Reflective essay on clinical experience

The number of Americans age 65 and older who have this condition will increase from the million today to million by mid-century. A recent report from the Alzheimer's Association states that the cost of Alzheimer's to the United States will be $20 trillion over the next 40 years. "Changing the Trajectory of Alzheimer's Disease: A National Imperative shows that in the absence of disease-modifying treatments, the cumulative costs of care for people with Alzheimer's from 2010 to 2050 will exceed $20 trillion, in today's dollars" (Report: Alzheimer's disease to cost United States $20 trillion over next 40 years, 2010). Statistics taken from the Alzheimer's Association break it down as follows; "Alzheimer's disease costs business $ billion in health care. In the US 7 out of 10 people with Alzheimer's live at home where 75% of costs are absorbed by the family. The remaining 25% of care costs cost an average $19,000 a year. It is estimated that Alzheimer's caregivers cost business $ billion. This includes the costs of absenteeism and lost productivity. The average cost of a nursing home in the US is $42,000 a year. However in some areas those costs can be at least $70,000. Medicare costs for beneficiaries with Alzheimer's disease were $91 billion in 2005. Medicare costs are expected to increase by 75% to $160 billion in 2010. Medicaid expenditures on residential dementia care were $21 billion in 2005. These costs are estimated to rise by 14% to $24 billion in 2010"( (Kennard, 2010). The stress of caregivers for loved ones with Alzheimer's is high. The frustration and challenges of caring for an adult who no longer complies with reasonable requests is a daily consequence of a loved one with Alzheimer's. There are many support groups and resources for caregivers. Some tips for managing an Alzheimer's patient is to have patience, be flexible, reduce frustration, reduce choices, reduce distractions to create a safe environment (Research, 1998-2010). Patience and flexibility are easy to figure out. Patience because a patient with Alzheimer's will be oppositional at times, will not know their caregiver at times as well as not remember family members. The Alzheimer patient's mood and reactions to daily tasks will change sometimes daily as the disease progresses. Flexibility with caring for Alzheimer's patients is tied into their changing needs and abilities from day to day. Reducing frustration, choices and distractions would be like raising a toddler. Not too many choices or distractions for them to be overwhelmed with. A safe environment is pretty clear and we hear about Alzheimer's patients wandering off reported on the news more often. Alzheimer's patients who have been left in an unsecured house or got into a unlocked car. Doors should always be locked so the Alzheimer's patient is unable open or figure out how to open. The car is easy to figure out, keep it locked! Take the car keys are keep them on you or hidden. There was a poem on the Geriatric unit wall where I worked. The author is unknown and it is taken from Coach Frank Broyles 'Playbook for Alzheimer's Caregivers'.   The poem is a good reminder of what Alzheimer's is all about and a good conclusion to this report.       Do not ask me to remember. Don't try to make me understand. Let me rest and know you're with me. Kiss my cheek and hold my hand. I'm confused beyond your concept. I am sad and sick and lost. All I know is that I need you, to be with me at all cost.  Do not lose your patience with me. Do not scold or curse or cry. I can't help the way I'm acting, can't be different though I try. Just remember that I need you, that the best of me is gone. Please don't fail to stand beside me, love me till my life is done.

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Reflective essay on clinical experience

reflective essay on clinical experience


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