Dementia Case Studies

People with dementia have symptoms that can vary throughout the week or even day. They will have times when they perform well, and others when they will have more problems. Fatigue is the biggest enemy of the person with memory loss. People with brain diseases tire easily because they must concentrate so hard all the time. For many, the late afternoon and early evening hours can be the most challenging due to fatigue, a condition often referred to as "sundowning."

The term dementia is used to describe an illness that affects the memory. Patients can suffer from forgetfulness, loss of memory and the inability to remember new information. As well as being unable to speak and be understood by others and be unable to carry out general tasks. Patients can also suffer from mood changes and all reasoning. This all has an effect on daily routines and people become unable to look after themselves properly and manage their own personal care.

Dementia is a condition resulting from obtained brain disease and distinguished by progressive decay in memory and other cognitive fields such as judgment, abstract thinking, language, and executive functioning. This disease is usually caused by degeneration in the cerebral cortex, the part of the brain responsible for thoughts, memories, actions, and personality. Death of brain cells in this area leads to the impairments that distinguish dementia. Though the cognitive outline of single diagnosed with dementia vary somewhat by etiology, the degree of deterioration stands for a decrease from previous levels of cognitive functioning and is enough to impede with social and occupational functioning. This downfall is beyond what might be expected from normal aging in a person. It can cause impairment with everyday activities such as dressing, feeding, and bathing.

There are various types of dementia that are caused by different things. As stated above, Alzheimer’s disease is the most common case of dementia, though the cause of

1.1 Dementia is the progressive decline in the cognitive function, involving all aspects of perception, thinking, reasoning and remembering. This is largely to do with damage or disease. This is progressive and leads to the deterioration of the mind, affecting an individual’s ability to concentrate on daily tasks. The memory is often affected, causing them to forget people, dates and events that are recent to them, behaviour can be erratic and noticeably different than is usual for them, and the ability to control feelings is also affected. As the disease progresses as do the signs and symptoms.

On 12/13/16 at around 8:55 am the aide-Grier Gloria- call the agency to report that her patient- Tomasulo Catherine is missing since yesterday. As per the aide on 12/12/16 at around 4:30-5:00pm the patient became aggressive, stated that she wants to go outside, did not wait for the aide who needed to put on boots and coat, opened the door and leave the house. The patient lives alone in the privet house, has dementia, but was not prone to wandering before this day. The aide stated that by the time she was run out of the house she noticed direction the patient was heading, but when she reached the corner of the nearest streets the patient was disappear. She was looking for her until 6:30pm, return to the patient’s house to see if the patient

Memory loss, social abilities, mood changes and everyday tasks are some of the things elderly men and women will have to face when diagnosed with dementia. Dementia is psychological disorder illustrated by chronic personality disintegration, and confusion. Also, it is one of the biggest health issues that majority of the elderly men and women will encounter all over the world. Sadly, the amount of people who are diagnosed with dementia is increasing every year and transforming the illness to Alzheimer’s. Ages from sixty to sixty- five will face problems with their brain function causing the brain cells to die, brain shrinks, and unnecessary space in the brain leading to serious bodily functioning. Episodic, semantic, and procedural

A review of his medical records indicates he was recently hospitalized for agitation and behavioral disturbances. He suffers from chronic ESRD-on hemodialysis three days weekly, advanced dementia which is progressive, HTN which is chronic and stable, chronic Dm and CAD.

Alzheimer's is a sort of dementia that causes issues with memory, deduction and conduct. Manifestations for the most part grow gradually and deteriorate after some time, getting to be distinctly sufficiently serious to meddle with day by day assignments. A standout amongst the most well-known indications of Alzheimer's is memory misfortune, particularly overlooking as of late learned data. Others incorporate overlooking imperative dates or occasions; requesting a similar data again and again; progressively expecting to depend on memory helps or relatives for things they used to handle on their own.Sometimes overlooking names or arrangements, yet recollecting that them later. A few people may encounter changes in their capacity to create and

The healthcare sector is the companies that provide services relating to medicine or care for people. In my project work, I would like to introduce a change in the XYZ nursing home, it is referred by name XYZ in order to protect the confidentiality of the nursing home. The nursing home offers dedicated dementia and nursing care with 40 well-designed bedrooms surrounded by client's personal belongings.This nursing home holds dementia patients with the inapparent neurological disease.It has a communal area where the people can watch television, sit, read, have their food and socialize with other residents. Apart from that, there is a garden where the residents can walk and get some fresh air. The overall rate for this service is good. On the other hand, I have noticed that the report recommended the provision of activities should be extended.

A review of his medical records indicates that he suffers from advanced dementia; he is now wheelchair dependent and needs assistance with all his ADLS. The facility nurse reports that he recently was treated with for pneumonia with antibiotic therapy. He has chronic left knee pain and left hip pain that is managed with tramadol. He suffers from co-morbidity of neuropathy-stable with medication, atrial fibrillation-stable, HTN-stable, depression-stable with medication.

(2008) reports the modality of (TT) as being highly beneficial to decrease agitation in dementia patients. The research of Wang and Hermann (2006) supports Coppa’s findings that touch therapies significantly reduce agitation in elderly dementia patients and also decrease the necessity for psychotropic medication in these same patients.

The case was sent to EHR and their initial decision was for observation. It was resent again after discussion with the attending it was determined the patient is appropriate as of 4/4/2015. I am reviewing the chart from the time of admission.

1. - Well-being: Wendy stated to be exhausted and sad due to a number of sad incidents occurred with her extended family members. Wendy’s cousin pass away due to overdoses of drugs, her brother dementia is deteriorated and his partner not only does not want to look after but she is taking advantage of his dementia to get all his money. Since she was aware of this situation she has been going out trying to find a nursing home for him.

In 2011, a care program (Palliative care for advanced dementia) for older adults with dementia was crafted in Beatitude Campus, a LeadingAge member in Arizona. This program focused predominantly on the needs of dementia patients, putting their needs first and working around their schedules. Later, in 2015, the Alzheimer’ Association-New York Chapter along with 3 other LeadingAge members adopted a comparable program called comfort first. The objective of the Alzheimer’ Association-New York Chapter was to improve the way nursing homes cared for dementia patients. Ann Wyatt was then appointed to take care to the next level by collaborating with nursing homes employing this program. In her attempt to do so, she reached out to the program co-directors