SWK 495 Senior Presentation Alzheimers3
-
Upload
amber-nolan -
Category
Documents
-
view
88 -
download
4
Transcript of SWK 495 Senior Presentation Alzheimers3
THE RISE OF ALZHEIMER’S DISEASE IN
AMERICA & THE EFFECTS IT HAS
ON INDIVIDUALS, FAMILY SYSTEMS &THE FUTURE OF
THE SOCIAL WORK FIELD
By: Amber Nolan
IN LOVING MEMORY OF:CATHERINE BUCCELLATO
IMAGINE…Brief Interview For MentalStatus (BIMS) Repeat three words?
Year?
Month?
Day of the week?
WHAT IS ALZHEIMER’S DISEASE?
Most common form of dementia. Disease of the brain Brain cells die & are not replaced Causes issues with memory, thinking &
behavior Symptoms worsen over time No cure Little is known about cause
HISTORY 1889 - Jane Addams
Hull House
Late 1800s, early 1900s – Mary Richmond
Charity Organization Society (COS)
1930s - Social work took interest in issues of adult learning
1965 – Older Americans Act
HISTORY CONTINUED President Nixon signed Research on Aging Act
of 1974 Dr. Robert Butler – National Institute on Aging
Alzheimer’s disease Public attention – 1980s
Rita HayworthRonald Reagan
November – National Alzheimer’s month Federal Funding increased – 1975 ~ 1985
$19 million to $70 million
EFFECTS ON INDIVIDUAL STAGE 1:
- Normal aging - No impairment STAGE 2:
- Very mild mental decline- Forget words - Same stories/same questions
STAGE 3:- Noticeable mental decline- Emotional- Lost in past life, places & roles
EFFECTS ON INDIVIDUAL…
STAGE 4:- Moderate cognitive/mental decline- Forgetfulness of events & personal history- Difficulty with finances- Moody or withdrawn
STAGE 5:- Need help with day-to-day activities- Confused- Unable to recall
EFFECTS ON INDIVIDUAL…
STAGE 6:- Severe cognitive decline- Extensive help with daily activities- Change in sleep patterns- Need help going to the bathroom - Trouble with bladder control - Major personality changes- Wander
EFFECTS ON INDIVIDUAL STAGE 7:
- Very severe cognitive decline- Lose ability to:
- Respond to environment - Carry on conversation - Control movement - Smile
- Still may use words or phrases
EFFECTS ON FAMILY SYSTEM/CAREGIVER
Role changes Denial More responsibility/Time consuming Stressful/frustration Helpless Grief Financial Struggles Withdraw from family, friends &
activities Mental & physical health problems
SOCIAL, POLITICAL & CULTURAL INFLUENCES
People are living longer
Baby boomers begin arriving at age 65 within the next decade
Estimated by year 2030 the number of older adults with major psychiatric disorders will surpass most other age units
Workforce
SOCIAL, POLITICAL & CULTURAL INFLUENCES
Demographics
Less Nuclear family units
Extended family not in the community
Cost of 24 hour care
LAWS & POLICIES Power of Attorney
document specific person decision making (financial)
Power of Attorney for health care health care agent health care decisions
Guardianshipappointed by courtpatient is legally incapacitated take up to a month
EVALUATE SOCIAL WORK PRACTICE
Alzheimer’s support groups Adult Day Services 24/7 Helpline: 1.800.272.3900 Online care training and certification Local workshops and trainings Alzheimer’s Association: www.alz.org
SOCIAL WORK ETHICS, VALUES, ROLES & SKILLS
National Association of Social Workers (NASW) Code of Ethics – Values:
Service Social Justice Dignity & worth of a person
Educators, counselors, advocates, researchers Geriatric setting: engage in multiple working relationships Link clients to services
FIELD PRACTICE CASE: Abigail, female - age 71 Stroke in 2009 Daughter is caregiver
Relation to Alzheimer’s - Symptoms similar to later stages in Alzheimer’s - Trouble with communication & understanding
environment- Dependent on her caregiver- Bladder control- Living past events- Confused
NEXT STEPS FOR SOCIAL WORKERS
Number of social work practioners & students who prefer to work with the elderly population is minimal
Few social workers have been exposed to Alzheimer’s population
Educate upcoming social workers! Advocate for funding & spread awareness! Become familiar with local resources Volunteer
SOURCESBarker, R.L. (2003). The social work dictionary (5th ed.). Barltimore, MD: Port City Press. Cole, L., Griffin, K., & Ruiz, B. (2008). A comprehensive approach to working with families ofalzheimer’s patients. Journal of Gerontological Social Work, 9:2, 27-39. http://dx.doi.org/10.1300/J083V09N02_04Epple, D.M. (2002). Senile dementia of the Alzheimer type. Clinical Social Work Journal,Vol. 30, No. 1, 96-110. Judge, K.S., Bass, D.M., Snow, A.L., Wilson, N.L., Morgan, R., Looman, W.J., McCarthy, C., &Kunik, Mark, E. (2011). Partners in dementia care: a care coordination intervention forindividuals with dementia and their family caregiver’s. Piercy, K.W. (Ed.). PracticeConcepts and Policy Analysis, Vol 51, 261-272. doi:10.1093/geront/gnq097 http://www.alz.org/
SOURCESKane, M.N. (2004). Predictors for future work with elders. Journal of Gerontological SocialWork, 42:3-4, 19-38. http://dx.doi.org/10.1300/J083v42n03_03Kaplan, D.B., Anderson, T.C. (2013). The transformative potential of social work’s evolvingpractice in dementia care. Journal of Gerontological Social Work, 56:2, 164-176. http://dx.doi.org/10.1080/061634372.2012.753652 Katz, S. Alzheimer’s disease/dementia – how social workers help: relationship and emotionalchanges for family members of alzheimer’s patients. Retrieved fromhttp://www.helpstartshere.org/seniors-and-aging/alzheimers-diseasedementia-how-socialworkers-help-relationship-and-emotional-changes-for-family-members-of-alzheimerspatients.html