Question:

Examine the current literature and draw conclusions regarding evidence-based interventions for best practice in a clinical setting.

This assignment will require both therapeutic and pharmalogical interventions.

Answer to Question: NURS6055 Mental Health Acute Care

One term that refers to mental problems is dementia.

It causes impairments in the brain’s function, which can lead to a decline in well-being.

Persons with dementia have many challenges because they find it difficult to socialize with others.

It can be quite serious but not necessarily fatal.

This is because dementia can be treated early on and diagnosed early.

Once the symptoms are detected, doctors treat the patient to ensure that it does not worsen.

But, when dementia becomes acute, the patient can fall into crisis.

There is nothing that can be done to improve the current situation.

The patient must deal with the current situation until the end, as well as the challenges posed by the diseases.

Family members have the responsibility to look after the patient, especially if there is a history of dementia.

There has been an increase in dementia in recent years. Many people find themselves in this position.

It can take years for the disease to spread to the brain and become severe (Hinkelmann 2009).

This is because the disorder takes time to develop and some people are not aware.

If someone notices a peculiar behavior or habit, it is important for them to alert others.

It is dangerous to assume that others are crazy or have changed their habits.

Psychologists and others agree that it is important to change one’s habit towards the positive.

If some habits that have been part of a person’s life are being changed to the negative, it’s a good idea to get checked and put on palliative.

The patient must be treated like a child in order to determine if the brain is functioning properly.

Many people are curious about the causes of dementia.

The cause of dementia is not a single disease.

This causes it to be present in some people due to inadequacy of past signs and symptoms (Heaton et. al. 2011, Heaton).

The most common cause of dementia is delirium.

Untreated illnesses can cause delirium.

Malaria is a serious illness that tends to disperse itself from the body and disappears without any treatment.

Since it kills the protozoa (which are closely linked to malaria), this treatment is essential.

After the protozoa are mature, it is difficult to identify the causative agent. The disease erupts and almost kills.

It causes some dementia but can also cause death in others.

A general term for dementia is the loss or impairment of mental ability and memory.

It can be caused by physical or mental changes to the brain.

According to Ismail et.al. (2016), the Diagnostic Statistical Manual 5 has some criteria that can be used to diagnose this disease.

If an individual experiences any of the symptoms listed in the diagnostic criteria, they should immediately seek medical attention.

DSM 5 lists the criteria below (Ismail et. al., 2016).

Memory impairment

You should have any of these symptoms.

Aphasia

ApraxiaAgnosia

Disruptions in the executive functions

Cognitive impairment due to the above two criteria results in significant impairment of occupational and social functioning.

Cognitive deficits can also occur outside of delirium.

The root cause of dementia must be addressed.

The main causes of dementia include malnutrition, hormone imbalances, emergence and/or use of drugs or other medications that can affect the brain.

There are no cures available for many diseases, including Alzheimer’s.

The combination of medication and psychotherapy can make cognitive and behavioral improvements possible.

The aim of treatment is to slow the progression of dementia-related symptoms and to control behavioral symptoms. Psychotherapy, medication and environmental modifications may all be used.

Psychotherapy can be a very effective behavioral treatment for diseases. It is used to reduce aggression and socially unacceptable behavior.

The environment changes or caregiver reactions to the problematic behavior are used to identify the cause of the behavior.

Another strategy is to reduce the complexity of the tasks so that the patient can be more involved in simple steps. This will help avoid any confusion or agitation.

Another type of therapy is to modify the environment in order to increase safety and comfort. It can reduce agitation.

Modifications for safety include the modification of the environment to increase safety and comfort. This includes the removal or lock-ups of dangerous chemicals, sharp knives and other hazards.

For restricted access, the childproof latches might be used (Dennis et. al. (2014)).

The safety measures that are most important include safety rails for the bathroom and bed rails.

Other examples include the reduction of hot water temperatures that reduces the chance of burning and disabling stoves, and stoves with childproof knobs that can be used to prevent accidents during cooking.

These medicines can also be given to patients with dementia.

Many drugs have been developed in recent years to enhance brain function.

There are two main types of anti dementia drugs. Other forms of psychotropic drugs can also be prescribed.

There are also current forms of anti-dementia drugs that are part of the inhibitors for the Acetyl Cholinesterase. (Dennis, et al. 2014).

Acetylcholine (also known as neurotransmitters) is one of many chemical compounds that allows brain cells to communicate.

Researchers have found that the levels of acetylcholine in AD patients’ brains have decreased.

These drugs are used to slow down the elimination of acetylcholine and increase their ability of transmitting chemical messages between brain cells.

The clinical trials have shown that these drugs can slow down the progression of the disease for at least 12 months.

In addition to preserving and partially improving mental abilities and the ability to cope with daily life, there could be a delay in behavioral disturbances developing and a decrease in care time.

Psychotropic drugs are a supportive treatment for behavioral problems in dementia.

Antipsychotic medications, commonly used to treat disorders such as schizophrenia, can be very effective in reducing persistent aggression.

Anti-anxiety drugs, commonly used to treat anxiety disorders can also be prescribed for agitation and restlessness.

The same goes for antidepressant medication to relieve symptoms of depression.

For patients suffering from dementia, it is important to administer the medication in the most effective way possible. This will minimize side effects.

Side effects are common with medication (Huntley et. al., 2015).

There are no studies that show that patients with this kind of disease will live a normal or extended life.

Some medications can be beneficial for patients, which may allow them to live longer and more comfortably. Huntley et. al. (2015).

They may also assist those with dementia in daily living activities.

Physical therapy can help improve mobility by teaching patients how to use canes or walkers correctly, and also showing them how they can get in and outside of chairs and beds.

A person with dementia might find music, aroma, reminiscence, occupational therapy and art therapeutics to be helpful.

Finally, an increasing number of herbal remedies and vitamins are being promoted as possible treatments for AD (Pezzati und al., 2014.

Some people may find them appealing because they are natural.

Many of these options may be effective treatment options. However, they can also be used as an adjunct to or instead of physician-prescribed therapies.

The safety and efficacy of these products have not been tested and are therefore not subject to further scientific scrutiny.

These products may not be made consistently by all manufacturers or always include the ingredients listed on the labels.

Also, herbal and nutritional supplement can interact with prescribed medications in dangerous ways (Pezzati. et. al., 2014.).

You should consult your doctor before you take any supplements.

The treatment of specific symptoms of dementia is not enough. It is also important to assess your overall health. A good general condition can help improve your mood and prevent or delay the onset.

Dementia can be very difficult for those who are young and unable to handle it.

It is too dangerous to them to survive. That is why their medication is not effective.

While some surgeries are done to help the disease be treated, there are some cases where it does not work for everyone (McClintock 2010).

Some tasks are not permissible for these patients to do.

These patients are not recommended to do difficult tasks like overthinking or activities that strain the mind.

They will be required to do simple tasks. These are not difficult tasks and don’t require too much brain power or overthinking.

The brain is designed to be able to handle a specific percentage of activities.

The brain is able to store different information at different times.

Additionally, the brain releases some thoughts at a particular time. This is even more when one takes a snooze, which is a form of sleep.

This allows the brain to re-circulate and gain.

Also, the brain rests, which allows one to recharge.

But, one may have high blood pressure due to brain malfunction.

The mind is a condition that interferes with blood vessel flow, increasing the pressure needed for normal pumping of blood (Lee (2012)).

The dangerously elevated blood pressure can cause brain damage by rupturing some of the blood vessels that are most sensitive and vital.

The danger of inner bleeding in the brain can lead to dementia.

It is important to have fast resumes in order to save people from injuries.

People with dementia who have had prior accidents must continue to attend clinics until their doctor declares the patient free from further complications.

Any age or gender can experience internal neural-bleeding.

It is a common problem that affects all people. Therefore, it is imperative to immediately stop this bleeding.

If the bleeding isn’t stopped immediately, it can lead to delirium. This is what causes most dementia.

Other conditions that can be associated with dementia include fatigue, stress, and extreme pain.

Sometimes, people are affected by life events.

Some situations are so extreme that they can’t be avoided.

The body accumulates stress and this can cause fatigue.

Stress and straining is the main cause of fatigue (Heaton ETAL, 2012). .

Stress causes brain strain, sending a negative message for the feet muscles.

The rest makes it more difficult to complete simple tasks.

Since the body’s normal function has been altered, the muscles relax and one gets a funny feeling.

People may lose consciousness later on as stress levels rise.

A person in such a state is at greater risk of experiencing mental confusions.

The person should be taken seriously and treated promptly (Godard ET Al, 2011).

You should seek advice and counseling before you resume your normal activities.

Before the treatment begins, the patient must go through several tests to see if the stress has affected the nerves.

Brain damage can occur from minor injuries, minor diseases, and other causes that were not considered in the past.

Technicians who provide counseling and support to people in need are called psychiatrists.

They help in the prevention or treatment of dementia (Marazziti ET AL (2011)).

These local advisors can help with such cases and they are often able to provide care.

Before they get into a serious session, the staff take their time. They do a blood pressure test and then proceed to the next step.

The elderly are considered the most vulnerable in society due to the difficulty of their family members to transfer assets or property to them (Belmaker, et al., 2008).

Therefore, they are unable to give anything to their spouses or children as they age.

However, lawyers who write wills for dementia patients are very helpful and can be of great assistance to their families.

The lawyers ensure that every right that was granted to the family members of dementia patients is honored as the patient directs.

Some people, however, are more inclined to overlook these types of people.

Dementia, while a disorder, has no detrimental effect on the whole brain.

It doesn’t always mean that the patient has an abnormal condition. Heaton ET AL 2012

Sometimes the patient behaves normally and does their daily duties in a normal manner.

They also communicate with the best of people in a normal manner, without making any mistakes.

These people may have a small brain problem which can be corrected.

You can give them assets and property for the future, but they are not allowed to own them.

Because it could pose a danger to their entire family, they should not let others take advantage of the current state of affairs.

As dementia patients are likely to recover, it is important for the people affected to care for them. Palliative care and love can help to prolong the life of those who have been affected.

They should also take care of their loved ones and accept responsibility to prevent other family members from developing similar disorders. (Godard ET. AL, 2011).

Parents should caution their children from being stressed when they are young.

Children need time to feel relaxed, in a positive environment and with other children.

Children do well in a safe environment. They also have the ability to relate to others.

The parents are responsible for the care of their children in general (Marazziti (2011)

Parents of small children are advised to immediately treat any miner infection. This will prevent the child from developing more or worsening existing diseases.

The government must make a law governing the mentally impaired.

They have been through and continue to be challenged throughout their lives.

They are not subject to any harsh or stringent punishments for those who violate their rights.

This includes young girls and women who have fled their homes to seek refuge on the streets. (Wingo et al, 2009).

These female patients go through a very difficult time. They are often raped and have unwanted pregnancies.

They also have unplanned children. These children may face difficulties as they are often raised in orphanages, where they may never meet their biological parents.

This group can also be infected with HIV AIDS.

There are also risks that these patients could be involved in other serious crimes, like prostitution, theft, or murder.

Some people who suffer from stress may be afflicted by sickness, minor injuries or pain during pregnancy.

One may have assets but not know how much they are worth. (McClintock (2010)

Mild NCD is thought to cause some brain dysfunction, so the person might make incorrect calculations.

These types of people are most likely to lose property that is worth millions of dollars.

On the other side, these individuals can have a strong and solid position that makes it difficult for them negotiate on a specific asset’s price.

They may also be unproductive for a longer duration.

A court of law is a place where many people are fighting for the same case. They have trouble because they can’t give the right evidence about a particular issue.

They may end up arguing around the issue without taking a stand throughout the case.

Although some may have legal representation, the case may be presented against the wishes of the complainant or suspect.

Most cases involving such cases are simply withdrawn and thrown aside, as the person in control is not normal.

Some people have difficulty accepting these types of people (McArthur ET AL., 2010).

They are nevertheless important for the whole of human life.

These people have responsibilities. They could have been better people in society, before the problems.

Men with dementia are also at risk because others are believed to be their cause.

Heaton (2011) states that drug abuse is the most common cause of dementia.

This group of people is often mistreated after they develop a brain disorder.

It is therefore difficult for them interact with normal people.

They are often paid less, or even no pay, despite working hard.

They are still as sensitive as any other person, and the rights of these people should be protected.

Therefore, the government should give these people priority and set aside enough money to support their needs.

One may have assets but not know how much they are worth. (McClintock (2010)

Mild NCD is thought to cause some brain dysfunction, so the person might make incorrect calculations.

These people are most likely to lose property that is worth millions of dollars.

On the other side, they may have a strong and solid position, which can make it difficult to negotiate the value of an asset.

They may also be unproductive for longer periods.

A court of law is a place where many people are fighting for the same case. They have trouble because they can’t give the right evidence about a particular issue.

They might be forced to keep their mouths shut, even though they are trying to win the case.

Although some may have legal representation, the case may be presented against the wishes of the complainant or suspect.

These cases are usually withdrawn and thrown aside, as the person in control is not normal.

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