Critique 2 Intervention Dementia The objective of this study (Eloniemi-Sulkava et al., 2009) was to analyze if a program of care based on multiple components, such as peer support groups, exercise education and comprehensive geriatric assessment among others could delay the need for institutionalization of patients with dementia and prolong their care in the community. At the same time, the authors investigate if the impact that this program will have in the use and cost of social and healthcare service utilized by the studied patients compared with the usual care. The writers do not explicitly indicate the direction that the relationship between the intervention and the outcomes although we may infer that they expect a benefit from the intervention. The included literature review suggests that a prolonged stay at home has been achieved in similar studies that evaluated some of the components of the intervention tested as well as a possible reduction in costs. There is not an identified theory in the article. The researchers do an extensive literature review and base their framework on previous studies and their own experience and critical observation of the care of the patients with dementia in the community. Methods The design chosen for this study is experimental. A randomized controlled trial is performed during a period of two years. One of the inclusion criteria for this trial was to be a couple in which one member cared for the other who was diagnosed with dementia. Living at home in the Helsinki area was other requisite. The diagnosis of dementia was clearly defined as done by a specialist and that included medical imaging. The severity of the condition had to be at least 1.0 in a Dementia Rating Scale and a no more tha... ... middle of paper ... ...healthcare settings. References Crichton, N. (2002). Cox Proportional Hazards Model. Journal of Clinical Nursing, 11(6), 723-723. doi: 10.1046/j.1365-2702.2002.00714.x Eloniemi-Sulkava, U., Saarenheimo, M., Laakkonen, M.-L., Pietilä, M., Savikko, N., Kautiainen, H., . . . Pitkälä, K. H. (2009). Family Care as Collaboration: Effectiveness of a Multicomponent Support Program for Elderly Couples with Dementia. Randomized Controlled Intervention Study. Journal of the American Geriatrics Society, 57(12), 2200-2208. doi: 10.1111/j.1532-5415.2009.02564.x Koivusalo, M. (1999). Decentralisation and equity of healthcare provision in Finland. BMJ, 318(7192), 1198-1200. doi: 10.1136/bmj.318.7192.1198 Polit, D. F., & Tatano, C. (2012). Nursing Research. Generating and assesing evidence for nursing practice (9 ed.). Philadephia, PA: Lippincott Williams and Wilkins.
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.
...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
(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
Evidence-Based Practice Preparation in Nursing Education: Recent BSN Graduates and Their Experience With Applying Evidence-Based Practice. Doctoral Dissertation (Doctoral Dissertation). Capella University. Retrieved from ProQuest Digital Dissertations. (3502734) http://search.proquest.com.ezp-02.lirn.net/pagepdf/993006005/Record/3CA1ED1ED991402DPQ/1?accountid=158614
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
CHARACTERISTICS AND EPIDEMIOLOGY OF DEMENTIA. (2002). In Encyclopedia of the Human Brain. Retrieved from https://hodges.idm.oclc.org/login?
In an article written by Antonanzas, Rive, Badenas, Gomez- Lus and Guilhaume (2006), the different style of treatment of Alzheimer’s Disease (AD) was found to have implications on research. In the United States and many other developed countries, AD patients are often institutionalized at a certain point of the disease when they are said to cause a burden on their caregivers. In Spain, AD is rarely a disease that institutionalizes a person; they are regularly taken care of by a caregiver in the community till the end. Researchers in Spain found that due to their different views on AD care, much of the research available could not be applied to their country and adaptions to research had to be made. Researchers had their sights set on finding out whether drugs that lowered care costs in countries that institutionalized AD patients would have the same effect in a country that mainly does not (p. 137).
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...
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
Alzheimer’s is a form of dementia that affects the brain. There is no cure for it but many treatments. Alzheimer’s is fatal and there are few stages of dementia. It is the 6th leading cause of death, more than 5 million Americans have it, and 15,5 million caregivers gave around 17.7 billion hours of unpaid care that cost around $220 billion in 2013. In my family, my grandmother who is 86 years old has very early stages of Alzheimer’s. She started having symptoms when she was 81. My grandfather took most of the care of her but as he got ill my aunt Kathy took over. When my grandfather got ill and had to be in 24 hour care, we all agree to put my grandmother in assisted living care 10 minutes from one of my aunt’s house.
Polit, D., & Beck, C. (2006). Essentials of nursing research: appraising evidence for nursing practice (7th ed.). Phildelphia: Lippencott Wilkins & Williams.
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
The study of mental illness had been a popular subject in the past century and this was considered and used as an example in mainstream sociological theorizing on deviance and social control. During this period, the reputation of sociological work was to analyse those countercultural. This was driven by radical critiques from some mental health professionals. In recent centuries, Sociologists were interested in health and illness which turned out to become more exciting about mainstream topics of physical and chronic illness. In this case, there were numerous contradictions that existed between mental health and service practices. This was due to the fact that society was interested in mental health and in the analysis of Sociologists which was to understand theories in social relationships. These issues that surround mental illness rematerialized for Sociologists and this led consumerism with the National Health Service (NHS) and wider society to find a particularly strong voice within mental health campaigns (Pilgrim. D & Rogers. A 1999 p. xiv).
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.
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.