ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Daily living presents constantly changing challenges and a slower pace of life for people with early stage Alzheimer's disease. With medication, the confusion, mental exhaustion, and diminished speech skills of the author improved to a level where the ability to enjoy life could be regained. Many problems still have to be faced daily: mental fatigue and inertia; difficulties with speech and complex activities such as cooking; fear and sadness about the diagnosis and the uncertain future; boredom and isolation; more limited social and cultural life; and the stigma of the label of dementia. Coping strategies are helpful, and work best with the improved mental focus provided by medication. With the assistance of medication, a well-educated and supportive family, and support services through the Alzheimer Society, particularly the benefit of early stage peer support groups, the author has been able to live a full and rich life, persue simple rewarding hobbies, and volunteer work on behalf of persons with dementia.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Bullet-PointsMemorializing is capturing what the person with dementia gives us in words, gestures, and movements so that it is not lost.It can involve writing, sound-recording, videotaping, photography, and expressive arts.It preserves the moment for the person, relatives, friends, and staff.It offers opportunities for respecting the personhood of the individual.It may have much to teach us in offering appropriate care, and also in living our own lives.We have to listen, watch, and value whatever emerges as part of normal routine.We must also create opportunities for communication and creative expression.We may need to offer emotional support to those who undertake this work.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Clinicians, caregivers, and the people with Alzheimer's themselves all experience the impact of communication breakdown caused by the progression of this disease in its middle to later stages. Several of the communicative changes that may occur in this transition period are discussed and strategies for maintaining avenues of positive communicative interaction are presented.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Asessing and treating physical pain and affective discomfort in people who can no longer report on their internal states is quite challenging. Since little is known about best practice in pain management for people with dementia, health care providers often learn while “in the trenches.” This article reports one person's professional journey in trying to understand the needs of people with dementia. In addition, a clinical tool, the Assessment of Discomfort in Dementia (ADD) Protocol will be described as a systematic method for improving recognition and treatment of discomfort in clinical practice.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The stress of providing long-term care to a relative with a cognitive impairment (eg, dementia) is often compounded by the difficulties encountered when making care decisions on behalf of the individual (ie, care receiver). This article describes research within culturally diverse families that explores decision making in everyday care from the perspective of both the caregiver and the care receiver. Our findings suggest that persons with cognitive impairments are able to express preferences for care, that family caregivers do not always understand their relative's preferences for care, and that there are more similarities than differences across culturally diverse families.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Sharing the diagnosis with a person in the mild to moderate stages of Alzheimer's disease is preferable, unless there are serious concerns about a depressive reaction. This will facilitate early management including planning by the person for the future. A patient led method is recommended to facilitate the process of sharing the diagnosis.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID