Centra Pace Implementation Plan Essay

Nearly 135 million people worldwide will be impacted by dementia by 2050 (Robinson, Tang, Taylor,. 2015). Dementia is not a disease, it is an overall term that describes a wide range of symptoms associated with the decline in memory and thinking skills. Dementia is a progressive illness that results in the loss of one’s sense of self (Burns, Byrne, Ballard, Holmes, 2002). The two most common forms of dementia are Alzheimer’s disease and Vascular dementia. Dementia is progressive and people with dementia experience complications with short-term memory, keeping track of personal items, paying bills, taking care of themselves and daily tasks (Haigh, Mytton, 2016). Due to the rising number of individuals developing dementia, it is causing major challenges in the healthcare systems and society (Angermeter, Luck, Then, Riedel-Heller, 2016). Utilizing psychotropic medications are often ineffective or harmful to the individual, therefore, many patients decide to utilize sensory therapy as a form of treatment instead (Livingston, Kelly olmes, et al., 2014). Caregivers of individuals with dementia can also experience health consequences related to caregiving at the end of life. Spousal caregivers are 40.5% higher odds of experiencing frailty as a result of caregiving (Carr, Dassel, 2017). Dementia does not only affect the individual, it affects those around them, society, and the healthcare system.

Certain qualities are consistently observed in the Alzheimer’s victim. These dysfunction’s, though, are not exclusive to Alzheimer’s disease. Consequently, declaring Alzheimer’s by these parameters is a matter of degree rather than an absolute. Characteristic dysfunction’s have been noted in Alzheimer’s victims, but the degree and severity of these varies from patient to patient. Thus, evaluation of the patient’s mental status must be made based on the sum, rather than a single characteristic. Memory is one of the first noticed deficiencies, beginning typically with the recent and short term memory, and progressing from there as the disease grows more severe. In addition, deterioration in language skills, attention span, praxis (performance of an action), and visuospatial skills are commonly seen. Also observed are changes in the actions and personality of the Alzheimer’s victim. These include changes in mood, motor activities, activities of daily living, socialization skills, psychotic disturbances, vegetative symptomology, and rise in anxiety levels. Again, the

Dementia can be defined as a decline in mental ability severe enough to interfere with daily life (alz.org). More than often, individuals affected by dementia are over the age of 65. In the United States, there are more than three million cases of dementia each year. According to World Health Organization, the number of people living with dementia is currently estimated at 47.5 million worldwide and is expected to increase to 75.6 million by 2030 (World Health Organization 2015). Dementia is caused by physical modifications in the brain and is known for loss of memory and mental abilities. It’s a progressive disease which means it gets worse over time. If diagnosed early on, the quality of life for people with dementia as well as their family members can be significantly improved. There are many different types of dementias although some are far more reciprocal than others. One of the most common types of dementia is Alzheimer’s disease. Other few types of dementias are “Vascular dementia, Mixed dementia, Parkinson 's disease and Frontotemporal dementia (Krishnan, D. S)”. All of the various forms of dementia tend to have similar symptoms which consequently makes it hard to determine the type of dementia a patient may be suffering from.

The advisory committee is responsible to provide feedback on each of the programs components such as the brain bank, memory disorder clinics, respite care and model day care. The committee should oversee the training, research and coordination among all the components. The committee also enlists the services from a broad range of representatives that includes health care professionals, providers, individuals associated with the Alzheimer’s Association and other care givers to assist and seek direction in the fight against this disease.

As people get old a few of them will experience changes in cognition with age related capacity rather than intellectual capacity. There are some people who get both disparities of mentally and physically impaired that will led into depression due to aging process of their body. Even though, the forgetfulness is a common among older adults, we as healthcare providers must evaluate altered mental status of the patients. “The evaluation and management of altered mental status are broad and require careful history and physical examination to eliminate life-threatening situations”(Patti & Dulebohn, 2017). Therefore, it is very important to recognize the importance of difference between normal age-related symptoms and developing new health problems that can arise in this specific population. As elders get older their memory lapses it frustrating to them leading them to be more worried about changes in their memory. Nurses have a unique capability to promote a cognitive health and determine the possibilities of potential cases of the impairment in elders. The movie “On Golden Pond” Mr. Norman was a perfect example and showed that his symptoms were interfering with his everyday live when he almost burns down the house with fire, calling Bill by his daughter’s name Chelsea and getting lost in on the lake. Even though, Mr. Norman had heart and dementia problems his wife never discouraged him to do what he liked such as

155). There are many types of tests and approaches to cognitive assessments depending on the age of the person and symptoms currently experienced (Cordell et al. 147). These assessments are combined to ensure that there is a clear reason for concern, however, in the film, simply memory testing is done. During sessions with a neurologist, it is important if an informant, someone who has witnessed the change in cognition, is present during the diagnostic process (Cordell et al. 147). After informing Alice of this, she, alongside her husband, is tested through the repetition of sentences and ability to memorize a name and address. Alice’s neurologist merely tests her memory, while excluding other important examinable areas. If the cognitive assessments cause further concerns, a full dementia evaluation is conducted (Cordell et al. 147).

More than 5 million Americans currently have dementia in the United States and this number is projected to rise to between 8 and 13 million by 2050 (Alzheimer’s Association, 2015). Dementia is known to become more prevalent with age, increasing from 5 to 10 percent in people over 65 years of age to almost one half of people over the age of 85 (Alzheimer’s Association, 2015). Although family members provide the majority of care for people with dementia, increasing needs over time often lead to placement in a long-term care setting. Dementia is the most common reason for entry into long-term care facilities (Zimmerman, 2013) and nearly 90% of persons with dementia will have at least one stay at a nursing home in their lifetime (Grunier, 2007).

As baby boomers age and the demographic of the nation changes, it is with increasing frequency that the terms dementia, Alzheimer’s, and chronic cognitive decline are included in common vocabulary. Television viewers are inundated with advertisements for Alzheimer’s medications. Popular sitcoms include episodes about dealing with the stresses that can occur in a family dealing with cognitive decline issues. Entire movies, such as Still Alice, speak to these issues from the perspective of the patient. Chronic cognitive decline has been brought to the forefront of the American culture not only in homes across the country but in the healthcare system where the challenges of recognizing, treating, and managing these conditions while providing quality of care can be challenging.

From the obvious and widely-reported physical benefits to the researched, studied, and documented healing powers, and mental and emotional benefits. So, when we look to yoga's effects, especially on the brain, it's not exactly surprising to find that there's benefits there, too.

It is a complex disease people often times do not know how to care for. Although a decline in memory and bouts of more forgetfulness are more common as one ages, spotting the difference between normal age-related symptoms and Alzheimer’s is important for families so that they can get their loved one the best care available. Even with proper care though, caregivers can misunderstand the symptoms of those afflicted, leading to an improper treatment of the patient. There are an estimated between 2.4 and 3.1. million AD caregivers in the United States, a majority of which are family members, who may not know proper care techniques or may be of older age themselves, as they could be caring for a spouse (Schulz and O’Brien1, 185-94). In fact, in a study of caregivers of those to patients with a memory ailment including Alzheimer’s or Dementia found that spouses have consistently been found to be more depressed than other relatives caring for a family member with a cognitive impairment (Schulz and O’Brien2, 771-91). To help in awareness, there are many new classes being offered in schools that can better prepare caregivers. The U.S. Department of Health and Human Service’s (DHHS) National Plan to Address Alzheimer’s Disease dedicated a major goal to “Enhance Care Quality and Efficiency,” with major strategies including building a workforce with the skills to provide high quality care, explore

Alzheimer's disease is the most common form of dementia. This insidious, progressive disease impacts tens of millions of seniors in America and tens of millions more around the world. The disease robs its victims of their memory, cognitive skills, and eventually their ability to even control their won body. Because of the progressive nature of Alzheimer's, the amount of care an individual will need depends greatly on the stage of the disease and level of impairment.

Any participant who develops severe dementia during the course of the study will be referred to his primary care physician and care will be taken not to interfere with the doctor- patient relationship.

Dementia is characterized as a condition where the mental processes of cognition and memory start to deteriorate. It is described as a syndrome that hinders the daily lives of those who have it and is characterized by memory and thinking impairment. The most common form of dementia is Alzheimer’s Disease and the second most common is vascular dementia. Dementia is a syndrome occurring usually, but not limited, to people over the age of 40 and is due to brain damage caused by natural deteriorating, stroke or can be brought on by factors such as excessive drinking or drug abuse. Dementia is best cared for in its early stages and, therefore, an early diagnosis is essential. Recognizing the symptoms by both the dementia patient and the

The topic I am writing about is memory loss or more specifically: Dementia and Alzheimer’s disease. Modern medicine has improved significantly in the last decade and the average human lifespan has been extended. However, since humans are living longer, there is also an increased susceptibility for chronic diseases as opposed to infectious diseases. A chronic disease that is slowly on the rise is Alzheimer’s, as it is the sixth leading cause of death in the United States. This topic is important to me because I’ve had numerous encounters with patients with dementia and have seen the impact it has on many families and friends. Additionally, the brain is arguably

Music is all around us. Everyone has a different taste in and connection with music. There are over 100 million songs in the world making music not very hard to find, which is an incredibly healthy thing to have amongst ourselves. Music has shown to strengthen learning ability and memory, raise IQ and academic performance, lower stress and improve health, and in general, make you happier. Throughout human history, music has been used to express and affect human emotion. Music not only helps enhance the well-being and intelligence of a person who is healthy but can also better a person who is ill. In 2014, the sixth leading cause of death in the United States was dementia (Nichols). On average, from the first-time symptoms appear, a person with