• Critically apply an idea to one’s own personal or professional experiences.
As discussed by Hutchinson (2015) in late adulthood; among the risk factors leading to reversible dementia depression was strongly relative to my aunt’s situation; she is now entering into very late adulthood. (p. 383)
A quick summary of the path which led to where she is now: After I moved to New Jersey from Staten Island, my aunt and uncle were the only family members left in New York. Their two sons had moved to Georgia over a decade ago. My aunt decided she wanted to live in Colorado, two thousand miles from any family member against her sons’ wishes. My uncle’s health was declining at the time. He was in his late seventies and diagnosed with emphysema and Parkinson’s disease. The doctors were concerned about the altitude of Colorado initially but after they made the move to a plateau city, he was able to adjust but died within two years after the move.
They were married almost fifty years. Of those fifty years, she was the epitome of an old-fashioned female
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Hutchison (2015) discussed grief work researched by Lindemann (1944) and of the common reactions to loss he identified, my aunt very likely experienced “loss of patterns of conduct, where the ability to carry out routine behaviors is lost” (p.438). Wortman & Silver (1990) proposed four patterns of grieving. My aunt more than likely would have been categorized as experiencing delayed grief. Delayed, postponed inhibited or suppressed grief is demonstrated very slightly “in the first few months after the loss, but high levels of distress at some later point” (p. 440). At the time of her husband’s death, she was very calm and did not seem to be grieving at all, it was if he went on a trip and would be back eventually. However, her behavior after the year of bereavement counseling told a different
witted, and had an amazing sense of humor. Her husband was a lady's man and
As in the stages of change, pre-contemplation or denial is followed by the slow understanding that a profound alteration in our lives is occurring. In this early stage, Deits encourages the reader to focus on the immediate personal needs of the grief stricken. Early in this pr...
Pah-Lavan, Z. (2006). Alzheimer's disease: the road to oblivion. Journal of Community Nursing, 20(5), 4. Retrieved from EBSCOhost.
“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/
The characters in Alice Sebold’s The Lovely Bones are faced with the difficult task of overcoming the loss of Susie, their daughter and sister. Jack, Abigail, Buckley, and Lindsey each deal with the loss differently. However, it is Susie who has the most difficulty accepting the loss of her own life. Several psychologists separate the grieving process into two main categories: intuitive and instrumental grievers. Intuitive grievers communicate their emotional distress and “experience, express, and adapt to grief on a very affective level” (Doka, par. 27). Instrumental grievers focus their attention towards an activity, whether it is into work or into a hobby, usually relating to the loss (Doka par. 28). Although each character deals with their grief differently, there is one common denominator: the reaction of one affects all.
It is common for those experiencing grief to deny the death altogether. Many people do this by avoiding situations and places that remind them of the deceased (Leming & Dickinson, 2016). However, by simply avoiding the topic of death and pain, the mourner only achieves temporary relief while in turn creating more permanent lasting agony (Rich, 2005). In this stage, mourners will begin to feel the full weight of the circumstance. Whether the death of a loved one was sudden or long-term, survivors will feel a full range of emotions, such as sadness, guilt, anger, frustration, hopelessness, or grief. While many of these emotions can cause serious suffering, it is important for the survivor to feel whatever emotions come up and deal with those feelings, rather than trying to suppress any
In 1969 Elisabeth Kübler-Ross, a psychiatrist, published the Pioneering book On Death and Dying. The work acquainted the world with the grieving process, called the five stages of grief. Kübler-Ross gathered her research from studying individuals with terminal cancer (Johnson, 2007). The first stage of the grieving process is denial. In this stage the person refuses to believe that their loved one is deceased, a common thought during this period is, “This can’t be happening to me” (Johnson, 2007).The second stage of the grieving process is anger. In this level the person becomes frustrated with their circumstances, a customary complaint is “Why is this happening to me?” (Johnson, 2007). The third stage of the grieving process is bargaining. At this point the individual hopes that they can prevent their grief, this typically involves bartering with a higher power, and an ordinary observance during this time is “I will do anything to have them back” (Johnson, 2007). The fourth and most identifiable stage of grief is depression. This phase is habitually the lengthiest as...
Individually, everyone has their own methods of dealing with situations and emotions regardless of any positive or negative connotation affixed to them. One prime example of this comes with grief. Elisabeth Kubler-Ross in her 1969 book “On Death and Dying” suggests that there are five stages of mourning and grief that are universal and, at one point or another, experienced by people from all walks of life. These stages, in no particular order, are as follows: Denial and Isolation, Anger, Bargaining, Depression, and finally Acceptance. Each individual person works through these stages in different orders for varying levels of time and intensity, but most if not all are necessary to “move on.” In order for positive change to occur following a loss, one must come to terms with not only the event but also themselves.
Nerney, C. (2014, April). Dementia. Lecture conducted from Massachusetts’s College of Liberal Arts, North Adams, MA.
Dementia is the progressive deterioration and impairment of memory, reasoning, and other cognitive functions occurring as the result of a disease or condition. Dementia can affect the person’s ability to carry out daily activities. For example, the person may forget where they live or they might think they have already done their activities but never did. Dementia can also cause the elderly to become incontinent and can’t control their urinary system. Many people get confused that dementia is a disease. Dementia is not a disease. However, it can lead to a disease or condition. Dementia is more common in the elderly population. It’s normal for people to forget things, but to a certain extent it becomes a critical issue. Depression also plays a role in the affects of dementia. Studies have been made to believe that the biological mechanisms for depression relating to dementia is, “interactions with vascular diseases, changes in glucocorticoid steroid levels that can result in hippocampal atrophy, accumulation of amyloid-[beta] plaques, inflammatory processes, and lack of nerve growth factors” (Heser et al., 2013). Dementia is caused because of plaques and neurofibrillary tangles. This can also be known as Alzheimer’s Disease. Dementia is the leading cause for Alzheimer’s Disease in the elderly. For all dementia cases, 60 to 80 percent of people with dementia will have Alzheimer’s Disease. The disease has 3 different stages, the early stage, the middle stage, and the late stage. Each of those stages has a variety of symptoms that affects the memory impairment of the person (Wieregna, Bondi, 2011). Also relating to dementia is Parkinson’s Disease and Huntington Disease. These diseases can result in impairment, which can cause challeng...
Leming, M., & Dickinson, G. (2011). Understanding dying, death, & bereavement. (7th ed., pp. 471-4). Belmont, California: Wadsworth.
Developing depression in later life is not a normal part of the aging but is a treatable illness just like any other physical malady. It is however often difficult to recognize in older patients. This could be because symptoms often present similar to those of dementia (Aldrich & CDC, 2013) or because of the stigma associated with having a mental illness. The older adult population in today’s society was reared in a time when mental illness was not recognized as a “biological disorder and medical illness” (Geriatric Mental Health Foundatio...
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).
Everyone has or will experience a loss of a loved one sometime in their lives. It is all a part of the cycle of life and death. The ways each person copes with this loss may differ, but according to Elisabeth Kübler-Ross’s novel On Death and Dying, a person experiences several stages of grief: denial, anger, bargaining, depression, and, finally, acceptance. There is no set time for a person to go through each stage because everyone experiences and copes with grief differently. However, everyone goes through the same general feelings of grief and loss. There are also sections in Kahlil Gibran’s “The Prophet” that connect to the process of grieving: “On Pain,” “On Joy and Sorrow,” and “On Talking.” Kahlil Gibran’s “The Prophet” reflects on Kübler-Ross’s model of the different stages of grief and loss.
Dementia is defined by the World Health Organization as a syndrome due to damage of the brain cells that most often chronic and progressive in nature. Some of the cortical functions that become impaired include memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgment. Other manifestations that may accompany this disease are deterioration in emotional control, social behavior or motivation (Ouldred & Bryant, 2009) Dementia is not a normal part of aging, however it occurs most frequently in the older population. Fifteen percent of Americans over the age of sixty-five have dementia, and as the average life span continues to increase, so will the number of those affected by dementia (Fredman, James, Johnson, Scholz, & Weuve, 2012). The purpose of this paper is to discuss the pathophysiology, risk factors, symptoms, and treatment options for different types of dementia.