During my rural community clinical placement at Hunter ACAT in Newcastle, I visited a patient Mr. X with a community dementia nurse who was referred to her by a geriatrician. This referral was made so that the patient and his carer can receive some education related to dementia and ways to cope with this disease. The patient was recently diagnosed with dementia and was being cared for by his wife Mrs. X. This lovely couple was finding difficulty in coping with the newly changed condition in the health and needs. They described this new change as ‘overwhelming’. As this was a new situation for the couple, they were finding it very difficult to grasp the fact that MR. X was suffering from dementia and the fact that this disease will deteriorate
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On evaluation as where in the stages of change model this couple fall, it was concluded that this couple is on trail stage among the pre-contemplation, contemplation, trail, maintenance and relapse stages of the model (Hubley & Copeman, 2013). Pre-contemplation is the first stage of the model which identifies the person who is unaware of the behaviour and not interested in the change. Contemplation is the second stage of this model in which the person has had heard of the practise and is thinking of the change. The third stage of the model is trial in which the person is ready for change and willing to try it out. Maintenance which is the fourth stage is when a person incorporates the change into their daily lifestyle and last relapse is the stage when a person tries it out but then returns to original practise (Hubley & Copeman, 2013). It was recommended that this couple is in the trial stage of the stage of change model because this couple was aware of the changes which the diagnosis brought in their life and were ready to try out any kind of new practise which might bring some positive outcome to improve their lifestyle that will perhaps be changed with the deteriorating disease …show more content…
This number is estimated to rise with time. This disease is also impacting the developed nation. However the cost of this disease worldwide is enormous and is distributed inequitably. The estimated annual worldwide cost to the society of dementia is US$ 604 billion which highlights the enormous impact that dementia has on the world’s socioeconomic condition (Wimo, et. al, 2013). The World Alzheimer’s report (2009) states that 35.6 million people in the world live with dementia. A high proportion of people with dementia need some kind of care ranging from help with activity of daily living to full personal care and 24 hour supervision. There is a marked imbalance in the global distribution of occurrence of dementia and its associated costs. Eventhough a majority of people with dementia live in the low income and middle income nations, significantly higher per-capital cost of dementia exists in the high income countries (Wimo, et. al, 2013). This disparity is because there is a difference in the caring system of people with dementia in these nations. The people with dementia in low and middle income nations are mostly cared for by informal caregivers whereas in high income nations, between one third and one half of all people with dementia live in resource and cost-intensive residential homes (Wimo, et. al, 2013). This means
On evaluation as where in the stages of change model this couple fall, it was concluded that this couple is on trail stage among the pre-contemplation, contemplation, trail, maintenance and relapse stages of the model (Hubley & Copeman, 2013). Pre-contemplation is the first stage of the model which identifies the person who is unaware of the behaviour and not interested in the change. Contemplation is the second stage of this model in which the person has had heard of the practise and is thinking of the change. The third stage of the model is trial in which the person is ready for change and willing to try it out. Maintenance which is the fourth stage is when a person incorporates the change into their daily lifestyle and last relapse is the stage when a person tries it out but then returns to original practise (Hubley & Copeman, 2013). It was recommended that this couple is in the trial stage of the stage of change model because this couple was aware of the changes which the diagnosis brought in their life and were ready to try out any kind of new practise which might bring some positive outcome to improve their lifestyle that will perhaps be changed with the deteriorating disease …show more content…
This number is estimated to rise with time. This disease is also impacting the developed nation. However the cost of this disease worldwide is enormous and is distributed inequitably. The estimated annual worldwide cost to the society of dementia is US$ 604 billion which highlights the enormous impact that dementia has on the world’s socioeconomic condition (Wimo, et. al, 2013). The World Alzheimer’s report (2009) states that 35.6 million people in the world live with dementia. A high proportion of people with dementia need some kind of care ranging from help with activity of daily living to full personal care and 24 hour supervision. There is a marked imbalance in the global distribution of occurrence of dementia and its associated costs. Eventhough a majority of people with dementia live in the low income and middle income nations, significantly higher per-capital cost of dementia exists in the high income countries (Wimo, et. al, 2013). This disparity is because there is a difference in the caring system of people with dementia in these nations. The people with dementia in low and middle income nations are mostly cared for by informal caregivers whereas in high income nations, between one third and one half of all people with dementia live in resource and cost-intensive residential homes (Wimo, et. al, 2013). This means