This is an 89-year-old, was transferred here from Vidant Medical Center in Greenville, North Carolina on 01/21, for a multitude of problems including altered mental status. The patient can communicate but not well enough to really give a history. I have obtained all this history from her daughter Cynthia who works here at Mayview. I am told that Mamie was born in Edgecombe County right outside of Tarboro and she lived the majority of her life in those areas of Edgecombe County, Pitt County, and Martin County. She got married at the age of 19, and had 13 children. Three of the oldest children have died. Cynthia lives here in Raleigh and her sister Brenda works in Raleigh, but lives in Clayton. Mamie's husband died of some type of respiratory …show more content…
They give a long list of diagnoses but the most prevalent is the fact that she has a rapidly progressing dementia. Note that she has a rapidly progressing dementia as well as a B12 deficiency. They describe a subdural hematoma in the CT scan reports. The one on 01/03 shows a lot of microvascular changes, a lot of cortical atrophy, and apparently, she had bilateral subdural hematomas that had converted to hygromas, but apparently the larger one on the left side still had some blood in it. When they repeated the CT scan of the head on 01/19, they commented that the hygromas were still present but there was less blood in the larger subdural. She had extensive blood testing, which basically was unremarkable. It did not appear that she had a urinary tract infection. Appears that since she has been here her status has been fairly stable. She was weak, but apparently, underwent physical therapy and made some improvement to where she became ambulatory in her gait. It looked like from the very beginning she was having a day/night confusion, was having a lot of un purposeful movements that might be have been contributed to either delusions or hallucinations. They gave her some Risperdal for the behavioral problems, but according to Cynthia she had taken Risperdal in the past and had an allergic reaction, and today when I have seen the patient there is a marked amount of periorbital edema
The nervous system is a multiplexed body system that controls most other body systems directly or indirectly by sending and receiving signals through a complex system of nerves. As a whole, the nervous system can be broken down into the central nervous system (CNS) and peripheral nervous system (PNS). The CNS is composed of the brain and spinal cord while the PNS is composed of peripheral nerves that branch off of the spinal cord and continue to branch to reach the most distal points of the limbs. The PNS can be further broken down into the afferent and efferent division. The afferent division deals with information brought to the CNS from the nerve receptors. Furthermore, the afferent division breaks down into somatic sensory receptors whose
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
2.2 Explain the importance of recording possible signs or symptoms of dementia in an individual in line with agreed ways of working
Dementia is a term used to describe symptoms associated with decline in memory or other
for England (QCF) and Edexcel Level 3 Diploma in Health and Social Care (Adults) for Wales and
Before you are able to do an activity and get resident to be involved, you must be able to gain trust from them as this will get people to attend your group. In addition, you must choose activities and games relating to one’s level of functioning since you are working with resident who have different severity level of dementia. You must also learn and understand that you must be flexible when facilitating a group as anything can happen. For example, when one resident is not cooperating during a group or making a scene like making a fuss during an activity then you must be able to remove that residents or move onto another activity.
She reported that had not been able to walk. She had “a lot of health issues” and it seemed that they were related to a job injury. She went multiple times to the Emergency Room (ER), received therapy, and took heavy medications. It seemed that she had problems sleeping.
Since there is not one on file, and assuming this is not the normal attitude of the patient over the last five years, depression could be playing a factor and therefore giving reason to deem this patient as not competent to make their own medical decisions. Locating the next of kin or court appointed surrogate of care is vital to be able to make a plan for treatment.
Dementia is a syndrome, which is usually of a chronic or progressive nature, which causes deterioration in cognitive function. It goes beyond what is expected from normal aging. It causes changes in what you remember, like appointments, or phone numbers. It may cause you to get lost in a familiar setting like driving to the grocery store. You may not be able to balance your checkbook or add up your points in a card game. Communication becomes difficult; as you cannot find the words you want to say. Your personality may change, you may become paranoid, be crabby or short tempered, and you may say or do inappropriate things or laugh when nothing is funny. Dementia is one of the major causes of disability and dependency among older people
McGinley offers many ideas to assist with educating patients how to achieve the best nutrition for dementia patients. The patient could be taken care of completely by a family member or caregiver being feed all meals, all day long every day. There are some flaws with that idea like caregiver burn rate and being able to give the patient choices on feeding themselves (McGinley, 2015). Another idea the article suggests is make the meals for the patient and leaving them in the fridge so that no harm comes to the patient and the patient can have a range of choices (McGinley, 2015). Sometimes it may be important to give the patient snacks especially if the patient does not have a long attention span. The snacks should be able to transport easily
Dementia originated from the Latin language meaning ‘mind gone’. The course of the disease declines to the last stage and the person will forget majority of his or her memory. The patient will go about his or her normal ways during the first stage of dementia; eyes and mind are clear. During the beginning of the last stage, the patient will depend on the caretaker for his or her needs and will not recall the things he or she has learned. In the last phase of the last stage, the patient will be “born again”, meaning he or she will derive from the end of his life to the beginning. Similar to the Alzheimer’s disease, the nerve cells in the brain become short. The brain will not function properly because of the shrinkage of the nerve cells, but
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
Dementia is the decrease of intellectual capacity and other emotional aptitudes, prompting a debilitating in the capacity to perform everyday activities. Dementia happens because of damage or disease in the mind past what may be normal from typical aging. This prompts a decrease in "“speaking coherently or understanding language, recognizing or identifying objects, carrying out and comprehending tasks, recalling events in recent events, paying attention, orientation to time, place, and person, understanding symbolic language, thinking abstractly and performing executive functions, and showing good judgment” (Aging Matters p.120). Dementia envelops numerous ailments, for example, Alzheimer's disease, Vascular dementia, and Frontotemporal dementia.
Dementia is a progressive condition that brings out negative impacts on your elderly loved ones’ lives. However, UC-Cares Home Health Services LLC, your principal provider of home health services in Great Plains Way, Bolingbrook, IL, sees prevalent concerns among family members when they talk with their elders with Dementia. Here are some of the most common communication strategies that most family members overdo when talking with them:
Great post Mariah! Your post was very clear on the diagnostic criteria for both. As per our instructions, I want to address the need for autonomy with a client who has Alzheimer’s disease in relation to their safety as well as others.