Case Study: End Stage Dementia

Literature Review: The Effectiveness of the use of Sensory Therapy for Elderly Adults Diagnosed with Dementia.

The reporting party (RP) stated she received a call from resident John Tedford who resides in the assisted living portion of the facility. The RP stated the resident does not have dementia and maintains his cognitive abilities. The RP stated the resident disclosed that money was stolen from his checking account. The RP stated the bank was contacted regarding the account and disclosed that the account was closed on 7/17/15. The bank informed the RP there were two checks issued that were not cashed. According to the RP the resident's checking account contained $10,500 and the savings account contained $169,000 at the time the accounts were closed. The RP stated the bank reissued the checks to the resident and mailed them to his wife's resident.

Advanced dementia can be seen as a deadly illness in itself or as a symptom involved in the human ageing process. A study proposed that a more beneficial way to approach the treatment for advanced dementia was to treat it as a terminal illness. People who have had advanced dementia experienced symptoms similar to those who were dying of terminal conditions, like cancer. Common symptoms include pain, agitation, and shortness of breath. It is said that three common immediate causes of death are from a fever, eating problems, or from pneumonia. A researcher from the Indiana University center for Aging Research, Greg Sachs, notes that the hospitalized patients with advanced dementia have

People with dementia don’t know what they want or can’t communicate what they want Dementia is a natural part of aging Once you have dementia there is nothing you can do Only the elderly get dementia People with dementia can’t understand what’s going on I should correct what a dementia sufferer says when they are wrong There is nothing I can do to lower my risk of dementia

Due to the USPS officials returning 2117 Atkins drive Huntsville, Alabama 35810’s mail to senders, Property Owner Timberlake, files this mail fraud complaint against the USPS and its officials.

On 12/13/16 at around 8:55 am the aide-Grier Gloria- call the agency to report that her patient- Tomasulo Catherine is missing since yesterday. As per the aide on 12/12/16 at around 4:30-5:00pm the patient became aggressive, stated that she wants to go outside, did not wait for the aide who needed to put on boots and coat, opened the door and leave the house. The patient lives alone in the privet house, has dementia, but was not prone to wandering before this day. The aide stated that by the time she was run out of the house she noticed direction the patient was heading, but when she reached the corner of the nearest streets the patient was disappear. She was looking for her until 6:30pm, return to the patient’s house to see if the patient

other brain functions. Dementia is irreversible and has a huge impact on the family and

I could claim the experience was done out of kindness, but a need to overcome guilt for avoiding a late uncle due to weird behavior was the primary motivator. It was later explained he had dementia, a secret guarded by family fearing social stigma. Early interactions as a companion were often met with unpredictable cries for god and uncontrolled movement frightening and pushing me out of my comfort zone. However working with an interdisciplinary team of dietitians and nurses and attending seminars provided invaluable practical experience and a chance to learn appropriate care procedures for individuals in vulnerable positions. Consistent and proper use of time allowed me to assist staff by looking after additional seniors allowing them to provide more care to each individual.

This is a 76-year-old, white male, seen for evaluation of dementia as well as some speech difficulty. The patient states that he started having symptoms in 2008 and he has had multiple studies, MRI scan and a CT scan, which shows some lacunar infarcts as well as some ventricular dilatation consistent with multiple infarcts and possible cerebral atrophy. Patient did have some speech difficulty since one of his strokes. The patient denies any other neurologic signs or symptoms.

A number of implications could be made to effectively make demented elderly client benefit from music therapy in reducing agitation. Implement music therapy in care homes and day care setting for better intervention for agitated behavior. Administrator and nursing staff of residential care facilities should consider incorporating music intervention in daily activity program for residents with dementia... Proper training should be given to an activity co-ordinator for delivering music therapy. There is a need to increase the awareness of nursing staff, care staff regarding the importance of music in the field of dementia care. It is best to plan and fund

My assigned resident for next week is a 75 years- old woman. The resident has an allergy to blueberry however. It is important to make sure that the resident does not have any kind of food or desert that contains blueberry to avoid an allergy reaction. The resident was diagnosed with unspecified dementia as well as other specified intervertebral disc degeneration. Resident also has an umbilical hernia without obstruction or gangrene. The resident was also diagnosed with a urinary tract infection, but the site is unspecified however the resident is also incontinent of urine therefore. It will be important to watch for the urine output. Resident has benign hypertension therefore; it is important to monitor the resident's blood pressure. The resident

When working with hospice patients diagnosed with Dementia, the focus in medicine shifts from curative to that of providing comfort care and symptom control. The end stage Dementia patient typically presents unable to communicate meaningfully, incontinent, unable to ambulate or sit without assistance and exhibits swallowing concerns. The feeding and swallowing issues that arise with the progression of this disease can be challenging for family members, as many loved ones exhibit a need to feed. Providing the caregiver and family education related to not only the death and dying process but also the side effects related to interventions such as artificial nutrition is a vital part of the end of life process.

(2008) reports the modality of (TT) as being highly beneficial to decrease agitation in dementia patients. The research of Wang and Hermann (2006) supports Coppa’s findings that touch therapies significantly reduce agitation in elderly dementia patients and also decrease the necessity for psychotropic medication in these same patients.

The case was sent to EHR and their initial decision was for observation. It was resent again after discussion with the attending it was determined the patient is appropriate as of 4/4/2015. I am reviewing the chart from the time of admission.

One of the strongest risk factors associated with Alzheimer’s Disease (AD) is alipoprotein epsilon-4 (ApoE4), particularly in late-onset sporadic and familial AD (Ghebremedhin et al., 1998; Chartier-Harlin et al., 1994; Corder et al., 1993). AD is strongly associated with two types of pathologies, amyloid-β plaque and the phosphorylated tau proteins that can often lead to neurofibrillary tangles (NFTs) (Kim et al., 2009). The three alleles of ApoE (E2, E3, and E4) have been found to show dosage-dependent effects that negatively affects the clearance of amyloid-β plaque, with E4 showing the least clearance whereas E2 showing the most (Deane et al., 2008; Holtzman, 2004). Additionally, the increasing amount of E4 alleles