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Tuesday, May 5, 2020

Cognitive Function and Ageing Collaboration †MyAssignmenthelp.com

Question: Discuss about the Cognitive Function and Ageing Collaboration. Answer: Introduction In any healthcare facility, one of the essential parts is the environment of the premises that helps to regain the healthy physical and mental condition of the patient by direct and indirect influences. In this assignment, the primary focus will be the psychological healthcare setup dealing with dementia patients and their current problems regarding the ambience noises. Dementia is a group of mental problems that affect the personal as well as social life of an individual. One of the major disorders in this dementia group is Alzheimers (Alzheimer's Association 2013) which is also very highly sensitive problem in terms of effective ambience. In most of the cases, older people are found victimised by this psychological condition that distorts their thought process, increases the confusion, decrease the ability to remember, and reduces concentration. Being a group of multiple mental disabilities, the Dementia is also founded in younger people. The assignment will critically analyse and recommend suitable environmental modification needed for caring patients with Dementia for the organisation named Aspire. Aspire is a health care non-government mental healthcare organisation having the head office at Scolz Avebue, Nuriootpa, Australia. Due to its multiple impacts on patient's everyday activities, Dementia needs sincere care and assessment for the patient with adequate environmental support (Dobson-Stone et al. 2013). In this assignment, the environmental requirement will be discussed with the help of literature review based on the impact of noise on the psychological condition of a patient of dementia. Additionally, an action plan will be planned in order to make a suitable recommendation for organisational modification of a mental health care organisation namely Aspire. A summary will be evaluated to summarise the criteria of needed changes. The causes and symptoms of Dementia Dementia is a broad category of brain diseases involving distorted thought process, lack of short time memory, disability to interact with social components, impairment of cognitive communication, distorted visual perception, disputed auditory functions and others (Prince et al. 2016). All of these disabilities cause the significant imbalance in daily activities and social interactions. Majority of dementia patients belong above 60 years of age. However, unexceptionally dementias are also found in young people. Some of the significant causes of dementia are vitamin B12 deficiency, Lyme disease, neurosyphilis and most importantly Alzheimer's (Matthews et al. 2013). Repetitive conversations, difficulties in finding the route, forgetting necessary daily activities are the major early symptoms of the Dementia. Often patients forget to make a proper sentence while having a conversation (Jung 2015). However, Dementia does not cause long time memory loss with helps patient to remember their life, identity and close relatives. On the other hand, the patients keep forgetting about a bath, taking medicine or other daily activities. Dementia with severe symptoms of Alzheimers can cause permanent psychological disability. Effect of noise by the Dementia patients Both psychological and physical care is required for Dementia patients. People with dementia often find themselves extremely restless or angry due to the ambience of their surroundings. This acoustical distraction and additional auditory disturbance also causes personality changes that can trigger both high anxiety and panic attack. Usually, patients get angry or irritated about every simple thing. Therefore patients should be treated with emotional support and persistence with adequate arrangement that can ensure low amount of distracting noise (Kontos and Martin 2013). The caregiver should be aware and trained about the effect of sudden or irritating unusual sounds on the behaviour of patients. Along with that, both internal and external environmental component should be arranged in a way that can reduce the amount of noise especially before and after the bed time. Environmental arrangement and scheduling are other important things to be implemented by the care giving facilities on daily basis. Both internal and external components of surroundings can reduce the communication power of the dementia patients by producing high amplitude of sound or noise (Prince et al. 2013). On the other hand, strict and aggressive attitude of caregivers can also cause unnecessary vocal noises that reduce the environmental adaptability of the patients. It is the major duty of the caregivers is to make sure that patients are experiencing low amount of unnecessary loud sound and noises especially before and after the sleep (Lichtner et al. 2014). As per the global report of the dementia patient, in more than 45% cases the major cause of dementia symptoms is Alzheimer's disease, which has been induced by noise problem. More than 80% of the patients are usually found within the age group of above fifty (Hsieh et al. 2015) who are highly noise sensitive. From the international report of dementia, it can be said that Australia has the most stable situation in the growth rate of dementia patient from 2005 to 2015 (Achterberg et al. 2013). However, the number of aged patient suffering from Dementia has been increasing last few years where the number of patient suffering from acoustical disorder is higher (Bail et al. 2013). As per the estimation formed from the previous growth of patient count within Australia it has been predicted that in 2020 the number of Dementia patients can be increased up to 1 million where the inadequate arrangement for reduce the ambient noise would be the major cause (Scandol, Toson and Close 2013). On the other hand, most of the mental health care organisations do not change their conventional assessment structure to provide more effective treatment (Onoda et al. 2013). Aspire assessment facility is not situated very far from the crowded and sound polluted area. In current case scenario, the success rate of Aspire mental health care organisation is falling because of their environmental situations and assessment structure. To improve the efficiency and effectiveness of the assessment process the organisation needs to implement some essential environmental changes. Action Plan Brief Description of the aspect to be modified and the current impact on people with dementia Aims of Goals Key steps and activities to be taken to achieve aim/goals (include timescales and others who can offer support). Key steps and activities Resources (including personnel) Timeline Putting signs all over the surroundings to make aware passerby about the noise level Facility Department 20 April to 12 May, 2018 Reduce the ambient noise by repairing the noise making motor, generators, doors and windows. Facility Department 30 April to 20 May, 2018 Equipping special noise reduction buffer around the outer wall of the premises to reduce sound penetration Facility Department 12 May to 28 May, 2018 Switching off the TV and the Radio one hour before and after bedtime and monitoring the outcomes. Caregivers 2 April to 18 April 2018 Criteria for Evaluation (identify up to 5 aspects by which you can measure your success; one of which should be around people with dementia) responsible persons. Apart from that, putting alarming signs over corresponding area increasing awareness of the visitors and stuffs. According to the latest documented report of the patients conditions and improvement rate, it can be clearly stated that various close monitoring and cross-checking systems have successfully made the initial changes that are required for the patients. The strict scheduling and regularity or assessment programs have increased the tolerance level of the patients. Patients are showing less aggressive mood especially after the daylight because of regular noise reduction procedure and guidance. The auditory identification and memorisation power have been improved to some extent. Additionally, patience of most of the patients has been also improved. Patients have become more calm and cooperative about their daily routine that is helping them to maintain their psychological temperament. At the nigh time, most of the patients are showing more calm gestures. Similarly, they are also finding the Road side signs are showing more usefulness and visitors are trying to produce low amount of noise as much as possible. Unachieved factors Although the patients have improved noticeably, the improvement rate is not as much as expected. On the other hand, some of the patients are facing problems indoor activities during the daytime. Some patients are less responsive when they are in assessment programme for experiencing sudden noise coming from the external sources, such as noise of larger vehicles, road repairing motors and others. Most of them are still forgetting were their spectacles while needed. Some of them are avoiding any type of social interaction that also decreases their patience level. However, situations of extreme anger have been reduced, though some of the patients are denying cooperating with their caregivers and instructors due to their extreme argument for listening night time Radio programs. Moreover, the collective improvement has not been achieved with the moderate exception of improvement. Therefore, it can be observed that the planned assessment programs and operational changes have made some impr ovement within particular patient groups, while for some other patients this implementation is not working well. After identification of optimum situational solution and appropriate strategic therapies, the next operational changes can be made for further development of patients cares. From the above mentioned outcomes, it can be said that the each of the patients needs more support an assessment individually (Kales, Gitlin and Lyketsos 2015). In order to support and assess the large number of patient Aspire has to recruit more caregivers, trainers and experts. On the other hand, making the visiting section of the premises away from the indoor section can help to reduce unnecessary noise. It will reduce the scope to make unwanted loud sound near the individual room that will allow the patients to sustain their peaceful state of mind (Hsieh et al. 2013). After every effective implementation, the patients could be provided adequate support and assessment according to their performance during the simulation program. The complexity of this performance tracking simulation programs will be getting harder as per the scorecard of the individual patient-generated at the time of the previous simulation-based session (Brodaty et al. 2014). Every patients can also be trained how to control their anger and sudden restless mood-swings. The will be also informed about the safety measures regarding their daily activities like using sharp tools, making meals, using electrical equipment and others. Conclusion From the above discussion, it can be stated that the assignment has been critically analysed and recommend suitable environmental modification needed for caring patients with Dementia for the organisation named Aspire. In order to improve the efficiency and effectiveness of the assessment process for the dementia patients appropriated environmental changes has been evaluated as per the requirements of the organisation. On the other hand, the number of the aged patient suffering from Dementia has been increasing last few years where the number of patients effected by the excessive noise and unhealthy ambience are significantly high, which needs serious attention. Additionally, the usual memory loss also of dementia patients also causes personality changes that usually trigger both anxiety and depression. From the situational analysis of a mental health care organisation named Aspire, it can be clearly found that certain ineffective practices were blocking the expected improvement process of patient's conditions. Although the patients have improved noticeably after the implementation of operational changes, the improvement rate is not as much as expected due to some unexpected external disturbance. From the above mentioned outcomes, it can be said, after identification of optimum situational solution and appropriate strategic arrangement the next operational changes can be made for further development of patients cares. References Achterberg, W.P., Pieper, M.J., van Dalen-Kok, A.H., De Waal, M.W., Husebo, B.S., Lautenbacher, S., Kunz, M., Scherder, E.J. and Corbett, A., 2013. Pain management in patients with dementia.Clinical interventions in aging,8, p.1471. Alzheimer's Association, 2013. 2013 Alzheimer's disease facts and figures.Alzheimer's dementia,9(2), pp.208-245. Bail, K., Berry, H., Grealish, L., Draper, B., Karmel, R., Gibson, D. and Peut, A., 2013. Potentially preventable complications of urinary tract infections, pressure areas, pneumonia, and delirium in hospitalised dementia patients: retrospective cohort study.BMJ open,3(6), p.e002770 Brodaty, H., Connors, M.H., Xu, J., Woodward, M. and Ames, D., 2014. Predictors of institutionalization in dementia: a three year longitudinal study.Journal of Alzheimer's Disease,40(1), pp.221-226. Dobson-Stone, C., Hallupp, M., Loy, C.T., Thompson, E.M., Haan, E., Sue, C.M., Panegyres, P.K., Razquin, C., Seijo-Martnez, M., Rene, R. and Gascon, J., 2013. C9ORF72 repeat expansion in Australian and Spanish frontotemporal dementia patients.PloS one,8(2), p.e56899. Hsieh, S., Irish, M., Daveson, N., Hodges, J.R. and Piguet, O., 2013. When one loses empathy: its effect on carers of patients with dementia.Journal of geriatric psychiatry and neurology,26(3), pp.174-184. Hsieh, S., McGrory, S., Leslie, F., Dawson, K., Ahmed, S., Butler, C.R., Rowe, J.B., Mioshi, E. and Hodges, J.R., 2015. The Mini-Addenbrooke's Cognitive Examination: a new assessment tool for dementia.Dementia and geriatric cognitive disorders,39(1-2), pp.1-11. Jung, C.G., 2015.Psychology of dementia praecox. Princeton University Press. Kales, H.C., Gitlin, L.N. and Lyketsos, C.G., 2015. Assessment and management of behavioral and psychological symptoms of dementia.bmj,350(7), p.h369. Kontos, P. and Martin, W., 2013. Embodiment and dementia: Exploring critical narratives of selfhood, surveillance, and dementia care.Dementia,12(3), pp.288-302. Lichtner, V., Dowding, D., Esterhuizen, P., Closs, S.J., Long, A.F., Corbett, A. and Briggs, M., 2014. Pain assessment for people with dementia: a systematic review of systematic reviews of pain assessment tools.BMC geriatrics,14(1), p.138. Matthews, F.E., Arthur, A., Barnes, L.E., Bond, J., Jagger, C., Robinson, L., Brayne, C. and Medical Research Council Cognitive Function and Ageing Collaboration, 2013. A two-decade comparison of prevalence of dementia in individuals aged 65 years and older from three geographical areas of England: results of the Cognitive Function and Ageing Study I and II.The Lancet,382(9902), pp.1405-1412. Onoda, K., Hamano, T., Nabika, Y., Aoyama, A., Takayoshi, H., Nakagawa, T., Ishihara, M., Mitaki, S., Yamaguchi, T., Oguro, H. and Shiwaku, K., 2013. Validation of a new mass screening tool for cognitive impairment: Cognitive Assessment for Dementia, iPad version.Clinical interventions in aging,8, p.353. Prince, M., Bryce, R., Albanese, E., Wimo, A., Ribeiro, W. and Ferri, C.P., 2013. The global prevalence of dementia: a systematic review and metaanalysis.Alzheimer's dementia: the journal of the Alzheimer's Association,9(1), pp.63-75. 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