Gait and balance- assessing if there is a decrease in range of motion and ambulation that is a natural part of aging. The nurse assesses the risk for falls, ability to exercise (stretch, swim, walk), and the need for assistance with ambulation; walker, cane or wheelchair. There is an increased risk of developing dementia with age. Early detection of any cognitive changes can be beneficial to be proactive set up cognitive screening and testing also future planning. Elderly patients may become depressed or have noticeable mood changes; it is important to watch for signs and evaluate the patient for depression.
A proper diagnosis of dementia is essential, in order to rule out other conditions that may have symptoms similar to dementia and that may be treatable, including depression, chest and urinary infections, severe constipation and brain tumours . Also to rule out other possible causes of confusion, such as poor sight or hearing; emotional changes and upsets, such as moving or bereavement; or the side-effects of certain drugs or combinations of drugs. Folllow up diagnosis can enable a patient to access advice, information and support
During the onset of the disease, symptoms are usually non-existant, and progress slowly over the course of many years, often going unnoticed until they become more severe. Alzheimer's is somewhat difficult to diagnose, but there are some common symptoms to all patients. Memory loss occurs in all patients. The person may have trouble remembering small things such as phone numbers, or where he/she put the keys. Eventually, short term memory is lost, and only memories in the far past are able to be recalled. People with Alzheimer's can become disoriented and can get lost easily when out on their own. Mood changes also occur, and the person can be easily irritated or agitated by seemingly insignificant things. Cognitive deterioration also occurs, with the person losing the ability to understand spoken language or recall the meanings of different words (Grayson, "Recognizing Alzheimer's" 1). Despite these common symptoms, making a diagnosis is difficult since Alzheimer's patientscan display the same symptoms as a head injury or depression.
In this article we discuss the types of behavioural and psychological symptoms that are appropriate for intervention, and then examine the current use of non-pharmacological interventions. The article is intended to apply to all common late-onset dementias and to no subtype in particular.
Early diagnosis of dementia can have a huge impact on the individual and their family and friends.
Many elderly and their family cannot determine what are normal aging and what are not; therefore, educating them is the key role for nurses to promote safety and health for older adults. Not only assessing physical changes but also mental health assessment is important because those age-related physical changes may cause depression in older adults, which leads to other problems like “difficulty with sleeping,
a) Depression- individuals with severe depression suffer with poor memories and lack concentration. They will also become less motivated and become withdraw. These are all signs of dementia. A general practitioner may think that it is more likely that an elderly person is suffering from dementia than depression.
As we age, our brain and nervous system go through natural changes. An aging adult may experience memory loss, decreased touch sensation, change in the perception of pain, change in sleep pattern, decreased coordination and increased risk for infection (Ignatavicius, 2013, p. 912) .
Early diagnosis helps a person and their family prepare, they may want to learn about what they about to face increase awareness of dementia, its implications and Integrated Care Pathway. They would be able to look at benefit and legal implication such any benefits entitlements and power of attorney. The person and their family would
The term ‘dementia’ describes a set of symptoms which can include loss of memory, mood changes and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain conditions and diseases, including Alzheimer’s disease, vascular dementia and Creutzfeldt-Jakob disease. Age is the greatest risk factor for dementia. Dementia affects one in 14 people over the age of 65 and one in six over the age of 80. However, dementia is not restricted to older people: in the UK, there are over 17,000 people under the age of 65 with dementia, although this figure is likely to be an underestimate.
Being diagnosed with dementia will affect people in different ways. The service user could become withdrawn and depressed, this will affect their well-being and how they look after and treat them self’s. They can start to self-harm or neglect them self’s through personal hygiene or through there eating, eating too much or too little. They may even become so depressed and down in mood
Memory problems are usually the most obvious symptom in people with dementia. For example, a person with early stages of dementia might go to the shops and then cannot remember what they wanted. It is also common to misplace objects. As dementia progresses, sometimes memory loss for recent events is severe and the person may appear to be living in the past. They may think of themselves as young and not recognise their true age.
example, one of my patients was diagnosed with dementia in her early 70s. In the beginning, my
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
Typical presenting symptoms in older adults are weakness, insomnia, hypersomnia, headache, fatigue, irritability, chronic constipation, pain, agitation, and unintentional weight loss/change. Dementia and Delirium are also known to have higher rates of depression in older adults. The Geriatric Depression Scale, Cornell Scale for Depression in Dementia, and the nine item Patient Health Questionnaire are screening tools utilized when an older adult presents with signs and symptoms of depression (Downing, Caprio & Lyness, 2013).
As an older individual there are many physical changes that occurs during this stage of life. Older individuals live independently and maintain close relationships with family and friends. Most individual’s personalities remain relatively stable throughout their lives. Depression is less prevalent than depression in younger adults. Becoming older can cause hearing impairment. 37 percent of women and 48 percent of men over the age of 75 have impaired hearing. Also there is a decline in vision. It will start to become difficult to read small print, seeing in sim light, or even finding objects. Some aging adults may even need