PICO Framework: Patient/Population, Intervention And Dementia

Simon Douglas is a clinical research nurse at the Wolfson Research Centre in Newcastle upon Tyne. He is currently coordinating a number of studies, particularly on dementia in nursing and residential homes and providing input into a new trial of non-pharmacological interventions for dementia. Ian James is a consultant clinical psychologist at the Centre for the Health of the Elderly at Newcastle General Hospital and a

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

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.

Dementia is a progressive process, with the symptoms and decline in function often worsening, sometimes rapidly, overtime. Although the elderly population are most frequently affected, many younger patients can also be affected. Currently, no cure, be it medical or behavioural, has been isolated, however certain treatments have proved beneficial in delaying the onset or staying off further rapid deterioration. In addition to pharmaceutical treatment modalities, other support and managerial techniques may enable n enhanced quality of life.

Boredom and frustration are the two most common causes of challenging behaviour in with dementia. Taking part in a physical or mental activity can provide a welcome distraction from the stresses of the illness and can help to focus them on the positive and fun aspects of life. Activity can be as simple as holding a conversation, singing or going for a walk and discussing what is seen.

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 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)

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 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.

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.

The incidence of dementia increases as the general population ages and one source estimates approximately two billion individuals being affected by the year 2050 (Vasionyte & Madison, 2013). The nature of dementia results in cognitive decline that may lead to inappropriate behaviors, such as aggression, agitation, mood disorders, and eating problems, which can be a severe impairment when treating these patients

Dementia is an umbrella term used to explain the gradual decline in multiple areas of functions, which includes thinking, perception, communication, memory, languages, reasoning, and the ability to function (Harrison-Dening 2013). Worldwide, 47.5 million people have dementia and there are 7.7 million new cases every year. Alzheimer's disease is the most common cause of dementia and may contribute to 60–70% of cases. (Alzheimer's society 2014). The complexity of dementia presents a number of behavioural challenges to those who live with dementia and their care providers. Aggressive behaviour seems to be one of the most prevalent challenging behaviours in the different stages of dementia (Weitzel et al 2011). As acute care

Currently in Australia, over half a billion animals are raised, chemically modified and slaughtered for food and food production, simply for human benefit. This seems a small portion compared to the Animal Equality Network’s statistic of fifty-six billion animals slaughtered each year globally, which include for the purposes of human consumption, entertainment, religious traditions and scientific research. The main supply of animal products produced for human purposes come from factory farming. Factory farming can be defined as a system of rearing livestock using highly intensive methods, by which poultry, pigs, or cattle are confined indoors under strictly controlled conditions. Currently in Australia, factory farming is the leading cause

Along with varying music to achieve different beneficial results from Alzheimer’s patients, there are many different activities that can help engage and improve the mental state of patients with Alzheimer’s from the early stages of the disease’s

The research aims at determining the affect of dementia on the lives of individuals and how it impacts on their social interactions. The research will also identify the ways in which aging individuals can refrain themselves from falling prey to this disease. It will highlight some important information for caregivers who will better understand this disease and will know how to deal with people who have this disease. As we all