Dementia And Care For Elderly Health And Social Care Essay

Dementia And Care For Elderly Health And Social Care Essay Dementia the word itself says the meaning what dementia is? The condition in which deterioration of mental capacity to memorize the things, in other hand it means loss of memory, loss of function of certain part of brain. Dementia is a progressive brain dysfunction, which results in restriction of daily activities and in most cases leads in the long term to the need for care (Trevor, 1999) .Caroline (2001) defines dementia as an umbrella term used to explain different disease and disorders that affect the brain. Wood (1999) explained dementia as a syndrome of acquired loss of cognitive function, behavioural changes and loss of social function. In addition, Adams and Thorpe,(2003)states that the person with Alzheimer disease often has a temporary or permanent increase in the level of both physical and psychological disability with residual complication of poor care, such as weight loss, malnutrition reduced hygine,mobility or skin problem. I can say those complication plays great role to reduce the quality of life of individual. There is loss of short-term memory, disorientation in time and space, loss of ability to carry out complex daily living skills such as dressing or making a cup of tea, speech problems and deterioration in personality. Dementia is really a tough condition which interferes individual daily activities. The National Service Framework for older people(DOH,2001) standard 7 highlight that older people and mental health problems should have access to integrated mental health services, effective diagnosis, treatment and support for themselves and their careers. Simon and serge to (2001) there are behavioural changes in dementia which lead a relative to seek help from health care service. People with dementia have several behavioural difficulties changes, which are agitation, aggressive, discomfort from constipation, incontinence, sleep disturbance, communication difficulties and sexual inheriting. As I can say dementia can make life very complica ted and unusual. Dementia seems major problem in UK.It is the terrible stigma of the individual who is sufferer. According to department of health UK 750,000 people in the UK with dementia and numbers are expected to double in the next thirty years which will be big problem in future (www.dh.gov.uk 5 March at 3 pm). This is becoming very big issues in the country. if we go through statics of dementia most of elderly peoples are suffering from this condition over age of 65.To maintain dignity of the elderly and demented people government has planned and budget for those who is suffering. Government is spending lots of money and has committed to ensuring there is greater focus on accelerating the pace of improvement in dementia care (www.dh.gov.uk 5 March at3:15 pm) through local delivery of quality outcomes and local accountability for achieving them. There are numbers of care homes for elderly among them many homes are dementia nursing homes. These are expensive and social care service has to pay mon ey for them, increasing numbers of dementia obsiovsuly affect the system and economy status of the country because instead of using money in productive work, business and construction government is paying for dementia which is directly influences the country. Dementia takes the person out of work and it often takes family member out of work because they must care for the person (Bryden Christine). According to research it says the global cost of caring 35.6 million people worldwide with dementia is$604 billion, it is fast becoming one worlds biggest health challenges (www.healthmad.com /condition and disease 7th march 2011) HEALTH, WELL-BEING AND QUALITY OF LIFE It is very complicated and hard to define health; there are hundreds of views from different author and different organizations. As we know all of us accept the definition of world health organization, health is a complete ,physical, mental and social well-being and not merely the absence of disease and infirmity which means health is in relationship with different factors like individual,physical,social,physicological,emotional,environmental and cultural it means health is not only absence of disease. Person may become ill with his/her mental and social status and his surroundings. (According to WHO) Health is very important factor in human life as we know the saying health is wealth. Same like health well-being is also the important factor of healthy and wealthy life. Actually well-being is being healthy, happiness, free from stress, mentally, physically, socially and emotionally. Health and well-being are the most important components of healthy life. These are the component which determines the quality of life. Along with health and well-being quality of life is very important which play big role in life of indivudal.Quality of life denotes how the individual is? His daily life activities, his or her well-being. This is the term which determines living condition,facilities,possibilities,security,satisfaction,income,employment,food,education,quality healthservices,hygine,welfare and support. It is different from everyone. The main thing determine quality of life is our ability to enjoy all that life has to offer for instances, the ability to walk, talk and feel all contributes to our all quality of life.(B.christine supported this paragraph) Health ,well-being and quality of life is combination of good quality of life but dementia is the condition which badly destroyed the good component of life, it is the heartbreaking condition and take out real quality of life of the person(B. Christine ;Dancing with dementia). People suffering from this disease they lost their dignity, their choices, their preferences and their exact experiences of life. This condition is the combination of much worse condition. There are no actual findings and diagnosis in blood test and no any abnormalities in cerebrospinal fluid. This is the structural changes, shrinkage and damage of brain cells which lead the functional changes and affect the functioning of brain, having dementia is destructive of psychological, emotional feelings, physical ability and social intimacy of individual(B.Christine;Dancing with dementia).As I can say dementia can make make life really hard and it can influences the health very badly. DEMENTIA, IMPACT ON HEALTH People having dementia start to forget their daily activities and their personal hygiene and face a daily struggle to cope. Their mind often gets blank when trying to recall which become more and more difficult as time goes by. Life becomes fragment and enormous pile of difficult task (B. Christine; Dancing with Dementia). Person cannot able to control themselves and we can see the changes in behaviour, speech and memory.Anxiety,stress and depression are main causes and rising level of anxiety is losing way and good track of the individual which is prominent in dementia even impaired in communication, speaking reading, writing all seems like it is scrambled.(B.Christine ;Dancing with dementia) What I have noticed while working in dementia unit with dementia peoples used to screaming,shouting,crying,worried about money, worried about their children, their job,husband,wife and home seems like they are missing their brain somewhere since so longer. The brain damage will affect different ly according to the site of damage and nature of dead of cells and lobe of brain as well as environment and life history of the individual. Lord(2001) states that person with dementia have thinking processes that are already slowed, a treatment approach called orientation was developed to encourage interaction between staff and the person with dementia throughout the day, there is potential for this to encourage the development of a close relationship which staff come to know more about the unique person. In order for reality orientation to be effective, reorientation techniques have to be applied by all the carers who come in contact with the person. Sometimes its very hard for staff to become close and encourage person with dementia because of their aggression and agitation. According to Ballardetal,(2001) agitation is a state of extreme restlessness or irritability often characterized by pacing,hitting,yelling,or receptivness.This state can be produced by medications, physical di scomfort,anxiety,fatigue,sleep loss,insecurity,sensory overload, sensory deprivation, or sensory distortion such as that produced by cataracts or titanus. Agitation also may result from impatience or irritability on the caregiver. These entire physical, emotional and psychological imbalances with old age and disability to do the daily activities and personal hygiene cause the poor leaving status and poor health. TYPES AND CAUSES OF DEMENTIA: According to Alzheimer`s society there are many different types of dementia although some more far common than others. They are often named according to the condition that has caused the dementia (www.alzherimers.org.uk,28th march 2011). Alzheimer`s disease.(55 percent) Vascular dementia.(20 percent) Dementia with Lewy bodies.(20 percent) Fronto-temporal dementia. Korsakoff`s syndrome. Creutzfeldt jakob disease HIV related cognitive impairment. ( 10 percent) Mild cognitive impairment. Rarer cause of dementia. Alzheimer`s disease is the most common cause of dementia, affecting around the 465,000 people in the UK.The term `Dementia` is used to describe the symptoms that occur when the brain is affected by specific disease and conditions(www.Alzheimers.org.uk 28 march 2011,10:45 pm).In this condition, the chemistry and structure of the brain changes, leading to the death of brain cells(www.Alzheimers.org.uk 28 march 2011 11;00 pm).Alzheimer`s disease attacks the hippocampus and then brings about a gradual shrinkage of the brain,fronto-temporal dementia targets the frontal lobes. This means that the area of our brain that deals with mood and behaviour begins to suffer from a loss of cells (S.david; Introducing Dementia, The essential facts and issues of care).symptoms are such that they are unlikely to be recognized illness to start with. Anger and aggression are often the hallmarks of the illness. They may see just as unreasonable behaviour and trigger off a crisis such as marriage breakdown , leaving the person which is really heartbreaking it will influences the life of that person mean negative impact on his/her life. Like Alzheimer` disease and fronto-temporal dementia there are more causes and the condition for dementia (B.jane; caring for some with dementia). A number of rare conditions can cause dementia. Pick`s disease particularly affects the front of the person`s brain, leading to loss of judgment and inhibitions.Lewy body dementia is an illness which is related to Parkinson`s disease and which can fallow a different course from Alzheimers disease, with many spells of confusion, hallucinations and rapid decline to death (S.David; Introducing Dementia).According to the survey people over the age of 70 are at greater risk and one in five people over of age 80 suffer from the dementia. In the UK there are 17,000 younger people with dementia.(that is, under the age of 65) (S.David;Introducing dementia) PREVALENCE (all ages) Calculation of the numbers of people with dementia is based on the prevalence rates as fallows; Age 40-65 1 in 1,000 65-70 1 in 50 70-80 1in 20 80+ 1 in 5 (gray and fenner 1993) The pattern after age of 90 is unclear. An extrapolation of the prevalence table would indicate that by the age of 100 everybody would suffer from dementia. We know, however, that this is not the case, as there are many people over 100 with no sign of dementia (S.david; Introducing dementia). The total numbers in the UK are estimated at between 450,000 and 500,000 with a possible rise to over 650,000 in the first quarter of the 21st century (Bosanquet et al 1998).Even higher figures were quoted by the Alzheimer`s society in its evidence to the Royal Commission on long-term care in 1998, namely 720,491 now and 894,000 by the year 2021(S.David; Introducing dementia).As I can say after studied of dementia and its causes the major risks factor which can lead to dementia is old age, with the prevalence rate doubling every five years after the age of 65. http://www.medicine.ox.ac.uk/bandolier/booth/Risk/dementia1.jpg(www.google.co.uk/image 30 April at 11 pm) According to the research and studied researcher find out the possible causes of dementia, Dementia is linked to old age The family link Environmental factors Head injury According to the research people over age of 80 suffer from dementia which is the prove of old age, it is become more common because people are living longer.(S.david;introducing dementia).The risk to some people is a genetic one. People with Down`s syndrome are very likely to develop Alzheimer`s disease. In Down`s syndrome there is an extra copy of chromosome 21, which also carries one of the genes which, if faulty, leads to Alzheimer`s disease in small number of families. (S.david; introducing dementia).American research in 1989 suggested that 6 percent of people with Down`s syndrome in their 30s have Alzheimer`s disease, with the figure rising to 75 percent for those over the age of 55(Holland 1993).Previous head injury may increase the risk of developing dementia (B.jane; caring for someone with dementia).There are many factors which can cause dementia but scientist have thought that one of the environmental factor aluminium can be important cause of dementia, and there was a rap id clear-out of aluminium pans in some households. Although there is evidence of aluminium deposits in the brains of people who have died of Alzheimer`s disease (S.david; Introducing dementia).Likewise scientists have thought that mercury is another chemical which has been targeted, especially in connection with amalgam filling dentistry. Other chemical may poison both brain and body (S.davis; introducing dementia). According to the research and survey shows elderly peoples are prone to dementia Beta amyloid is gradually deposited in the brain as people get older. So its presence does not by itself indicate that a person will develop dementia (S.david: introducing dementia). Old age and low immune system, older persons are secondary to intrinsic problems such as orthostatic hypotension, arrhythmias, Parkinson`s disease, neuropathies, epilepsy, and medication the patient may taking, which can cause risk of fall. Falls commonly occur in older person but patient with dementia are even at greater risks (NICE 2004). Problems associated with falling include loss of mobility, psychological difficulties, hypothermia, pressure related injury, soft tissue damage. According to Chemnitz (1991) since patients with dementia can take medication antipsychotic, antidepressants, sedative/hypnotics, vasodilators, and diuretics are particularly associated with increased risk of falls, they should be used in the smallest doses that will achieve the desired effects. There should be proper training regarding medication review, modification and withdrawal for the nurses. As I can say dementia is common in elderly which can causes many complication in their life with great impact on their health. CONCLUSION The main conclusion of this assignment is that evidence that elderly people over age of 85 has more chances of dementia and has direct effect on health of the person. About 50% of cases of dementia have concurrent physical health problems. The burden of care produced by a physically sick patient is greater than that of fit one. Statistical analyses of the relation between old age and dementia is very close because the major risks factor which can lead dementia is old age, with the prevalence rate doubling every five years after the age of 65.Dementia and old age and its influences on health has greater link. Person may not be diagnosed they are suffering from dementia and that could be early stage, if they are living on their own. Especially they are at risks of having inadequate diet. It can cause malnutrition and reduced appetite of the individual.AS person grow older they may face significant life changes that can put individual at risks of depression, illness and disability, low immune system, weakness of bone and muscle, pain and loneliness. Depression is main factor which can lead dementia in elderly. There appears to be enough evidence, from different studies and research growing age, depression and dementia share many similar symptoms including memory problems, sluggish speech and movement and low motivation. As we know older person has more risks of dementia, dementia linked with physical discomfort, pain, anxiety, loss of mobility stiffness and poor balance which prone to falls. Most studies have proved that person with dementia or elderly person who are unable to leave their bed may develop pressure sores as I can say this is the prove of poor health. As growing age weakness of muscle as I have mention before, if the person with dementia does become incontinent it will be the worse and it really harm the dignity of the individual. There are strong association between old age, dementia and the poor health condition of the person. Older person cant loo k after themselves properly because of physical disability; Poor health and improper hygiene cause the infections like chest infection, skin infections and localized infection.Physical, phsycological, emotional imbalance lead greater difference in life of individual. Likewise poor diet and depression improper housing can cause poor quality of life and can badly affect the health of individual. Throw rugs are dangerous to elderly people, especially dementia patient. Loose rugs are hazardous because the patient may catch his foot underneath the edge, trip and fall, possibly suffering a broken hip. ,

The Psychology of Inspiration in Prose Poems by Lynn Emanuel Essay

Portraits in Pain: The Psychology of Inspiration in Prose Poems by Lynn Emanuel Reconstructing notions such as potentiality and inspiration, Emanuel’s prose poems, whose thematic range spans from involvement with the paintings of her renowned father Akiba Emanuel (a model and ‘pupil’ of Matisse) to the ‘portraits’ of Gertrude Stein, illuminate the interrelationship between language and world, and the psychology of inhabiting both through inspiration. This paper will address the question of what fuels creativity when it is put to work through the involvement of other voices which are represented (in Emanuel’s case) as suffering from having their genius interrupted either by death, by lack of recognition, or by amnesia. In all Emanuel’s three collections of poems, and a couple of other chap books, inspiration plays an important role, yet Emanuel is not interested in inspiration in the traditional sense to mean divine connection with a higher power or a muse, and romantic transcendence. Inspiration for Emanuel is always triggered by an attempt at understanding what pain is. The pain of creation and composition, and the pain of reading and writing promote two different types of understanding: first, that there is something to create out of nothing, and second, that ‘nothing’ is always a beginning. Inspiration for Emanuel is therefore the beginning of nothing. But how does one begin nothing, a created nothing, that is, a nothing which can be rendered and read and which can explain both the pain of understanding such relations and the inspiration that befalls them? One of Emanuel’s answers seems to be given through her use of amnesia. It is through the theme of forgetfulness that a connection between the writer an... ... . Pittsburgh: University of Pittsburgh Press, 1999 Lethem, Jonathan, ed. â€Å"Introduction†. The Vintage Book of Amnesia: an anthology of Writing on the Subject of Memory Loss. New York: Vintage Books, 2000 Suà ¡rez Araà ºz, Nicomedes. â€Å"The Amnesis Manifesto†, 1984 [http://www.- smith.edu/calc/amnesia/manifesto.html] Zawinski, Andrena. â€Å"Poetry in Review†. In Posse Review. Osiduy. Issue 9. Vol. 1, year undisclosed [http://webdelsol.com/InPosse/zawinski9.htm] 9 1 Joyce 1992, 854 2 Domangue 1997, no pagination 3 Berman 1993, no pagination 4 Emanuel 1995, 42 5 Suà ¡rez-Araà ºz, 1984, no pagination 6 Joyce 1992, 854 7 Emanuel 1995, 57 8 Emanuel 1999, 7 9 Zawinski, no year; no pagination 10 Emanuel 1999, 27 11 Emanuel 1999, 28 12 Clark 1997, 10 13 Clark 1997, 119 14 Emanuel 1999, 29 15 Emanuel 1999, 30 16 Emanuel 1999, 34 17 Emanuel 1999, 34 18 Lethem 2000, xv

David Reimer Psychology Paper Essay

In the summer of 1965 at a hospital in Winnipeg, Canada. Janet Reimer gave birth to identical twins, Bruce and Brian. The two twin boys were born healthy, but at the age of six months both twin boys had difficulty urinating. At that time the doctors recommended that Bruce and Brian undergo circumcision in order to solve the problem. Unfortunately for Bruce the medical team used an unconventional technique of cauterization involving an electric burning device called electrocautery needle instead of a standard scalpel. During this operation Bruce’s penis was destroyed. The Reimer family was devastated with the mutilation of Bruce’s penis. During the following months they searched for answers through numerous medical specialist, but there was no hope, they assumed Bruce was going to live the rest of his life lacking the male genital organ. The parents then visited John Money, a Johns Hopkins University Psychologists. Dr. Money was a pioneer in the field of sexual developme nt at the time. He then suggested to the Reimer’s that they could turn their baby son into a baby girl. Dr. Money developed a theory on nature vs. nature and how these twin forces affect whether we think of ourselves as a girl or a boy. He thought that genes are important but as far as gender is concerned the baby is essentially neutral in the first two years of life. Schillo (2011) stated that â€Å"He promoted the theory that a child’s gender identity was determined by environmental variables such as the social conditions in which the child is raised. This idea is a form of the â€Å"nurture theory† of development. A competing view is the so-called â€Å"nature theory†; that is, the idea that a person’s innate qualities are determined solely by biological mechanisms.† Dr. Money fundamentally advocated the view that a feminine identity could be developed by rearing a child as a girl. Money saw this as a perfect experiment. He failed to tell the Janet and Ron Reimer that the true intentions of him convincing them to do a gender change was to prove that nurture, not nature, determined gender identity. Therefore for his own selfish gain he decided to use Bruce and Brian; two twin boys (one believing they were a girl) raised by the same people and treated in the exact same way. This allowed him to use them for his private case study to experiment on Bruce while using Brian as control. At the age of 21 months Bruce underwent surgery for castration.  Bruce was now Brenda, and Janet and Ron Reimer were told to raise her as a female. Money gave strict orders that it was forbidden to tell anyone including the twins that Bruce was a girl. They proceeded to raise her as a girl and not tell her or anyone else about her medical history. The Reimer’s accepted their child as a daughter and continued to give Brenda the hormonal supplements. In spite of their efforts at the age of 7 Brenda began to act in a masculine way. She rejected all types of toys, dolls, dresses. She started to mimic her father’s actions as opposed to her mothers. She felt more and more like a boy physicall y and mentally, and she wasn’t the only one who felt that way. Her twin brother Brian stated that â€Å"The only difference between him and Brenda was that she had longer hair†. She continued rejecting the fact that she was a female. Eventually she wanted to stand up while urinating and she had no intention in accepting a feminine identity. When Brenda was 14 years old, she continued rejecting the feminine identity that was forced upon her. She also tried multiple suicide attempts and her parents had no other decision but to tell her the truth. She immediately decided to become a boy again therefore she cut her hair and named herself David. David wanted to recapture the masculinity. So he agreed to undergo a double mastectomy to remove breast that were caused by estrogen, and a series of surgeries to get his male gentiles back. He also received injections of testosterone to restore all of his masculine body features. David continued being a teenage boy and he was accepted and had friends and even engaged in young women. Eventually he even got married and had children. He seemed to be in a good place in his life. In 1997 David decided to go public with his story and Dr. Money would get immense criticism from the scientific community for the impeccable lies he has told. Unfortunately David had suffered from severe depression. In 2002 Brian (David’s twin brother) overdosed on drugs to treat for his schizophrenia. It looks like Dr. Money’s therapy sessions scarred him for life as well. Especially because of the fact that at a young age he was being photographed naked and even Dr. Money acted in a pedophile way and had the twins involved in sexual activities. Two Years later after Brian overdosed, David committed suicide and the reason will forever be unknown if it was the result of John Money’s experiment â€Å"The John/Joan Case Study†. In my opinion I believe that this topic is important because this was a major study that was falsely  stated as a success in which happene d to be a complete failure. It also proves that whatever gender you were born with is you. You may be able to change that physically to a certain extent but you cannot change you gender completely, you have the feelings, and traits as your se (Schillo, 2011) (Hausman, 2001) (Kate, 2012)x gender would have. This case study was completely unethical. The Reimer’s were unaware of the experiment that was going on therefore they were deceived by John Money. The Reimer’s honestly thought that a sex change was the only option for Bruce instead it was a set up. Although on Money’s behalf they were perfect for the experiment. Although Bruce was a baby he never gave his consent to have a sex change or be involved in Dr. Money’s experiment. This is something that Bruce should have been a part of. The constant decisions of others affected his life. As a psychologist he should have been ethical and respected the rules of ethics and perhaps found other ways of conducting his research rather than doing something that was completely illegal. This didn’t just ruin the lives of this whole family but it ultimately lead to the death of the twins Bruce (David) and Brian. This had to be the most unethical study in history. I would investigate this issue by using someone who was born as a hermaphrodite and studying their gender roles. Although the findings from the gender roles are biologically innate, with nature overruling nurture. Works Cited Hausman, B. (2001). EBSCOHOST. Retrieved from Bellevue College: http://web.a.ebscohost.com.ezproxy.bellevuecollege.edu/ehost/pdfviewer/pdfviewer?sid=b1aa844a-8347-4385-a6c5-4ca7e48e8bd0%40sessionmgr4002&vid=12&hid=4109 Kate, S. (2012, April 28). David Reimer. Retrieved from Samantha Kate Psychology: http://samanthakatepsychology.wordpress.com/2012/04/28/david-reimer-possibly-the-most-unethical-study-in-psychological-history/ Schillo, K. (2011, November 16). Nature vs Nurture. Retrieved from Science Cases: http://sciencecases.lib.buffalo.edu/cs/files/gender_reassignment.pdf

The Ionic Reactionalization - 786 Words

Name: Kamaal Thomas |Date: January 4, 2011 | |Graded Assignment Lab Report Answer the questions below. When you have finished, submit this assignment to your teacher by the due date for full credit. (8 points) |Score | | | 1. For Part 2: Single-Displacement Reactions: For each of the four single-displacement reactions, describe what happened in each well. If a chemical reaction occurred, write a balanced equation for it. Then using the A, B symbols, write a general equation for a single-displacement reaction. Here are the chemical formulas of the reactants for each reaction: †¢ zinc – Zn copper sulfate – CuSO4 In well 1A there was a chemical reaction which turned†¦show more content†¦Then using the A, B symbols, write a general equation for a double-displacement reaction. Here are the chemical formulas of the reactants for each reaction: †¢ sodium chloride – NaCl copper sulfate – CuSO4 In well 1A there was no chemical reaction between the sodium chloride and copper sulfate. We know this because there was no color change, precipitate formation, or gas production in this mixture. AX + BY → AY + BX NO REACTION †¢ sodium hydroxide – NaOH copper sulfate – CuSO4 In well 2A there was a chemical reaction between the sodium hydroxide and copper sulfate. There was a blue precipitate formation which proves there was a chemical reaction. AX + BY → AY + BX NaOH + CuSO4 → NaSO4 + CuOH †¢ sodium phosphate (trisodium phosphate) – Na3(PO4) copper sulfate – CuSO4 In well 3A there was a chemical reaction between the sodium phosphate and copper sulfate. There was a light blue precipitate formation which proves there was a chemical reaction. AX + BY → AY + BX Na3(PO4) + CuSO4 → Na3SO4 + CuPO4 †¢ sodium chloride – NaCl silver nitrate – AgNO3 In well 4A there was a chemical reaction between the sodium chloride and silver nitrate. There was a white precipitate formation which proves there was a chemical reaction. AX + BY → AY + BX NaCl + AgNO3 → NaNO3 +