Introduction
Dementia illness is the most feared and distressing disorder of later life. This essay will address the overview of dementia followed by the most common types of dementia. The essay will cover the nursing assessment and the interventions. One issue relating to activity of living will be indentified and it will also explore the care required in relation to this activity for an older patient / client suffering from dementia, as well as patient, carer advice.
Analysis of Dementia
Overview
The term dementia refers to a serious loss in memory and other intellectual abilities in a formerly unimpaired person, further than what might be expected from normal aging (Dhanani & Wilkins, 2008). The origin of the word dementia is from a latin word “demens” meaning insane or being out of one’s mind (Banerjee, 2011, p.2). According to Miller (2009, p. 263), dementia is a syndrome not a disease, that means it is a pattern of symptoms that can be caused by many different illnesses. There are approximately twenty four million people with dementia in the world, with an additional four and a half million newly identified every year (Ferri, Prince, Brayne, Brodaty, Fratiglioni, 2005, p. 2113).
Types of Dementia
The most common types of dementia are the primary dementias; which occur as a result of pathological conditions of the brain. Primary dementias include Alzheimer’s disease, frontotemporal dementias, vascular dementia and dementia with Lewy bodies (Saxon, Etten & Perkins, 2010, p. 92).
Alzheimer’s disease is one of the diseases with the longest history of recognition. Alzheimer’s disease and dementia are often used interchangeably (Miller, 2009, p. 263). Saxon, Etten & Perkins (2010, p. 93), claim that, “Alzheimer’s dis...
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“Dementia as a clinical syndrome is characterised by global cognitive impairment, which represents a decline from previous level of functioning, and is associated with impairment in functional abilities and, in many cases, behavioural and psychiatric disturbances” https://www.ncbi.nlm.nih.gov/books/NBK55480/
Dementia is common among a large population of elderly people. The disease affects not only the individual diagnosed, but also the caregivers that work towards making their life comfortable in the end. Understanding and learning about the disease is crucial in helping those that experience or live with someone who has dementia. The services and support that are currently in affect for elderly people with dementia and the caregivers is poor, and ineffective because of the lack of research and information on the topic.
Alzheimer’s disease was first defined in 1906 by a German psychiatrist, Alois Alzheimer. Alzheimer's disease is the most common form of dementia. It is a progressive brain disorder in which the nerve cells in the brain gradually die off. It is estimated that 26 million people world-wide are afflicted by Alzheimer’s and of those, approximately 4.5 million live in the United States. It is said to be the seventh leading cause of death in the USA and the fifth leading cause of death for those over age 65. Seventeen percent of women and ten percent of men age 55 and older can expect to develop Alzheimer’s (apa.org, 2009). Researchers report that this disease is more prevalent in African Americans and Hispanics than in whites (Crandell, Crandell, and Zanden, 2009, p. 578).
“Dementia is the progressive deterioration in cognitive function - the ability to process thought” (Nordqvist, 2009, para. 1) and can be separated into two main categories: cortical and subcortical, physically speaking; for example, Alzheimer’s disease is a type of cordical dimentia, while Parkinson’s disease is classified as subcortical in nature. Many of the people suffering from these afflictions, which are usually middle-aged and older, appear to lose the ability to recall particular events, time of day, or in more advanced stages, the identity of their friends and family. Other symptoms of this condition have been reported as difficulty with speech, depression, balance issues and general disorientation.
Alzheimer’s Disease is the most common cause of dementia. Alzheimer’s is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time. It can become severe enough to interfere with daily tasks. Allie Hamilton is suffering from dementia.
While there is little difference between dementia and Alzheimer it is important to distinguish the two. Dementia is, “ a general term for a decline in mental ability severe enough to interfere with daily life” (Alzheimer Association, 2014). While Alzheimer is, “is a ...
In the 17th and the 19th century dementia was synonymous with insanity. Still many knew that people with this disease suffered from permanent damage that was irreversible unlike mental disorders where the brain remains intact (2006). Dementia was often known as senile which is common with old age. Studies through the years have shown that it is much more serious and causes damage to areas of the brain. Alois Alzheimer in 1910 noticed tangles, plaques, and arterio...
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
This paper is on dementia, a late-life disorder, as it pertains to the geriatric population. “It is estimated that 24.3 million people around the world have dementia and that, with an estimated 4.6 million new cases every year, we can expect about 43 million people and their families to have to handle the challenge of dementia by 2020.” (McNamera, 2011) I will cover three relevant points concerning this disorder that cause changes in the brain.
“Loss” is the main thing many people think about when they think of dementia. Dementia is a term used to describe a disease that infects the mind of elderly people making them forget their memories and everyday activities. There are varying levels and extremes of dementia, meaning the disease affects people differently depending on how severe their specific case of dementia is. Fortunately, the disease does not happen immediately, it is a gradual process. The more time that passes, the more matured the disease gets. Also, dementia contributes to the loss of cognitive, psychological, and health related functions.
Delirium, Depression, and Dementia are some of the most common psychological diagnoses in the elderly today. The three D’s are difficult to differentiate between in older adults because they overlap with each other and can all exist in the same patient at once. Delirium, Dementia, and Depression all affect the elderly’s quality of life and often increase the risks for one another (Downing, Caprio & Lyness, 2013). For the purpose of this paper I will be focusing primarily on the diagnosis of Dementia, the prevention, and nursing measures associated with it, but first I would like to differentiate between Delirium and Depression because Dementia is often associated with the two in the older adult population.
Dementia is an organic brain syndrome which results in global cognitive impairments. Dementia can occur as a result of a variety of neurological diseases. Some of the more well known dementing diseases include Alzheimer's disease (AD), multi-infarct dementia (MID), and Huntington's disease (HD). Throughout this essay the emphasis will be placed on AD (also known as dementia of the Alzheimer's type, and primary degenerative dementia), because statistically it is the most significant dementing disease occurring in over 50% of demented patients (see epidemiology).
This usually occurs in older adults aged above 65; however, it is a disability and not a normal symptom of aging. Chances of inheritability are present, but it depends on the individual and the type of dementia (Alzheimer Australia, 2011). The Global Deterioration Scale provides a detailed explanation of the seven stages of cognitive decline in dementia (Alzheimer’s Association of Canada, 2005). Types of Dementia There are four main types of dementia, with AD being the most widespread form. It accounts for almost two thirds (50 -70 percent) of the cases and thus more extensively studied (Miller, 2009)....
Dementia is a major neurocognitive disorder that interferes with the independence of the elderly by inhibiting memory and thinking skills. Fifty to eighty percent of dementia cases constitute of Alzheimer’s diagnoses; consequently Alzheimer’s disease is the most common type of dementia and currently affects 5.2 million Americans. Most of these cases are patients above the age of 65 and by 2050; 13.8 million Americans in total will suffer Alzheimer’s due to aging of the general population, specifically the baby boomers. Total cost to society ranges from $157- $215 billion (Associated Press). Some would assume the cost of Alzheimer’s to be incurred by pharmaceuticals or medical costs, however RAND Corp suggests dementia cost to society is from care rather than treatment. Therefore, assistance provided by informal providers and directs caregivers incur a majority of the financial and social cost. Currently, the workforce does not have the capacity or training to care for these unique patients; the delivery system needs to address Alzheimer’s as the population ages and more and more fam...
WIMO, A., WINBLAD, B., AGUERO-TORRES, H. & VON STRAUSS, E. 2003. The magnitude of dementia occurrence in the world. Alzheimer Dis Assoc Disord, 17, 63-7.