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Assess the possible effects of dementia on individuals and families
Effects of Alzheimer's on patient and family
Impacts of providing care to the dementia person on the caregivers
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Dementia Caregiving Has Impact on Caregiver Health
Melodie Nelson
Florida Institute of Technology
Abstract
Caregivers play a crucial role in the care of dementia patients. The caregivers experience stress which can cause health impacts to caregiver. The caregivers go through a journey with the dementia patient and need a strong support system. The best approach to dementia care is for healthcare providers to provide information to and monitor the caregiver in addition to the dementia patient, encourage the caregiver to take care of themselves and seek support, and to work as a team to provide the best care for the dementia patient.
Keywords: caregiver impacts, dementia care, caregiver issues The research paper is to be written
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Alzheimer’s is a disease that effects the brain and causes dementia symptoms. Dementia is the generic term that is used by healthcare professionals to describe the symptoms of memory and judgment issues that effect patients and replaces the term senile.
Dementia is a growing problem in the United States and around the world. There are currently 5.3 million people in the United States who have been diagnosed with Alzheimer’s or other dementias and this number is expected to increase by 40 percent in the next decade (Alzheimer’s Association, 2015). Dementia care is typically provided by an unpaid caregiver that is a relation or close friend until the patient is admitted to a long term care facility such as assisted living or a nursing home. Once the patient has been admitted to a facility, the caregiver still provides care for the dementia patient just in another capacity.
This paper will review studies conducted on numerous caregiving topics on dementia, caregivers, and the effects to the caregivers in an effort to identify if dementia caregiver’s health is impacted by providing care to dementia
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The results of their examination showed higher impact rates in most areas studied for dementia caregivers such as caregiving time, and negative impacts in the caregiver’s health, both mental and physical, as well as in relationships and work hardship.
Papastavrou, Kalokerinou, Papacostas, Tsangari, & Sourtzi (2007) conducted a study that showed higher issues with the burden of caregiving and feelings of depression as well as isolation in the dementia caregivers. The study also found that behavior problems by the care recipient placed more burdens on the caregiver than the impacts of diminished mental understanding or physical abilities and usually resulted in the care recipient being placed in a long term care facility.
The demands on the caregivers relates to high levels of stress for the caregivers and impacts their lives in the following areas: caregiving time, negative impacts in the caregiver’s health (both mental and physical), as well as in relationships, and work hardship (Ory, Hoffman, Yee, Tennstedt, & Schultz,
Informal supports, such as aid for housekeeping and running errands, are crucial to maintaining the lifestyle of individuals with Alzheimer’s in the community; however, the disease’s erosion of physical, cognitive, and communicative abilities often creates tremendous strain for family caregivers. Individuals and family caregivers dealing with Alzheimer’s often experience increasing social isolation as the disease’s progression undermines both mobility and the capacity for meaningful and appropriate engagement with the community (Banerjee et al., 2003). A number of studies have documented the physical and mental health costs borne by unsupported caregivers, and the link between caregiver stress and the institutionalization of their ill family members (Andren & Elmstahl, 2005; Banerjee et al., 2003). Taken together, the stress and isolation of dealing with Alzheimer’s disease undermine the health and quality of life of everyone involved, eventually precipitating institutionalization.
However, this type of care brings a lot of unconditioned difficulties due to the constant care they have to provide the elderly people with dementia. In a recent study it was discovered that caregivers experience stress differently given the circumstance this was shown by analysis of 234 people with dementia (Robertson, Zarit, Duncan, Rovine, & Femia, 2007). The findings were that caregivers in intense and distressed groups experienced higher behaviora...
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
70% of the patients with Alzheimer’s disease and other types of dementia live at home. Patients who are living at home typically receive help from their family members and friends; they also get community–based services, homemaker services, and adult day care centers. Many people with dementia end up in long-term care facility or a nursing home because they need 24-hour care and hand-on assistance with even the simplest of tasks. These patients struggle with eating, bathing, dressing, and using the restroom, which can be very difficult if the assistant has not had training. It would be very difficult to treat patients with high-grade dementia in the regular
...health. The demanding physical duties contribute to stress and mental health problems and carers have higher levels of psychological distress than non-carers (Pinquart & Sörensen, 2006). Research suggests that the physical effects of caregiving stem primarily from psychological impact (such as depression) rather than direct physical labouring in the provision of care (Pinquart & Sörensen, 2006).
Alzheimer’s disease is a form of dementia which is a brain disorder that impairs mental functioning. Dementia attacks the part of the brain which controls memory, language, and thought. It makes everyday tasks like remembering to brushing your teeth, or to pay your bills next to impossible to do, which is why so many people who are diagnosed with this disease are in complete care. This disease has different phases, the first being slight forgetfulness and then the persons emotions may heighten as well as language impairment, violent outbursts, loss of bladder control and from there it keeps getting worse until complete dysfunction of the brain occurs and eventually death, which most of the time is the result of infection.
What is Alzheimer's Disease? Alzheimer's Disease is an existential form of Dementia. Alzheimer's is a gradually crippling disease that affects an individual’s mental and physical capabilities over time. The disease develops predominantly within aged individuals. It is unknown as to what factors contribute to the etiology, or cause, of Alzheimer's Disease. In order to better understand Alzheimer's Disease, medical research and theories have helped shed a light as to how Alzheimer's occurs. By understanding what events lead to the cause of the disease, a specific treatment can then be developed that can hopefully stop or even reverse this debilitating disease that affects the elderly.
Three million people over the age of 65 are diagnosed with the irreversible condition known as dementia, a disorder of the brain that will cause memory loss and difficulty with communicating. Many people mistake dementia as an illness, but it really is a set of symptoms that cause impaired thinking and memory. How can we better understand dementia in order to give the best care towards dementia patients? Spreading awareness of this disease is important so that people can catch the symptoms early enough to protect the health of Canadian older adults so that they can maximize their quality of life. It is also an important issue in nursing practice because nurses need to be aware of the proper care needed to be given to dementia patients as it
Alzheimer's disease is a type of dementia. Dementia is a neurological disease which affects brain functions including memory. Dementia is the loss of cognitive functioning thinking, remembering, and reasoning and behavioral abilities to such an extent that it interferes with a person’s daily life and activities. Dementia ranges in severity from the mildest stage, when it is just beginning to affect a person’s functioning, to the most severe stage, when the person must depend completely on others for basic activities of daily living.
Leggett, A., Zarit, S., Taylor, A., & Galvin, J. (2010). Stress and burden among caregivers of patients with lewy body dementia. The Gerontologist, 51(1), 76-85.
Person Directed Dementia Care Assessment Tool (2006). The Wisconsin Department of Health and Family Services. Retrieved [18th April 2011] from http://www.dhs.wisconsin.gov/aging/Genage/Pubs/pde0084.pdf
There are many issues that can be related to carers of people with dementia. The physical and psychological workload can be attributed as the most common concern among carers (Fjelltun et al., 2009). In addition, O’ Dowd (2007) has stated that carers are more likely to endure more anxiety, and feeling of liability which resulted to carers’ negligence of their own wellbeing. Moreover, carers suffer more stress than those who are not giving care to elderly with dementia. In relation to this, carers’ health is not interrelated with their emotional functioning (Bristow et al., 2008). These different reports suggested that carers undergo psychological issues more notable in comparison with just ordinary people. This can be regarded to carers’ exposure to a stressful environment.
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...
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...