Unit 13 1.1 The term Dementia is described by a number of symptoms such as memory lose, changes in mood, and unable to communicate normally. A mental decline in the ability to function in every day life. 1.2 Key functions of the brain affected by dementia are frontal lobe, temporal lobe, parietal lobe, occipital lobe, cerebrum and hippocampus. 1.3 Dementia can be mistaken for depression, delirium and age-related memory impairment because they are very similar in appearance. 2.1 The medical model sees the patient with dementia as a problem.
As dementia progresses, the ability of someone to look after themselves from day to day may also become affected. 1.3 Why depression, delirium and age related memory impairment may be mistaken for dementia : signs, symptoms, behaviour, diagnosis, medication Outcome 2: Understand Key Features of the Theoretical Models of Dementia 2.1 The medical model of dementia: Here the person is seen as being ill or having a condition (referred to as the disability) and is in need of some form of treatment. In this model, or view, of disability the illness or condition is said to be seen first and the person second. 2.2 The social model of dementia: This model concentrates on the person as a valued member of a very diverse society. It suggests that the person is a unique individual who has the right to the same opportunities in housing, education, transport and facilities as anyone else.
The emotional distress and other pressures inherent in situations in which patients are approaching the end of their life sometimes lead to misunderstandings and conflict between doctors and patients and those close to them, or between members of the healthcare team. However, this can usually be avoided through early, sensitive discussion and planning about how best to manage the patient’s care. Advanced care planning (ACP) is a process of discussion between an individual and his/her care provider. It is to make clear a person’s wishes in anticipation of a deteriorisation in their condition in the future, with associated loss of capacity to make decisions or communicate wishes to others. It only comes into effect if and when a person has lost such capacity.
DEM 201 Task 1 Design an information booklet explaining to relative of the individuals you support What is meant by the term dementia? The term 'dementia' describes a set of symptoms which include loss of memory, mood changes, and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain diseases, including Alzheimer's disease and damage caused by a series of small strokes. Dementia is progressive, which means the symptoms will gradually get worse. How fast dementia progresses will depend on the individual person and what type of dementia they have.
This may mean that their friends and family are also less available to provide support for them. The specific needs of younger people with dementia have been recognised in the dementia strategies and plans in England (2009), Northern Ireland (2011) and Wales (2011). There is also reference made to younger people with dementia in the National Institute for Health and Clinical Excellence (NICE) guideline. 1.3 who have
It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own. Altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. Activities of daily living include everything we do during our normal day to properly take care of ourselves and as we get older these tasks may become more difficult. Nurses need to assess how well a patient can see or hear, vision and hearing loss can be quite debilitating to performing ADL’s and it’s the nurses job to make sure our patient is in a safe environment and that they have proper vision/hearing care with proper strength prescriptions for their glasses or hearing assessments. It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012).
H/SC Adults Intermediate NVQ Dementia Pathway CU1682 Understand and Enable Interaction and Communication with individuals who have Dementia Contents Understand the factors that can affect interactions and communication of individuals with dementia 4 1.1 Explain how different forms of dementia may affect the way an individual communicates. 4 1.2 Explain how physical and mental health factors may need to be considered when communicating with an individual who has dementia. 4 1.3 Describe how to support different communication abilities and needs of an individual with dementia who has a sensory impairment. 4 1.4 Describe the impact the behaviours of carers and others may have on an individual with dementia. 5 Be able to communicate with an individual with dementia using a range of verbal and non-verbal techniques 6 2.1 Demonstrate how to use different communication techniques with an individual who has dementia 6 2.2 Show how observation of behaviour is an effective tool in interpreting the needs of an individual with dementia 6 2.3 Analyse ways of responding to the behaviour of an individual with dementia, taking account of the abilities and needs of the individual, cares and others.
Support and consultation Direct assessment - collaborative care planning Rationalises complex problems Clinical treatment as necessary Research/education 14 Indication for Specialist Consultations Exacerbation of previously stable symptoms Needs exceed the capacity of the facility Client requires complex symptom management Risk of complications, physical - social emotional 15 End-of-Life Care Dying trajectory Goal more focused on existential issues meaning, affirmation of life, spiritual comfort Unfinished business - forgiveness - reconcile Family/friends needs for comfort and information Anticipatory grief 16 End-of-Life Care Physiological signs - palliative treatment Meticulous physical care - including symptom control Consider the environment of care Spiritual care - rituals, ceremonies etc 17 The Palliative Approach Population approach, organisational Client group have varying degree of need for the palliative approach Identify the transition markers Essentially holistic approach 18 19 Palliative Approach Extending beyond routine care Incorporating specific knowledge, attitudes and skills Establish a supportive relationship with specialist palliative care providers Involving family and friends 20
Usually an assessment is done to determine if an elderly can meet some important needs. It is important to make sure they are capable taking care of themselves, demonstrate decision making, offer testimonies, and the ability of defending themselves. Sometimes it is necessary to assess the abuser with their mental condition to conclude if they are in fact a threat and if they in require treatments. Counseling individuals can help with options, safety, find resolutions, and help with trauma, and find clinics. Legal assistance is in need with cases of abuse.
Age In Place: Advantages and Challenges Introduction As people age, they will experience several changes: reduced vision, decreased mobility, reduced mental processing capabilities, increased risk of falls due to balance, and increased risk of illness (Hager, n.d.). People’s quality of lives and independence will be impacted by these changes. Therefore, research has focused on how to age without losing independence and quality of lives has been asked by a lot of people. Aging in place is defined as “the ability to live in one’s own home and community safely, independently, and comfortably, regardless of age, income, or ability level” (Centers for Disease Control and Prevention, n.d.). According to the definition, aging in place does not only describe that a person can live in a residence of his/her choice, but also the person are able to have services or support they might need as their needs change over time as well as to maintain their quality of life.