Dementia Case Study: Dementia

One of the hardest moments for not only the person with dementia, their caretaker, and their family, is deciding the appropriate time to relocate to an assisted living facility or a skilled nursing home. Like the variety of the disease symptoms and durations, the question of when to accept outside help also has different answers depending on the situation and the caregiver’s abilities and resources (Smith, J., 2016). Many caretakers may view the idea of placing their loved one in a home as a sense of failure on their part; however, it does not have to be this way. With the increasing demand for assisted living facilities and nursing homes, improvements in the standards of care for dementia patients as well as a shift towards more “patient-centered

The reporting party (RP) stated that former administrator/owner Edwin Ingan is driving resident#1 car. The resident's former neighbor inquired about purchasing the vehicle and resident #1 refused. A while later Edwin cajoled resident #1 into signing Department of Motor Vehicle paperwork. The resident has mild cognitive impairment and memory loss. Edwin has been having resident #1 to sign checks to pay the facility fee. According to the RP each month Edwin would come into the facility and bring a check for resident #1 to sign. Approximately 1 year ago Edwin asked the caregiver to check resident #1 belongings for additional checks for the resident checking account. Fortunately no additional checks were located. The former administrator directed

Dementia is a term used to describe symptoms associated with decline in memory or other

The patient is a 72-year-old black female who presented to the ED with complaints of low blood sugar. Her son found the patient at home in bed unresponsive. The son states he checked the patient's blood sugar it was 47. The patient is on NovoLog 3 times a day and Lantus one time a day. The patient had similar symptoms in the past. The patient has a medical history of dementia. She also is known to be hypertensive, insulin-dependent diabetes and has no surgical history. It is to be noted on presentation her BP was 128/95 with a pulse of 52, respirations of 15, hypothermic with a temp of 93 and oxygenating 94% on room air. She also showed significant bradycardia. EKG at 48 beats per minute, T waves were inverted in leads 4, 5 and 6 but

A review of her medical records indicates that on 12/16/16 and 12/20/16 she has urine ordered for UA, C & S due to increased incontinence. On 1/3/17 she was ordered a psych consult due to mood changes. She is taking buspirone hcl 15 mg for agitation. She does suffer from advanced dementia. The facility nurse reports that she continues to suffers from co-morbidities of hypothyroid-stable, HTN-stable and anemia which is chronic. She is known to the palliative care team as she was admitted to palliative care July of 2016 due to her advanced dementia and weight loss, at which time she was in assisted living. She has since transferred to SNF at the gardens due to her progressive decline.

Writing a research paper is very difficult. Picking a topic is even harder. The topic I have chose to write about is dementia. Dementia is a chronic or persistent disorder of the mental processes cause by brain disease or injury and marked by memory disorders, or personalities. This is a very personal topic for me. Researching this topic made me understand something that happen to me recently. My great-grandmother passed away May 21st, 2011. After ninety four years of a wonderful life she passed away. She was diagnosed with dementia two months before she died. You would never even think that she would have dementia. She never showed any signs of dementia besides the final days of her life. I feel like doing research on this topic

This paper explores three types of stigma and ties them to people pulled from videos that have been presented throughout this course of study. Self Stigma is presented where some of the individuals may feel as if they are not as good as someone without dementia. Courtesy Stigma is also presented where the family members of dementia patients may feel the stigma just because they are close to the patient. Finally, Public Stigma is described using examples of dementia patients being seen in the public eye as being part of a group of patients rather than being an individual person themselves. Mrs. Potocny states, “You hate to lose the one you can’t live without. But that is exactly what is happening.” when describing her husband’s deterioration.

A review of his medical records indicates that he suffers from advanced dementia; he is now wheelchair dependent and needs assistance with all his ADLS. The facility nurse reports that he recently was treated with for pneumonia with antibiotic therapy. He has chronic left knee pain and left hip pain that is managed with tramadol. He suffers from co-morbidity of neuropathy-stable with medication, atrial fibrillation-stable, HTN-stable, depression-stable with medication.

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.

It is already established that late-life depression is associated with increased risk of dementia, but the temporal relationship between depression and development of

HCV with neurocognitive effects similar to those of HIV, but without the associated end-stage dementia (Laskus et al., 2005). Prevalence studies have estimated the 1-month rate of depression in HCV-infected individuals at 28% (Golden et al., 2005), but it is clear that treatment of HCV with interferon-based therapies dramatically increases the risk of depressive symptoms to near 80% (Laguno et al., 2004; Reichenberg et al., 2005; Scalori et al., 2005). These effects on mood, increased fatigue, and worsened quality of life are even greater in patients with concurrent, advanced HIV disease (Ryan et al., 2004), and appear likely to be due to a variety of factors, including biological and sociodemographic ones (Braitstein et al., 2005). Multiple

(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.

In 2011, a care program (Palliative care for advanced dementia) for older adults with dementia was crafted in Beatitude Campus, a LeadingAge member in Arizona. This program focused predominantly on the needs of dementia patients, putting their needs first and working around their schedules. Later, in 2015, the Alzheimer’ Association-New York Chapter along with 3 other LeadingAge members adopted a comparable program called comfort first. The objective of the Alzheimer’ Association-New York Chapter was to improve the way nursing homes cared for dementia patients. Ann Wyatt was then appointed to take care to the next level by collaborating with nursing homes employing this program. In her attempt to do so, she reached out to the program co-directors

I thought that it was amazing how even the most deeply affected dementia patients could still remember their memories through music therapy. With their nostalgia they are able to recall things that I thought once people were diagnosed with dementia or alzheimer’s they would never get it back. For example. take Henry, the patient with bad Dementia, he could not even differentiate his granddaughter voice from his daughter. It made me feel very sad to find out that this man used to have a great personality, fun loving, and vivacious. I found from watching Henry that “ Music is inseparable from emotion.” This means that it can break through any memory disease and is actually better for the patient making them feel like a human being to be able

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