Jul 11, 2019 in Medicine

Alzheimers Disease Care Essay

The three articles are chosen on the basis of understanding the care related to Alzheimer’s disease. The first one is Ulla Andin’s article “Clinical manifestations in neuropathologically defined subgroups of vascular dementia” published in International Journal of Geriatric Psychiatry in 2006. The second article is by Aud and Rantz published in Journal of Nursing Quarterly in 2005 and is titled “Admissions to Skilled Nursing Facilities From Assisted Living Facilities”. The third and the last article in consideration was published in Statistics in Medicine in 2000 and it is by Richard C. Mohs, James Schmeidler and Mosen Aryan titled “Longitudinal studies of cognitive, functional and behavioural change in patients with Alzheimer's disease”. The second article is quantitative in nature and the other two are qualitative. Andin (2006) indicates that Elderly people with Alzheimer’s disease require intensive care and attention round the clock, but there are many of them who either do not have anybody in their family to pay attention to them or their family members are too busy to do so. Being a primary caregiver for an elder can be a difficult job. The hours are time-consuming and it can be a wearisome and anxiety-provoking duty, for even the most enduring person. To evaluate the problem the researcher interview 110 patients and 75 members from nursing administrations. Thus, Andin (2006) proves that ADC can prove to be a cost-effective way out to a loved one's care requirements during the daytime. Such elderly people can take the help of Adult day care services. Adult day care put forward a dual benefit for elders and their families. Participants get benefited from socialize with fellow members and receiving desired care services. It should be stated that the basic approach of the study is commendable as the older adult problem in the society is very acute in these days and such researches would help to solve the problems regarding the older adults for policy makers and the authority. Respite care intends to ease the stress allied with care giving. Respite care can also be an unofficial arrangement, where acquaintances of the elder or another family member does the care giving duties for a few hours or a few days a week. The paper indicates that skilled nursing facilities that offer short-term respite are available for the clients who require nursing care and it is most important to admit the patients in these facilities. The quantitative article by Myra A. Aud and Marilyn J. Rantz (2005) clearly identifies the research problem and it develops around the care giving of the elderly population with Alzheimer’s disease through skilled nursing facilities rather than daycare units or ADC. Then the research develops in logical consistency following the steps of the research process in a logical manner. These steps are backed by Literature review is the review and it is logically organized and it offers a balanced critical analysis of the literature. However, all of the literature included is of recent origin and revolves within the time frame of 10 years (the oldest being from 1995) and it presents a thorough outline of the problem and the possible solution. The literature is mainly primary sources but there are few secondary sources too. However, the secondary sources are well reviewed and empirical in nature. It should be noted that most of the 20 references used are scholarly journal articles. However, few books and a website are also used. 

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 The research aims at finding benefits and possibilities of admission to skilled nursing facilities or hospitals from assisted living facilities or adult day care. The research is formulated on 15,977 residents. These “residents were analyzed to investigate the reasons older adults were admitted to skilled nursing facilities from assisted living facilities.” (Aud & Rantz, 2005, 16) These residents were compared with residents who were admitted earlier to find the differences a between skilled facilities and assisted facilities. Standardized measuring instruments, and questionnaires with closed questions could be used in qualitative data collection, while questionnaires with open ended questions intended for an in-depth study aid in qualitative data collection. Thus, it can be stated that the form was quantitative and the variable is described clearly. “Age was calculated from item AA3 while the data for gender, disease diagnoses, and placement in Alzheimer's SCU were aggregated from items AA2,11 (1, m, p, q, t, u, y, cc, dd, ee, ff, gg), and P 1 (n) respectively.” (Aud & Rantz, 2005, 18) Alongside, the study can be termed as descriptive and was backed by correlation approach, so it discussed Pearson R, t-test, analysis of variance(ANOVA). In this manner the independent and dependant variable are clearly defined. The results are well established and well defined using statistical analysis making the finding not only clearly stated but also backed by statistical data and findings. The interpretation of results related to T-Test, ANOVA and Pearson R were based on pre and post admission followed by various modes of disease and age groups. Furthermore, male and female patients were also segregated. The third article firstly evaluates the Alzheimer's disease. There are two symptoms of Alzheimer's disease, behavioral and cognitive. Alzheimer's is a very slow disease and a single test cannot prove whether a person has it or not. It can last up to several years and finally even end in death. As the disease progresses, patients are unable to perform, daily activities, like writing, eating or dressing up and become restless and aggressive. At times, they even stroll away from home and get lost (Mohs, 2000). The researchers prove that Adult Day care is essential for the purpose as the practical ways of treating Alzheimer's is through communication along with medication and is done by professionals, and they know how to present a communication to the group therapy. Communication is just one part of the entire process but it is definitely a very important procedure of treatment in the context of Alzheimer's. Trainers should look that the person, whoever is attending, as speaker, should not smoke before he or she is presenting a speech. The tension of the speech should not be avoided by smoking but by practicing the speech regularly. The trainers should also look that the speaker should not have a problem in voice, as it is a vital and a positive factor for communication skills. Foe the purpose the researchers interviewed 225 nurses in 12 different ADC. The study was conducted with much care and the data was well organized and the Reliability and validity are clearly stated. However, in any nursing research, reliability, validity and replication are important considerations, and these are as important as the choice of methodology. Consistency and purity of a measure are attributes of reliability, and repeatability or stability is also an important aspect of reliability. The report is well written and is quite concise in nature. It is grammatically correct and quite close attention has been given to avoid the use of jargon. In the context of organizing the paper it can be stated that the report is well formulated and organized and the fundamental plan has been well laid out. The study shows that the researchers are well qualified and hold appropriate degree and position in the particular field of the study, as they both are PhD degree holders, and thus it can be stated that issue has been well negotiated throughout the paper. One indication of the study being well organized is the title of the study itself.

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