DEM 301 UNDERSTAND THE PROCESS AND EXPERIENCE OF DEMENTIA
WHAT ARE CAUSES AND SYMPTOMS OF DEMENTIA
Alzheimer's disease – The possible risk factors are increasing age, possible genetic link, being female and Down's syndrome. Symptoms: word finding problems, forgetting how to do everyday activities, confusion, forgetting names of people, places and appointments , mood swings and withdrawn.
Vascular dementia – possible risk factors lifestyle( lack of exercise, too much alcohol, smoking and eating fatty diet) medical or family history (BP, high cholesterol) and ethnic back ground Symptoms: problems concentrating and communicating, depression, symptoms of stroke such as weakness or paralysis, epileptic seizures periods of acute confusion
Lewy body disease - Increasing age
Symptoms: symptoms of Alzheimer's and Parkinsons diseases- problems with attention and alertness , spatial disorientation, difficulty in planning and co-ordinating mental activities, trembling, shuffling, visual hallucinations , fall asleep very easily by day, faint, fall or have funny turn, abilities fluctuate daily or even hourly.
TYPES OF MEMORY IMPAIRMENT EXPERIENCED BY PEOPLE WITH DEMENTIA
short term and long term memory loss
not able to express themselves in words
not able to concentrate on things
not able to reason or understand the information
not able to get dressed properly
unable to make decisions
cannot remember their way around
slows ability to process the information
HOW WE PROCESS INFORMATION AND HOW DEMENTIA CAN AFFECT THIS
Communication is the way we share information or exchange ideas. Sender conveys a message and receiver conveys a response, this is how we interact with each other. People with dementia may not be able to send or receive information effectively, so it is up to the partner in communication to make the interaction successful. By using pictures, signs, facial expressions, touch.
We behave in polite manner at work or in streets as our behaviour and emotions are well controlled by frontal lobe. People with dementia affecting frontal lobe may not be able to control their behaviour and become aggressive and start behaving inappropriately.
We can drink cup of tea in normal manner due to left parietal lobe is intact which is responsible for control of the body, sequencing. Person with dementia having left parietal lobe damaged can affect their daily living. Even getting dressed they will know they have put clothes on but it will be in wrong sequence.
If at lunch we are being served food, we can pick up knife and fork and will be able to eat our dinner. People with dementia although may perfect eyesight and be able to see dinner in front of them , they would not be able to figure out what to do with it as there is loss of perception of movement due to occipital lobe damage.
WHAT OTHER FACTORS (MAY NOT BE PART OF DEMENTIA) CAN CAUSE CHANGES IN A SERVICE USERS CONDITION
Urinary tract infection
drugs: sedatives and tranquilisers
Anti- parkinson medication
vitamin b12 deficiency
case study: one of our resident was admitted in residential care last year. Most of the times she remained independent, be able to look after herself, self caring with personal care. Managing meals independently. Her memory was not great but she used to manage it somehow. Past two months, she has been frequently coming to staff when can she have wash sometimes she asks for 6-7 times a day. She has been spending time on her own in lounge reading magazine and falling asleep. At certain extent, she is aware that her memory is deteriorating and gets frustrated at times and become tearful at other times. We discussed with family and involved GP did her urine analysis and blood test to rule out...
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