Do you know about - understanding Dementia and Functional Limitations in the Elderly
Village Rehab! Again, for I know. Ready to share new things that are useful. You and your friends.Dementia in the elderly can produce essential deficits in functional abilities, which can influence their 'independence' and 'safety' living at home, especially if living alone. This can include: strangeness tending to basic self-care needs such as hygiene, bathing, dressing, etc.; strangeness with taking medications on agenda everyday; making ready and eating enough meals; increased risk for falling due to incoordination, infirmity and poor safety awareness; strangeness with communicating skills, etc. Dementia can also cause a change in personality, psychosis and delusional thinking; and a host of other problems, both subtle and obvious.
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Although most citizen are customary with Alzheimer's Dementia (Ad), there are also other forms of dementia that can influence older adults. This includes vascular dementia, multi-infarct dementia, Lewey body dementia, and Frontotemporal dementia. citizen with other customary disorders, such as Parkinson's or stroke, may also develop some form of dementia at some point. Dementia is ordinarily classified as mild, moderate or severe. When Ad is diagnosed in person who is younger, say 65 years of age, the progression tends to be quicker and more severe than in person who is 80 years old and only recently diagnosed with the disorder. A Ct scan can often communicate if there are any essential areas of atrophy in the brain, sometimes related to multi-infarct or vascular dementia.
It is foremost to know what type of dementia the person has and if they should be taking any medications for the disorder. Often, older adults at home will not seek out a doctor or neurologist to get an accurate determination and receive the proper medication, which can make living at home more difficult; both for the person and the caregiver, if there is one.
One of the hallmarks of Ad is the strangeness with language and communication skills. Those with Ad may have strangeness expressing themselves and communicating with others. Seclusion and decreased socialization may occur. They may come to be depressed due to a recognition that their mental abilities have diminished. Sometimes the doctor will prescription an anti-depressant that may also alleviate some of the symptoms of their dementia.
Some of the cognitive components required to accomplish functional tasks include: enough long and short term memory, standard insight and safety awareness, sequencing skills, capability to stay focused on a task, enough judgment and qoute solving abilities, and higher level 'executive function' abilities. Menagerial function refers to our capability to plan and execute a series of tasks in order to produce a desired outcome. It is a complex mental capability which integrates the various cognitive skills; which citizen with dementia have strangeness with. For example, baking a cake requires the capability to preheat the oven, derive and mix all the ingredients in the proper amount, know when the oven is hot enough, know when the cake is done, and safely removing it from the oven at the accurate time. person with dementia may have strangeness with many of the functional components required to do all of these steps in the accurate order to produce the desired outcome.
When mental abilities have diminished, seniors are at a greater risk for declining bodily health. Declining bodily condition related to cognitive deficits can occur due to poor eating habits and malnutrition, poor hygiene and self care skills, a greater risk for falling, not taking prescribed medications daily, not monitoring blood sugar levels - if diabetic, and a host of other health-related problems.
Some basic home adaptations for safety can include: hand rails on the stairs, well light rooms and stairwells, grab bars in the tub/shower, retention toxic items out of reach or locked up, no throw rugs, low profile carpeting, no clutter in the walking paths of the home, limit carrying of items up and down stairs - such as laundry, taking away car keys to preclude them from driving if that is an issue (this is often a difficult issue to address for those with dementia), obtaining an Id bangle if they are prone to wandering, a gate to preclude them from going down into the basement, and other adaptations as needed.
For those with mild to moderate dementia who live at home, here are some tips that may be helpful for the private and the family / caregiver (the level of care will be dictated by the severity of the dementia):
It is foremost that the private receive a proper diagnosis, which can be obtained from a neurologist, and that enough medication is provided. It is vital that a caregiver look after them and insure that medications are taken daily. If there is no family who can help, then maybe person from their church or local senior center can be entrusted to help. Also, the local agency On Aging can have person look into their well being if there is no family member who is responsible for them. Have medications dispensed from a daily pill organizer. This way a caregiver can make sure that each day's medications are taken. Daily phone calls from person customary with the person can then check up on them and remind them, if they live alone. Have meals-on-wheels provide at least one hot meal each day. This may not always be sufficient, but it can help insure that some nutrition is provided. A local home care agency can provide a 'house sitter' to stay with the person each day and help out with daily chores. They are ready for as many hours as needed. This can sometimes be expensive, but a lower rate can sometimes be given when they are employed for a obvious estimate of hours each week. If the person is becoming incontinent, have them wear snug fitting disposable briefs with elastic leg bands. This will preclude accidents from ruining clothing. Have them on a toileting agenda of every two to three hours while the day. At night, a wet alarm on the mattress can be used to remind the person to change out of wet clothing. provide abundance of bodily activities, such as daily walks. This is not only for their bodily well being, but it has been shown that daily walks provide mental stimulation as well. Have the person share in mentally stimulating activities daily, such as board games, card games, etc.; tasks that want interaction and a bit of qoute solving. Watching television is the least stimulating for those with dementia, but sometimes that is all they wish to do. The qoute with television is there is no interaction or response required from the viewer, which is the same issue with young children. The person needs to be engaged with the environment in order for it to be enough as mental stimulation. Allow the person to do as much of their own self-care, as possible; such as washing, grooming, etc. Some citizen with dementia enjoy using their hands and retention items; things that can be manipulated, etc. For a retired mechanic, maybe nuts and bolts could be used, for a housewife who enjoyed sewing or knitting, maybe a ball of yarn could be used. There is no limit to what can be tried; as long as the items are not sharp, could be swallowed easily, breakable, etc. Be aware that those with moderate dementia often come to be more agitated in the late afternoon, and they should not be over-stimulated while this time frame. Sometimes a nap will help calm them. Even a change in medication intervals may help keep them calm in late afternoon. Be aware that medications can influence their level of arousal. Let the doctor know about any side affects which are affecting the person's capability to function. Cognitive medications need to be at a obvious level (titrated) in order to be effective. Too microscopic medication will not help them and too much may produce undesired side affects. think joining the local chapter of the Alzheimer's Association. They are a great resource for the client and family/caregiver.
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