Gerontology Commons^™

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

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.

Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

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 …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

Amber E. Kinser

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 …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

Amber E. Kinser

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 …

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

Amber E. Kinser

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 …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

Amber E. Kinser

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, …

The Potential Of Three Computer-Based Communication Activities For Supporting Older Adult Independent Living, Melinda Heinz, Jinmyoung Cho, Norene Kelly, Peter Martin, Johnny Wong, Warren Franke, Wen-Hua Hsieh, Joan Blaser

Johnny Wong

Technology has become an increasingly integral part of life. For example, technology allows individuals to stay in touch with loved ones, obtain medical services through telehealthcare, and enjoy an overall higher quality of life. Particularly for older adults, using technology increases the likelihood that they will maintain their independence and autonomy. Long-distance caregiving has recently become a feasible option where caregivers for older adults can access reports and information about their loved one’s patterns that day (e.g., food and medication intake). Technology may be able to offset age-related challenges (e.g., caregiving, accessing healthcare, decreased social networks) by applying technology to …

Estimation Of The Centre Of Mass From Motion Capture And Force Plate Recordings: A Study On The Elderly, Sebastien Cotton, Michele Vanoncini, Philippe Fraisse, Nacim Ramdani, Emel Demircan, Andrew P. Murray, Thierry Keller

Andrew P. Murray

The estimation of the centre of mass position in humans is usually based on biomechanical models developed from anthropometric tables. This method can potentially introduce errors in studies involving elderly people, since the ageing process is typically associated with a modification of the distribution of the body mass. In this paper, an alternative technique is proposed, and evaluated with an experimental study on 9 elderly volunteers. The technique is based on a virtual chain, identified from experimental data and locating the subject's centre of mass. Its configuration defines the location of the centre of mass, and is a function of …

Addressing The Supportive Transportation Challenges Of Community-Residing Older Adults, Nina M. Silverstein, Kristina M. Turk, Laura Adams, Holly Belanger, Linnea Burke, Stephen Jones, Lauren Lee, David Lopez, Keith Sherman, Lee Paradis, Erin O’Neill, Alycia Rao, Rachael Solano

Nina Silverstein

The ability to get to where you want to go, when you want to go there is a key factor for aging-in-place in our communities. It is often taken for granted until that ability is compromised. The informal network of family and friends, if it exists, is not likely to be a sustainable transportation alternative for persons with cognitive impairment or for older adults with limitations that may not fit eligibility criteria for senior transportation services, where they exist. The purpose of this study was to investigate the potential of communities to address the specialized supportive mobility needs of community-residing …

Aging In Boxford: Planning For An ‘Active And Involved’ Future, Nina Silverstein, Caitlin Coyle

Nina Silverstein

This planning study was conducted to investigate current and anticipated needs, interests, preferences, and concerns of Boxford adults aged 45 and older. Special emphasis is placed on gauging future age-related services needed by residents, including those provided by the Boxford Council on Aging and its Senior Center (hereafter, COA), as well as the existing physical infrastructure of the COA relative to these service needs now and in the future. A primary focus of this study was whether Boxford is a town where lifelong residents will feel supported in later life.

The goals of the project were (1) to identify the …

Massachusetts Healthy Aging Data Report: Community Profiles, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Stacey Mann

Nina Silverstein

The Massachusetts Healthy Aging Data Report: Community Profiles was created by researchers at the Gerontology Institute of the John W. McCormack Graduate School of Policy and Global Studies at the University of Massachusetts Boston and commissioned by the Tufts Health Plan Foundation.

In this report, we have created a custom profile of nearly 100 healthy aging indicators for every city and town in Massachusetts including the 16 neighborhoods of Boston (367 Community Profiles). Each Community Profile is designed to help community residents, agencies, providers, and governments understand the older adults who live in their cities and towns – their ages, …

The Alzheimer’S Association Dementia Care Coordination Program: A Process Evaluation, Executive Summary, Nina Silverstein, Frank Porell, Pamela Nadash

Nina Silverstein

The Massachusetts/New Hampshire (MA/NH) Chapter of the Alzheimer's Association has long sought ways to systematically increase the number of families who utilize its services and support. According to the Alzheimer’s Association’s 2015 Alzheimer’s Disease Facts and Figures, there are 142,000 individuals living with Alzheimer’s disease in Massachusetts and New Hampshire, and the Alzheimer’s Association estimates that less than 30% of those individuals and their caregivers take advantage of its programs (Alzheimer’s Association, 2015). The MA/NH Chapter recognized that one major barrier to accessing services is a model that relies on families taking the initiative to seek out assistance.

In …

Massachusetts Healthy Aging Data Report: Community Profiles, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Stacey Mann

Elizabeth Dugan

The Massachusetts Healthy Aging Data Report: Community Profiles was created by researchers at the Gerontology Institute of the John W. McCormack Graduate School of Policy and Global Studies at the University of Massachusetts Boston and commissioned by the Tufts Health Plan Foundation.

In this report, we have created a custom profile of nearly 100 healthy aging indicators for every city and town in Massachusetts including the 16 neighborhoods of Boston (367 Community Profiles). Each Community Profile is designed to help community residents, agencies, providers, and governments understand the older adults who live in their cities and towns – their ages, …

Undergraduate Students’ Perceptions Of The Impact Of Pre-College Computing Activities On Choices Of Major, Monica M. Mcgill, Adrienne Decker, Amber Settle

Amber Settle

Grief Is A Journey, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Using Ritual With Children And Adolescents, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Helping Staff Deal With Difficult Deaths, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Spirituality, Death, Loss And Grief: A Life Cycle Perspective, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Helping Survivors: The Role Of Other Organizations, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Intervening In Sudden And Traumatic Loss, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

The Church Of Jesus Christ Of Latter-Day Saints And End-Of-Life Care, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Introduction To Who We Are, How We Grieve, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

The Church Of Christ, Scientist (Christian Science) And End-Of-Life Care, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

The Use Of Therapeutic Ritual, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Where We Grieve, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Introduction To Managing Conflict, Finding Meaning: Supporting Families At Life’S End, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Jehovah’S Witnesses And End-Of-Life Care, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Sudden Loss: The Experiences Of Bereavement, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Grief, Loss And Caregiving, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.

Conclusion To Living With Grief: Loss In Later Life, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.