Dementia and Caretaking - Essay Example

These fears include the repetitive questions of going home; seeking caretakers and this phenomenon is called "Shadowing" (Lindeman, Corby, Downing & Sanborn 1991) Alzheimer disease is one of the disorders known as dementia. Patient develops multiple cognitive deficits including memory loss. The diagnostic criterion along with memory loss must include one of the cognitive disturbances: aphasia, apraxia, anoxia or a disturbance in executive functioning (DSM- IV 1994). Dementia may be progressive, static or remitting (DSM-IV 1994).

Keeping in view of this study the AD should not be taken as 'process of inevitable and immutable decline'. (Judkins,Wayne ) Caretaking for the patient of AD is a long process which involves many people. In the early stages the family members are the initial help. But the later stages require persistent care of the patient and he/she is shifted to adult day care centers. In adult day care centers safe and supportive environment is must for the patient of AD. It involves creating new roles to replace the roles lost because of the disease. (e.g.

provider for spouse, worker) In this environment patient can interact in the same cognitive state and can form meaningful attachments. (William & Roberts 1995). The group spirits should also be fostered in the day care centers to make the patient feel that he/she is the desired member of the social group.Researchers in their recent studies have examined the role that the attachment style may play in dementia. It is observed that personality characteristics persist in dementia. For example, a person suffering from depression and aggressive behavior before the diagnosis of dementia 'have these tendencies aggregated by the course of disease.

(Agbayewa, 1986) Bowlby defined attachment behavior as "any form of behavior that results in a person attaining or retaining proximity to some other differentiated and preferred individuals, who is usually conceived as stronger and /or wiser." (John Bowlby, 1979, pp 129) Misen (1992) was the first researcher to conclude that the patient of dementia could also be classified as having secure or ambivalent style of attachment. The further studies proposed that various component of attachments i.e. trust, comfort with dependency became more important with higher level of dependency caused by dementia.

The studies have also found that the effect of dysfunctional behavior as taken by caretakers was correlated with caretakers' psychological distress. (Levesque. Cassette & LaChance, 1998) But it is observed that attachment therapy can also help the caretakers to overcome their psychological stress. The following quoted study is taken from the interview of Ann Hurley (Citation: Trudeau S. Bright Eyes, A Sensory Stimulation Intervention for Patients with Advanced Dementia: An interview with Scott Trudeau, by AL Romer, Innovations in