1. What dementia brought into my mind
Dementia is a common syndrome found among elderly over the globe. Talking about dementia, the first word emerge from mind is “loss”. Learning about the disease manifestation, it is known that dementia does bring a huge impact to the affected senior so as the caregiver. Many of us used to focus on the losses of dementia client which indeed causing a labeling effect. Remembered in the first lesson, a question “As a case manager, what will you do to help the client with dementia and the family?” was asked. I realized my answer is “Refer the client to suitable care unit”. It seems that my original thought deprived the elderly as I failed to think of other better solution like assisting them to age in the community. Although dementia leads to certain kinds of loss to people with dementia, their needs and strengths should not be neglected. Institutionalization thus may not the best solution. To serve the elderly, I need to modify my thought by adopting a strength-based approach. Practice should not mutually focus on the losses, but to explore more on the possibilities. Boosting the quality of life is also an important issue, empowering the client by bear in mind that “we are not only work for the service users, but work with them”.
2. Explanations of disease manifestation
The disease manifestation of dementia is classified as the cognitive impairment and the non- cognitive impairment. For cognitive impairment, it mainly covers five types of impairment which include the impairment of memory function, attention and concentration, orientation, executive function and also language skills. It is identified that Tommy has four types of those excluding the language skill impairment which characterized by aphasia. For impaired memory function, it is found that he has impairment of episodic short-term memory. The symptom caused him find hard in recalling current acquired information and he is often found to be forgetful. For impaired attention and concentration which is explained by the inability in focusing consciousness on particular and to sustain attention overtime. Chatting with people, he often distracted and hardly stays focus. For impairment in orientation, it is distinguished by disorientation to time, place and person. Tried almost lost his way to bank, wet market and laundry shop which are places he originally familiar with, it can be seen that he starts disorientated to place. For executive function impairment which involved the incapability in performing tasks require planning, problem solving, sequencing as well as decision making. Starting a task would be a huge challenge for people with executive failure. Tommy is recorded find hard to make daily decisions, create plan and manage goal- directed activity like participate in volunteer work.
For non-cognitive impairment, Tommy is discovered to have impairment from behavioral, psychological and physical areas. For behavioral symptoms, the area usually...