Dementia is a haunting problem amongst elderly who frequently get admitted to acute care settings for other health problems like fever, gastroenteritis and heart disease. Thus, nurses and other health professionals who deal with acute conditions of elderly population must…
It is yet unclear whether, despite abundant literature on the management of dementia in acute care settings, the training and practice of staff meets the demands of the ageing population. Currently, most of the practice is based on biomedical model (McCloskey, 2004). Due to rise in the elderly population and simultaneous increase in the number of patients suffering from dementia, research and practice of dementia patients in acute care settings is a necessity in order to meet the needs of the patients and their families affected by dementia. The purpose of this essay is to identify current practices in the nursing care of patients with dementia in acute care settings, discuss best practice guidelines pertaining to care of this population, analyse factors influencing the care of dementia patients in acute care settings and evaluate various options pertaining to alternative modes of management.
The economic, social and health status of the fast-growing elderly population poses a great challenge to all sectors. The WHO (2006) has projected that the elderly population of the world will cross the one billion mark by the year 2020 and by that time, over 700 million old people will be living in developing countries. It is unfortunate to say that little attention is paid to the enormous needs of the elderly population because the National Health Services are still preoccupied with tackling of the communicable diseases, maternal and child care and thus have no time, money and place for geriatric problems like dementia. According to the Advisory Panel on Alzheimers Disease (1996, p6), health professionals ignore patients with dementia because of "sense of impotence" pertaining to the treatment of their health problems and perception of increased cost of treatment. However, Cherry and Reid (200, p3) opined that nursing staff are aware of the fact that they are unable to deliver appropriate care to the elderly patient and thus meet their needs specifically. One ...
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Dementia is a medical condition which refers to a significant loss of global cognitive ability in a person who had been impaired beyond the dynamics and characteristics of normal ageing processes or reality. Dementia may happen in a manner that is static or progressive.
It affects memory, thinking, language, judgment, and behavior” (“Health Guide”). The intellectual functioning of the patients of dementia becomes impaired and affects their relationships and everyday life. The ability of the patients of dementia to solve their problems and control their emotions is reduced.
Health care experts must anticipate experiencing ethical stress in clinical practice. Ethical stress is normally interpreted as a practice worry in which two moral principles compete. Ethical stress is usually experienced by health experts as they attempts to make clinical decisions concerning inconsistent ethical principles; for instance, when attempting to balance keeping away harm with patient autonomy (Zuzelo, 2007).
Various sources have argued that, the care pathway has presented a meansof killing terminally ill patients premature by withholding and withdrawing food and water and that it has become an equivalent of euthanasia for the elderly (British Medical Journal, 2013), such as the recent scandal concerning the Mid Staffordshire hospital.
Older portions of population are those 65 years and above in age. However it is unknown as to why the same medicare which helped people grow to ripe old ages does not work for them as effectively when they are actually old. As a group, globally older people have many unmet medical needs.
Physical restraints are applied to the dementia patients at the time of their aggression that leads to insecurity for them and the attending nurses. In view of nursing staff the physical restraints are applied on patients of dementia only as an intervention.
This group of disorders may impair what we know or even who we are." (2003, p.71) About 1 per cent of 65-74 years old and 10 per cent of 75+ year olds (the group I am working with) suffer from this disorder. As memory loss is one of the major symptoms of dementia, it becomes difficult to decide whether people of this age group are actually suffering from dementia or not as memory loss is considered a natural sign of ageing in our society.
of intervention information, which has to be provided to help the individual service users in the recovery from their mental health needs and areas of challenges (Lee 2006, pp.1376–1382).
Individualized nursing care helps the nurses in planning and evaluating patient
There is great potential for improving a nurse’s knowledge from not only the nursing profession but also from the larger healthcare sector through critical appraisal of studies on specific areas of nursing. First, nurses stand to benefit greatly from
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