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SWK 495 Senior Presentation Alzheimers3

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Amber Nolan

This document provides information about Alzheimer's disease, including its stages and symptoms. It discusses the history and increasing prevalence of Alzheimer's. Caregiving challenges are outlined, as are legal and support resources. The role of social workers in assisting those with Alzheimer's and their families is explored, including engaging in multi-disciplinary teams, linking clients to services, and advocating for increased funding and awareness.

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By: Amber Nolan
SWK 495 Senior Presentation Alzheimers3
Brief Interview For Mental Status (BIMS)  Repeat three words?  Year?  Month?  Day of the week?
 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
 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
 President Nixon signed Research on Aging Act of 1974  Dr. Robert Butler – National Institute on Aging Alzheimer’s disease  Public attention – 1980s Rita Hayworth Ronald Reagan  November – National Alzheimer’s month  Federal Funding increased – 1975 ~ 1985 $19 million to $70 million
 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
 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- Moderate cognitive/mental decline - Forgetfulness of events & personal history - Difficulty with finances - Moody or withdrawn  STAGE 5: - Need help with day-to-day activities - Confused - Unable to recall
 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
 STAGE 7: - Very severe cognitive decline - Lose ability to: - Respond to environment - Carry on conversation - Control movement - Smile - Still may use words or phrases
 Role changes  Denial  More responsibility/Time consuming  Stressful/frustration  Helpless  Grief  Financial Struggles  Withdraw from family, friends & activities  Mental & physical health problems
 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
 Demographics  Less Nuclear family units  Extended family not in the community  Cost of 24 hour care
 Power of Attorney  document  specific person  decision making (financial)  Power of Attorney for health care  health care agent  health care decisions  Guardianship appointed by court patient is legally incapacitated take up to a month
 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
 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
 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
 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
Barker, 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 of alzheimer’s patients. Journal of Gerontological Social Work, 9:2, 27-39. http://dx.doi.org/10.1300/J083V09N02_04 Epple, 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 for individuals with dementia and their family caregiver’s. Piercy, K.W. (Ed.). Practice Concepts and Policy Analysis, Vol 51, 261-272. doi:10.1093/geront/gnq097 http://www.alz.org/
Kane, M.N. (2004). Predictors for future work with elders. Journal of Gerontological Social Work, 42:3-4, 19-38. http://dx.doi.org/10.1300/J083v42n03_03 Kaplan, D.B., Anderson, T.C. (2013). The transformative potential of social work’s evolving practice 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 emotional changes for family members of alzheimer’s patients. Retrieved from http://www.helpstartshere.org/seniors-and-aging/alzheimers- diseasedementia-how-social workers-help-relationship-and-emotional-changes-for-family- members-of-alzheimers patients.html

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SWK 495 Senior Presentation Alzheimers3

  • 3. Brief Interview For Mental Status (BIMS)  Repeat three words?  Year?  Month?  Day of the week?
  • 4.  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
  • 5.  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
  • 6.  President Nixon signed Research on Aging Act of 1974  Dr. Robert Butler – National Institute on Aging Alzheimer’s disease  Public attention – 1980s Rita Hayworth Ronald Reagan  November – National Alzheimer’s month  Federal Funding increased – 1975 ~ 1985 $19 million to $70 million
  • 7.  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
  • 8.  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
  • 9.  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
  • 10.  STAGE 7: - Very severe cognitive decline - Lose ability to: - Respond to environment - Carry on conversation - Control movement - Smile - Still may use words or phrases
  • 11.  Role changes  Denial  More responsibility/Time consuming  Stressful/frustration  Helpless  Grief  Financial Struggles  Withdraw from family, friends & activities  Mental & physical health problems
  • 12.  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
  • 13.  Demographics  Less Nuclear family units  Extended family not in the community  Cost of 24 hour care
  • 14.  Power of Attorney  document  specific person  decision making (financial)  Power of Attorney for health care  health care agent  health care decisions  Guardianship appointed by court patient is legally incapacitated take up to a month
  • 15.  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
  • 16.  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
  • 17.  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
  • 18.  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
  • 19. Barker, 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 of alzheimer’s patients. Journal of Gerontological Social Work, 9:2, 27-39. http://dx.doi.org/10.1300/J083V09N02_04 Epple, 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 for individuals with dementia and their family caregiver’s. Piercy, K.W. (Ed.). Practice Concepts and Policy Analysis, Vol 51, 261-272. doi:10.1093/geront/gnq097 http://www.alz.org/
  • 20. Kane, M.N. (2004). Predictors for future work with elders. Journal of Gerontological Social Work, 42:3-4, 19-38. http://dx.doi.org/10.1300/J083v42n03_03 Kaplan, D.B., Anderson, T.C. (2013). The transformative potential of social work’s evolving practice 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 emotional changes for family members of alzheimer’s patients. Retrieved from http://www.helpstartshere.org/seniors-and-aging/alzheimers- diseasedementia-how-social workers-help-relationship-and-emotional-changes-for-family- members-of-alzheimers patients.html