. 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 its implications on dementia patient. Institutional Care for Dementia Patients Institutional care for dementia patients entails segregating the patients from their social setting or homes and putting them in one place for reasons of providing them with care. Admission into the institutions is based on a number of factors such as functional disability, dementia, and absence of caregiver to the affected people. In the institutions, patients are given care based on a number of care models. Scholars devised these models with the aim of improving the lives of people within the institutions that provide such care. The models include the medical model of care, the social model of care, and the model of excess disability. Each of the models serves specific needs for the patients in different institutions. However, the most common model that is employed in different institutions is the social approach that provides long-term facilities and entails the Eden alternative model and the gentle care model. The Gentle-Care Social Model The proponent of the gentle-care model is Moyra Jones (1984). The model is majorly used in the United States, Europe and Canada special care units. For instance, in Canada-Ontario, Mary crest home for the Aged in Peterborou... ... middle of paper ... ...airment where the patient or the aged are greatly affected. In most cases, dementia patients are not catered for and they are traumatized due to loneliness, boredom, and helplessness. This makes the majority of the patients die earlier as compared to when proper care is given to them. In order to reduce their deaths and make the aged to feel comfortable, institutional living for dementia patients is important as it has caregivers that understand their needs and accommodate them accordingly. This is because institutions greatly account for the helplessness, loneliness and boredom that a majority of the dementia patients will be suffering. This occurs through provision of an enabling environment in which the needs of the aged will be catered for. Therefore, institutional living for dementia patients is of great help rather than leaving the aged to live on their own.
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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.
Rosvik, J., Brooker, D., Mjorud, M. & Kirkevold, O., 2013. What is person-centred care in dementia? Clinical reviews into practice: the development of the VIPS practice model, pp. 155-163, viewed 30 January 2014, < http://search.proquest.com.ezproxy.utas.edu.au/docview/1326128887>
A person with dementia or any type of mental illness is required to have some type of care around the clock for their safety, without this care they could put their life in danger or the people around them (Baillie, Lesley,2015). In the essay Wolff gives us how he cares for his mother, “She is attended 24/7 by two daily shifts of devoted caregivers. It is peaceful and serene” (Wolff, M pg. 210). Caring for a person with dementia is a process, especially when you still have other responsibilities to take care of. In the essay Wolff also expresses the amount of thought and love he put into getting the right place for his mother so she gets the best care possible for this weak and vulnerable time in her life “A national chain of residency for the elderly, the Arteria is more a real-estate business than a health-care enterprise, proving, at the hefty cost—the apartments are in the $8,000 -a-month range—quite a pleasant one-bedroom apartment in a prewar building, full of amenities (terraces and hairdressers) and graduations of assistance. But it is important to understand—” (Wolff, M pg.212). The cost of a nursing home is very expensive if you want the right one that applies the right care, love and patience that you would give your loved one if they were in your care. Web MD an
Because there is no cure for Alzheimer's disease, taking on the responsibility of caring for patients in the home is a long term responsibility that requires a lot of planning and consideration. This is not a decision to be made on a whim or because of emotion. All options need to be weighed, and everyone affected needs to be considered. Placing a family member in a long-term care facility does not spell out neglect. Depending on the circumstances of the caregiver, caring for the patient in the home may lead to more neglect. The ‘right choice’ is different in each case, but without considering all the facets of your own situation the wrong choice will be made. I hope that this information will make that heavy decision a little easier to bear.
Non drug treatment includes counseling of patients and family members of the possible mental changes and what can be done to ease the transition. Environmental changes and daily habits can be altered to reduce any obstacles associated with dementia and cognitive exercises can be performed by patients to he...
With advanced technologies in health care, the average lifespan of humans is around eighty-eight years, and these numbers are growing rapidly. Most elderly outnumber the younger within our population now, and with more of the baby boomer generation reaching the gold years, this number will rise exponentially. The cost of healthcare rising and the amount of Medicare funds decreasing makes caring for that loved one challenging. Statistics by Dr. Feng presented, “Individuals are living much longer; family structures are changing; women have entered the workforce. With no national health insurance program like Medicare and with the one-child policy that places elder care responsibilities on fewer shoulders” (Dr Feng). To some, the question of placing an elderly family member in long-term care facilities is a difficult one to consider. All too many times the elderly abandoned are not seeing families until visitation funeral ceremonies.
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 settings are not the best places for people afflicted with dementia , it is necessary to empower the hospitalised people with dementia and their family members. As nurses are often the central core of care, they should have the potential of positive long-term effect on the lives of people with dementia (Harrison-Dening 2013). Inadequate training, lack of specialised education, negative attitudes and poor practice development can precipitate a failure in the delivery of high-quality care for the hospitalised dementia people (Chater & Hughes 2012).
Dementia care offers support and services to an individual affected by the disease itself, which is dementia. It addresses the right and needs of the person with dementia and their families. Improving quality of life and changing attitudes towards dementia is the main goal of dementia care. Dementia care also provides quality of care, maintain dignity and promote health, security and comfort in consideration with the standard of care and ethical guidelines (Adams & Manthorpe, 2003).
In most facilities an initiative lifestyle has been organized to give people with dementia a voice in how and where they are cared for (White). This is how things should be everywhere in the world when it comes to people with dementia. People affected by this disease don’t need people to tell them what to do or make decisions for them, they need the freedom to do it themselves so they don’t give up. Although incapacity is common, many persons with dementia are capable of making their own medical and research decisions (Kim, Karlawish, and Caine). At the early stages of dementia, a will needs to be made so medical wishes can be granted. When people are given the freedom of choice, they are much happier, they live longer, and they have a better attitude about the disease they are suffering from. Individuals that get dementia did not get it by choice, but they live through it day by day with strength and the ability to live
By the late 1970s it was very evident that the traditional setting of a nursing home was no longer suitable for the aging seniors and their family members. With developments in medicine seniors were able to age in place, so many were begging for the establishment of a nursing home. With many rumors of mistreatment and neglect surrounding long-term care receiving more and more advertising, the need for
"Who does a son turn to, when his 78 year-old mother, newly admitted to a nursing home’s rehab unit, is experiencing delusions and screams through the night? Or where does a daughter turn to for help when she notices a rapid decline in her mother’s health and her mother refuses to seek medical care? Or the gentleman who believes it is time to a continuing care retirement community, but has no one to advise him on the myriad of financial and lifestyle implications of such a move? (Lederman, 2012)." Within in the field of home health care, ecological system creates an outline for defining what it means to provide quality care to the elderly.
Difficulty recognizing people and places, remembering their phone number, where they live and how to get there, short-term memory loss, confusion, poor concentration, distraction, and an inability to solve problems and learn new things all encumber the cognitive effects of dementia (“Dementia, Its Effect and Impact on a Person”). Secondly, someone may find complications in everyday tasks. The management of money, verbal skills, and even following social cues are examples of functional interferences (“Dementia, Its Effect and Impact on a Person”). Moreover, dementia drastically affects an individuals behavioral functions. Where there was once someone of noticeable extroverted qualities, he/she is now forced to the confines of their home without an ounce of sociability in them. Additionally, they may have overactive responses and repetitive questions or display an increase in physical/verbal aggression (“Dementia, Its Effect and Impact on a Person”). Correspondingly, a dementia patient will suffer from frequent mood swings. At one moment he/she could be very social, laughing and communicating like they used to, then ten minutes later they grow significantly more frustrated and irritable. Similarly, family members of their loved one will also notice changes in personality, anxiety, loss of motivation, and depression (“Dementia, Its Effect and Impact on a Person”). However, although these effects are direct corollaries of dementia and directly influence the individual at hand, its effect on the caregiver is equally important and is worth noting. In fact, around seventy-four percent of caregivers were somewhat concerned about maintaining their own health while caring for a dementia patient (“2016 Alzheimer’s Statistics”). Due to this, although caregivers are forced to be attentive towards their loved one, it is
Time never stops. Minutes tick by on clocks, as every living thing ages. Eventually, those minutes add up to years, and, sometimes, in the blink of an eye, year by year, a person is suddenly much older. Time takes its toll and leaves a person wisened, and wrinkled. The time comes when it must be decided who will care after this person. When choosing a method to care for the elderly, there are both negative, and positive aspects to each option that should be considered before arriving at a decision. Will one care for the older relative at home, or will one place them into an institution where one is not sure of the care they will receive?
The marked physical and cognitive functional declines over time often results in placing individuals with moderate to severe stage of dementia in the aged care facility with high level of care. Dementia associated behavioural symptoms, such as agitation and confusion, are the clinical manifestations throughout the trajectory of the disease, which impacts on residents’ quality of life and increases the stress of caring staff (Gitlin, Kales & Lyketsos 2012).