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Dementia Essay

2030 words - 8 pages

When recalling his grandmother’s end-stage of life care, geriatrician and dementia researcher Greg A. Sachs, MD, of the Indiana University Center for Aging Research, remembers that there has been little change in the care of patients with end-stage dementia in the past 30 years (Salynn Boyles, WebMD Health News, 2009). As Sabat (2009) wrote concerning the need for improving the lives of patients with end-stage dementia, “constitutes a call to action that cannot and should not be ignored” (p. 1806). Scholl and Sabat (2008) noted “that high anxiety is correlated with lower working memory capacity” (p. 120). In this study we seek to discover changes that can be made in the daily care guidelines of caregivers that can immediately increase the quality of life for patients with diagnosis of middle to end-stage Alzheimer’s disease on a daily basis by decreasing their stress levels occurring as a result of their activities of daily living. This study will be the first of many to examine opportunities for the reduction of unnecessary stressors for these cognitively impaired patients. In order to not waste time with individual studies involving many months, we will also begin videotaping patients daily interactions with their caregivers just as Rogers did of his counseling sessions with clients (Gundrum, Lietaer, & Van Hees-Matthijssen, 1999). The purpose of this filming will be to highlight other areas of daily care activities to direct our attention to where possible changes can be made. It is expected that patient stress will be decreased and patient satisfaction increased by making changes in these guidelines and developing new instructions guiding caregivers in how better to communicate and interact with patients just as Rogers and his colleagues did through their films and review sessions. The value of Rogers’s filming of sessions for later evaluation is demonstrated in the review by Gundrum, Lietaer, and Van Hees-Matthijssen (1999), as they discuss the process of being able to determine the true effectiveness of Rogers’s interactions with his client many years previously. This same possibility exists today for development and evaluation in addition to producing at some point in time, video for use by other researchers and caregivers. Being able to reproduce our work to improve the quality of life for these impaired patients is what we are looking to provide through the filming of our work with these subjects throughout our study (Pasquali, 2007).
Literature Review
As this study is the first of many to follow, we will be using the CASCADE federally funded study as a guide for our work on bathing routines and other research to follow (Mitchell et al., 2006). The positive aspects of using the CASCADE study for a guide is that Mitchell et al. (2006) have demonstrated “the feasibility of conducting multisite dementia…research” and have effective methodologies used by their staff that we...

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