The ATC-classification system is an official classification for pharmacologic substances which is dividing them according to their organ or organ system on which they act and additionally upon its pharmacological and therapeutic properties. Twice annually updated by the German institute for medical documentation and information the ATC code contains drugs which are divided into fourteen main groups and pharmaceutical and therapeutic subgroups. By this the ATC-classification facilitates the comparison between the different pharmaceutics. The code itself starts from the 1th level of the anatomical main group across the therapeutic, pharmacological and chemical subgroups and within the 5th level merges into the specific chemical substances. Regarding …show more content…
It is a 25 item encompassing questionnaire to detect deficits of performance in daily activities for community-dwelling people from mild to moderate cognitive impairment. The first two items figure out if the patient is able to manage the activities of daily living (ADL) and estimates the extent of self-care. By this they can give a first idea of the individuals` general ADL capacities. The items three to 20 estimating specific tasks in daily life like medication, hygiene, reading, concentration, telephoning, shopping, food preparation, handling money and financial affairs, household appliances, transportation, leisure activities, measurement of the ability to conduct tasks which needs functional short-or long-term memory and the ability to get along in familiar and unfamiliar environments. Finally the last five items evaluate cognitive functions important for performing activities of daily living like the ability to continue a task after interrupting it, being intent to more than one thing, conducting the ADLs in a safe way, being able to manage new situations, or managing tasks even under pressure [22]. For each question a score from 0 to 10 with 0 standing for never problems and 10 always problems with the appropriate task, a “not applicable” and “unknown” can be given. The scale is conducted by the primary caregiver or the family members as these persons are the ones who mostly recognized deficiencies firstly [23]. By this the B-ADL serves for an assessment of early dementia and to evaluate the efficacy of therapeutic interventions as well as the progress of dementia. Finally, because of its briefness, the B-ADL is a suitable scale to use within a GP and primary care context
Dementia is a serious disorder caused by a variety of brain illnesses which affects a person memory .There are three symptoms stages which are early,middle,and late stages. A Person with dementia lose the ability to think well enough to do everyday activities or solve problems. It is also difficult for a person with dementia to interact with others which makes this disease overwhelming for the families of the Patient. The number of people who have dementia is currently estimated at 47.5 million.
It provides the opportunity for prompt evaluation of the patient and possibly administer tests and treatments for reversing and determining the causes of memory loss. In addition, early diagnosis provides time for patients and families to prepare for the future and most importantly it maximizes the patients opportunity to contribute to their own care planning process. As previously stated, the diagnosis of dementia most commonly takes place in the primary care setting. During primary care visits with older or elderly people the interactions tend to be brief and patients often present multiple health conditions that they are experiencing. It can be challenging for the physician to pin point those intersecting health concerns with Alzheimer’s if they are not properly trained to do so.
The early stages of dementia are often just seen as “getting old” to those of us who are not trained. In this stage patients find it hard to follow a story through to the end, whether they are telling it or listening to it. Often they will notice everyone laughing but won’t actually understand a joke that was being told. It can also start with subtlety of slower responses to questions.
Dementia is not a specific illness. It 's an overall term that describes a range of symptoms associated with a decline in memory or other thinking skills severe enough to cut a person 's ability to do everyday activities. Alzheimer disease accounts for 60 to 80 percent of cases. Vascular dementia, which occurs after a stroke, is the second most common dementia type. Dementia is often incorrectly referred to as "senility" or "senile dementia," which reflects the formerly widespread but incorrect belief that serious mental decline is a normal part of aging.
Early signs of dementia Early signs of dementia aren 't as severe as they can be as the diseas in the person sometimes people have bad memory loss and can potentially forget their daily routines (go to work, pick up kids from school have confusion with the date, time or place and the people with dementia could have trouble understanding simple conversations Younger-onset dementia Younger- onset dementia is when the age of 65 get dementia and this is mostly caused by Huntington 's people under disease when your brain cells die off and leave you being unable or hardly able to move or talk people can Huntington 's disease is or 30 to 50. This disease is also an inherited disease meaning that it has get Huntington 's disease at the more common age come through the genes of your family Dejectedly Huntington 's disease is like dementia as is has no cure but researchers are still working on it to make the suffering lives better. This disease is also called Early-onset dementia Statistics of dementia by 2025 There are more than 413,106 Aussies that have to live forms of dementia and that is anticipated to rise to 536,164 60,000 The amount of People suffering from Early onset dementia is also expected to rise to
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
Dementia is a disease that can not be cured and it can continue to progress without even knowing it. It affects people's memory, the ability to focus or pay attention, communication, and judgment. Over time these things continue to become worse and worse as dementia continues to progress. There are usually three main stages of Alzheimer's mild, moderate, and severe. Mild Alzheimer's is a very early stage where people can still function by doing normal daily things like driving and going to work.
I work with patients that have suffered various types of neurological deficits such as stroke, brain tumor, aneurysm and traumatic brain injury. Many times these patients have lost function of a limb or have suffered some sort of communication impairment. Once the patient has overcome the dangers of the illness it is part of my responsibility to help them regain their independence by teaching them self-care activities. This often involves adjusting their surrounding environment in ways that help them help themselves. E.
Dementia should be viewed as a disability as the symptoms affect the individuals’ ability to be responsible for their everyday needs for example taking medication, remembering to eat and drink. Dementia also affects a persons’ capacity which can be a risk to their safety. Symptoms of dementia can be a big risk to the person as it affects memory so the person with dementia could forget vital things like turning an over off, not locking doors. Balance can also be affected so falls, slips and trips are quite common which means aids need to be put into place to try and prevent the risk of falls, slips, trips and other risks like leaving the oven on or not taking medication. Not having the capacity or ability to act responsibly for their health and safety is viewed as
I. Just imagine waking up one morning and not knowing or remembering anything you did yesterday or the past years of your life? Well that’s what people who have dementia go through. They cannot remember who their kids are or anyone around them. II. Dementia effects your memory and a person’s ability to achieve a normal everyday task and activities.
The Long Island Alzheimer’s Foundation (LIAF) is a social model day program for individuals with Alzheimer’s disease and other related memory disorders to help improve their quality of life. LIAF is located in Port Washington, NY and offers services to treat individuals with early, moderate and late stage Alzheimer’s. The agency population is comprised of male and female participates with ages ranging from mid-fifties to late-nineties who all suffer from Alzheimer’s disease. LIAF biopsychosocial are done during a client’s initial intake and reviews are conducted quarterly by a Social Worker.
The term ‘dementia’ is an umbrella term for a range of progressive conditions that affect the brain. Doctors typically use the word ‘dementia’ to describe the common symptoms such as memory loss, confusion and problems with speech and understanding. Each type of dementia stops an individual’s brain cells working in specific areas, namely their ability to speak and remember things. 1.2 -Describe key functions of the brain that are affected by dementia The brain is made up of four lobes, namely frontal, temporal, parietal and occipital, all of which have different functions.
Overall the book teaches us a number of lessons about the progression of dementia. This knowledge can be applied today in nursing practice to provide better patient teaching and understanding of the
The declining cognitive function and unpredictable behaviour of dementia sufferers makes caring for them a difficult and challenging task. As a result, caregivers providing care for dementia sufferers face high physical, emotional and psychological stress [1]. This causes caregivers of dementia sufferers to be at high risk of developing burn-out and other health complications. Thus, it is essential to understand the challenges and burden faced by caregivers of dementia and the resulting effect of caregiving on caregivers’ overall well-being.
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.