Test Retest Reliability Paper

ADL’s aid in making the person appear and feel more independent. In the experiment, the hypothesis was described to show the outlooks on care that the authors were trying to prove adequate or inadequate. The purpose of this quote is to show that the prediction will lead to older people being able to complete everyday tasks, since they are being provided the chance, given that their health is more stable.

Certain qualities are consistently observed in the Alzheimer’s victim. These dysfunction’s, though, are not exclusive to Alzheimer’s disease. Consequently, declaring Alzheimer’s by these parameters is a matter of degree rather than an absolute. Characteristic dysfunction’s have been noted in Alzheimer’s victims, but the degree and severity of these varies from patient to patient. Thus, evaluation of the patient’s mental status must be made based on the sum, rather than a single characteristic. Memory is one of the first noticed deficiencies, beginning typically with the recent and short term memory, and progressing from there as the disease grows more severe. In addition, deterioration in language skills, attention span, praxis (performance of an action), and visuospatial skills are commonly seen. Also observed are changes in the actions and personality of the Alzheimer’s victim. These include changes in mood, motor activities, activities of daily living, socialization skills, psychotic disturbances, vegetative symptomology, and rise in anxiety levels. Again, the

Patients who suffer from AD also have their memory, ability to learn and to carry out activities affected. Since, AD is not just dementia related there is also another aspect to the disease that causes “progressive neurodegeneration” (Chen). The symptoms of AD are usually slow, but they get worse over time and start to affect your daily life. The majority of people affected by AD are aged 65 and older. If a family member has AD then future generations from that family member are more likely to have AD. This is a very important disease to try to find a cure because “by 2050 as many as 115 million people worldwide will have developed dementia“ (Chen). As of right now “AD affects more than 5 million people in the U.S. alone” (Chen). This creates a huge burden on the family because it leaves their loved ones unable to function alone or to be able to do anything alone. This puts the burden on the family because then they need to find the patient a home to live in to be taken care of or they have to bring the patient in to their home and take care of the patient 24/7. People suffering from AD need to be attended to at all times of the day and constantly reminded why and what they’re doing. This affects a family because then they’re not able to do their daily routines or continue to live their normal lives. The reason is because all of their energy needs to be focused on the family member suffering form the

An individual’s needs and abilities change over time as a result of their condition and are different for each person. All abilities involve more than one memory and dysfunction of the brain will affect a person’s abilities. Self-awareness and identity can be lost that may affects a person’s abilities and needs. Furthermore anxiety, depression, mental health issues, loss of independence, loss of companionship, change of circumstance. Moreover Seven Stages of Alzheimer's (2006) going from no impairment to very server cognitive decline shows the fluctuation of the needs and abilities.

Whilst undertaking the initial assessment, I always make sure that the service user is present and make sure that I am talking to them as opposed to about them with a family member or friend that also may be present. If I am doing an assessment with the service user who has Dementia or Alzheimer’s then again, I ensure that I am asking them what they would like, how they would like the care to progress and what they want to achieve from having care works. If they are unable to answer then I will look to the family for guidance, but it is important to make the service involved in their own care planning and assessment process

An estimated 47.5 million people suffer from dementia. Every 4 seconds one new case of dementia is diagnosed. Dementia is a term that describes certain symptoms such as impairment to memory, communication and thinking. It is a group of symptoms and not just one illness. Even though one‘s chance of getting dementia increase with age, it is not a part of aging. Dementia is usually diagnosed after a series of assessments that includes a physical evaluation, memory tests, imaging studies and blood work. It affects three aspects of one’s mental function, cognitive dysfunction (Problems with memory, language, thinking and problem solving), psychiatric behavior (changes in personality, emotional control, social behavior and delusions) and difficulties with daily living activities (driving, shopping, eating and dressing). “The median survival time in women is 4.6 years and in men 4.1 years” (Warren, 2016).

(helpguide, 2012) Effective care for older patients requires an accurate assessment of the elderly's health status. Physical, psychological, social, and behavioral and health system factors may influence their health status. Functional health status includes: a) basic activities of daily living; dressing, feeding, bathing, toileting, transfer-moving inside and round the house, b) instrumental activities of daily living; shopping, laundry, cooking, housekeeping, taking medication, managing money, c) advanced activities of daily living; social activity, occupation, recreation. Cognitive function assessment includes: attention span, concentration, intelligence, judgment, learning ability, memory, orientation, perception, problem solving, psychomotor ability, reaction time, social intactness. (ispub, 2012)

Alzheimer’s disease (AD) is a progressive and fatal form of dementia, frequently seen in the elderly altering their cognition, thought process and behavior. AD is reported in about half of patients that have a dementia diagnosis; one study states that about 10.3% of the population over 65 years is affected by dementia with an increase to almost 50% over the age of 8 (Beattie, 2002). Alzheimer’s disease is not a normal part of the aging process in humans, but rather found in a group of diseases that affect the brain leading to a decline in mental and physical control. AD when diagnosed has a very slow and gradual course, initially affecting the individual’s short term memory (Beattie, 2002). Alzheimer’s disease is the 6th leading cause of death, affecting more than five million people in the United States and is also one of the most common forms of dementia. Dementia can be defined as a disorder of progressive cognitive impairment severe enough to affect daily functions of an individual’s life (Fillit, et al., 2002).

More than 5 million Americans currently have dementia in the United States and this number is projected to rise to between 8 and 13 million by 2050 (Alzheimer’s Association, 2015). Dementia is known to become more prevalent with age, increasing from 5 to 10 percent in people over 65 years of age to almost one half of people over the age of 85 (Alzheimer’s Association, 2015). Although family members provide the majority of care for people with dementia, increasing needs over time often lead to placement in a long-term care setting. Dementia is the most common reason for entry into long-term care facilities (Zimmerman, 2013) and nearly 90% of persons with dementia will have at least one stay at a nursing home in their lifetime (Grunier, 2007).

It is a complex disease people often times do not know how to care for. Although a decline in memory and bouts of more forgetfulness are more common as one ages, spotting the difference between normal age-related symptoms and Alzheimer’s is important for families so that they can get their loved one the best care available. Even with proper care though, caregivers can misunderstand the symptoms of those afflicted, leading to an improper treatment of the patient. There are an estimated between 2.4 and 3.1. million AD caregivers in the United States, a majority of which are family members, who may not know proper care techniques or may be of older age themselves, as they could be caring for a spouse (Schulz and O’Brien1, 185-94). In fact, in a study of caregivers of those to patients with a memory ailment including Alzheimer’s or Dementia found that spouses have consistently been found to be more depressed than other relatives caring for a family member with a cognitive impairment (Schulz and O’Brien2, 771-91). To help in awareness, there are many new classes being offered in schools that can better prepare caregivers. The U.S. Department of Health and Human Service’s (DHHS) National Plan to Address Alzheimer’s Disease dedicated a major goal to “Enhance Care Quality and Efficiency,” with major strategies including building a workforce with the skills to provide high quality care, explore

The disease handicaps parts of the brain and decreases the motor skills and cognitive thinking. Since Alzheimer’s patients need more attention opposed to regular senior citizens, they will recieve the most beneficial care at a long-term carer facility.

The validation method is a good method to be applied when handling elderly persons suffering from dementia because it gives both caregiver and elderly joy they deserve. The method helps victims of dementia to have their life back by feeling whole, as it makes them safe. It can be used on those who have lost their speech so as to develop alternative ways of communicating such as signing, and also elevate them from feeling frustrated. However, the method may be difficult to use with non-family members due to many touching and intimacy involved with it (Feil, 2000).

Research has shown that instrumental activities of daily living (IADL) e.g., preparing meals, using the telephone, managing finances, and taking medications), are affected early in dementia. Compared to basic self-care tasks (e.g., feeding, dressing, transferring, toileting, and bathing). IADL is self-report and informant that become the basis of assessment and diagnosis. However, both methods are limited in sensitivity for capturing distinctive performance problems. More explicitly, self-report typically provide a general precision score replicating a participant’s capacity in one or more IADL domains (e.g. finances, medication management) (Schmitter-Edgecombe and Parsey, 2014).

Alzheimer’s can have a major impact on patient cognitive functions, so a patient at a level two or higher on the Allen Cognitive Scale would be able to participate in this

 Neuropsychological testing, which is necessary for the examination of memory and other cognitive functions such as attention, learning and visuospatial skills. Also, are checked possible disruptions in the activities of daily living. The most common neuropsychological examination which is used is the examination MMSE ( Mini Mental State Examination) which examines with a simple and fast way the orientation, attention, the language and the ability to monitor and applying simple written and verbal instructions. Other examinations are the CDR ( Clinical Dementia Rate) and GDS (Global Deterioration Scale), which are used for the differential diagnosis of AD from other dementias.