Open Access. Powered by Scholars. Published by Universities.®
Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Discipline
Articles 1 - 24 of 24
Full-Text Articles in Social and Behavioral Sciences
Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen
Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen
ETSU Faculty Works
Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, …
Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp
Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp
ETSU Faculty Works
Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …
Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen
Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen
ETSU Faculty Works
Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …
Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen
Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen
ETSU Faculty Works
Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …
Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen
Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen
ETSU Faculty Works
Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …
Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen
Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen
ETSU Faculty Works
Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …
Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp
Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp
ETSU Faculty Works
Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …
Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen
Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen
ETSU Faculty Works
Repetitive questioning is due to an impaired episodic memory and is a frequent, often presenting, problem in patients with Alzheimer’s disease (amnestic type). It is due to the patients’ difficulties learning new information, retaining it, and recalling it, and is often aggravated by a poor attention span and easy distractibility. A number of factors may trigger and maintain repetitive questioning. Caregivers should try to identify and address these triggers. In the case discussion presented, it is due to the patient’s concerns about her and her family’s safety triggered by watching a particularly violent movie aired on TV. What went wrong …
Hallucinations Are Real To Patients With Dementia, R. C. Hamdy, Amber E. Kinser, J. V. Lewis, Rebecca Copeland
Hallucinations Are Real To Patients With Dementia, R. C. Hamdy, Amber E. Kinser, J. V. Lewis, Rebecca Copeland
ETSU Faculty Works
In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.
Too Many Choices Confuse Patients With Dementia, R. C. Hamdy, J. V. Lewis, Amber Kinser, A. Depelteau, Rebecca Copeland, T. Kendall-Wilson, K. Whalen
Too Many Choices Confuse Patients With Dementia, R. C. Hamdy, J. V. Lewis, Amber Kinser, A. Depelteau, Rebecca Copeland, T. Kendall-Wilson, K. Whalen
ETSU Faculty Works
Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.
Patients With Dementia Are Easy Victims To Predators, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber E. Kinser, T. Kendall-Wilson, Kathleen Whalen
Patients With Dementia Are Easy Victims To Predators, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber E. Kinser, T. Kendall-Wilson, Kathleen Whalen
ETSU Faculty Works
Patients with dementia, especially Alzheimer’s disease and particularly those in early stages, are susceptible to become victims of predators: Their agnosia (see Case 1) prevents them from detecting and accurately interpreting subtle signals that otherwise would have alerted them that they are about to fall for a scam. Furthermore, their judgment is impaired very early in the disease process, often before other symptoms manifest themselves and usually before a diagnosis is made. Patients with early stages of dementia are therefore prime targets for unscrupulous predators, and it behooves caregivers and health care professionals to ensure the integrity of these patients. …
Big Mama And The Uncertain Leap, Kelly A. Dorgan
Big Mama And The Uncertain Leap, Kelly A. Dorgan
ETSU Faculty Works
Excerpt:I live in a place that evokes fear, a place deformed by layers and layers of pulse-racing images, of intoxicating whiskey-dark stories.
Taking Care, Kelly A. Dorgan
Taking Care, Kelly A. Dorgan
ETSU Faculty Works
Excerpt: It’s July 26, 2010, late. I’ve sunk onto the edge of the bed in my childhood home. The bedroom reminds me of one of those cozy, pretty Valentine’s Day shoeboxes I made back in elementary school: small, pink, white, flowery.
The Truth About The Surrender Of My Foster Child, Kelly A. Dorgan
The Truth About The Surrender Of My Foster Child, Kelly A. Dorgan
ETSU Faculty Works
Excerpt: My best efforts at parenting weren’t enough to make him stay. My son no longer wanted to call me “Mom.”
Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen
Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen
ETSU Faculty Works
Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …
Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen
Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen
ETSU Faculty Works
Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.
Power, Metaphor, And The Closing Of A Social Networking Site, Andrew F. Herrmann
Power, Metaphor, And The Closing Of A Social Networking Site, Andrew F. Herrmann
ETSU Faculty Works
This project expands root-metaphor analysis by examining the closure of a once popular social networking site, advancing critical interrogation of ownership vs. the idea of online spaces as “communities.” Yahoo! 360° participants used private sphere root-metaphors of home, family, and community constituting a space of intimacy, camaraderie, and care. The closing exposed previously unseen power differentials between participants and Yahoo! Participants reacted by using the metaphor of war and violence to frame the actions of Yahoo!
Mothered, Mothering & Motherizing In Illness Narratives: What Women Cancer Survivors In Southern Central Appalachia Reveal About Mothering-Disruption, Kelly A. Dorgan, Kathryn L. Duvall, Sadie P. Hutson, Amber E. Kinser
Mothered, Mothering & Motherizing In Illness Narratives: What Women Cancer Survivors In Southern Central Appalachia Reveal About Mothering-Disruption, Kelly A. Dorgan, Kathryn L. Duvall, Sadie P. Hutson, Amber E. Kinser
ETSU Faculty Works
Informed by a mothering-disruption framework, our study examines the illness narratives of women cancer survivors living in Southern Central Appalachia. We collected the stories of twenty-nine women cancer survivors from northeast Tennessee and southwest Virginia using a multi-phasic qualitative design. Phase I consisted of women cancer survivors participating in a day-long story circle (n=26). Phase II consisted of women cancer survivors who were unable to attend the story circle ; this sample sub-set participated in in-depth interviews (n=3) designed to capture their illness narratives. Participants' illness narratives revealed the presence of: (1) mothering-disruption whereby cancer adversely impacted the mothering role …
Omnibus Survivorship Narratives: Multiple Morbidities Among Female Cancer Survivors In South Central Appalachia, Kelly A. Dorgan, Kathryn L. Duvall, Sadie P. Hutson
Omnibus Survivorship Narratives: Multiple Morbidities Among Female Cancer Survivors In South Central Appalachia, Kelly A. Dorgan, Kathryn L. Duvall, Sadie P. Hutson
ETSU Faculty Works
This study examines the illness narratives of female cancer survivors living in Southern Central Appalachia. Stories of 29 female Appalachian cancer survivors from northeastern Tennessee and southwcstmn Virginia were collected via a mixed methods approach in either a day-long story circle (n=26) or an in-depth interview (n=3), Qualitative content analysis was used to guide an inductive analysis of the tTanscript<;, What emerged was that as participants survived cancer, they also survived other health conditions, their intorsccting stories yielding an omnibus survivorship narrative.
Personal Identity Changes Of Female Cancer Survivors In Southern Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson
Personal Identity Changes Of Female Cancer Survivors In Southern Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson
ETSU Faculty Works
Navigating personal identity changes through the cancer journey can be challenging, especially for women in a culture that places emphasis on traditional gender roles and values close-knit families. Drawing on a story circule approach, this study examined the intersecting identities of female cancer survivors in southern Appalachia. Stories of 29 female Appalachian cancer survivors from Northeast Tennessee and Southwest Virginia were collected via a mixed methods approach in either a day-long story circule (N-26) or an in-depth interview (N=3). Transcripts from both phases were audio-recorded and transcribed verbatim; NVivo 8.0 facilitated qualitative content analysis of the data. Inductive analysis revealed …
Barriers To Family Cancer Communication In Southern Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Amber E. Kinser
Barriers To Family Cancer Communication In Southern Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Amber E. Kinser
ETSU Faculty Works
This study examines cultural issues surrounding family cancer communication in Appalachia, providing insight into participants’ communication choices regarding their illness within their families. Stories of 29 female Appalachian cancer survivors from Northeast Tennessee and Southwest Virginia were collected via a mixed methods approach in either a day-long story circle (N=26) or an in-depth interview (N=3). Qualitative content analysis was used to identify unique barriers to family cancer communication in Appalachia. Two barriers emerged: 1) the health of other family members and 2) cancer in a “taboo” area. These findings suggest that Appalachian female cancer survivors struggle with similar issues as …
Book Review Of Mothers And Daughters: Complicated Connections Across Cultures, Amber E. Kinser
Book Review Of Mothers And Daughters: Complicated Connections Across Cultures, Amber E. Kinser
ETSU Faculty Works
Excerpt: As both a daughter to a mother and a mother to a daughter, I have lived, and pushed against, and been formed by, the profound truth about mother-daughter relationships suggested by this book's title: it's complicated.
Navigating Family Cancer Communication: Communication Strategies Of Female Cancer Survivors In Central Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson
Navigating Family Cancer Communication: Communication Strategies Of Female Cancer Survivors In Central Appalachia, Kathryn L. Duvall, Kelly A. Dorgan, Sadie P. Hutson
ETSU Faculty Works
In a multiphasic study, the stories of 29 female Appalachian cancer survivors were collected through either a day-long modified story circle event (n=26) or an in-depth interview (n=3). Qualitative content analysis was used to identify emergent themes in the data. The analysis revealed 5 types of family cancer communication including both pre-diagnosis and postdiagnosis cancer communication strategies
Holding On By Letting Go: Personal Agency As Maternal Activism, Amber E. Kinser
Holding On By Letting Go: Personal Agency As Maternal Activism, Amber E. Kinser
ETSU Faculty Works
Despite the efforts of maternal advocates and feminists through 150 years or more, a great many mothers today feel dissatisfied, shortchanged, and/or inadequate in their own lives. Even those who have reckoned with the fact that standards for mothering are absurdly out of synch with the real lives that families are living in contemporary times, or have carved out comfortable personal and familial space for themselves just beyond, or far beyond, the margins of mainstream motherhood ideologies, often struggle nevertheless with a needling sense of unrest and lack of personal agency. Further, women who agree that maternal empowerment is an …