LibGuides: NUR 3289: Fundamentals of Gerontology: Delirium/Dementia

eBooks

Alzheimer's Disease and Dementia by Steven R. Sabat Alzheimer's is swiftly on the rise: it is estimated that every 67 seconds, someone develops the disease. For many, the words "Alzheimer's diseas" or "dementia" immediately denote severe mental loss and, perhaps, madness. Indeed, the vast majority of media coverage of Alzheimer's disease (AD)and other types of dementia focuses primarily on the losses experienced by people diagnosed and the terrible burden felt by care partners yearning for a "magic bullet" drug cure.Providing an accessible, question-and-answer-format primer on what touches so many lives, and yet so few of us understand, Alzheimer's Disease and Dementia: What Everyone Needs to KnowRG contributes what is urgently missing from public knowledge: unsparing investigation of their causes andmanifestations, and focus on the strengths possessed by people diagnosed. Steven R. Sabat mines a large body of research to convey the genetic and biological aspects of Alzheimer's disease, its clinical history, and, most significantly, to reveal the subjective experience of those with Alzheimer'sor dementia. By clarifying the terms surrounding dementia and Alzheimer's, which are two distinct conditions, Sabat corrects dangerous misconceptions that plague our understanding of memory dysfunction and many other significant abilities that people with AD and dementia possess even in the moderateto severe stages. People diagnosed with AD retain awareness, thinking ability, and sense of self; crucially, Sabat demonstrates that there are ways to facilitate communication even when the person with AD has great difficulty finding the words he or she wants to use. From years spent exploring andobserving the points of view and experiences of people diagnosed, Sabat strives to inform as well as to remind readers of the respect and empathy owed to those diagnosed and living with dementia.Alzheimer's Disease and Dementia conveys this type of information and more, which, when applied by family and professional caregivers, will help improve the quality of life of those diagnosed as well as of those who provide support and care.
ISBN: 9780190603113
Publication Date: 2018-02-01
Dementia: the Basics by Anthea Innes; Lesley Calvert; Gail Bowker Dementia: The Basics provides the reader with a clear and compassionate introduction to dementia and an accessible guide to dealing with different parts of the dementia journey, from pre-diagnosis and diagnosis to post-diagnostic support, increasing care needs and end of life care. Co-authored by an academic, a person living with dementia and a family carer, the book endeavours to raise awareness of dementia, challenge stereotypical and negative ideas about what it means to have dementia and champion a society where people living with dementia can be active as they wish for as long as possible. The authors present an overview of current research at each step of the dementia journey as well as including knowledge from lived experience, enhancing understanding and challenging thinking about what it might be like to live with a diagnosis or to care for a loved one. As a whole, the book emphasises the importance of prioritising the person living with dementia, as well as considering the impact of what any initiative or action might mean for them, their families and their care supporters. Offering both an accessible introduction to dementia and practical tools, this book will be ideal for health and social care professionals, students of social care, health care and nursing, people with dementia, carers and anyone wanting to understand more about the condition.
ISBN: 9781317484639
Publication Date: 2020-06-15
Ethnicity and the Dementias by Gwen Yeo (Editor); Linda A. Gerdner (Editor); Dolores Gallagher-Thompson (Editor) In recent years, the literature on the topic of ethnic and racial issues in Alzheimer's disease and other dementias has increased dramatically. At the same time, the need for cultural competence in all of geriatric care, including dementia care, is increasingly being acknowledged. Dementia is a large societal problem affecting all communities, regardless of race or ethnicity, and understanding dementia for specific groups is tremendously important for both clinical knowledge and for health planning as a nation. This third edition of Ethnicity and the Dementias offers invaluable background information in this area, while also examining how those suffering from dementia and their family members respond or adapt to the challenges that follow. Thoroughly updated and revised throughout, the book features contributions from leading clinicians and researchers in the field, with particular attention given to genetic and cultural factors related to dementia, effective prevention and treatment strategies, and issues in caregiving and family support. Chapters offer specific recommendations for dementia care in eleven ethnic/racial groups, as well as suggestions for working effectively with LGBTQ families. Providing a truly comprehensive resource on ethnicity and dementia, and including reflections on emerging trends and the future of caregiving, this new edition is ideal reading for clinicians, educators, researchers, policy makers, and families, in search of the most current ethnogeriatric findings.
ISBN: 9781315161358
Publication Date: 2018-09-03
Fast Facts for Dementia Care, Second Edition by Carol A. Miller This quick-access clinical reference for nurses in adult health settings addresses the most prevalent and complex management challenges in caring for people with dementia. The second edition--completely updated with the newest guidelines for evidence-based, person-centered care--includes two new chapters on the Emotional Needs of People with Dementia and Self-Neglect and Elder Abuse, along with new information on cultural considerations and distinguishing between dementia and delirium. Quotes from people with dementia are included in this edition to give first-person accounts of their experiences. Fast Facts for Dementia Care, Second Edition delivers specific care strategies for all stages of dementia in a wide range of clinical settings, including acute care, long-term care, and home and community settings. Chapters introduce relatively simple dementia-specific interventions nurses can incorporate into their care plans to prevent or address problems before they escalate. Using bullet points and concise paragraphs, this streamlined resource discusses the issues faced by people with dementia and their care partners and what nurses can do. It addresses disease progression, assessment and management of pain, medications, safety concerns, communication strategies, ethical issues, and end-of-life care.New to the Second Edition: Completely updated with the newest guidelines for evidence-based, person-centered care of people with dementiaNew information of cultural considerations including culturally appropriate communication, considerations related to treatment goals, and moreChapters on Emotional Needs of People with Dementia and Self-Neglect and Elder AbuseKey Features: Helps identify and manage conditions associated with mental status, including delirium and dementiaProvides clinical vignettes and quotes of real-life situations illustrating successful nursing interventionsDiscusses communication techniques for different stages of dementiaDescribes numerous interventions for addressing issues such as pain, safety, end-of-life care, and moreIncludes "Fast Facts" boxes for quick reference to essential information
ISBN: 9780826151711
Publication Date: 2020-07-28
Textbook of Dementia Care by Graham A. Jackson (Editor); Debbie Tolson (Editor) Textbook of Dementia Care: An Integrated Approach gives an overview of dementia care at a level appropriate to health and social care students, as well as providing an update to experienced practitioners. Authors come from a variety of backgrounds including nursing, psychiatry, medicine, psychology and allied health professions. There is a good mix of content from experienced new authors, academics and practitioners. The book offers: a comprehensive list of contributors from different disciplines input from people living with dementia and their family carers relevant research to inform practice case examples to illustrate and inform the text. While directed primarily at a nursing and social care readership, the book also provides a readable general text appropriate for all involved in dementia care. It is written by expert practitioners in the field, many of whom are leaders in practice-based research. It incorporates the expertise of representatives of Alzheimer Scotland, but also includes accounts of people living with dementia, families, and carers, giving the reader a unique insight into the disease.
ISBN: 9781315389844
Publication Date: 2019-03-26

Streaming Videos

Patient Cases

Alzheimer's Dementia Susan is 75 years old with advanced-stage Alzheimer’s Dementia. She exhibits agitation, poor judgment, socially inappropriate behavior, and wandering. Susan was admitted to the hospital after she stopped talking and would occasionally yell unprovoked. For the last few months, Susan needs to be fed as she doesn’t remember how to feed herself, has been incontinent, and needs undergarments. When in the hallway, Susan keeps ambulating, purposeless, does not respond to any questions that are asked and does not keep eye contact. Occasionally when Susan reaches the wall, she kept pacing on site and does not know how to turn around. The staff has to turn her and she continues to walk in the unit.
Beginning Stages of Alzheimer’s Progression Olive continues to insist that she does not like the live-in nurse Jenny and refuses to go home. To help mediate this dispute, the nurse presents Olive two options that have been discussed with Olive’s son Benjamin. Olive is given the choice to either go to a supervised facility or she can go back home with Jenny and let her help. The nurse makes sure Olive understands that she needs to have someone live with her. While Olive may not like Jenny, she needs to keep Jenny for the time being or until Benjamin can replace her with someone more to Olive’s liking. Olive ultimately agrees to resume living with Jenny for a trial period until someone better is found.
Dementia, Suspect Vascular Mr. Smith is an 80 year old male living with his son and daughter in-law after having a stroke (no residual). Mr. Smith’s recent memory is impaired and shows a decline in cognition with signs of extreme loss in recent memory and loss of spatial perception. At the beginning of the interview, the patient misses the table when attempting to place a bottle of water down. Prior to the interview, Mr. Smith had become upset and went for a walk around the block as he has done for years but this time, as the interviewer reminds Mr. Smith, he did not come back home. Mr. Smith’s son and daughter-in-law searched for him but it was a neighbor driving back home that saw him lost and brought him back. Despite being miles away from home, Mr. Smith denies any problem, stating that he was simply out for a walk. He cannot remember where he was and cannot remember any other details about the incident.
Pseudodementia Mrs. Pearson is 75 years old, came into the hospital with her daughter due to sudden gaps in her short-term memory, as she had forgotten to turn off the stove burner and went to take a shower. Mrs. Pearson’s daughter arrived home from work and found the burner on and her mother in the shower. When Mrs. Pearson came out, her daughter told her that it was the second time in 5 days that it has happened. Mrs. Pearson recounts to the interviewer that she was warming up water for a cup of tea and does not recall what happened that the stove remained on. Though Mrs. Pearson’s long-term memory is intact, her recent memory and recall is impaired in the context of grief. Mrs. Pearson’s daughter noticed an impairment in her memory since she learned that one of her cousins passed away last week. During the interview, Mrs. Pearson can recall where she is, her date of birth, town she was born, address of the house she grow up, her both parents’ full names. However, Mrs. Pearson cannot recall the day of the week and day for the month. She remembered the year. The neurological tests are negative for any issues and Mrs. Pearson’s sudden change in cognition can be attributed to depression (from grief), therefore, called pseudodementia.
Vascular Dementia Mrs. Baker is a retired professor from a renowned university. For the past 6 years, Mrs. Baker has slowly declined in critical thinking and memory. Mrs. Baker is very polite but is upset for being in an unfamiliar place (hospital) and tries several times to open all the doors to get out. Mrs. Baker says to the nurse: “Listen young lady, I need to go home because my mother is waiting for me and that is not nice that you are holding me prisoner.” Her voice is a little shaky (fragmented) and it appears that she is not going to be able to conclude the sentence in a way that makes sense. The nurse asks Mrs. Baker how old her mother is, and she hesitates and says “36”. When asked by the nurse how old she is, Mrs. Baker hesitates and says: “I am 13 and my mother does not let me sleep out of my home.”

Health Assessment

Building Rapport with Older Adults Whether the clinician is interviewing the older adult patient in an office, hospital, or nursing home, adjusting the physical environment and the interviewing approach to put the patient at ease will result in better communication and more effective medical treatment.
Clinical Assessment: Memory Loss A clinical encounter with a 70-year-old woman with complaints of memory loss. Designed to test clinical reasoning skills, this video provides opportunities to answer questions, practice history taking, and develop an assessment and differential diagnosis as well as an appropriate next diagnostic workup.
Head-to-toe Assessment of Older Adult Complete physical examination techniques for the older adult.

Dementia Care Certification Course: Copper Ridge Institute

Volume 1 From the world-renowned Copper Ridge Institute comes a modular training program that certifies health care professionals in dementia care. Ideal for training and orientation at long-term care facilities or educational institutions, this program clarifies what dementia is, how it differs from normal aging, and the types and causes of dementia. The program provides an overview of common behavioral problems associated with dementia and presents strategies and approaches for dealing with these problems. Finally, the program offers insight into why people with dementia may behave in erratic ways, and affirms these patients' humanistic value despite such challenging behavior.
Volume 2 From the world-renowned Copper Ridge Institute comes a modular training program that certifies health care professionals in dementia care. Ideal for training and orientation at long-term care facilities or educational institutions, this program clarifies what dementia is, how it differs from normal aging, and the types and causes of dementia. The program provides an overview of common behavioral problems associated with dementia and presents strategies and approaches for dealing with these problems. Finally, the program offers insight into why people with dementia may behave in erratic ways, and affirms these patients' humanistic value despite such challenging behavior.

Recommended Websites

Alzheimer's Association Non-profit organization that accelerates global research, drives risk reduction and early detection, and maximizes quality care and support.
Alzheimer's Disease and Healthy Aging Data Portal Provides easy access to national and state level CDC data on a range of key indicators of health and well-being for older adults
Alzheimer's Foundation of America Non-profit that provides support, services and education to individuals, families and caregivers affected by Alzheimer’s disease and related dementias nationwide, and funds research for better treatment and a cure.
American Delirium Society Provides a wide range of delirium educational information for medical professionals, family, and patients including video presentations, publications, and additional information.
Association for Frontotemporal Degeneration Non-profit that strives to improve the quality of life of people affected by FTD and drive research to a cure.