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Millerman's Theory Of Dementia

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Dementia is an acquired condition characterized by a progressive global decline in all aspects of cognition (Miller & Morris, 1993). Dementia is not a disease itself, but rather a disorder caused by various diseases and conditions, the most common being Alzheimer’s Disease (AD)(Miller & Morris, 1993). Spouses predominantly assume the role of caregiver for their significant other with dementia (SOWD) (Braun et al., 2009; Dunkin & Anderson-Hanley, 1998).The experience of spousal caregivers (SC) of SOWD differs from the experience of other caregiver groups due the unique composition of the marital partnership (Wright, 1991; Baikie, 2002). An area of particular significance to SC and their SOWD, is the impact that dementia has on intimacy. Interpersonal intimacy can be simplistically defined as an emotional and physical connection to another human being (Timmerman, 1998; Harris, Adams, Zubatsky & White, 2011). …show more content…

Loss of intimacy within the marital relationship negatively impacts the psychoemotional health of couples, and is a major cause of emotional distress (Baumeister & Leary, 1995; Davies et al., 2015). While dementia commonly causes a deterioration of intimacy in the marital relationship, it is possible that intimacy can be retained, and even strengthened, in face of dementia (Harris et al., 2011). Further research investigating how dementia affects intimacy and ways that couples successfully retain intimacy has important implications for supporting struggling couples (Kuppuswamy et al.,

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Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly

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People can recognise this by being as supportive as possible. Carers, friends and family, can help a person with dementia to feel valued and included. Support should be sensitive to the person as an individual, and focus on promoting their wellbeing and meeting their needs. When supporting a person with dementia, it can be helpful for carers to have an understanding of the impact the condition has on that person. This includes understanding how the person might think and feel, as these things will affect how they behave.

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Going through this uncertainty and confusion often causes people to retreat to the safety of established memories, and they begin to lose awareness of the world around them. Nurses and other care givers who have never met these behaviors before often do not know how to respond when a person with dementia asks difficult questions, such as requesting to see a mother who has passed away. It can also be difficult to know how to reply if they believe they need to go to work or collect children from school. It is important to remember, in the later stages communication is most challenging, that continuing to interact with the person who has dementia is more important than ever.

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Mild Alzheimer’s is the beginning stage of the disease and usually lasts about two to four years. Symptoms of mild Alzheimer’s include less interest and energy, loss of recent memories, mood swings, and problems with language. If a person demonstrates some symptoms of Alzheimer’s, they do not necessarily have the disease because several medical conditions share the same symptoms. The next stage is moderate Alzheimer’s, which lasts about two to ten years. Symptoms of moderate Alzheimer’s include not being able to recognize people, confused speech, wandering, trouble sleeping, time and place confusion, and delusions.

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This is more than just the financial resources that they have, but also their psychological and physical health and their spiritual outlook on life and the situation. One important factor is the caregiver's location and place of residence in relation to that of the person to be cared for. It must also be remembered that the carer has a life outside of this role and, therefore, important factors in caring include other day-to-day roles such as being an employee, a parent and a professional person. The carer is also affected by the opinions and demands of people outside the caregiving relationship. Caregivers are also facing a health care system that seems to be placing more responsibilities on caregivers while providing less and less

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This point is particularly relevant for Ian as due to dementia he is classified as ‘vulnerable’ as he lacks the ability to look after himself or protect himself from any form of abuse (Care Act, 2014:c23pt1). Safeguarding is a primary duty of my role as a social worker so it is something I always need to be vigilant about, especially as 12-55% of older people with dementia experience abuse, like financial, physical or emotional, by family members (Cooper et al,

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Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several

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They need to be looked after, cared for, fed properly, be in a safe place, and assisted with all needs. Dementia has the chance of being reversible while Alzheimer’s never will

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Some feelings that must be acknowledged and processed are: shame; blame; anger; denial and guilt. “A central conundrum for caregivers is how most effectively to draw the boundary between themselves and the mentally ill person in their lives.” (72) In the excerpt In Sickness and in Health, David Karp examines the emotional and physical toll that caring for someone with a mental illness brings. He states that there are two essential ideas that must be incorporated when caring for a spouse with a mental illness, but I believe that they are essential for all caregivers regardless of relationship to the patient.

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Dementia should be viewed as a disability as the symptoms affect the individuals’ ability to be responsible for their everyday needs for example taking medication, remembering to eat and drink. Dementia also affects a persons’ capacity which can be a risk to their safety. Symptoms of dementia can be a big risk to the person as it affects memory so the person with dementia could forget vital things like turning an over off, not locking doors. Balance can also be affected so falls, slips and trips are quite common which means aids need to be put into place to try and prevent the risk of falls, slips, trips and other risks like leaving the oven on or not taking medication. Not having the capacity or ability to act responsibly for their health and safety is viewed as

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Alzheimer 's is a hard disease to deal with, and more often, caregivers are needed for patients with Alzheimer 's disease. As a caregiver, it will not be an easy thing to do. In fact, caregivers are often stressed and overwhelmed because of the frequent care the Alzheimer 's patients require. They require help with eating, bathing, dressing, taking prescribed medication, communicating, help going to the bathroom, and more. Patients with Alzheimer 's are not able to perform these daily tasks because they may forget how to do them.

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The second article I reviewed was Dementia and Caregiver Stress: An Application of the Reconceptualized Uncertainty in Illness Theory. This is a qualitative study involving four focus groups with six-ten volunteer participants were held, each last approximately 90 minutes. 15 caregivers cared for their parents and the remainder cared for their spouses. Multiple themes (Antecedents) emerged from the interviews and were categorized by the five dimensions of uncertainty of illness. Four of the five themes causing uncertainty involved dementia related symptoms and included lack of personal boundaries, repetitive behavior, hygiene, verbal and physical aggressiveness, and need for constant care.

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The declining cognitive function and unpredictable behaviour of dementia sufferers makes caring for them a difficult and challenging task. As a result, caregivers providing care for dementia sufferers face high physical, emotional and psychological stress [1]. This causes caregivers of dementia sufferers to be at high risk of developing burn-out and other health complications. Thus, it is essential to understand the challenges and burden faced by caregivers of dementia and the resulting effect of caregiving on caregivers’ overall well-being.

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One problem most central to advancing our psychological understanding of the experience of intimacy has been in defining or circumscribing the phenomenon itself. While much has been written on the topic of intimacy in a variety of contexts by both academic and ‘popular’ authors, paradoxically, there exists less research (and even less concurrence) on essential matters such as the definition of intimacy (Register and Henley, 1992; 9: 467-48). “However, in the literature, many researchers (Berscheid, 1985; Hatfield & Rapson, 1993; Levine, 1991) have concurred that there are four main components of intimacy: love and affection, personal validation, trust and self-disclosure,” (Hook, Misty, Gerstein, et al .2003) which are enshrined in Rogers core conditions of empathy, respect and genuineness (Rogers, 1957). If these components are absent in a relationship, intimacy may not occur. “When people are aware that they are loved and liked, the risks associated with self-expression decrease, and they become more willing to open up and share their ideas and feelings.

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