...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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...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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...Dementia Article Review The amount of time that exists between the onset of dementia and the diagnosis of the disease is a key component in the efficacy that the disease will have in taking over the brain of the patient. Early diagnosis can lead to the patient enjoying many extra years of a happy, quality life. The problem that arises is that it is difficult to diagnose dementia when the patient first contracts it as the tests that determine the onset of the disease are not advanced enough to catch it at its earliest stages. Generally, physicians will have to use a number of closely related factors to determine if a patient runs a high likelihood of coming down with the disease or if they will avoid it in their lifetime. Perhaps the most important factor of determining the early stages of dementia is the behavior that someone who is close to the patient will notice. Work done by Jansen et al. found that informal caregivers in a community of older adults were able to identify behavior in older people that indicated that the person was on their way to suffering from dementia, but that case management does not have a significant effect on combatting or staving off the effects of dementia. When older people are left alone and they are developing dementia, it is imperative that nurses check for any signs that the patient seems to be stricken with the condition. If it appears so, then intervention will be necessary. de Witt, Ploeg and Black (1705) indicate that doing this will...
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...geriatric and/or demented patients and pain control. I believe this needs to be changed because although we have an initial assessment protocol, we do not have any kind of protocol to control a geriatric or demented patients pain. Since demented patients are quite often left unable to communicate their feelings, I believe there would be, less adverse effects and better patient outcomes for this group of people and better satisfaction with their families. B There are many people associated with proposing the change within the facility. First would be to go through the assistant nurse manager and nurse manager who would then bring the proposal to the nursing and medical directors for the ER. The ANM and NM would have to decide whether the proposed change would be beneficial for the patients and their outcomes and do further research which they would then propose to the directors. From there, they would decide whether the research was sufficient enough to implement a change. C Full APA citation for at least 5 sources | Evidence Strength (1-7) and Evidence Hierarchy | 1. H., Bell, J., Karttunen, N. M., Nykänen, I. A., M., & Hartikainen, S. A. (2013). Analgesic Use and Frailty among Community-Dwelling Older People. Drugs & Aging, 30(2), 129-136. doi:10.1007/s40266-012-0046-8 | 2 and Experimental | 2. Haasum, Y., Fastbom, J., Fratiglioni, L., Kåreholt, I., & Johnell, K. (2011). Pain Treatment in Elderly Persons With and Without Dementia. Drugs & Aging, 28(4)...
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... Identification of Research Topic Over the past five years while working in a residential care home for people with dementia, the researcher has observed that incidents of violence and aggression both physical and verbal towards health care staff happened regularly. The incidents of aggression affected staff mentally and physically but the majority of incidents went unreported. The nursing staff, registered nurses and nursing assistants in this environment both acknowledged the seriousness of this on-going problem to them. However the reluctance to report the aggression is because they considered the aggression to be part of the job despite them acknowledging it as a problem. England is an ageing society and as the population ages, health care providers, government, communities and families are faced with the burden of caring for people with dementia (Cubit, 2010). According to Access Economics (2005), dementia is becoming increasingly predominant to the aging population worldwide. A survey of over 15000 care homes in England and Wales found that 78% of residents were cognitively impaired (Bowman et al, 2004). In addition the Alzheimer`s Society (2007) reported that there are around 750 000 people in United Kingdom with a dementing illness. A more recent survey by the Alzheimer`s Society (2009) reported that around one third of older people with dementia in UK live in residential home care settings, representing 200 000 individuals. According to Leonard et al (2006); Zuidema...
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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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...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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...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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...Alzheimer's disease is the most common cause of dementia. Research advances have enabled detailed understanding of the molecular pathogenesis of the hallmarks of the disease-ie, plaques, composed of amyloid β (Aβ), and tangles, composed of hyperphosphorylated tau. However, as our knowledge increases so does our appreciation for the pathogenic complexity of the disorder. Familial Alzheimer's disease is a very rare autosomal dominant disease with early onset, caused by mutations in the amyloid precursor protein and presenilin genes, both linked to Aβ metabolism. By contrast with familial disease, sporadic Alzheimer's disease is very common with more than 15 million people affected worldwide. The cause of the sporadic form of the disease is unknown, probably because the disease is heterogeneous, caused by ageing in concert with a complex interaction of both genetic and environmental risk factors. This seminar reviews the key aspects of the disease, including epidemiology, genetics, pathogenesis, diagnosis, and treatment, as well as recent developments and controversies. 100 years ago, Alois Alzheimer gave a lecture at a congress in Tubingen, Germany, on the first case of the disease that Kraepelin some years later named Alzheimer's disease.1 In this single case. Alzheimer described typical clinical characteristics with memory disturbances and instrumental signs, and the neuropathological picture with miliary bodies (plaques) and dense bundles of fibrils (tangles), which we today...
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...Abstract Frototemporal Dementia (FTD), also known as Frototemporal Degeneration is a series of progressive malfunction of the front and/ or temporal lobes of the brain. It can be bilaterally or unilaterally. It is a type of dementia (deterioration of cognitive function) that affects the function of the frontal and temporal lobes. The disorder has distinct qualities like Alzheimer’s disease. In the US it is described as “progressive aphasia”, and in the UK it is know under the term “frontotemporal dementia”. The disorder has limited medications and therapy plays a big role in managing the symptoms of total deterioration of the health of people who are suffering from FTD. This paper discusses the pathology, epidemiology, etiology, signs and...
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...Dementia is the progressive decline of memory that affects a person’s ability to perform everyday tasks such as reasoning. Alzheimer’s is when dementia symptoms deteriorate and people lose the ability to carry on conversations and interact with the environment. Some symptoms include memory loss, mental decline, personality changes, as well as anxiety. It is estimated that 1 in 10 people 65 years or older has dementia or Alzheimer’s. Hypothesis In this article, scientist study whether self-reported memory failure is accurate in reporting early sign of dementia and Alzheimer’s in patients. It is important to be able to detect early sign of dementia disorders so that scientist can find effective medical treatments to slow down the process. In the study, the purpose was to investigate relationship between subjective memory and incident dementia. Subjective memory is an...
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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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...biomedcentral.com/1471-2377/1/3 Received: 29 June 2001 Accepted: 30 July 2001 © 2001 Jellinger et al; licensee BioMed Central Ltd. Verbatim copying and redistribution of this article are permitted in any medium for any non-commercial purpose, provided this notice is preserved along with the article's original URL. For commercial use, contact info@biomedcentral.com Abstract Background and Purpose: The impact of traumatic brain injury (TBI) on the pathogenesis of Alzheimer disease (AD) is still controversial. The aim of our retrospective autopsy study was to assess the impact of TBE and ApoE allele frequency on the development of AD. Material and Methods: We examined 1. the incidence of AD pathology (Braak stageing, CERAD, NIA-Reagan Institute criteria) in 58 consecutive patients (mean age ± SD 77.0 ± 6.8 years) with residual closed TBI lesions, and 2. the frequency of TBI residuals in 57 age-matched autopsy proven AD cases. In both...
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...Dementia Dementia is the loss of cognitive functioning. This includes thinking, remembering and reasoning. Memory loss is usually accompanied by at least one of the following symptoms: impaired movement, difficulty with language and the inability to plan and initiate appropriate social behavior. Dementia ranges in severity from mild problems in functioning to the most severe stage of complete dependence. There are several types of dementia. The most common form of dementia is Alzheimer’s disease. Alzheimer’s disease is a progressive and irreversible brain disease. It slows and destroys memory and thinking functions as well as the ability to complete even the simplest everyday tasks. Age related Alzheimer’s is the most common cause of dementia in people over 60. The World Health Organization (2001) estimates that 5 percent of men and 6 percent of women suffer from Alzheimer’s disease worldwide (Whitbourne & Halgin, 2012). Throughout the coming decades the baby boom generation is expected to add 10 million Alzheimer’s cases to the U.S. population alone (Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 2013). Alzheimer’s disease is the most common type of dementia, which causes issues with the thinking process, memory, and behavior. Symptoms of Alzheimer’s develop slowly and gets worse as time goes on. In the early stages of Alzheimer’s memory loss is very mild but as it progresses it starts disrupting their daily lives. Some of...
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