Friday, February 6, 2009

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caregiving PET

Through a 360-degree assessment of the intervention is aimed at home advice:
• Making an overall assessment of the family structure and possible resources to enable
• Make an assessment of risk factors and protective caregiver
• Provide a step of a knowledge base on Alzheimer
• Analyze behavioral problems manifested by the person subject to dementia
• Making evaluation of residual powers

According to behavioral disorders emerged proceed with advice on: • How to relate
person with dementia (what to do and what not to do)
• How to prevent and manage behavioral problems • How
"restructure "making the domestic space" Alzheimer's friendly "so as to make the elderly more independent in a space designed especially for him

The caregiver will then be delivered:
A form for recording the behaviors acted out by the elderly during the day
A List of manual work to do together elderly

Thursday, February 5, 2009

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two basic strategies

To address the problems behaviors that accompany dementia, there are two strategies you can rely on. The first is called the three "R" and is particularly useful in cases where the person with dementia is being delusional hallucinations or posters. This strategy proposes:
1. Repeat
2. Reassure
3. Reorient
In other words, help the patient to realize the environment in which they find themselves constantly explaining what is happening. And do not contradict, it is useless to try to convince a patient that no one is robbing, better direct its attention elsewhere.
Another strategy that can help, as a sort of grid for the evaluation of behavior in order to collect the information necessary to understand and possibly prevent those behaviors highly disturbing. The strategy is called "ABC" (which stands for Antecedent, Behavior, Consequence), or History, Behavior, Consequences. In fact, some difficult to manage symptoms such as agitation, may have environmental causes: pay attention to when they occur can be discovered for example that over-stimulation (too many relatives visiting) can be counterproductive. Then: A
as before and we want to identify everything that happened before the behavior, or what was the context in which the person was.
B behavior and how we want to identify the conduct or behavior as problematic.
C as the consequences and want to understand everything that has emerged once the conduct in question.
The goal is to detect the presence of behavioral rules or constants that characterize the interactive sequence between patient and caregiver.

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Dementia affects the awareness of self and how the patient perceives himself with dementia. Then we distinguish three stages through which passes the patient with dementia: the step threatened ego, the ego being lost and being submerged ego ego threatened

phase occurs at the beginning of dementia, when the subject begins to realize that she is gradually losing his memory and the control of ordinary shares, especially if complex. She lives a state of uncertainty, insecurity and danger. He feels that their skills are less and is assailed by a feeling of fear of the future.

phase is characterized by ego lost an increase in the spatial and temporal orientation. But even the self-image is in crisis, the Ego, which was threatened now becomes uncertain. The past and present are confused and the patient becomes unable to learn new information, is often lost. The dementia you realize you have completely lost control of the situation. A direct comparison with its inability can take it to sudden episodes of psychomotor agitation or anger. The demented feel lost and sought refuge in the past and goes in search of their parents. The setting of the parents has to do with the feeling of insecurity and the need for roots.

phase submerged ego and 'the latest stage of a gradual downward path capabilities of older and is the heaviest to be addressed in terms of taking charge. The patient 'in fact unable to walk and carry out any activity in daily life, and' incontinent. Cognitive skills and communication are severely compromised, remains closed in on itself, unable to establish contact with others. The identity and 'completely lost, the insane and not' able to recognize himself.

in helping us move and then directs us to an approach by Gentle Care (care good) or build a customized environment and establish warm with the relational and affective illness.

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DEMENTIA THREE PHASE PRIMARY AND SECONDARY

Nella definizione generica di “demenza”rientrano diverse diseases, some classified as dementia "primary"

  • Alzheimer's dementia with Lewy bodies Frontotemporal dementia

and others are called "secondary" as a result of other conditions, such as For example:

  • AIDS dementia
  • meningitis
  • syphilis

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TEN SIGNS THAT ARE manifests the presence of AD
  1. Memory disorders that affect on employment
  2. Difficulty in performing familiar tasks
  3. Problems with language Disorientation
  4. space-time decay of the ability to judge
  5. Problems with abstract reasoning
  6. To lose items
  7. change of habits and behaviors
  8. Personality changes
  9. Loss of initiative

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WHAT 'THE DEMENTIA ?

for dementia generally means a chronic and progressive condition of dysfunction of brain function that leads to cognitive decline of the person. In fact, the dementia is not considered a disease but rather a syndrome, a set of signs and symptoms variously associated with each other and leaders of diverse clinical pictures often.