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Praxis Note on Alzheimer's Disease

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Look back This semester I have been assigned to a specialty care home specifically design to accommodate people with dementia. More than ninety percent of the resident in the home has been diagnosed with dementia. After semester three, which is approx one year and a half ago, I remembered I learned about Alzheimer's Disease (AD). As time and stress has continuously catches me from school, work, and family. I admit that I have forgotten many details of caring for an AD patient in a nursing perspective. I know there is an urgent need for me to refresh my memory and gain new knowledge about the care that Alzheimer patient need in general. Elaborate As I have entered into the home, I do not have much of an idea of what I am going to encounter for the next 12 weeks. When I learnt that this is a home for a high population of individual's with AD. I was quite shocking. I know that AD is a condition that affects cognition function. People with AD will generally have an irreversible decrease cognitive function that will gradually progress over time. I also remember there are three different stages of AD, early stage, intermediate stage, and late stage. ...read more.


After a diagnosis has been made, AD can be divided into two different types: familial (early onset) and sporadic (late onset). Familial AD is rage and is associated with genetic mutation; it is commonly occurs in middle ages-adult. Sporadic AD usually occurs in people older than 65 years old (Belavic, 2009). The risk factors involved has advanced age, family history, genetic markers, and cardiovascular disease such as hypertension diabetes, obesity, and hypercholesterolemia. Possible risk factors included head injury, hyperthomcocyteinemia (high levels of homcyteine in blood), and hyperinsulinemia. AD can also be divided into three stages, early stage, intermediate stage, and late stage. Each stage signifies the progression degree of the condition from short-term of impairment loss and reduced ability of judgment skills to severe deterioration of all cognitive abilities. Individuals with advances progression of the condition will also losses urinary and bowl control and experiences myoclonus or seizures. Unfortunate diagnosis can only be made after damages have been made and there is no cure for the condition. There is also no proven preventative screening for AD. Medications for AD are only use to manage symptoms but not to treat the condition. Only four approved drugs are available in Canada. Aricept, Exelon, and Reminyl are use to treat symptoms in people with early and intermediate stages of AD, and Ebixa can be use to for all stages of AD (Alzheimer Society, 2009). ...read more.


New Trail In the coming weeks on the semester, no matter what the situation, I will first learn about the situation, listen and understand their needs, look for possible solution, implement on selected solution, and evaluate for the result. The needs of the resident in the home are very diverse. Needs and values that are important to them can change instantly and frequently. From now on, I should change my approach towards individual with AD and plan of care to act upon what they value that specific moment. My goals towards any people with any degenerative illness or condition will no longer base on their health condition as my final goal. Although giving care to these people still saddens me in many ways but on the other hands I am also very bliss to have these feelings for them, to me it is a sign that I still truly cares for them. Reference Belavic, J. M. (2009). Alzheimer's disease: a tangle of the mind. Nursing Made Incredibly Easy, 7(5), 26-33. Lewis, S. M., Heitkemper, M. M., & Dirksen, S. R. (2004). Medical-surgical nursing: Assessment and management of clinical problems (6th ed.). St. Louis, MO: Mosby. Alzheimer Society. (2009). Introduction: Drug Treatment. Retrieved January 17, 2010, from http://www.alzheimer.ca/english/treatment/treatments-intro.htm ?? ?? ?? ?? Praxis Note #1 1 ...read more.

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