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.
Delirium is a cognitive disorder that alters the patients’ level of consciousness, generally as an acute onset, impairs memory, fluctuations in behavior, produces disorganized thinking, and perceptual disturbances such as hallucinations (Downing, Caprio & Lyness, 2013). In order to diagnose and monitor Delirium a confusion assessment method (CAM) is used to measure the symptoms of ...
Dementia is common among a large population of elderly people. The disease affects not only the individual diagnosed, but also the caregivers that work towards making their life comfortable in the end. Understanding and learning about the disease is crucial in helping those that experience or live with someone who has dementia. The services and support that are currently in affect for elderly people with dementia and the caregivers is poor, and ineffective because of the lack of research and information on the topic.
Delirium is defined by an acute onset of disturbances in consciousness in which cognition or perception is altered. It can vary throughout the day ...
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
The signs and symptoms of catatonic schizophrenia fall into several categories of catatonic behaviour, including physical immobility where the perso...
Dementia is a significant health issue in Australia (Australian Institute of Health and Welfare 2012) (AIHW 2012). Whilst Dementia primarily affects older members of the community, it can also affect young people and has a significant influence on overall health and quality of life (AIHW 2012). The type of Dementia is a determinant in the severity and development of symptoms in individuals (Department of Health 2013) (DoH, 2013). The gradual, progressive and irreversible nature of Dementia has a considerable social and physical impact not only on the individual, but also on family and friends.
Although delirium risk factors are well known and the condition may be preventable in many patients, this has not, for the most part, been translated into concrete action at the unit level. More research needs to be done on the pathophysiology of delirium to better understand the cause, effect and how to better treat it. It is important that delirium is detected, diagnosed, and treated early without delay to improve patient outcomes and reduce the complications and severity of any associated underlying illness.
This paper is on dementia, a late-life disorder, as it pertains to the geriatric population. “It is estimated that 24.3 million people around the world have dementia and that, with an estimated 4.6 million new cases every year, we can expect about 43 million people and their families to have to handle the challenge of dementia by 2020.” (McNamera, 2011) I will cover three relevant points concerning this disorder that cause changes in the brain.
Delusion and hallucination in their different forms are the major symptom of psychotic disorders. There is a growing evidence however that these symptoms are not exclusively pathological in nature. The evidences show that both delusion and hallucination occur in a variety of forms in the general population. This paper presents and analyzes the relationship between the above major psychotic symptoms with normal anomalous experiences that resembles these symptoms in the normal population.
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.
The elderly represents a large amount of the population in our society and continues to grow each day. As the population grows, it is important to meet the demands and resolve the challenges that we encounter in regards to the overall quality of health and well-being of the elderly. Mental health of the elderly is a major issue but majority of the time goes unnoticed and untreated by caregivers and loved ones. About 20 percent of adults 55 and older are suffering from some type of mental health disorder, and one in three elderly adults do not receive any type of treatment (The State of Mental Health, 2008). Those suffering from mental illness are hesitant to seek out help or any type of treatment because of the stigma, services and cost for care that then comes with mental health disorders. Mental health issues that affect elderly include dementia, delirium, and psychosis. Some of the most common conditions include anxiety, mood disorders such as depression and bipolar disorder and cognitive impairment such as Alzheimer’s disease. Mental health is essential to the
Introduction This assignment critically discusses dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementia are elaborated with descriptions of dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discuss actions nurses should take while evaluating patients and treating them.
Caring for dementia involves a lot of patience and understanding. It should be dealt with audacity and flawlessness to ensure the vulnerable adults’ well-being. Aiding at home or care home required carers to be at their best, physically and emotionally. The responsibility can be distressing but it is rewarding as well since helping dementia adults in their day to day activities is a significant matter for them. However, carers need a pause as over duty can result to substandard nursing. The big question is: who take care for the carers of people with dementia?
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...
It was a pleasant day at the Dementia unit and I was assigned to care for a lady whom we can call Miss K. She is a lovely, warm and nice lady who was recently admitted to the Dementia unit two weeks ago. I went to her room to meet her, I introduced myself, greeted her and gave her a hand shake for me to establish rapport. She was very cooperative, participative and independent with her cares. From my observation, I noticed that she is very organised and very particular when it comes to cleanliness. She also wakes up early in the morning and makes sure that all of the things that she needs for morning care are neatly arrange in the bathroom. When having a shower, she cleans her body very well. She also brushes her teeth and cleans her dentures very well. She always likes to wear red coloured clothes and red floral nighties. Before leaving her room, she makes sure that her glasses are clean before wearing it, her used clothes are neatly kept in the empty drawer and she wants to have a handkerchief in her pocket. I also noticed that there is always a glass