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Choosing the Best Road in the Face of Dementia Essay Example

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Choosing the Best Road in the Face of Dementia

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Choosing the Best Road in the Face of Dementia. Patients are being cared for through family-based care, it is likely that at least one member of the family has reduced hours at work in order to be available. When labor and out-of-pocket costs are taken into account, studies have shown that for patients with severe levels of dependence, it was more economically viable for them to be cared for through nursing home care than through family-based care (Chiu et al. Therefore, despite the high fees of nursing home care, it is still usually equal in cost, or cheaper than family-based care.Financial cost is not the only consideration, and certainly not the primary focus when deciding the best type of care for those we love who are suffering from dementia.

Dementia is progressive, and it destroys mental function. When it is a family member or loved one undergoing these changes, the process can be very painful to watch. This can cause feelings of helplessness and mental trauma, and even irrational guilt. There are many reports of caregivers for dementia patients suffering from severe depression as a consequence of watching the progression of the disease (Eisdorfer et al. Caring for an individual with dementia exerts significant mental and emotional pressure on those responsible for them. The role reversal is often of particular difficulty(Boss 445-450). Possibly the worst of these problems is that dementia patients often begin to behave quite childishly as the disease progresses, being not just ungrateful, but often positively hateful. Knowing that they do not mean it, and are not responsible for this hurtful behavior does not really prevent the pain it causes. Sometimes an angry reaction in return will even promote horrible guilt feelings in the caregiver. Over the long term, the patient may lose the ability do even the simple hygiene tasks of bathing and brushing and may need help with toileting. When the patient no longer even recognizes their loved ones and behaves in ways dangerous to themselves and others (Nigg et al. 473-482), it is time to reassess the viability of home care.How does one determine what to choose when taking care of a family member with dementia? First, get a competent professional to assess cognitive functioning of your loved one. Using tests for functionality, (Mack and Patterson ; Mattis, Jurica and Leitten ) (Polanski and Hinkle 357), this same professional can advise you objectively, based upon the patient’s need and history. Placing a mother, a father, or any. Choosing the Best Road in the Face of Dementia.

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Works Cited

American Psychiatric Association. DSM-IV-TR. Arlington, VA:, 2000. Print.

Bornstein, M. H. & Lamb, M. E., ed. Developmental Psychology : An Advanced Textbook. . Hillsdale, NJ: Lawrence Erlbaum Associates., 1984. Print.

Boss, P. G. "Normative Family Stress: Family Boundary Changes Across the Life-Span." Family Relations 29.4 (1980): 445-50. Print.

Chiu, L., Tang, K.Y., Liu, Y.H., Shyu, W.C., and Chang, T.P. "Cost comparisons between family based care and nursing home care for dementia", Journal of Advanced Nursing 29.4, (1999) pp. 1005-12.

Eisdorfer, C., Czaja, S.J., Loewenstein, D.A., Rubert, M.P., Argüelles, S., Mitrani, V.B., and Szapocznik, J. "The effect of a family therapy and technology-based intervention on caregiver depression", The Gerontologist 43.4, (2003) 521.

Mack, James L., and Marion Patterson. "CERAD Behavior Rating Scale for Dementia, Second Edition." (2001)Print.

Mattis, Steven, Paul J. Jurica, and Christopher L. Leitten. "Dementia Rating Scale-2." (2001)Print.

Nigg, C. R., et al. "Stages of Change Across Ten Health Risk Behaviors for Older Adults." The Gerontologist 39.4 (1999): 473-82. Print.

Polanski, P., and J. Hinkle. "The Mental Status Examination: Its use by Professional Counsleors." Journal of Counseling & Development 78 (Summer 2000): 357. Print.

Wilcoxon, S. "Healthy Family Functioning: The Other Side of Family Pathology." Journal of Counseling & Development 63.8 (1985): 495. Print.

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preview essay on Choosing the Best Road in the Face of Dementia
  • Pages: 4 (1000 words)
  • Document Type: Essay
  • Subject: Nursing
  • Level: Undergraduate
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