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Advance Dementia Care - Essay Example

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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. …
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Advance Dementia Care
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Advance Dementia Care

Download file to see previous pages... The former results mainly from a unique global injury in the brain, while latter results from a long-term decline that may be a culmination of a disease or damaging of the body. While dementia has been found to be far more common among geriatrics, cases where it occurs before 65 are also not very rare. Such cases are referred to as early onset dementia. The reality, diagnosis, treatment and effects of dementia are therefore to be discussed, in light of the aforementioned patient, Andy, as shall be seen forthwith. Diagnosis of Dementia Diagnosing dementia is somewhat complex, given that there is no single test that can clearly show that someone is suffering from dementia. Because of this, the need to apply a multifaceted approach cannot be sidestepped. This multifaceted approach will help establish the symptoms that are consistent with dementia. The first step in this case may be running a battery of home screening tests. First, it may be important to engage Andy in a meaningful conversation, since this step will go a long way in helping determine the state of his cognitive ability and memory. It is obvious that a person suffering from dementia is likely to exhibit symptoms such as the loss of mental recollection, inability to appreciate the physical reality around him, lack of vivacity and a general detachment from the environment. The above mental status test can be made more practical by ascertaining whether Andy: is aware of time, date and situational context (such as his location); can recall short lexicons (vocabulary); and is aware of the symptoms of the illnesses besetting him. In this case, the mini-cog test (MCT) and the mini-mental state exam (MMSE) may be used. In the case of MMSE, the consultant psychiatrist, at the Community Mental Health Nurse (CMHN) can use a scale of score points that start from 1 to 30. A score of 20 to 24 in this case suggests mild dementia. 13-2- may be indicative of moderate dementia, while any score that is below 12 denotes severe dementia. The above approach can be closely followed with a brief examination of the patient’s medical history. This study will involve looking at Andy’s present and past illnesses and the kind of medication that the patient is on. Herein, the consultant psychiatrist may also consider the medical conditions that accost Andy’s family members (Mary, Barry and John) and whether these medical conditions may have any connections with dementia or not. Conversely, an MCT may be used, in which Andy will be asked to: take mental note and repeat the names of three dominant objects afterwards, and to draw a clock with its 12 numbers and show the time that is to be specified. This step may be followed with mood assessment. Assessing Andy’s mental status may be in order herein; as such an undertaking may lead to the disclosure of his wellbeing, in respect to depression, mood disorders, loss of interest and enthusiasm in life, memory lapses. In case considerate extents of vestiges of these traits are visible, it may be important to proceed to other steps and forms of diagnosis since suppressed cognition and meta-cognition do not readily imply dementia (Bourgeois and Hickey, ?2009, 11). The effort above may also be complemented with a neurological examination, where Andy can be evaluated for problems akin to brain disorders. In this case, the consultant psychiatrist may test his reflexes, eye movements, muscle coordination, strength and tone, sensitivity and speech. If the evaluation is not explicitly indicative of dementia but the symptoms continue to fester over time, more tests may have to be run. It may also be helpful to run genetic testing on Andy, given that ...Download file to see next pagesRead More
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