any other citizen at home, at work, and in the community. Does not necessarily mean disabled persons they do everything for themselves it does means the rights to practical assistance people need should be share on their own choices and ambition. Independent Living is about disabled people having voice, same point of choice and control over any documentation they need to move about their daily lives. (Munro and Elder-Woodward, 1992). Service users are people who use health and social care services, and also they are potential users of health and social care services, this...
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...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 and operational...
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...Dementia and Palliative Care Thomas Edison State College Introduction According to the Palliative Medicine article “global prevalence of dementia is almost 36 million people and the numbers are expected to double every 20 years (Ryan, Gardiner, Bellamy, Gott & Ingleton, 2011). With this in mind, in seems dementia is just as prevalent as cancer but these patients do not seem to receive the same end of life care or palliative care. The World Health Organization defines palliative care as An approach that improves quality of life in patients and families facing problems associated with life threatening illness, through prevention and relief of suffering by means of early identification, impeccable assessment and treatment of pain and the problems with physical, psychosocial and spiritual. ("Who definition of," 2013) The two article summaries that follow will help healthcare staff understand the great need for palliative care in dementia, from the diagnosis to death. Annotated Bibliography Ryan, T., Gardiner, C., Bellamy, G., Gott, M., & Ingleton, C. (2011). Barriers and facilitators to the receipt of palliative care for people with dementia: The views of medical and nursing staff. Palliative Medicine, 26(7), 879-886. doi: 10.1177/0269216311423443 Tony Ryan and colleagues discuss how “people with dementia often receive too little care whereas end of life care is often characterized by too much” (Ryan, Gardiner, Bellamy, Gott &...
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...reasoning, remembering, and imagining in each of these areas. When a person begins to experience this loss of cognitive function it affects all aspects of their life, and it becomes hare to live independently. Memory Loss Memory loss is a progressive effect of the decline in the cognitive brain function. It begins with the person not being able to recall an object or idea within a few seconds. The second stage is when the person cannot remember an object or idea within a few minutes. This deficit becomes worse and worse until the person cannot recall much at all. This usually signifies the beginning of the downward spiral that occurs with the loss of cognitive function. As memory loss worsens it affects it will begin to affect the day to day activities of the person. Thos affects may forget the names of people they know, forget or misplace items frequently, or even forget where they are supposed to go. It is very common for those suffering from memory loss to forget or loose items on a daily basis (E-How, 2012). Eventually, memory loss can affect a person’s ability to dress themselves, cook, go places, or even use...
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...disease progresses, patients will need advanced care. This poses a burden to our society, as it will create an enormous strain on the health care system,...
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...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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...For each of the six types of dementia you need to outline : * 5 effects on the quality of life * 2 effects on the impact on health * 3 effects on the impact of the increased likelihood of abuse * There is a power point on Moodle to help you with this. * You need to use case studies ( make them up yourself or come and see me) to show examples for each effect EG: Fear: A person with Alzheimer’s may feel fear about going out alone. An example of this would be George who is 78 and has Alzheimer’s. George is always fearful of going out alone after he went into town to go shopping and due to his Alzheimer’s forgot where he was and what he was doing. He was found by the police and taken to the police station before going home. This frightened George so now he will only go out with his wife or his son. P3 Guide You need to describe 7 pieces of legislation and two frameworks. How do they ( the legislation and frameworks) make sure the people who work with individuals with dementia do their job properly. There is a long power point on Moodle to help you with this. P4 Guide You need to explain the roles and responsibilities of the health and social care workers in improving the health and quality of life for people with dementia. To do this use the case study of Peter in your assignment brief You need to include: * 5 aspects of the person centred approach choose from * Principles of care. * Dignity * Respect...
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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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...of Submission: July 2011 Introduction Alzheimer's disease, a neurodegenerative brain disease, is the most common cause of dementia. It currently afflicts about 4 million Americans and is the fourth leading cause of death in the United States. Furthermore, Alzheimer’s disease is the leading cause of mental impairment in elderly people and accounts for a large percentage of admissions to assisted living homes, nursing homes, and other long-term care facilities. Psychotic symptoms, such as delusions and hallucinations, have been reported in a large proportion of patients with this disease. In fact, it is the presence of these psychotic symptoms can lead to early institutionalization (Bassiony, et al, 2000). Learning about Alzheimer’s disease and realizing that it is much more that just a loss of memory can benefit the families of those with the disorder as well as society as a whole. This paper is to look at the disorder, as well as to discuss the history, symptoms, diagnosis, current researches and hopes of a cure for Alzheimer’s disease. History Around the turn of the century, two kinds of dementia were defined by Emil Kraepin: senile and presenile. The presenile form was described more in detail by Alois Alzheimer as a progressive deterioration of intellect, memory and orientation. As a neuropathologist, Alzheimer studied the case a 51 year-old woman. When she died, Alzheimer performed an autopsy and found that she had “cerebral atrophy” (deterioration of the...
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...Disease: Not Just Loss of Memory Introduction Alzheimer's disease, a neurodegenerative brain disease, is the most common cause of dementia. It currently afflicts about 4 million Americans and is the fourth leading cause of death in the United States. Furthermore, Alzheimer’s disease is the leading cause of mental impairment in elderly people and accounts for a large percentage of admissions to assisted living homes, nursing homes, and other long-term care facilities. Psychotic symptoms, such as delusions and hallucinations, have been reported in a large proportion of patients with this disease. In fact, it is the presence of these psychotic symptoms can lead to early institutionalization (Bassiony, et all, 2000). Learning about Alzheimer’s disease and realizing that it is much more that just a loss of memory can benefit the families of those with the disorder as well as society as a whole. The purpose of this paper is to look at the disorder, as well as to discuss the history, symptoms, diagnosis and hopes of a cure for Alzheimer’s disease. History Around the turn of the century, two kinds of dementia were defined by Emil Kraepin: senile and presenile. The presenile form was described more in detail by Alois Alzheimer as a progressive deterioration of intellect, memory and orientation. As a neuropathologist, Alzheimer studied the case a 51 year-old woman. When she died, Alzheimer performed an autopsy and found that she had “cerebral atrophy” (deterioration of the brain)...
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...Not Just Loss of Memory Introduction Alzheimer's disease, a neurodegenerative brain disease, is the most common cause of dementia. It currently afflicts about 4 million Americans and is the fourth leading cause of death in the United States. Furthermore, Alzheimer’s disease is the leading cause of mental impairment in elderly people and accounts for a large percentage of admissions to assisted living homes, nursing homes, and other long-term care facilities. Psychotic symptoms, such as delusions and hallucinations, have been reported in a large proportion of patients with this disease. In fact, it is the presence of these psychotic symptoms can lead to early institutionalization (Bassiony, et all, 2000). Learning about Alzheimer’s disease and realizing that it is much more that just a loss of memory can benefit the families of those with the disorder as well as society as a whole. The purpose of this paper is to look at the disorder, as well as to discuss the history, symptoms, diagnosis and hopes of a cure for Alzheimer’s disease. History Around the turn of the century, two kinds of dementia were defined by Emil Kraepin: senile and presenile. The presenile form was described more in detail by Alois Alzheimer as a progressive deterioration of intellect, memory and orientation. As a neuropathologist, Alzheimer studied the case a 51 year-old woman. When she died, Alzheimer performed an autopsy and found that she had “cerebral atrophy” (deterioration of the...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...received between two or more people’ (Bazler Riley, 2008) My job role requires me to be able to communicate in many ways, the client group I care for have individual communication needs. The elderly clients I care for generally have ill health, the illnesses they suffer from can be physical and mental. Physical illness ranges from minor life limiting illness like obesity, to illness that prevents clients from leaving their bed, and are cared for in bed. Mental health illness ranges from minor confusion to extreme paranoia and various levels of dementia. The diverse needs of my client group mean that I have to be aware of individual needs every time I am work and have to develop my own ways of communicating with clients , these ways have to be assessed on every shift as the nature of the client group means the client will have good days and bad days. So although I may have individual ways of communicating they have to be reassessed every shift to ensure they are still relevant. As a link senior carer I have to purvey these methods of communication with junior staff members to ensure the client’s needs are met. The main barrier to effective communication in my workplace is dementia and the unpredictable nature of the illness, dementia is a well researched illness but as yet is generally untreatable medically, but is managed to ensure the client is able to have the richest and fulfilled life possible...
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...the process and experience of dementia Outcome 1 1.1 Describe a range of causes of dementia syndrome Dementia is a term for the progressive disease of brain and describes a serious deterioration in mental function, as memory, language, orientation and judgement , The causes of dementia are still not fully understood. Research in dementia is an ongoing and to date number of types of dementia and their causes have been identified. The brain contains billions of cells, in dementia some of these cells stop working properly. Depending what part of brain this occurs in it will affect the way an individual thinks, remembers, walks and communicates. There is a range of causes of dementia here are son of them:- Mixed dementia Mixed dementia is a condition in which abnormalities characteristic of more than one type of dementia occur simultaneously in the brain. Physicians may also call this condition “Dementia multifactorial.” In the most common form of mixed dementia, the abnormal protein deposits associated with Alzheimer's disease coexist with blood vessel problems linked to vascular dementia. Alzheimer’s brain changes also often coexist with Lewy bodies, the abnormal protein deposits characteristic of dementia with Lewy bodies and Parkinson’s disease dementia. In some cases, a person may have brain changes linked to Alzheimer’s disease, vascular dementia and dementia with Lewy bodies. Alzheimer’s disease is the most common cause of dementia. It is caused by nerves cells...
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