Chapter 60 Nursing Management Alzheimers Disease And Dement Essay

Alzheimer disease (AD) is the most common cause of dementia in the elderly, accounting for 65–70% of all cases (Jellinger, Janetzky, Attems, & Kienzl, 2008). The other dementias are of the Parkinson 's group, the fronto-temporal group and the vascular group. The total worldwide yearly costs for the treatment and care of patients suffering from dementia are estimated to be around 250 billion US dollars. The lifetime risk for AD between the ages of 65 and 100 is 33% for men and 45% for women with an annual increase of 1–2% in the seventh decade to almost 60% in the 10th decade with doubling every 5 years (Jellinger et al., 2008). AD is incurable, and thus represents a major public health problem. AD represents a challenge to humanity due to its relatively recent discovery, progressive nature of the illness, and complex diagnosis.

This was my first shift back from having a few days off and I returned to work on a night shift. Patient A was admitted to the hospice that day. She was admitted for general deterioration and she had tried to maintain her independence up until breaking point. It was handed over she has aphasia.

Also a person with dementia has very poor or no short term memory at all, so when it comes to making descisions the answer may change quite alot because they have poor memory recall they may say yes one minute then say no to the exact same question because they cant remember what was asked before hand.

People who have dementia are not aware of requirements for living. They can forget to do the essential things that are vital. Taking medicines, hygiene and even eating are often forgotten. They can get lost or hurt and not understand what is necessary to correct a situation. Turning on the cooker or water and forgetting to turn it off again, locking doors, crossing streets etc can all be dangerous even deadly. In the same way as you would not think an infant capable of self care, a person with dementia cannot be either. Considering the facts that they cannot act in the manner of a

Alzheimer’s Disease is a disease of the future. With the growing aged population, this disease, which affects primarily the elderly, will become of increasing relevance to the medical profession. Also, the high frequency of Alzheimer’s, and the high cost in labor, money, and material of caring for its victims shall put considerable burden on the society as a whole. Here, however, these issues are not going to be debated. Instead the pathology of Alzheimer’s will be reviewed to the extent it is known today.

Alzheimer’s Disease is an irreversible, genetically linked illness. This disease was chosen for the topic of this essay under the consideration that in many families the illness can be incredibly tragic, passing down for generations without mercy. It is not rare to encounter families in which each member is afflicted with a form, mild or severe, of Alzheimer’s. The disease is a progressive brain disease which comes in two separate types: Early-Onset Alzheimer’s Disease and Late-Onset Alzheimer’s Disease. These will be discussed in full later on in the paper.

Dementia is a group of symptoms affecting memory, thinking and social abilities enough to interfere with daily functioning. Dementia can also make changes in memory. Delirium is a serious disturbance in mental abilities that results in confused thinking and reduced awareness of your environment. Delirium usually starts rapidly with abrupt confusion, emerging over days or weeks and represents a sudden change from the person’s previous course of Dementia.

Mrs. Yowell is a 90-year-old woman who is a resident of a long-term care facility. She was alert and mentally quite capable until about a year ago when she began to manifest signs and symptoms of dementia. A review of her medical records failed to document a thorough analysis of her dementia, but a diagnosis of “probable Alzheimer disease” was recorded.

Within four weeks of fieldwork, occupational therapy students got to know most of the residents at Ruth’s House (dementia unit). The residents have various medical conditions that limit their physical and mental capabilities. Anita, one of the residents in the facility exhibited a range of physical, cognitive, and behavioral symptoms. Based on direct observation, Anita demonstrated fluctuating alertness periods. With no evident trigger, Anita had multiple acute episodes of confusion, irritability, and agitation. In a several group sessions, she was restless and was very difficult to redirect. She kept standing up despite being told to take a seat so she does not fall. She was verbally disorganized. In addition, during the 2-week fieldwork,

I had an older adult female patient who was about 90 years of age. Her short-term memory was slightly diminished so she would ask a lot of questions about her care, and she would repeat the same questions over again. Also, because she did not understand her care she refused some of her medications. A lot of nurses that

The call came at 9:05 p.m. on January 20, 2004. Mom had just finished telling the news about the girl's grandfather. He had Alzheimer's Disease and was not doing well at all. The ruling was that he probably would not make it through the night. She knew exactly what the news was the moment her mom said, "No." After the news came, the decision was made they would leave the next day to attend the funeral.

Alzheimer's disease is a progressive, degenerative disorder that attacks the brain's nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and behavioral changes”(AFA 1). Millions of adults of the age 65 and older have been diagnosed with this serve diseases . Based on their condition they should be placed in a nursing home , because they're going to get the treatment they need . It also prevents the patients from hurting themselves and other members of the family. Nursing homes can benefit the patients in many ways and help, them accept their condition. Patients are able to interact with people with their same condition or have a different illness. They also provide counseling for the family members of the alzheimer's patients where they give them the support they need , and they’re able to learn more about the illness of their loved ones .

Although Alzheimer’s disease (henceforth: AD) has been around since the 19th century or possibly even earlier and was at a point in time classified as senile dementia, it wasn’t until 1906 following Dr. Alois Alzheimer’s encounter with Auguste Deter at a Frankfurt asylum that the name of the disease was finally coined. Since then, major developments relating to the disease has taken place. In our report, we addressed some of the areas of the history, contemporary and prospects of the disease.

The nurse was prompted to use CAM because the patient was confused during the mental status assessment. During the assessment the patient was inattentive while pulling at her nasal cannula, the patient had disorganized thinking stating she had to pick up checks from the bank. The patient could not recall her date of birth or the year which showed signs of a change in mental status. The patient was alert on the initial assessment but became very lethargic. The patient also showed signs of an altered level of consciousness. CAM has four criteria which include acute change in mental status, inattention, disorganized thinking, and altered level of consciousness (Tate,

Out of the rapidly inclining population in the world, there are people who develop dementia every 66 seconds(“2016 Alzheimer’s Disease”). Being such a common disease in the elderly, there are 47.5 million people in the world with this disease(“2016 Alzheimer’s Disease”). Once families start to realize that their parents and grandparents have developed this, they start to wonder if they are able to live on their own. Within a few months, a decision is made whether if it is best for them to be put into a nursing home. Most often, those with dementia do happen to end up in nursing homes. Many wonder if being put into a nursing home will actually cause their dementia and their ability to live on their own to worsen. With the effects of activities, this could change. Activities help slow the deterioration of the brain(Smith). The activities and exercises performed by nursing homes to help improve the overall cognitive development in dementia patients. Nursing homes should induct purposeful daily activities to improve cognitive, social, and psychological development in dementia care