‘‘Dementia’’ representing multiple related illnesses leading to a steady decline of memory and thought processes and reduced ability for orienteering and sound judgment coupled with a diminishing awareness of time, space, and direction (Tranvåg, Petersen, & Nåden, 2013). Florence Nightingale – Her principles remain the foundation of nursing today. With Dementia affecting 4.1% of persons aged 70–74 years, 5.7% of persons aged 75–79, 13% of older people between 80 and 84, and 24.5% of seniors above 85 years. The total number of people suffering from dementia worldwide was estimated to be 35.6 million in 2010, and due to an aging population, these numbers are expected to increase substantially in the decades to come (Tranvåg, Petersen, & Nåden, 2013).
Florence Nightingale theory focuses on the environment and with dementia patients that plays an important role in their stability, emotionally and physically. Making sense of the world is a huge task for a person with dementia. Poor health can have a harmful impact, creating confusion and discomfort and limiting the use of a person’s remaining abilities. People with dementia find it harder and harder to interpret the environment and over time become more limited in movement and agility. Their environment can enable them to live well, and should provide discrete support. They should be encouraged to be lively and keep their skills and abilities for as long as possible. In nursing daily living should be about choices for them to
In dementia care is a key aspect of best practice. It is a way of caring for a person with dementia as an individual with unique qualities. It means looking at the world from the person’s point of view ‘standing in their place’ as it were and appreciating how they may be feeling.
• Every individual, including individuals with dementia, has their unique life history, lifestyle, culture and preferences, including their likes, dislikes, hobbies and interests, which makes an individualised approach in care necessary.
The term ‘dementia’ is used to describe a syndrome associated with an ongoing decline of the brain and its abilities. This includes problems with memory loss, thinking speed, mental agility, language, understanding, and judgment. People with dementia can become apathetic or uninterested in their usual activities, and have problems controlling their emotion. They also fine social situation challenging, lose interest in socialising and aspect of their personality may change. The majority of people who are diagnosed with dementia have either Alzheimer’s disease or vascular dementia, or a combination of the two. (Source 1) As the disease progresses, the person experiencing dementia becomes more vulnerable and their needs often complex; which requires appropriate care and management (Kitwood, 1997).this leads me to the next distinctive feature of patients with dementia.
Dementia does not only impact the people with symptoms and it also disturbs the people who must care for the person. It is estimated that 1.2 million people are involved in the care of people with dementia. It has a financial burden on the Australian economy $4.9 billion in 2009-10. (1)
Focusing on dementia, it is not constantly possible to involve the dementia sufferers in the decision making course of their care without encouragement and assistance by
Dementia which was views as a disease is now viewed as a disability. It allows us to view people with dementia as individuals coping with their own impairment and entitled to an adequate quality of life and comfort. To do this it is necessary for us to shift our way of thinking from focusing on dementia as a disease that degenerative without a cure, to focusing on the whole person and seeing dementia as a disability of certain parts of the persons
By 2015, it is estimated that there will be a number of 850,000 dementia sufferers in the UK and about 225,000 people develop dementia every year in which it is roughly about one person in every three minutes. It is predicted that the number of people with dementia will exceed 2 million in 2050 if preventative measures are not taken. In brief, dementia can be described as a persistent and progressive loss of mental ability due to brain diseases or injuries in which the symptoms can be recognized by memory disorders, perception and personality changes and also impairments of body functions. Alzheimer is the most common type of dementia which contributes about 62% of the cause of dementia and had become a global prevalence disease. By 2015, it
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
This essay will aim to introduce the term dementia including the types, causes, prevalence, young onset and models of care. This essay will continue to address what skill could be implemented to provide person centred care with understanding of health promotion and recovery concepts.
The main motives include providing more knowledge and understanding of dementia and also its effect on behaviour as well as it progression rate. Provide carers with an impressive understanding of available local support services and how they can be accessed. It also aims at assisting in surpassing the shock relating to an initial diagnosis of dementia as well as ways to maximize life and well-being.
Dementia is an extremely common disease among the elderly, with 4 million Americans currently suffering from the Alzheimer’s type alone. Figures show that 3% of people between the ages of 65-74 suffer from the disease, rapidly increasing to 19% for the 75-84 age bracket, and as high as 47% for the over 85s. Therefore, it is easy to see why Dementia is such a large part of many people’s lives, whether they are suffering from the condition themselves, or have an elderly relative who requires full time care just to undertake simple day to day tasks. The disease can be extremely traumatic for the patient and their families, as the person, who may have been extremely lively and bright throughout their
The Environmental Theory by Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery” (Alice Petiprin, 2014). It involves the nurse’s initiative to make environmental settings appropriate to aid in the recovery of the patient’s health. According to Nightingale all external factors are somehow associated with the patient and affects their life physically, mentally, and socially (Alice Petiprin, 2014).
This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.
People lose height, skin becomes loose, hair becomes gray, people become covered in wrinkles and they start to become weak. Even though all of this may be true, older people still have purpose in life. Patients often feel stripped from their life from dementia. “Richard Leider, one of America's preeminent executive life coaches and renowned expert on purpose and meaning in life, has postulated that purpose is fundamental to an individual's health, happiness, and longevity”(Nakonetschny). With conducting activities into nursing homes, that sense of happiness and meaning will become reestablished more and more every day. Dementia patients have family that cares for them and wishes the best for them, they do not wish to see their relatives rot away in a nursing
Florence Nightingale developed the environmental model theory of nursing. Nery, (2015) states that Florence Nightingale’s environmental theory of nursing, “focus primarily on the environment, interpreted as all external conditions and influences that affect the life and development of an organism, that are able to prevent, suppress or contribute to disease and death.” The four metaparadigm concepts of this theory consist of person, environment, nursing, and health. Within this theory, the patient is being cared for by the nurse, has been influenced by the environment, and has reparative powers (“Nursing Theories, 2011). Nightingale’s theory does not have a clear definition of the person; however, it can be inferred that the person correlates “in relation to the environment and the impact of the environment on the person’s health status” (Butts & Rich, 2018). The highlight of Nightingale’s theory is the environment. Both the external and internal environment needs to be in sanitary conditions. The environment concept of this theory contains “physical, psychological, and social” factors (“Nursing Theories, 2011). The goal of the nurse is the control the patient’s environment to achieve ideal health for the patient. Nightingale’s theory did not define health; however, she stated that nature itself can heal ailments (Butts & Rich, 2018). Nightingale (1859) stated that health is ‘not only to be well, but able to use well every power we have to use it.”