...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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...breakthrough study, known as the “Georgia Centenarian Study” by Poon and colleagues conducted in 1992, has been exceptional in sparking subsequent research in the field of gerontology. This study consisted of recruiting 285 centenarians and individuals nearing 100 years of age (i.e. 98 years and older) from a 44-county area of northern Georgia (Davey et al., 2010). Participants were recruited from skilled nursing facilities, personal care homes as well as located through voter registry. Numerous subsequent studies have used the population-based data obtained from this study for further analysis of factors contributing to increased longevity. One such study by Martin et al. (2009), entitled “Engaged Lifestyle, Personality and Mental Status among Centenarians” aimed to provide...
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...Alzheimer’s: A Team-Based Approach to Health Care Susan Medhurst Grand Canyon University: HCA 515 10/5/2013 Unfortunately, there is no single form of identifying test that can tell you if you have Alzheimer’s or if you are just forgetful. For those patients dealing with other illnesses like thyroid problems, depression and other health problems, memory loss is a very common side effect to their illness, which makes identifying Alzheimer’s even more difficult (Alzheimer’s association, 2013). This disease often goes unnoticed until the patient has reached a moderate to advanced stage because of the commonality of the indicators in early stages such as forgetfulness of where you put your car keys (Alzheimer’s association, 2013). Currently over five-million American’s have Alzheimer’s. This number will begin to increase as the baby boomers age and life expectancy is extended. The risk of getting Alzheimer’s only increases as we age with number of people doubling every 5-year interval beyond the age of 65 (Alzheimer’s association, 2013). Case Study Eaton, a 72 year old male patient, was found roaming downtown Denver with no recollection of how he got there. Paramedics brought him to the hospital for evaluation. The patient presents with progressive memory loss, confusion, agitation, and doesn’t know his last name. Identification in his wallet helped the hospital staff contact his wife. Upon the wife’s arrival, the patient seemed distant and unable to identify his wife Ethel...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? ...
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...assessment. Skin was cool to touch with normal color according to age, but we notice a breakdown of the skin at the level of his calf muscle (left leg). His family complaints about his constant need to urinate, and he is unable to delay going to the toilet. He also complaint about muscle weakness at the level of his lower extremities evidenced by inability to perform what he wants to do with his legs every time he tries. In addition, a Braden Scale was performed to determine whether this patient is at high risk for pressure ulcers. He has a total risk score of 17, which places him at mild risk for the development of wounds. Next, a Mini Mental State Exam (MMSE) was performed to indicate the presence of cognitive impairment. He scores 19, which suggests mild cognitive impairment. Finally, a Katz Index of Independence on ADL was performed to assess functional status as a measurement of the client’s ability to perform activities of daily living independently. He scores 4, which indicates moderate functional impairment. As people age, gradual changes can be expected. These changes depend not only on genetic patterns but also on environmental factors. With age, the skin becomes less elastic and more lined and wrinkled. The oil glands gradually produce less oil, making the skin drier than before. In addition, it is normal for hair to gradually thin on the scalp, pubic area, and armpits. As hair pigment cells decline in number, gray hair growth increases. By age 80, it is common to have lost...
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...a potential issue since she uses it for studying purposes. At this time, I also do not see any indications that would lead me to a diagnosis for her Adderall use. Mental Status Exam: Ms. Girl was dressed neatly, wearing a blouse and jeans. Ms. Girl wears her hair pulled back in a neat ponytail with light makeup on her face. She is a 21-year-old female who seems to look her reported age. She was well groomed and seemed well nourished with good personal hygiene. Ms. Girl was attentive and well responsive throughout the interview. She sat diagonal to me in a chair, making good eye contact with me while we were conversing. Ms. Girl played with her hair throughout the session, but not in a concerning fashion. She was enthusiastic about the session, and answered each question with ease. At this time there are no abnormalities or deficits in psychomotor behavior noted. Ms. Girl was mindful and attentive throughout the session. Her ability to articulate responses showed that she was not distracted, and logically understood the questions. Her responses were clear and cohesive, with no signs of speech related deficits. Ms. Girl was oriented to time, date, and place. There was no apparent impairment in Ms. Girl’s memory, evident from her repeating 3 words back to me after a few minutes. Based on her performance on the MMSE, Ms. Girl seems of normal intelligence. She reported her mood to be happy and relaxed. This was evident based on her affect. Ms. Girl was smiling during the interview...
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...p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements of a patient's health status. Inspecting the condition of a surgical incision or wound, describing an observed behavior, and measuring blood pressure are examples of objective data. The measurement of objective data is based on an accepted standard such as the Fahrenheit or Celsius measure on a thermometer, inches or centimeters on a measuring tape, or known characteristics of behaviors...
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...NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR Bachelor of Technology Programmes amï´>r¶ JH$s g§ñWmZ, m¡Úmo{ à VO o pñ Vw dZ m dY r V ‘ ñ Syllabi and Regulations for Undergraduate PROGRAMME OF STUDY (wef 2012 entry batch) Ma {gb Course Structure for B.Tech (4years, 8 Semester Course) Civil Engineering ( to be applicable from 2012 entry batch onwards) Course No CH-1101 /PH-1101 EE-1101 MA-1101 CE-1101 HS-1101 CH-1111 /PH-1111 ME-1111 Course Name Semester-1 Chemistry/Physics Basic Electrical Engineering Mathematics-I Engineering Graphics Communication Skills Chemistry/Physics Laboratory Workshop Physical Training-I NCC/NSO/NSS L 3 3 3 1 3 0 0 0 0 13 T 1 0 1 0 0 0 0 0 0 2 1 1 1 1 0 0 0 0 4 1 1 0 0 0 0 0 0 2 0 0 0 0 P 0 0 0 3 0 2 3 2 2 8 0 0 0 0 0 2 2 2 2 0 0 0 0 0 2 2 2 6 0 0 8 2 C 8 6 8 5 6 2 3 0 0 38 8 8 8 8 6 2 0 0 40 8 8 6 6 6 2 2 2 40 6 6 8 2 Course No EC-1101 CS-1101 MA-1102 ME-1101 PH-1101/ CH-1101 CS-1111 EE-1111 PH-1111/ CH-1111 Course Name Semester-2 Basic Electronics Introduction to Computing Mathematics-II Engineering Mechanics Physics/Chemistry Computing Laboratory Electrical Science Laboratory Physics/Chemistry Laboratory Physical Training –II NCC/NSO/NSS Semester-4 Structural Analysis-I Hydraulics Environmental Engg-I Structural Design-I Managerial Economics Engg. Geology Laboratory Hydraulics Laboratory Physical Training-IV NCC/NSO/NSS Semester-6 Structural Design-II Structural Analysis-III Foundation Engineering Transportation Engineering-II Hydrology &Flood...
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