Going through this uncertainty and confusion often causes people to retreat to the safety of established memories, and they begin to lose awareness of the world around them. Nurses and other care givers who have never met these behaviors before often do not know how to respond when a person with dementia asks difficult questions, such as requesting to see a mother who has passed away. It can also be difficult to know how to reply if they believe they need to go to work or collect children from school. It is important to remember, in the later stages communication is most challenging, that continuing to interact with the person who has dementia is more important than ever. The first thing to remember when talking to people with dementia is to keep things simple.
As dementia is a neurodegenerative disease, individuals diagnosed with dementia face frustration and difficulty functioning in their day to day lives. Family caregivers face similar frustration in assisting their loved one in everyday tasks. Informal care giving is a demanding responsibility and experience on family members. Psychological demands, physical demands, time demands, emotional demands are necessary to meet the needs of their loved one with dementia, therefore experiencing burn out and related emotions is quite common. Furthermore, family caregivers who may experience depressive symptoms can be less capable in managing the behavioural symptoms of dementia (Takai, Takahashi, Iwamitsu, Oishi, & Miyaoka 2011).
Some of them that I have personally experienced are mainly when they are not happy with wages. They are not happy with what they are paid and some of them are underpaid for the amount of work they do. This leads to decreased motivation and interest in working and they look for opportunities to take a leave from the work and even pretend sick when they are not. They even look online for better opportunities where they can be paid more for the same work. Secondly, many of the employees in the hospitals have fixed job status for a very long time and when there is no scope for any growth, they get frustrated and it is seen in their performance and when they get any offer from other organization even for the same position with higher salary they tend to move out of the organization.
Communication Strategies Overview One of the many challenges posed by people suffering from dementia is communication. As this disease advances the brain begins to deteriorate by showing signs of lost memories, clear thought, and a lack of personal hygiene. In addition, mood swinges become evident stemming from the frustration of losing their ability to remember and communicate clearly with others. Other noticeable changes occur in the personality and behaviour patterns, such as a lower regard for personal hygiene. What follows are suggestions on how to communicate with individuals suffering from Dementia Communication is something we learn throughout our lifetime and when we begin to lose this ability it changes us.
Over time, you know that the symptoms will slowly become worse. You want to live each day to the fullest, but you are not sure how to do that. “Are you afraid of wasting the time you have left?” “Do you want to boost your brain function and memory?” “Do you wish you could relax and feel happy?” Dementia is a constant struggle. It is hard to do your daily activities and have a good quality of life. You want to be happy, but side effects get in the way.
Lia’s parents also don’t understand that some medications will make Lia feel sick and this language barrier between the family and doctors is extremely complicated to deal with, both sides are concerned with Lia’s health, but they are unable to communicate with each other effectively. This part of the book is very significant to the whole book because without this language barrier, almost all the problems would be resolved. This theme continues in the book once the Lee’s get Lia back and they believed she was returned damaged but both sides cannot communicate and can’t figure out why things are happening. The language barrier also prevented the doctors from figuring out that the parents are trying to help in their own way by buying things that Hmong believe will heal the body. The doctors didn’t know for sure if the parents were serious or not.
Some people develop unstable angina after previously having stable angina, while others experience unstable angina with no history of having angina before. This will affect David physically because of the symptoms occurring to him such as: breathlessness and feeling sick. Emotionally this will make feel restless and make him tired. This will affect David socially because he will not be able to participate in overwhelming activates causing him to move around a lot which may trigger the angina attacks. Intellectually this
Poor professional quality of life(PQOL), results in difficulty with staff retention, lateness, absenteeism, and low morale resulting to an unhealthy workplace which ends up affecting patient care and outcomes. The contributing factors for compassionate fatigue are the feeling of unprepared to care for those who are suffering, death overload and moral distress. Staff members with compassionate fatigue, feel emotionally exhausted, but they keep going, caring for others even though it hurts them.When compassionate fatigue is unresolved, it leads to burnout which develops gradually. Other factors that contribute to burnout are lack of resources, inadequate staffing, poor communication, incivility, and ineffective management. One’s dissatisfaction
However, many times the patient might abuse the privilege of having this option. As stated before, many patients who request this treatment are suffering from depression or anxiety. (Endlink6) If legalized, the everyday issues America is constantly battling would only increase. As the constant clash of those who support and those who oppose Assisted Suicide continues, several people are finding out the dangers and risks using this treatment creates. People are not commonly resorting to this option because of the morals that are disregarded, the negative message that is projected, and because they know how precious life is.
The repercussions of missing an appointment There are a range of effects for a person missing an appointment. Not only will missing an appointment affect the individual who missed it, least of all, not showing up for a scheduled appointment is disrespectful to all the people that might have benefited from it in the first place. Missing an appointment not only punishes others that may have gained from that time slot, you also punish the practitioner by wasting their valuable time. GP appointments in the NHS are being wasted every day by patients not bothering to turn up, the lost time is equivalent to a year’s work for 1,300 doctors and costs the NHS more than £300million annually. Clinical time is extremely valuable and by missing an appointment
The elderly experiences many emotional and physical changes as they reach late adulthood. Many experience emotional changes such as loneliness or depression that relate to many factors such as loss of independence or by losing loved ones, or fading health. A decrease in physical or social activity, finances, interaction with loved ones, and the requirement to live in a nursing home can result in a declining will to live (Chima, 2002). Social workers are important in end-of-life care because they have an understanding of human behavior which helps them determine what is needed to decrease the suicidal risk factors of the elderly. But there is also the factor of elderly euthanasia which is the equivalent to voluntary physician assisted suicide.
Sometimes, individuals may wander out of their house and end up in the middle of nowhere, not knowing where they are. This can lead them to become scared. Therefore, these daily effects are just as dangerous as the psychological and cognitive effects that we see in individuals with dementia. These effects alone can lead to the individual being placed in a nursing home, due to the fact that they need 24/7 care that families just can’t give to them due to work and other commitments (especially if they have children). Although this can be difficult for many to bare, it’s sometimes the best option for the individual with
Normal tasks like walking, cooking, cleaning become a daily struggle. And this loss of independence in many cases triggers depression, and in extreme cases bipolar disorder. In conclusion, IPF is not just another disease; it is a stimulus for other illnesses within the patient, that spreads to the family and friends, and every time a new case is diagnosed (just like cancer) the bonds of family are pulled tighter, religious reliance is depended on, and hope in the future is
Other aspects that leave our aging population vulnerable include elder abuse, discrimination, housing needs, depression/anxiety issues, and alcohol abuse. Adjusting to retirement and grand parenting are other stress factors. One aspect that I have to agree with is how the media portrays the elderly. Much of it depicts our elderly population as incompetent, frail, and cognitively impaired. The unfortunate part for many is that they are dependent on children, grandchildren, family, and caregivers that do not genuinely care about their health and well-being.
10 Stress Symptoms According to the Alzheimer’s Disease Association (2015), there are 10 identifiable stress symptoms observed in caregivers that are contributing to the psychological and physical distress of the caregiver. As the disease progresses the stress increases. The first stressor is denial of the disease and its unexpected impact on the one who is diagnosed. Next, is the unexpected feeling of anger towards the victim of Alzheimer’s disease and toward others because there is no cure for this devastating disease. Due to the continuous cognitive decline, anger increases toward the care recipient, especially when they continually ask the same question over and over again while becoming more dependent.