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Impact of dementia in older people essay
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Developmental Effects of Dementia Dementia, is defined by the Alzheimer 's Association as “a general term for a decline in mental ability severe enough to interfere with daily life.”(“What is Dementia?”,2014) Dementia could be used to describe a range of symptoms which are characteristic with a wide range of diseases, although it is not a disease itself. Contrary to popular belief, dementia is not apart of the normal aging process and many steps can be taken to prevent this mental decline. Dementia is diagnosed by the DSM-5 by two symptoms. One, substantial decline in one or more of the following areas of cognitive function: memory and learning, attention, perceptual-motor, planning and decision making, language ability, and social cognition. Second, cognitive deficits interfere with independence. (Comer, 2014) Accounting for 60-80% of dementia cases is Alzheimer 's disease. (“What is Dementia?”, 2014) Followed by Vascular dementia which occurs after a stroke. Due to the wide range of symptoms associated with dementia there is no one test to diagnose it, and even after a diagnosis of dementia is reached it is not easy to categorize the type of dementia. Many dementia patients go …show more content…
The patients who were kept in the study had received a dementia diagnosis by the third reassessment in order to see a change in costs from pre-dementia to post-dementia. Leicht et. al. Compared all patients in terms of impairment, and found no significant changes in cost for more severe dementia. They also recorded all healthcare costs regardless of if they were paid for out of pocket or by health insurance. It was found that those patients who were placed in nursing homes had significantly more costs than those who were cared for at home. However, as dementia progressed most patients were eventually
“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/
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
"Dementia: Hope Through Research." National Institute of Neurological Disorders and Stroke (NINDS). National Institute of Neurological Disroders and Stroke, 23 Mar. 2011. Web. 29 Nov. 2011. .
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
People with dementia may have problems with short-term memory, keeping track of their belongings, keeping up with plans, remembering appointments or travel dates. Many dementias are progressive. This means that symptoms start out slowly and gradually get worse with time. Alzheimer’s and other types of dementia are diagnosed based on careful medical history, a physical examination, laboratory tests, and the characteristic changes in thinking, day-to-day function and behavior related to each
Doctors need a sure way to diagnose the disease before treatment or studies can be done. The diagnosis is an autopsy of brain tissue examined under a microscope. In addition, medical history, a physical exam, and mental status tests are used for diagnosis (Posen, 1995). Often, tests are done to rule out other potential causes of the dementia. This allows the identification of other causes of thinking and behavioral changes to be made before concluding that the patient has Alzheimer’s or another form of dementia. The tests that are requested to be done include CT and MRI scans to rule out strokes or brain tumors which could account for change in memory and behavior; thyroid and psychological tests which can also detect thinking and behavior problems (Posen, 1995).
“…a group of symptoms that are caused by changes in brain function. Dementia symptoms may include asking the same questions repeatedly; becoming lost in familiar places; being unable to follow directions; getting disoriented about time, people, and places; and neglecting personal safety, hygiene, and nutrition. People with dementia lose their abilities at different rates.”
The participation in leisure activities, such as dance, is related with a reduced risk of development of dementia, both Alzheimer's disease and vascular dementia (Verghese et al., 2003). Dementia is “a general term that describes a group of symptoms-such as loss of memory, judgment, language, complex motor skills, and other intellectual function-caused by the permanent damage or death of the brain's nerve cells, or neurons” (Alzheimer’s Foundation of America [AFA], 2015, para 1). Alzheimer’s disease is the most common cause of dementia in persons over the age of 65, representing about 60 percent of all dementias. Dementia is specifically characterized by “different pathologic, or structural, changes in the brain, such as an accumulation of
Dementia is a long-term condition that normally affects people aged 65 and over, younger people can be affected. Having dementia can cause loss of key functions to the brain, such as; loss of memory; confusion; speech and language problems; loss of ability to make judgements; loss of concentration; difficulty in processing information; changes in behaviour and personality. These all lead to a person not been able to function properly. The person’s ability to function deteriorates over a period of time and is usually at least 6 months before positive diagnosis of dementia can be made. Dementia is caused when the brain is damaged by diseases such as Alzheimer’s which is the most common of dementia, vascular which is a series of mini strokes,
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.
According to (Miller, 2009), dementia is the most accurate expression which illustrates the development of cognitive impairment. ¬¬¬¬¬¬¬¬¬¬It exemplifies the diverse brain anarchies which ultimately lead to severe brain dysfunction (Alzheimer Australia, 2011). Dementia is the leading cause of disability in older adults in Australia accounting for 17 percent of the cases (Australian Institute of Health and Welfare, 2004). Alzheimer’s disease (AD), Vascular Dementia (VD), Frontotemporal Dementia (FD) and Dementia with Lewy Bodies (DLB) are the well known forms of this disease. 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 regarding the seven stages of cognitive decline in Dementia (Alzheimer’s Association of Canada, 2005).
Personal Social Services Research Unit. (2007) Dementia UK. London: London School of Economics, King’s College London.
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...
STEEMAN, E., DE CASTERLÉ, B. D., GODDERIS, J. & GRYPDONCK, M. 2006. Living with early-stage dementia: a review of qualitative studies. Journal of Advanced Nursing, 54, 722-738.