Introduction Cognitive impairment is a significant public health challenge both in Canada and globally, impacting a wide range of people. This policy analysis essay will critically explore how dementia healthcare strategies, mostly based in Ontario, Canada, influence the demographics of older adults, particularly Indigenous communities. In an aging society like Canada, central challenges associated with dementia include the misallocation of healthcare funds and the insufficiency of support systems for familial caregivers. Moreover, Indigenous communities often face significant health disparities due to a range of factors, such as the impact of historical trauma. So, it is important to understand the root causes of health disparities and develop …show more content…
Description and Analysis of Dementia Polices In response to this challenge under impact of dementia, the Canadian government introduced Canada's National Dementia Strategy (CNDS) on June 17, 2019. This strategy builds upon the National Strategy for Alzheimer's Disease and Other Dementias Act, which was enacted in Canada in 2017 to enhance access to dementia care. To further support this initiative, the Ontario government has committed $15 million with a total investment of $35 million for 2023-24 through the Local Priorities Fund (Ontario News Release, 2024). This funding is directed towards assisting long-term care facilities in providing specialized care for residents with complex conditions, including dementia and those in need of bariatric care (Seo, 2024). Serving the Indigenous communities, the Canadian Consortium on Neurodegeneration in Aging (CCNA) encompasses experts dedicated to advancing dementia care within rural and Indigenous …show more content…
Theoretical framework: Bronfenbrenner's ecological systems Bronfenbrenner's Ecological Systems Theory provides a valuable lens for exploring how environmental and societal contexts shape the lives of Indigenous peoples, particularly in dementia care and management (Wilder and Jordan, 2010). Focusing on the microsystem, loss of cultural connection can accelerate cognitive decline and disorientation since intergenerational trauma involves the erosion of cultural identity and practices, which are vital for the social and emotional health of Indigenous peoples. Besides, Indigenous communities often rely on extended family and community networks for support (Toombs et al., 2023). However, intergenerational trauma weakens these networks, leading to disrupted family structures and relationships, impacting the traditional roles and support systems, and leaving individuals with dementia and their caregivers without the necessary emotional and practical support (Alfakhri et al., 2018). At the Exosystem level, the theory underscores the influence of Social Determinants of Health and the broader socio-political context on health
(Novac et al., 2014). Stereotypes affect the day to day living of the elderly, whether it is through job attainment and sustainability, access and use of healthcare, and overall personal autonomy. Due to the current aging population the government of Canada has eliminated the mandatory retirement age and is looking to raise the retirement age (Minichiello, Browne, & Kendig, 2000), from 65 to at least 70, to ensure financial stability for all in the long term (Novac et al., 2014). From the elimination
Introduction In Canada there are approximately 76 000 children under the protection of Child and Family Services who have experienced neglect, maltreatment, and child abuse (Trocme, Loo, Nutter & Falon, 2002). However, this number does not fully capture the extent of child abuse and neglect in Canada, nor children exposed to complex trauma. Previous research identified that children exposed to complex trauma are less likely to graduate from high school, are more likely to experience mental health
. This calls for the need of dementia care to accommodate these patients. The main aim of dementia care is to maintain the personhood in the face of advancing impairment of cognition (Hunter, 2009). This is primarily to help in addressing the plight that people with dementia are facing. Different practitioners or caregivers provide dementia patient care. There are those practitioners who prefer to provide this care at home and those who prefer to provide it in institutions. Each of the cares has
experience fatigue, weight loss, weakness, depression, memory impairment, heart attack and stroke. Elderly patients should be monitored for serum levels <450 ng/L. Adequate supplementation of Vitamin B12 will reduce depression, fatigue, homocysteine concentrations, brain atrophy. In the aging population an increased nutritional supplement of >500 μg/day of Vitamin B12 will not only prevent but also promote recovery from strokes while reducing cognitive decline. While aging is a natural progression of life
with Alzheimer’s disease participate in clinical research? Theoretically, two radically opposite views regarding this issue can be posited. The first one, which is rather “conservative” could, in principle, argue that because of pervasive cognitive impairments AD patients are vulnerable and not capable of giving informed consent with a similar degree of responsibility as that of healthy individuals. When a surrogate’s decision is required for participation in research, this decision can never be
Prefrontal Cortex The prefrontal cortex is the most anterior portion of the frontal lobe. It responds mostly to stimuli signaling the need for movement, however it is also responsible for many other specialized functions. It receives information from all sensory systems and can integrate a large amount of information (Kalat 2004). Studies have shown that the prefrontal cortex is responsible for working memory. Working memory is defined as "the information that is currently available
assessment, patient had temp of 39.2, resp 32, SPO2 @ 82%, BP 170/110, pulse 110. Due to cognitive impairment, patient was unable to report any pain or discomfort but she was frowning, resisted getting changed or dressed. I requested
emotionally. When a child is maltreated, it affects their education, behavior, relationships, etc. and most likely follows them throughout life. According to the article “Effects of Chronic Maltreatment and maltreatment timing on children’s behavior and cognitive abilities,” over 900,000 children in the United States alone were victims of abuse and neglect in 2006(184). There are many factors that may alter the outcomes of a child who is or was abused, for example, the age the abuse and neglect began, how
and good balance were noted upon approach, however, it appears that he was struggling with balance. Due to age related memory changes, Mini Mental State Examination (MMSE) was utilized for assessing cognitive status. The scoring for MMSE is 26 out of 30 points which indicates normal cognitive impairment, however, a follow up assessment is necessary. When he was asked to repeat three objects and remember what they are, he could recall only one object when asked to name them again in a few minutes. In
Social cognitive theory is the study on how an individual stores, processes, and applies information about others in their everyday life. It was first known as the “Social Learning Theory”, and was later changed to the term known today as the “Social Cognitive Theory”. The definition of social cognition is defined as any cognitive process that involves one or more than one person. While the definition of cognition is unconscious process in the brain that bring about representations. Social cognition
form of all. As such, it is important for all nurses to understand financial abuse and who is at risk, how it presents, and what can be done to prevent it in order to protect the elderly. Financial Abuse and Those at Risk. As noted by Statistics Canada (2013), the number of older adults will more than triple by 2031, thus the number of cases of elder abuse will likely increase in alignment. With this notion in mind, it seems ostensive that nurses must develop a decent understanding of what it entails
Ageing population is a global phenomenon in this 21st century and has changed the demographic profile of many countries. Malaysia is also keeping pace with other countries in achieving the ageing population status whereby, the country also gradually experiencing on this. The elderly population of Malaysia is projected to increase from 5% in the year 2010 to 11.4% in 2040 (Department of statistic Malaysia, 2010). This is due to the improvements in health, low mortality, and fertility rates combined
women tend to have a longer life span (Lewis et al., 2011). Those with dementia diff... ... middle of paper ... ...vels decrease, the brain cannot create enough energy to work properly. This is a chronic disorder accompanied by severe memory impairment, while other thinking and social skills may remain intact (“Types of Dementia” n.d.). Conclusion As our aging population increases, so will the number of people who develop dementia. This condition is distressing for everyone involved, including
Approximately fourteen percent of the Canada’s population have a physical or cognitive disability, (Employment and Social Development Canada) yet ideologies of ableism (i.e. the oppression of disabled people) are continuously formed and perpetuated through mainstream media. A number of scholars have studied the link between media’s stereotypes of disabled people and the beliefs and practices of ableism; Stuart Hall focuses on the media as a “central part of ideological production,” (82) while Merril
Teen suicide rates are on the rise in Canada. Between the years 1952 and 1995, teen suicide levels exploded by more than 600%, leaving Canada with the third highest adolescent suicide rate in the world (Furi & Guimont, 2003). In fact, Canada’s risk of teen suicide is so great that the Parliamentary Research Branch has estimated that between 70 and 80% of all Canadian teens think about committing suicide before they graduate high school (Furi & Guimont, 2003). The thought that a majority of high