Nursing Essay Paper on Quality of Life

Quality of Life


Dementia, in its immediate context, is the term given to a range of diseases that prevalently tend to retard the thinking ability of a specific person to the extent that it interferes with the daily activities of the affected person. To this effect, the person has various hallucinations that can make the person ran mad. There are ranges of symptoms that can be attributed to dementia (Baker, 2015). In as much as they really vary from person to person, from group to group and from patient to patient, the most distinct features and clear symptoms of dementia are; a profound memory loss, the disillusionment in terms of language and communication, the impairment in the reasoning and prevalent non-sustained judgment. The patient’s ability to focus is also considerably derailed. Furthermore, the visual perception is virtually impaired, and lastly, the patients lack the adequate ability to pay attention to certain pertinent issues and probably stay focused. These symptoms may occur in one set or in a simultaneous manner (Hughes, 2014).

The dementia disease is mainly caused by the serious damage of the brain where the various parts of the brain are in one way or the other not communicating at all. To this end it is it important to note that the brain cells are exuberantly interfered with and –can no longer communicate to each other, hence the when the brain cells are affected, the thinking behavior as well as the mental feelings of the person are interfered with too. It is due to this scenario that the patients that a subjects of these range of –diseases are associated with poor life because it is the brain that depicts a person’s way of thinking, and hence the quality of life the person has to lead (Hughes, 2014). In this essay, a direct discussion is brought forward in a bid to critically explore why there might be an assumption that people with dementia have a poor quality life and discus the impact of this view on the decision making process.

One of the main reasons why people with dementia have been associated with poor quality life is that the brain is believed to be a potential wealth. And for that matter, it is quite imperative to note with great concern that with the damaging of the brain cell, which of course can now not communicate, the potential wealth that a person can actually turn into actual wealth in considerably derailed and the inability to this retard their ability to synthesize various diction of instances and this effects makes the to be poor for the fact that they cannot used their brain to help them make money and use it to live a happy life (Baker, 2015).

The stigmatization that comes with the dementia is quite real and disastrous because at that instance normal people will be scared of the patient with dementia. This is with a view to the fact that the patient can have memory laps and sometimes be quite wild. The wildness depicted in such scenarios and advertently revoked by normal human and hence they in most cases keep themselves distant from these patients (Hughes, 2014). Without social interactions, it is profoundly evident that the miserable life jets in, a situation where the person with dementia has to in various times remains solitude. To this extent, it is quite important to note that these people as faced with traumatic adventures which sustaining them would very difficult and in most several way, they tend to adopt a poor life (Baker, 2015).

The drugs that are used by the people suffering from the dementia disease uses a lot of money to at least make him /her quite stable in their thinking ability. This in itself creates a financial constraint to the patient and in the event, the patient uses most of his /her resources for treatment. The money that could be used to raise his/her own standard of living will now be used in the treatment. To this effect, it robs the patient the opportunity to enjoy the wealthy and the high living standard thus as always the infected person will always be tentatively poor to the extent the they will only be working on the know that they are just trying to sustain themselves with the drugs they buy to stabilize them. According to the recent survey conducted by the special unit department for Red Cross society, it was revealed that among those people living with dementia, only twenty percent are capable of sustaining themselves and successfully live the life that they want. The rest of the fraternity as being advertently supported by the governments and the well-wishers who may provide for the caregiver to take care of these persons and meet them at their various needs (Hughes, 2014).

The brain makes our faculties to function properly. It also important to note that the tenets of the brain dictates all the instinctive steps that we make in doing everything that we think may be deemed fit. Without the brain functioning properly, such moves, such activities, such instances of reasoning in life is disastrously curtailed and for that matter the person in ailing from [dementia is prone to lose a lot in life especially on the bulk of reasoning capacity as well dynamism that comes with the changes o [f the world and the environment we live in.

According to the research recently done by Alzheimer society putting the dementia into spotlight, the research revealed that the current standards on the care that is provided by the many health care centers across the nation are indeed quite expensive. It is also from this research that it brings out the reality that the needs of the patients with dementia are not met at these health institutions even though these fellows pay a lot for such service (Baker, 2015). This in its effect has instinctively derailed them money for the funds from these patients but still they stand a chance of being in jeopardy of their lives since there is no proper treatment that is given to them that is commensurate to the amount of money they pay thus they continue living I poor states and conditions (Hughes, 2014).

In the cord of ethics, in the event those persons in question are quite oblivious of the law it will be much easier to tackle the wrangles by simply giving out the code of ethics as required by the law. To this stance, it is important to quote from the statute itself in order that the parties are in a situation of knowing the real tenets of the law to an extent that they will be able to follow its precepts and the way they should be appropriately applied (Mckenzie, 2013).

It is an astounding fact that the people leaving with dementia are quite many in our society and a call of action is needed in order to make these people feel like they are part of the community. One of the most vital things to do is to create awareness to the community to take up their action in the support of these fellows (Bernat, & Beresford, 2013). Specifically they should ensure that these people have an early diagnosis of the problem in such a way that they are in a position to really adapt well with the condition at the early crucial –stages. The early support through memory clinics, which a relative cheaper kind of treatment but in essence could considerably save very many lives since this, is enacted at the early stages of dementia

Additionally, there should be a better healthcare to the people leaving with dementia who are admitted in the various hospitals. A research done by the Red Cross society revealed that about 72% of the acute hospital beds are invariably occupied by the aging people in the society (Mckenzie, 2013). To this effect, it is quite imperative to offer substantially better healthcare to such patients because studies has revealed that the poor conditions in the hospital scares the people leaving with dementia, disorient them, make them panic and consequently make them deteriorated. This in itself is a worrying trend and if the government would want to save these people, they should ensure that they train the doctors and the nurses well enough in order to know how best they can be treated and handled so that we can –see a healthy nation. This is also in line with the decision-making principle, which clearly co notates that an individual should ensure that the impaired person is supported in each way we can make the informed decisions (Bernat, & Beresford, 2013).

The decision-making quagmire needs to be looked into in the deepest sense since it stems from the inability of the impaired to clearly define and uphold his/he own precepts. Very many studies on dementia have shown that most of the rich families who have a pillar of the family having gross dementia problems face a lot wrangles due to the failure of the father or the mother who is a pillar in the family to bring peace to his / her family due to lack of rational thinking (Sanderson, 2014). This has exorbitantly resulted in uninformed decision-making and for that matter, a huge digressive arguments about maybe how to make the family wealth.

It is quite imperative in this immediate context to keenly integrate the understandability of the person with the condition of dementia. The dementia condition varies considerably with the biological characteristics of the individual person to the extent that in the event that the patient has a stronger immune system, the person is deemed to be in the good position to make some informed decision (Mckenzie, 2013). To this far, a closer look at the various patients should be done to determine their capacity in terms of thinking and in terms of rational they depict. The first question one would ask is that is it true that the person with dementia has no capabilities to make decisions? In addition, if so to what extent can he/she not make that decision. If there is a point where they can make decision, how far can they go in making the decision (Bernat, & Beresford, 2013).

In conclusion, dementia is a condition the retards the brain and hence derails it from thinking straight. It invariably affect the decision making power of an individual in vary many ways and sometimes many might healthy individuals might take this as an advantage to fulfill their own heart desires (Sanderson, 2014). To this effect, there are various statutes that allow the interest of the person leaving with the condition to be served. It is now a call for action on the part of the society to acknowledge the fact that it our full responsibility to accommodate the people living with dementia in such a way that their life is well taken care of and that the feel part of the community. This can sufficiently be done by ensuring that these patients are diagnosed at an early stage and the disease is carefully dealt with in way that they patients would not feel much strain and stress in most of their undertaking (Bernat, & Beresford, 2013).

Dementia and decision making

The dementia is viewed in various ways and every segment of the conceptual framework has a context in which decision making is placed. The various contexts include the legal framework, the demographic framework, the communication, and challenges for clinical practitioners and family relations and ethical and cultural issues (Hughes, 2014). Drawing from all these facts about the dementia condition, it is quite imperative to note with great concern that the condition of dementia in essence will in eventual sense affect the capabilities and the faculty abilities to ideally understand, absorb and in extent remember the information. Correspondingly it will affect the aptitude of a person’s ability to discern between the different alternative actions to take and also to instinctively and correctly make the informed judgments. This also makes the vulnerable to not to be able to vehemently and strictly protect their own interests in various conceptual framework, let us instinctively look at the various conceptual framework that this condition of dementia has been placed.

Legal context

Here is viewed that the ability to reason reduces as the patient continues to be derailed by the disease. The law and the decision making various laws and statutes have been brought forward to ideally safeguard the interests of the various individuals who are prevalently unstable in terms of rational thinking abilities. These laws are instinctively instituted to provide a reasonable excellent ambient for the decision making among such individuals.

Again a ray of hope arises when the statutes clearly state that before any decision is reached upon, it is an obligation to obey the rule of law that asserts that in the event that the cognitive sense of the impaired person can no longer support his rationality in terms of thinking, the actions of the trustee thereof is suctioned by the courts in accordance to the statutes reprimanded vehemently by the government. The rule of laws also talks about the duty of care where the individual is at a position of no capacity, it the duty of the trustee thereof to do decision making his behalf with due diligence and utmost faith. To –this end the rights of the impaired in terms of dementia are well taken care f and it is now the duty of such persons to ensure that they keenly learn about such rights (Baker, 2015).

Cultural and ethical issues

The personal individuality is communicated through the various lifelong and experience-held values and norms that should be perceived in the process of decision-making following the person’s diagnosis. For that matter, it’s good to look at these cultural norms and ethics that one should acknowledge when giving a judgment on the patient with dementia. Some of the guidelines that usually brought forward to create the cultural norms and on substantial foundations are;

Assume a person has the capacity to reason and think rationally and hence make informed decisions unless otherwise evidenced.

Do not go ahead and make an assumption that someone no capacity simply because the person is making some unwise decisions.

It is imperative to provide the physical and for that matter a practical support before absolutely categorizing them as having no capacity (Sanderson, 2014)

These basic principles brings to light that a person with mental disorder is in most cases treated differently than the people who have the capacity to reason. And thus it is critical to note that the decision made on behalf of the person who lacks the capacity, must be driven to uphold his/her interest and hence benefit the person in question. Secondly it should be a decision that actually encompasses the present and extensively the past wishes of the person, coupled with fundamental beliefs, truths and coherent values that the person upholds (Baker, 2015). Additionally, they initial unprecedented views of other relevant stakeholders such as the relative and also the professional experts that are deemed fit and are well known to be endowed with immense knowledge concerning the area in discussion. Furthermore it is also important to not to interfere with the person’s freedom in order that the persons fundamental needs are properly met. And lastly, the person should much encourage utilizing his/her existing skills and the knowledge to try to create various new skills that would help them in decision making (Hughes, 2014).

The communication

A person’s behavior is depicted by the language one speaks and the meaning of words spoken. As we all know the dementia derails of a person the aptitude to speak and reason well, in terms of communication we would judge a person owing to whatever someone communicates hence communication forms a fundamental basis from which we can make a profound decision on dementia patients. It is a well known fact the individual should be left alone to think autonomously and hence draw conclusions and judgments that would eventually benefit the person’s development and well being. To this person who lacks the capabilities are to some extent allowed to make some well decisions but some which are of because way too complex for the person are deemed to be to for others to make the decisions on their behalf (Bernat, & Beresford, 2013). For example, the person who lacks the capacity can make various decisions like to whom to bestow upon the rights and obligations to manage for him/ her financial wealth and the assets. However, the same person cannot be allowed to make various complex and magnanimously structured decisions such as the management strategies on how to run the company affairs cannot be left to the hands of the impaired person to take off. To this point, the decision of the most trusted person by the impaired is quite indispensible and this can be decided upon only when a person communicates to us (Sanderson, 2014).

The liabilities according to statutes stipulated by the constitution, it is the legal duty of the person in place of the impaired to instinctively and diligently do the work assigned to home by the imp red. In the event that the trustee goes beyond the prescribed boundaries, he is liable for any faults that accrues thereof and hence he should only act incapacity of the impaired according to the prescription outlined. This in itself gives the persons –living with the dementia an upper hand in believing that the decisions made will be in line with his interests and expectations (Sanderson, 2014).

Clinical practices and families

An individual can be entirely amnesic and still manage to uphold a composed Self, a social individuality. The social uniqueness does not coincide only in the neuropathology of the dementia but also in the social relations the patient experiences with others. One cannot make a specific social distinctiveness without the help, cooperation interaction with another person. Teamwork with the person with dementia in the building of a substantial social self is instinctively imperative. Therefore clinical and the family foci ought to be on positive stance and not on defective perceptions. From the recent studies performed by a group of medical doctors from the Harvard university shows that these fundamental principles plays a very vital role in resolving the conflict that emerge in the families, the professions, and the persons who are suffering from the dementia (Mckenzie, 2013). A critical circle of well informed protagonists also advocate that these decisions that are disrupted by the dementia can easily be tamed to its highest level since the autonomy in the thinking ability always stands tall in sharpening the mind and demystifying the symptoms that accrue with it. It is to this effect that such challenges in decision making that are caused by dementia can now be easily tackled using the principles co notated above

At times, due to the nature of the patients that are living with the dementia condition might face a lot of frustrations especially if there is a potential conflict of interest between him and the rationally thinking person (Bernat, & Beresford, 2013). To this stance it is quite probably that the sane person would try to infringe the rights of the impaired. For example a son who has mentally ill father due to dementia is probably prone to such pressures in the writing of will; he would put pressure on the father to sign a will [which to the father himself does not approve of. To this effect, it is quite imperative to acknowledge the fact that tempered is quite endangered in terms of decision making. He would therefore be in line with the propositions that are not lifting up his own precepts and way of thinking rationally.


There is a high rate of increase in dementia cases in Australia and also around the world, the very many cases depicted across the globe is really worrying. In Australian state alone, between the years 2010 and the year 2050, it has been predicted by the Australian Bureau of statistics that the number of Australians living with dementia will substantially triple, escalating to about 900,000 by the year 2050. The most regular type of dementia is Alzheimer’s disease (AD). The disease in itself causes failure of some brain cells to work properly leading to inadequate relay of message and most probably there would be lack of communications across the brain tenets. Poor or loss of memory exorbitantly characterizes this. This most prevalent form of the dementia, Alzheimer’s disease in most cases comes in a stealthily gradual process (Sanderson, 2014). Additionally there is the vascular dementia which is prevalently experienced pin the patients in a step wise manner where there comes a short term memory the followed by an acute loss of concentration, this is directly and immediately followed by the lack of disorientation and programming of the different activities that are acclaimed to the patient.

A survey conducted by the CIA group of the world fact book co notates that the among the Australian fraternity who have dementia, the ones who were subject to autonomy (67%) were better placed in terms of their activities and the kind decisions they make. They also found out that the dementia symptoms reduced in such persons as they find themselves autonomously engaged in their decision making techniques a stance that invariably boost their thinking ability (Mckenzie, 2013). For one second I thought this research was wrong put I came to realize [that as one engages in the self directed thinking, the faculties of thought work tirelessly to maintain the stature and the proper functioning of the brain cells and hence it triggers the fundamental functionality of the brain. To this perfect, it is imperative not to underestimate the power behind autonomous thinking because it forms one of the tenets in the influence of decision making (Bernat, & Beresford, 2013).

According to the QOL-AD Published Research, done in august 2013, there is a system that has been designed to specifically help in the rating of the patients quality of life and hence their ability to think straight. This thirteen item measure gadget designed to specifically provide the range of effect that the dementia has on these patients. A patient that is rated highly in the scale is definitely going to face a lot of difficulties in decision making. Hence, these individuals have very minimal chances of making decision on their pawn. For those that are rated low meaning they have low side effects of the condition, will [be [given some much more opportunities to makes decisions on their own (Sanderson, 2014).

In conclusion, dementia is a condition the retards the brain and hence derails it from thinking straight. It invariably affect the decision making power of an individual in vary many ways and sometimes many might healthy individuals might take this as an advantage to fulfill their own heart desires (Sanderson, 2014). To this effect, there are various statutes that allow the interest of the person leaving with the condition to be served. It is now a call for action on the part of the society to acknowledge the fact that it our full responsibility to accommodate the people living with dementia in such a way that their life is well taken care of and that the feel part of the community. This can sufficiently be done by ensuring that these patients are diagnosed at an early stage and the disease is carefully dealt with in way that they patients would not feel much strain and stress in most of their undertaking (Bernat, & Beresford, 2013).


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