Dementia described as cognitive impairment that commonly happens in senile people. But according to Shives (2008), it is characterized by impairment not only of cognition but also of judgement, orientation, memory, and attention or JOMAC. It is a debilitating disease which affects a person by either a slow, gradual deterioration or at times, rapid deterioration of said aspects.
Based on the DSM-IV-TR, there 12 subtypes of dementia which means that there are other factors by which dementia occurs. It could be due to simple head trauma, vascular origin, some medical condition like Huntington’s disease or Parkinson’s disease and basically because of Alzheimer’s disease.
The common manifestations of dementia are confusion, restlessness, agitation, wandering, aphasia, apraxia, agnosia, and amnesia. Nursing considerations should include safety and security, assisting in basic needs, enhancing memory and judgement, and promoting health.
Recently, a study published in Medscape.com http://www.medscape.com/viewarticle/768014?src=nldne about dementia reveals a result that long-term care based at home showed that those who received collaborated care less likely to leave the home than the traditional care being given. Those respondents have been diagnosed to have cognitive disorders. The study pointed out that the kind of intervention determines the quality of nursing care.