A comparative study measured the functional mobility, level of independence, depressive symptoms and quality of life of the elderly living at home and in the nursing home. In this study, 33 elderly living in a nursing home and 25 elderly living at home, who met the inclusion criteria and volunteered to contribute, were included. Sociodemographic characteristics were documented. Functional mobility (Timed Up & Go Test), depressive symptoms (Geriatric Depression Scale), level of independence (Kahoku Aging Longitudinal Study Scale), and quality of life (Visual Analogue Scale) scores were contrasted among the groups. Results demonstrated that functional mobility and independence level of the nursing home residents were higher than the home-dwelling …show more content…
(Karakaya, Bilgin, Ekici, Köse, & Otman, 2009).
Quality of life between the elderly with dementia in institutions was also investigated. The sample comprised of patients above 60 years with dementia, 82 in nursing home and 74 in departments of geriatric psychiatry. They were evaluated with the Quality of Life in Late-Stage Dementia (QUALID); the Self-Maintenance scale, Mini Mental State Examination (MMSE) and Clinical Dementia Rating scale. Patient’s age, sex, past medical and psychiatric history were noted. Dementia was diagnosed in accordance with ICD-10 criteria for research. Based on the information in an interview with the patient and a professional and data in the patient’s record, a geriatric psychiatrist made a diagnosis of major depression according to DSM-IV, if present. Result demonstrated that the patients’ mean (± SD) age was 82.9 ± 7.7 years, 103 (66%) were females. A factor analysis of
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Participants were 100 elderly successively admitted to a nursing home, within 1 week of admission and after 6 months. Data were gathered from medical and nursing records (medical and psychiatric history, ADL), interviews (MMSE, details for admission) and self-report instruments (GDS, BSI, WHOQOL-brief). Results exhibited that just 5.9% (n = 4) had relocated to the nursing home by their own will, 26.5% (n = 18) because they were isolated and 36.7% (n = 25) because they had no accessible caregiver. Twenty-six participants had an MMSE score >or= 18 and allowed to undertake complete evaluation. The scores of 20 of the 26 participants exceeded the cut-off on the GDS and five of the nine BSI subscales. During the follow-up period, 19 of the 68 initially evaluated residents died (33 of the entire sample of 100) and one rejected to continue the survey. The mean MMSE and ADL scores of the 48 survivors lessened from 16.87 (SD +/- 7.32) to 14.27 (SD +/- 7.24; t = 4.89, p < 0.000) and from 8.22 (SD +/- 3.55) to 6.39 (SD +/- 3.56; t = 5.34, p < 0.000), respectively. The scores attained on GDI and BSI subscales exacerbated in 20 survivors with MMSE >or= 18. The score attained on the QOL physical wellbeing domain also deteriorated. Evaluation of the subjects who died and survived during the
Atul Gawande’s book, “Being Mortal: Medicine and What Matters in the End,” explores different themes such as, aging, death, and the mishandling of both aging and death by the medical profession’s. This book also addresses what it means to live well near the end of life. It is not just to survive, not just to be safe, not just to stay alive as long as the medical technology allows, but, according to the author it is about what living truly means to an individual. The author describes that the idea of “Being Mortal” developed as he watched his elderly father go through a steep decline in his health and the eventual death. He soon realized that during his medical education and training he was never taught how to help his patients with managing
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
In this report I am going to assess ways in which different types of dementia affect an individual and also the individual’s family and friends. Due to the symptoms and consequences of dementia, a major impact on individual is the feeling of insecurity and the loss of confidence in themselves and their abilities. This can increase a sense of loss of control which in turn may result in the individuals doubting themselves and losing trust in their own judgements. These problems are made worse by the reaction of the people around them that are closest to them, such as friends and family and colleagues will begin to respond to them differently and not treat them in the same way as before.
The result shows that 46 or 92% of the elderlies wished that they had more respect to themselves. Forty or 80% of them said that they sometimes pity themselves while 34 or 68% of them perceived that they have little or sometimes nothing to help their family and friends. In addition, 33 or 66% of elderlies said that they are not happy with their accomplishments in life while 32 or 64% of them perceived that they do not have capabilities and good qualities that they can be proud of and shared that they find it difficult to accept the changes happening in themselves at the present moment. Moreover, 28 or 56% of the elderlies shared that they often think and wish that they are in other people’s condition while half of them (50%) think and feel that they are useless. Further, despite of the adversities experienced in later life, 32 or 64% of elderlies didn’t think that they
To note, my objective for this practicum is to investigate the psychological well-being among the elderly. I learned that psychological well-being among the elderly has a strong subjective component (Simone & Haas,2013). This subjective well-being is comprised of positive and negative affect and cognitive evaluations of life satisfaction. It was my observation, and which literature supports, that residents who were well-adjusted and psychologically healthy functioned better than those that were not. I believe that this may be explained by study findings that psychological well-being is a primary indicator of optimal functioning (Simone & Haas,2013).
Dementia is a disorder which causes the brain cells to deteriorate therefor causes a decline in several symptoms and affects a person’s mentality, capacity and how they go about their everyday life. NVQ 1.2 2) Describe the functions of the brain that are affected by dementia. There are many brain functions affected by dementia depending on which form of dementia the individual has. The temporal lobe’s functions affected are Memory loss for example forgetting things you have just been told or something you have just said so repeating yourself several times, balance, posture and vision can also be affected due to decline in health of the temporal lobe. Frontal lobe affects behaviour for example becoming withdrawn.
Introduction Alzheimer’s is a chronic neurodegenerative disease that usually starts slowly and gets worse over time. The most common early symptom is difficulty in remembering recent events or short memory loss. As the disease advances, symptoms can include difficulty with language, disorientation, mood swing and behavior problems. As a person 's condition progressed, they often withdraw from friends and family. Slowly, bodily functions deteriorated and eventually death occurs.
Social isolation has been linked to poorer health in the older adult including an increased risk for depression and a decrease in their quality of life. This paper will discuss the different cognitive and social factors that contribute to social isolation and how they affect the elderly population. The signs and symptoms of depression and medication side effects that can also contribute to social isolation will also be discussed by using the START/STOP criteria. This paper will also explore the perspective of the older adult as related to the factors that contribute to social isolation, as well as the nurse’s role in identifying and minimizing social isolation in the older
The first place she chooses to do her research on is a city called Key West, Florida. When she arrived, she started to look for place to live settling for a budget of $500 a month. Next she started looking through wanted ads and after a couple days of searching, she landed a job being a waitress at Hearthside were she only worked for two weeks making $2.43 an hour, plus tips. She worked there from 2 in the afternoon to 10 at night. On the first on the job, she was shadowing a waitress named Gail, to show her what she is expected of.
Dementia is one of the most feared diseases and expensive to society currently. It is defined as a clinical syndrome of acquired cognitive impairment that determines decrease of intellectual enough capacity to interfere social and functional performance of the individual and their quality of life. It is a known fact that patients tend to express themselves through their behaviour and expect their carers to understand this notion. The diverse kinds of causes of different behaviours are inability to communicate, difficulty with tasks, unfamiliar surroundings, loud noises, frantic environment, and physical discomfort. Many diseases can cause dementia, some of which may be reversible.
Troubles caused by aging are not limited to physical degeneration. Mental health issues concerns, such as loneliness, idleness, helplessness, and hopelessness, may be considered when developing treatment options for aging individuals (1956). In Benjamin Pollack’s article, the impacts of emotional distress due to aging are discussed and management or treatment options are introduced. Difficulties for the elderly, which may cause emotional strife, include the inability to perform ordinary tasks, unwillingness to slow down, and loss of social contacts may cause further degeneration mentally and may impact them physically. Management strategies for retirement coping may include; flexibility in thinking, replacement of physical activities to more manageable activities, and social involvement.
Ekman, et al. (2000) the comprehensive understanding was that the very old persons who also felt old were in a phase of transition. The distinguishing qualities of those that felt old were also found to be in line with the dystonic dominance in the ninth stage designated by Joan Erikson of the previously described life cycle. Knowledge about transition processes and sensitivity to very old people’s experiences of feeling old are of great importance to nursing in order to provide adequate health care services and prevent unhealthy transitions. According to an article “Loneliness in older people” Older people are especially vulnerable to loneliness and social isolation – and it can have a serious effect on health.
Erikson’s psychosocial theory of development analyses the influence of independent factors, society and parents on development of personality from infanthood to adulthood. Corresponding to Erikson’s theory, every individual has to progress through a sequence of eight interconnected stages over the complete life cycle. The eight stages consist of: Stage 1 – from Birth-2 years of age (Infancy) Trust vs. Mistrust This first stage focuses on the infant’s primary needs being fulfilled by the parent/s and this communication provoking either trust or mistrust. Erikson defines trust “as a fundamental and necessary sense of an individual’s self-worth”.
Home health care is flowing to the forefront as a feasible entry point in the health care structure. In the recent past, home health care happened at the end of the patient care scale-that is, after discharge from a severe care facility. Nowadays the trend is varying to use of home health care services to elude hospitalization Health, wellness, and well-being have many meanings and understandings.
There are qualified medical caretakers on obligation, dinners and different administrations are comprehensive in the charges. Extra components incorporate offices of consistent help is accommodated individual care and diverse exercises are organized that suit a people necessities. Be that as it may, there is minimal individual opportunity and rooms may appear somewhat littler. These are just suited to weak and elderly individuals who need steady nursing and therapeutic necessities. Basics of A Care home - Deciding Factors Entrenched care homes give security, solace and care with the consistent nursing prerequisites according to necessity.