To check the impact of dementia on the individuals in their daily activities and hence researching to check that in which part the improvement is necessary. In this regard, the research question highlights that to what extent the research can be made so that the areas can be well improved and at the same time the dementia patients can also get supported. To look at this matter in-depth certain aspects needed to be highlighted in the following like that of the research objectives, the aim of the study, and at the same time also analyzing the key issues that are ultimately affecting the health of the dementia patients.
The institutions like the National Institute of Mental Health and other training centers should be present to train the carers to provide proper mental support to the patients suffering from dementia. The carers should be covering International Diploma on Mental Health Law and Human Rights through they can gradually able to understand how to treat dementia patients. The innovative diploma aims in developing the capacity among the students to address the violations concerning human rights and likewise promoting and boosting the self-confidence among the patients.
Table of Contents
Research Design, Methodology, and Methods.
The research aims to evaluate that how dementia is affecting the patient’s life on daily perspectives and hence research is necessary for this field to evaluate what are the possible outcomes in this. The primary aim of the research is to check that how the individuals are getting affected and hence research is necessary to look at the improvement areas and also the areas of recommendations that needed to be looked after for the community betterment in the future (Green, 2019).
The primary objective of the study is to realize the impact of dementia on daily activities among older people, living in the New Zealand community. The research question in this aspect is to evaluate that to what extent the impact of dementia on older people’s daily activities will be severe? In this context, both the qualitative as well as quantitative research methods will be taken into considerations. To proceed further with the topic, certain important aspects are required in completing the task that is the research design and the methodology along with the research significances and the ethical considerations in doing the research (Health Navigator, 2020).
Researching this particular topic is to look at how New Zealand Community has got benefited from dementia in the future years. These are certain important aspects that will be supported through certain theories and models in the following. After conducting the research, how the older people will be benefited from the hand of dementia can be seen. The aim of the entire research proposal is in encouraging the people that are dementia patients to readily undergo the clinical practices which will be culturally appropriate so that they can able to maximize their needs and capabilities (Pitkänen, 2019).
As per (Pitkänen (2019) enough amount of information and knowledge should be provided to the carers to treat patients. According to the New Zealand Health council, the occurrence of dementia has created changes in the lifestyle factors which involved lack of adequate sleep and diet and also avoiding regular seller (Nehrig, 2019). It has been found that the old people due to lack of proper associations and the support from the families, often turn out to be forgetful which ultimately leads towards seeking the medical attention (Green, 2019).
The persons in these situations often feel shy and guilty in opening up in front of others which creates pressure in their physical health leading to hypertension, heart attacks, etc. Certain medical inhabitations are present like Donepezil, rivastigmine, galantamine, etc but beyond this what is needed is the association and the social connections (Watt, 2019).
In this particular context, a cross-sectional research design needs to be framed where there will exist no time dimension and the participants will be getting selected from the random selection approach. The survey techniques are generally used under the survey designs in collecting the data which are relatively inexpensive and also require lesser time in conducting research. In this aspect, if the research limitations can be understood then it can be used as one of the effective tools in conducting a more focused study (Health Navigator, 2020).
This particular research framework has been developed to check the aging population currently in New Zealand. In 2011, around 48,182 New Zealanders is comprised of aging population and also an increased amount of people suffering from dementia. An increased amount of dementia rates have been observed since 2008. In this connection, according to the Ministry of Health, it looks at the maximum benefit and wellbeing for the patients suffering from dementia and ensures their wellbeing (Watt, 2019).
However, it has been found that the patients suffering from dementia at the time of getting admitted to the hospital, had gone to the advanced stage and hence they have not responded well to the health care facilities provided by primary healthcare practitioners. In the research method, the older people suffering from dementia will be selected and the data collection will be involving a more integrated approach comprised of health and social care aspects. The data that will be collected can be analyzed well through the use of SPSS software which will help the community in deciding that what further steps are needed to improve the condition of the patient who has been suffering from dementia for a longer time (World Health Organization, 2020).
To ensure research validity and reliability, the flexibility needs to be adopted among the local communities in New Zealand and the innovation in the technical intervention always needs to be encouraged towards developing the service models along with pathways for the dementia care through which health and support can get easily supported. To carry out the research framework, it is the responsibility of the researchers to evaluate that the data which they have collected is authentic or not (Health Navigator, 2020).
It is the responsibility of the researchers to see that after conducting the research, the positive outcome can get easily generated like the patients can undergo an active involvement regarding the decision-making approaches and at the same time should also be motivated in receiving adequate care and support which will better respond towards social, economic, spiritual and cultural aspects. This way the rights among dementia patients can get easily upheld (Pitkänen, 2019).
The development of the highest are standards needed to be ensured and the community can also think about the future steps regarding how to treat dementia patients well with adequate compassion and care. Here continuous care and support are needed with affordable, safe, and efficient practices through the maintenance of the regional standardizations and also the development of consistent dementia care with local variations. The educational and the training opportunities need to be well conducted where both the people-centered and people-direct approach will be focused as per the Mental Health Commission 2012 (Health Navigator, 2020).
Now coming to the research methods, a quantitative research method should be undertaken where the collection of the data should be in numerical values which will ultimately help in performing the broader analysis in the future.
As per the Ministry of Health in New Zealand which the latest policy helps in the improvement of awareness and responsiveness which had also been supported through the District Health Boards (Pitkänen, 2019).
The benefit of this research will be to encourage the person with dementia to maintain the usual lifestyle along with the social connections through riper nutrition facilities and physical activities. This will take into consideration both of the home and the community support services through enduring advanced care planning along with work and income entitlements. The outcome of the research should bring positive vibes where the person suffering from dementia have been supported in maintaining the relationships and the connections and should also be available towards the evidence-based treatment involving both pharmacological and non-pharmacological aspects (Watt, 2019).
The research on the other hand also turns out to be important where it can be seen that how the patients are daily suffering from dementia in the community where he/she is living and accordingly certain steps needed to be undertaken to prevent these kinds of suffering. Advance care planning (ACP) is a process of discussing and sharing planning for future health care. For this framework, ACP focuses on the person with dementia and involves both that person and the health care professionals responsible for their care. ACP may also involve the person with dementia’s family and whānau if that is the person’s wish (World Health Organization, 2020).
New Zealand Code of Ethics and Code of Conduct highlights five main principles that are integrity, professional competences along with duty care, and also the maintenance of the confidentiality after getting complied with the relevant laws and regulations. The Ethics and Code of Conduct are in defining the expected behaviors where the researchers at the time of surveying the elder people suffering from dementia should follow certain accountability standards along with the reliability and should approach the patients in maintaining a healthy and nurtured operating culture (Nehrig, 2019).
Maintaining the Code of Conduct and Ethics by the researchers at the time of conducting research involves maintaining the ethical standards and also undertaken the contemporary good practices concerning the genetic technologies, information, and materials. The primary purpose of the researchers to conduct adequate research is engaging the dementia patients in certain national public health campaigns through the maximization of the media opportunities and also educating people in planning the future through the development of an advanced care plan ad similarly choosing the power of attorney (Ringman, 2019).
As per the Code of Professional Ethics and Standards, the research code is used in supporting the members in following the exemplary ethical behavior along with world-class research and also the scholarly practices. Here the families as well as the carers of dementia patients should be contacted and also provided with an adequate amount of knowledge and support through which they can be able to support the patient mentally (Health Navigator, 2020).
After conducting the research, in certain sections possibly funding is required especially for the key stakeholders and the managerial staffs where the home support industry suffers from higher staff turnovers. The one who is supporting the patients mentally to lead their life normally is having the right in accessing modest pay scales and should also be provided with suitable working hours where the caregivers, as well as the clients, can maintain better relationship and along with that can also be able to work properly that is through the community development can be able to mentally support the dementia patients. This way, the relation build-up turned out to be important based on which the quality and the consistency overall can get uplifted (Pitkänen, 2019).
To conclude, apart from certain inhibitors that are the medical interventions, cognitive stimulation therapy turns out to be important which involves active involvement of the people suffering from dementia with certain activities and then assessing their performances.
For example, their engagement in driving, discussion panel where they can be able to interact with each other, and also involving them in the decision making patterns This in turn will help them in deciding in an effective manner.
Green, A., 2019. Clinicians' perspectives on barriers and enablers of optimal prescribing in patients with dementia and coexisting conditions. The Journal of the American Board of Family Medicine, 32(3), pp. 383-391.
Health Navigator, 2020. Alzheimer's disease. [Online]
Available at: https://www.healthnavigator.org.nz/health-a-z/a/alzheimers-disease/
Nehrig, N., 2019. The Benefits and Limitations of a Behavioral Intervention for Caregivers of Dementia Patients: A Qualitative Study. Cognitive and Behavioral Practice, 26(3), pp. 562-574.
Pitkänen, A., 2019. Implementing physical exercise and music interventions for patients suffering from dementia on an acute psychogeriatric inpatient ward. Nordic journal of psychiatry, 73(7), pp. 401-408.
Ringman, J., 2019. Treatment options for agitation in dementia. Current treatment options in neurology, 21(7), p. 30.
Watt, J., 2019. Comparative efficacy of interventions for aggressive and agitated behaviors in dementia: a systematic review and network meta-analysis. Annals of internal medicine, 171(9), pp. 633-642.
World Health Organization, 2020. Training opportunities. [Online]
Available at: https://www.who.int/mental_health/policy/training/en/
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