...An Overview of Dementia: How It Has Touched My Life Dementia is an illness that occurs when there is a loss of brain function as a result of the presence of certain diseases. Dementia affects a person’s memory, judgment, behavior, thinking, and language. Dementia includes Alzheimer’s disease (AD) and tends to increase the most from the age of 65. Various references and literature in reference to dementia indicate that the number of patients with dementia will increase significantly as society ages, especially within the next three decades. Dementia causes significant family issues and can become a financial burden on patients and their family members. These burdens impair the ability of a person to function independently and also have a tremendous impact on his or her relationships and quality of life. The subject of this paper will discuss an overview of dementia, treatments of dementia, how it affects human lives, and also the affect dementia has had on the life of the writer of this paper An Overview of Dementia: How It Has Touched My Life As a child growing up in the early 1970s, the writer of this paper can recall his neighborhood. It was peaceful and had a several people who were known elderly and considered as senior citizens. The writer of this paper also remembers when the adults of the neighborhood would speak of the elderly and tend to talk the most about their strange behaviors. Although this was often the case, the talk of...
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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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...ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural...
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...BMC Neurology (2001) 1:3 http://www.biomedcentral.com/1471-2377/1/3 BMC Neurology (2001) 1:3 Research article Traumatic brain injury as a risk factor for Alzheimer disease. Comparison of two retrospective autopsy cohorts with evaluation of ApoE genotype Address: 1L.Boltzmann Institute of Clinical Neurobiology, Baumgartner Hoehe 1, B-Bldg., A-1140 Vienna, Austria, 2Department of Neuropathology, University of Munster School of Medicine, Munster, Germany and 3Cognitive Neuropharmacology Unit, H.M. Jackson Foundation, Bethesda, Md, USA E-mail: Kurt A Jellinger* - kurt.jellinger@univie.ac.at; Werner Paulus - werner.paulus@uni-muenster.de; Christian Wrocklage - christian.wrocklage@uni-muenster.de; Irene Litvan - ilitvan@dvhip.org *Corresponding author Kurt A Jellinger*1, Werner Paulus2, Christian Wrocklage2 and Irene Litvan3 Published: 30 July 2001 BMC Neurology 2001, 1:3 This article is available from: http://www.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...
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...JAN REVIEW PAPER Measurement of empathy in nursing research: systematic review Juping Yu & Maggie Kirk Accepted for publication 16 July 2008 Correspondence to M. Kirk: e-mail: mkirk@glam.ac.uk Juping Yu MSc PhD RN Research Fellow Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK Maggie Kirk BSc PhD RN Head of Research/Leader Genomics Policy Unit and Lead Professional Specialist (Nursing Professions) NHS National Genetics Education and Development Centre Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK YU J. & KIRK M. (2008) Measurement of empathy in nursing research: systematic review. Journal of Advanced Nursing 64(5), 440–454 doi: 10.1111/j.1365-2648.2008.04831.x Abstract Title. Measurement of empathy in nursing research: systematic review. Aim. This paper is a report of a systematic review to identify, critique and synthesize nursing studies of the measurement of empathy in nursing research. Background. The profound impact of empathy on quality nursing care has been recognized. Reported empathy levels among nurses range from low to welldeveloped and there is clearly debate about what constitutes empathy and how it can be measured and improved. Data sources. Searches were made of the CINAHL, MEDLINE and PsycINFO databases, using the terms ‘empathy’, ‘tool’, ‘scale’, ‘measure’, ‘nurse’, and ‘nursing’, singly or in combination to identify literature published in the English language between 1987 and 2007. Methods...
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...using new technology has led to new ways of accurately identifying AD, an understanding of the mechanisms involved regarding the development of AD, and the damage it causes in the human brain. The general population is under the impression that AD is a result of the normal human developmental process of aging. The focus of this research is to dismiss this misconception by providing indisputable empirical evidence to the contrary. This paper looks at the various studies explored by researchers in an attempt to show the factors attributed to AD, a population over the age of 65 that do not suffer from AD, and a population of as young as 18 clinically diagnosed with Alzheimer's disease. The author also addresses life style, environmental, and genetic risk factors attributed to the development of AD. Alzheimer's Disease and its Link to the Normal Human Developmental Process of Aging Contrary to popular belief, studies show that Alzheimer’s disease is not part of the normal human developmental process of aging. It is imperative that researchers acknowledge that AD is not part of the normal aging process. Researchers must keep an open mind during the research and experimental process, exploring all plausible arguments, in order to discover the cause(s) and/or cure to any disease. This would include having an interdisciplinary approach to the study. Currently, the cause(s) of AD is unknown (Nowrangi MA, 2011). Data collected from studies as early as ten years ago would suggest that...
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...BRIEF REPORTS Greater Risk of Dementia When Spouse Has Dementia? The Cache County Study [See editorial comments by Dr. Peter P. Vitaliano, pp 976–978] Maria C. Norton, PhD,abc Ken R. Smith, PhD,de Truls Østbye, MD, PhD,fgh JoAnn T. Tschanz, PhD,bc Chris Corcoran, ScD,ci Sarah Schwartz, MS,ci Kathleen W. Piercy, PhD,ac Peter V. Rabins, MD, MPH,j David C. Steffens, MD,k Ingmar Skoog, MD, PhD,l John C. S. Breitner, MD, MPH,mn Kathleen A. Welsh-Bohmer, PhD,g for the Cache County Investigators OBJECTIVES: To examine the effects of caring for a spouse with dementia on the caregiver’s risk for incident dementia. DESIGN: Population-based study of incident dementia in spouses of persons with dementia. SETTING: Rural county in northern Utah. PARTICIPANTS: Two thousand four hundred forty-two subjects (1,221 married couples) aged 65 and older. MEASUREMENTS: Incident dementia was diagnosed in 255 subjects, with onset defined as age when subject met Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria for dementia. Cox proportional hazards regression tested the effect of time-dependent exposure to dementia in one’s spouse, adjusted for potential confounders. RESULTS: A subject whose spouse experienced incident dementia onset had a six times greater risk for incident dementia as subjects whose spouses were dementia free (hazard rate ratio (HRR) 5 6.0, 95% confidence interval (CI) 5 2.2–16.2, Po.001). In sex-specific analyses, husbands had higher risks ...
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...University of Wollongong Research Online Faculty of Informatics - Honours Theses (Archive) University of Wollongong Thesis Collections 2005 Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services A. Mcnamee University of Wollongong Publication Details This thesis was originally submitted as McNamee, A, Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services, Bachelor of Information and Communication Technology (Honours), University of Wollongong, 2005,71p. Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: research-pubs@uow.edu.au Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services Abstract The Global Positioning System is a constellation of 24 satellites which have the ability to calculate the position, time and velocity of any GPS receiver. Ethical concerns arise when a person carrying a receiver has their location transmitted to second party. This type of tracking has a wide variety of applications including tracking dementia sufferers, tracking parolees and law enforcement. A literature review found that the ethics of GPS tracking has not been thoroughly assessed. This paper investigates the ethical issues arising from the real time tracking of people using GPS-based location services. Usability...
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...Health Services Research r Health Research and Educational Trust DOI: 10.1111/j.1475-6773.2011.01274.x RESEARCH ARTICLE Staffing Ratios and Quality: An Analysis of Minimum Direct Care Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of...
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...JAN DISCUSSION PAPER JOURNAL OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions...
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...QUALIFICATION HANDBOOK Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (England) (3978-51/52/53/54/55/56) December 2011 Version 3.1 (February 2012) Qualification at a glance Subject area City & Guilds number Age group approved Entry requirements Assessment Fast track Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (England) 3978 19+ There are no entry requirements Portfolio of Evidence, Practical Demonstration/Assignment. Automatic approval is available for centres offering the 3172 Level 4 NVQ in Health and Social Care – Adults 100/4794/3 and the 3078 Level 4 NVQ in Leadership and Management for Care Services 500/4105/8 Learner logbook and Smartscreen Consult the Walled Garden/Online Catalogue for last dates City & Guilds number 3978-51 Accreditation number 600/0573/7 Support materials Registration and certification Title and level Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Residential Management) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Management) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Advanced Practice) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Adults’...
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...with mental conditions such as, Dementia or Alzheimer's. The goal is to build a shoe that is comfortable and stylish, but can track a person without any boundaries. The research showed that out of 100 people between the ages of 12 to 50 that had done a survey on would they where a sneaker that had a tracking device inside the results was mixed. Surprisingly 40% said that it would be invasion of privacy and wouldn’t wear the shoe, but a whopping 60% said that they would. Throughout this paper you will see the need for a shoe of this caliber. It is better to have safety, then to have a loved one missing for years. The shoes will go through a shoe press, this process takes the materials, such as leather or clothes shape the shoe into various parts, but in this process the GPS tracking device will be securely implanted in the tongue of the shoe. The GPS device will have a special plastic coating on it to prevent electrical shock or water damage to the device itself. The materials used will be made based on the style and type of shoe that is being manufactured. Leather would be used to make the running style, dress, and casual shoes. A cloth material will be used for tennis style shoes and causal walking shoes. Using a machine to produce the shoes, you will get more products in less time, then if you were to make the machine by hands. Through my research I will show that there are many...
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...your research project your research project a step-by-step guide for the first-time researcher NICHOLAS WALLIMAN with Bousmaha Baiche SAGE Publications London • Thousand Oaks • New Delhi To my wife, Ursula © Nicholas Walliman 2001 Chapter 2 © Dr Bousmaha Baiche 2001 First published 2001 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored or transmitted in any form, or by any means, only with the prior permission in writing of the publishers, or in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency. Inquiries concerning reproduction outside those terms should be sent to the publishers. SAGE Publications Ltd 6 Bonhill Street London EC2A 4PU SAGE Publications Inc 2455 Teller Road Thousand Oaks, California 91320 SAGE Publications India Pvt Ltd 32, M-Block Market Greater Kailash – I New Delhi 110 048 British Library Cataloguing in Publication data A catalogue record for this book is available from the British Library ISBN 0 7619 6538 6 ISBN 0 7619 6539 4 (pbk) Library of Congress catalog record available Typeset by Keystroke, Jacaranda Lodge, Wolverhampton. Printed in Great Britain by The Cromwell Press Ltd, Trowbridge, Wiltshire CONTENTS Acknowledgements Introduction 1 2 3 4 5 6 7 8 Research and the Research Problem Information...
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...Communication to Health / Social Care workers and students. They are not intended to be used as a set programme, rather as a resource for tutors, to support the planning and delivery of programmes suited to the needs of their own particular groups of learners. This resource should not be the sole source of task materials, since part of the ethos of essential skills is that the learner should have some choice in their materials for reading, writing and speaking/listening. Tutors can adapt the materials to suit the specific needs of their groups. The resource is suitable for use up to Level 2 Essential Skills Communication. Appendix 1 contains some information on how the use of these materials can generate evidence for some specific units in QCF Health and Social Care qualifications. Acknowledgements Thanks are due to the North West Regional College and Belfast Metropolitan College for the development of these resources and also for piloting the resources in their respective courses. They have proven to be successful with feedback...
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...P1 Public Health Strategies in the UK and their origins. In this article I am going to describe the key features of public health strategies as they relate to current times in the UK. -Monitoring the health status of the population. This strategy involves keeping track of people’s health/keeping an eye on everyone though statics. By tracking changes in the health of the population health professionals are able to alert people to potential problems, for example regular check-ups, at doctors for asthma or Dentist to check up on teeth and make sure they are in good condition plus Orthodontic. Also the NHS provide a free midlife MOT to check people aged between 40-74, to make sure they are in good health and to help reduce the number of elderly who suffer with high blood pressure. Also for HIV, they monitor the health of the population with HIV tracking the number of people with HIV within the population. This helps the NHS find out the population of people with HIV in order for them to take further actions. -Identifying the health needs of the population. This strategy involves identifying health needs, including those that are common problems/ illness that are considered a major problem. For example identifying the illness and providing support through services or medicine, advert are a great way that can get you aware, and provide you with health awareness that is common in the population. Doctors for example monitor the health status of...
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