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Dementia Case Study

Bessie Said:

what psychological theory can i apply to someone who has dementia?

We Answered:

A medical/biological model would be the most appropriate for conceptualizing cases of dementia.

~Dr. B.~

Barbara Said:

How common is Deja Vu with dementia?

We Answered:

I had just asked a question about jeja vu yesterday and read the wikipedia entry, which says that deja vu can be due to recalling dreams, that dreams are stored in long term memory, so when someone is having dimentia and losing thier short term memory, they still retain their long term memory, and if something they see reminds them of something they may have seen in their dream even if it was a long time ago, they might experience deja vu since their short term memory gets erased. Hope that makes sense!

Stanley Said:

registered Nurses- pleases help!?

We Answered:

Thanks.

Arlene Said:

Nurse what order would you do this scenario and tips to remember?

We Answered:

pad change with slide sheet repositioning
idc care
rom exercises
ted hoses
vitals
sling
grooming

Lance Said:

Is prostate surgery a factor in subsequent dementia?

We Answered:

Not only that, but many surgeries can lead to a temporary (months long) or worsening of mental status of the elderly. Being that the change is usually short-term, the term used is "delirium" and not dementia, which is permanent. There is a wealth of medical reports in journals, etc., on this topic. Surgery is a severe stress on the body, and many factors cause the dementia like symptoms-- the pain meds used, lack of sleep, stress, different environment of a hospital, reactions to surgical anesthesia, etc.

Stephen Said:

for person centred care what things would a person derive comfort from?

We Answered:

I 'm not sure how it would relate o dementia, but I'll offer you what I can recall about peson centered therapy off the top of my head.

Most of this comes from Rogers:

Accurate Empathy is the most important skill that the clinician must possess. The ability to put oneself in the place of the client and to see and understand their experience of the world as they do.

The Relationship is the Cure - the agent responsible for therapeutic change is the client/therapist relationship. Genuine and unguarded interaction with another human is conducive to personal growth. The therapist also models desirable behaviors and attitudes.

Neurosis is other people's Values - Rogers said that we experience problems when we habitually evauate ourselves based on the values and expectations of others. He said each person consists of a real self and an ideal self. If the difference between these two selves was too great, nurosis would ensue.

That's all i can think of, hope it helps.

Margie Said:

Registered Nurses please help!?

We Answered:

I think there is a major lack of communication.

I am a doctor and been involved in situations like these.

I have never had any problems as long as family is well informed and all are on the "same page"

Lack of communication is the issue here!!!!

Discuss It!