(PDF) Assignment on Dementia

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Double DissertationInvestigations into how effective arepsychologicalinterventions in improving the health status of peoplewith Dementia.
TITLE....................................................................................................................................................3INTRODUCTION................................................................................................................................3CHAPTER 1........................................................................................................................................4PROBLEM STATEMENT..................................................................................................................4FORMULATION OF IDEAS..............................................................................................................5BACKGROUND..................................................................................................................................5RESEARCH AIM AND OBJECTIVES..........................................................................................8RESEARCH AIM.........................................................................................................................8RESEARCH OBJECTIVES.......................................................................................................8RESEARCH QUESTIONS.............................................................................................................8RESEARCH SCOPE......................................................................................................................8SIGNIFICANCE OF RESEARCH.................................................................................................9RESEARCH METHODOLOGY AND DATA ANALYSIS...............................................................9CHAPTER 2......................................................................................................................................12LITERATURE REVIEW...................................................................................................................12PSYCHODYNAMIC APPROACHES..........................................................................................12HOW DEMENTIA INFLUENCES PSYCHODYNAMIC CONCEPTUALIZATIONS OFPERSON AND BEHAVIOR.....................................................................................................13TREATMENT MODELS FOR INDIVIDUALS WITH DEMENTIA BASED ONPSYCHODYNAMIC THEORIES.............................................................................................14MEMORIES AND LIFE RE-EXAMINE.....................................................................................15HOW DEMENTIA INFLUENCES THE RATIONALE AND APPLICATION OFMEMORIES AND LIFE RE-EXAMINE...................................................................................16TREATMENT MODELS FOR INDIVIDUALS WITH DEMENTIA BASED ON MEMORIESAND LIFE RE-EXAMINE.........................................................................................................17SUPPORT GROUPS...................................................................................................................18HOW DEMENTIA INFLUENCES MANNER OF SUPPORT GROUPS.............................18TREATMENT MODELS FOR INDIVIDUALS WITH DEMENTIA BASED ON SUPPORTGROUP MODEL.......................................................................................................................18REALITY ORIENTATION............................................................................................................19HOW DEMENTIA AFFECTS CONCEPTUALIZATION OF PERSON AND BEHAVIOURACCORDING TO REALITY ORIENTATION.........................................................................20TREATMENT MODELS FOR INDIVIDUALS WITH DEMENTIA BASED ON REALITYORIENTATION..........................................................................................................................20
MEMORY TRAINING...................................................................................................................22HOW DEMENTIA AFFECTS STRATEGIES OF MEMORY TRAINING............................23TREATMENT MODELS FOR PERSONS WITH DEMENTIA BASED ON MEMORYTEACHING................................................................................................................................24BEHAVIORAL APPROACHES...................................................................................................25CHAPTER 3......................................................................................................................................26CONCLUSION AND RECOMMENDATIONS FOR FUTURE DIRECTIONS.......................26REFERENCES..................................................................................................................................28
CHAPTER 1 INTRODUCTIONThe given investigation is based on the review of six psychosocialinterventions for individuals suffering from with dementia. Interventions are explainedwith regards to theoretic foundation. In this regard, the best way to gain anunderstanding of dementia is actually via incorporated, techniques, and alsoobserved assistance.On basis of analysis of different literary works, during the current few yearsthe diagnostic category of dementia have been understood and steps have beentaken to treat confused, disoriented and regressed individuals. They have beenidentified as having problems such as mental abnormality, chronic human mentalfaculties’ affliction or senile dementia (Downs and Turner, 2006). During the past twodecades there has been an increased comprehension of these kinds of afflictions,along with initiatives to build up more efficient psychosocial and pharmacologicalremedies for behavioural, cogni six of the most generally used psychosocialinterventions for people having dementia.The given report focuses on investigating how effective are psychologicalinterventions for bringing an improvement in the overall health status of people withDementia.It will further focus on watching out the effectiveness of health caresystem in diagnosing the issue followed by subsequent treatment and avoidance ofdementia in the population of UK. Special emphasis has been given to literaturereview which specifies the various psychological interventions that have beenapplied on dementia patients and recommendations given by various authors havealso been discussed. These are inclusive of psychodynamic approaches, memoryand lifestyle evaluation therapy, organizations, reality orientation (RO), memoryspace instruction, and cognitive/behavioural approaches (Ballard, Gauthie,Cummings and et. al., 2009).Literature reviewwill further help in determining thathow this piece of research studiesis related to that of others andwhat are the gapsthatareneededto be filled(Tampi, Williamson, Muralee, and et al., 2011).PROBLEM STATEMENTIn this document, we take the outlook that symptoms and behaviours ofdemented individuals are not exclusively a manifestation of the essential disease1
process. Rather, they also reflect the social and environmental condition, and thedemented individual’s perceptions as well as their reactions.FORMULATIONOFIDEAPrior to talking on the particular interventions, there would be a briefassessment about the modifications in functioning which define dementia andexplain the emotional effects of these types of adjustments, thus providing afoundation for intervention. Dementia of the Alzheimer’s kind, typically known asAlzheimer’s disease (AD), vascular illness dementias (VaD) represent the mostcommon permanent dementia syndromes (Cummings & Benson, 2002).. All forms ofdementias are usually seen as impairment throughout numerous cognitive domainthat regulates the memory space, terminology, problem solving, judgment andabstract, visuospatial abilities, and experienced movement (Zec, 2003). Dementiasmay also be associated with psychiatric signs, behaviour disruptions, (e.g. agitation),personal modifications, and disruptions that have an effect on a person (Gilley,2003). These changes may very well be both a manifestation from the fundamentaldisease process plus an emotional reaction to this..(Metter & Wilson, 2003).Whenever variations within psychological symptomatology and also behaviourcomplaints are found involving analysis tests, the differences are more frequentlyattributable to variations during strictness of disability or perhaps phase with thedisease, instead of being helpful to offer a treatment for dealing with dementia.BACKGROUNDIt has been observed on basis of the findings made by many researchers thatthe patients suffering from dementia and other related diseases have been sidelinedor even ignored during the process ofpsychotherapeutic treatment. According tovarious sources of evidence, it is clear that treatment mechanism is very helpful indealing with dementia.Even though the kind of intellectual and functional problemsexperienced by demented people is nicely delineated, the actual dementedpersonal's example of these types of problems is not.There is a presence of limiteddetails about connection with the disease. Moreover, leftover expertise and alsoemotional assets are underutilized. Moreover there has been an absence of therequired facilitation with respect to the way of coping up with the disease.It is wellknown about demented individuals’ than providing an effective solution to disease2
develops from a combination of medical interviews and examination. Moreover,according to works done by researcher, it is clear that symptoms of dementia are nota result of an underlying disease process but enhance due to social and economicfactor. Hencepsychological interventions can play a key role toaddress the issues.The particular researchers noted various different and also mature copingstrategies that have been effective to deal with the disease. These are inclusive ofpsychological supervision adjustments, use of mnemonic aids, laughter therapy,usage of philosophical gospels by making the patient believe that he or she is notalone who is suffering from the disease. These techniques are effective as brain sickmen and women get usually concerned about reputation. They fear refusal, anger,shame and unhappiness. In this situation, there is a need on part of patients as wellhealth care professionals to have an understanding of those phases suffered bypatients. These will definitely aid in the process of defining remedy targets and alsointervention methods.In this paper, I have reviewed the present psychological interventions forthose who have dementia while using integrated framework. This will help me to findout how effective are psychological interventions in dealing with dementia patientsand what recommendations can be suggested for bringing improvement in the same.These interventions consist of: psychodynamic approaches, memory and lifestyleevaluation therapy, organizations, reality orientation (RO), memory space instruction,and cognitive/behavioural approaches.A considerable overlap with these techniques has also been observed. Whilstthese kinds of six interventions certainly not amount to the full check record, theysymbolize a few of the major intervention approaches used in people with dementia.3
RESEARCH AIM AND OBJECTIVESResearchaimThe plan of this dissertation is to investigate into how effective arepsychological interventions in improving the health status of people with Dementia.Research objectivesVarious objectives have also been formulated in this regard to help inachieving the desired aim and also to arrive at the required conclusion andrecommendations.To have a review about types ofpsychological interventions that has beenused to treat Dementia patients.To find out whether the interventions have been effective in improving thehealth status of patients.To suggest valuable recommendations for treatment.ResearchquestionsAlzheimer's disease patients have indeed occasionally been side-lined orignored in psychotherapeutic provision. Investigations reveals that treatment ishelpful for those experiencing dementia but is there excellent catering and alsofeature of procedure accessible?RESEARCHSCOPERather than a particular disease or illness, dementia can be a group orperhaps band of signs that effect a selection of brain issues. There are lots ofdisease which start after onset of dementia; the most frequent being Alzheimer’sdisease. The symptoms are often characterized by a moderate decrease inconnected physical and mental expertise as well as thinking process such asmemory, vocabulary and also cognitive function.Dementia can be a progressive procedure, with the signs or indicators worsenin a span of time. Although the aged population are most frequently affected,numerous younger individuals may also be impacted. At present, virtually not anyremedy, be it health-related or perhaps behavioural continues to be separated.Nonetheless certain remedies have got proven beneficial in stalling the onset or4
even keeping off additional quick deterioration that is likely to take place after thestart of disease. As well as pharmaceutics therapy modalities have proved to behelpful. The usage of some managerial methods may enable an increased standardof living.Timely as well as regular analysis is essential to make sure thatadministration and treatment may be started properly. With energetic therapy andassistance, it is possible for many sufferers to live along together using dignity,peacefulness and fulfilment.SIGNIFICANCEOFRESEARCHDementia represents a disease that affects as well as inflicts the elderlypopulace across the world. The social stigma around the situation had led to verylittle conversation about the procedure. This has resulted in a decrease of earlierprognosis and administration. Given the actual incapacitating character with thecondition, and the profound effect caused by the disease on the lifestyle ofindividuals it stands to reason which resources should be allotted to enable timelyanalysis and administration (Pinquart and Sorensen, 2006).By equipping the physicians, healthcare specialists as well as carers with therelevant information to undertake a thorough analysis about dementia. Each analysisis made, or perhaps is regarded as; expert assistance can be wanted, of course, ifappropriate, remedy or supervision is applied to lower or even thin down disturbanceto everyday life that is caused after onset of disease. Hopefully when better ways ofconversation tend to be enabled, and earlier diagnosis will allow more appropriatesupervision, therefore making certain an acceptable total well-being of the patient.5
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