Memory Loss and Cognitive Impairment of the Elderly

Memory Loss and Cognitive Impairment of the ElderlyCHAPTER VDISCUSSION, SUMMARY, CONCLUSION, IMPLICATIONSLIMITATIONS AND RECOMENDATIONSThis chapter deals with discussion, summary and decisiveness drawn. It also clarifies the limitation of the content, the implications and recommendations given for different areas such as nurse practice, nursing education, nursing administration and research.Memory sack is unusual forgetfulness. May non able to remember the new incidents, recall more memories of the past or both .Memory loss whoremonger be distressing for the person affected as well as for their family.Mild cognitive impairment is a syndrome defined as cognitive decline greater than expected for an individuals climb on and education levels but that does not interfere notably with activities of day by day life. Age related changes in cognitive function vary considerably across individuals. virtually cognitive functions appearing more susceptible than others to the effect of agi ng.DISCUSSION The present consume was designed to measure the storehouse loss and cognitive impairment for the elderberry bush nations. The investigator adopted descriptive research design. The data collected for the study were analyzed statistically and discussed below based on accusatorys.i) demographic Description Demographic variables included Age , Sex , Education , Monthly income out front climax to the antiquated grow station , Marital status , Occupation before coming to the old age home , Duration of stay in the old age home , Family history of mental illness , Source of income .Out of 60 time-honored majority of the people 26 ( 43.33%) were between the age group of 76 80 yrs , regarding the sex 36 ( 60%) people are males ,regarding the educational status 50 ( 83.33 %) people had primary education , regarding the monthly income 46( 76.66%) people are getting RS ,3000-5000, 39 ( 65%) people married , 24 ( 40%) people are in private job , 30 ( 50%) people are sta ying 1-2 years in the old age home , 55( 91.66% ) people are not having family history of mental illness , 20 ( 33.33%) people are having source of income from the children.1) The first objective of the study was to assess the storehouse loss and cognitive impairment among elder people.Among 60 samples 1 (1.66%) of them scored between 61-80 (Mild retentivity loss), 19 (31.66%) of them scored between 41- 60 (Moderate retentivity loss), 40 (66.66%) of them scored between 21- 40 (Severe repositing loss), and there is no people in very severe repositing loss among ancient.This study was supported by Chips .J Pillai., et al (2009), conducted a early judgment of retrospect impairment in people over 65 years old . Tests used for the early diagnosis with memory board loss are Wechsler memory scale. They recorded 74.5 % of memory complaints for old age people. Memory consultations were assessed at clinical settings and improve the access to early medical and behavioral support.Among 60 samples 3(5%) of them scored between 21-25 (Mild cognitive impairment), 56 (93.33%) of them scored between 11- 20 (Moderate cognitive impairment), 1 (1.66%) of them scored between 0-10 (Severe cognitive impairment) among senile.This study was supported by Cynthia Thomas et al ( 2005 ) , conducted the study on cognitive assessment for elderly A brief screening test for mild cognitive impairment. Mini mental status examination administered to all the participants. 94 Participants opposition mild cognitive impairment clinical criteria. The study think that 55%people detect mild cognitive impairment.2) The second objective of the study was fellowship between the memory loss with demographic variablesThe chi straightforwardly measure for the association of age and memory loss among elderly is pregnant 0.001 levels. Hence, a signifi female genitalst association between age and memory loss.There is no significant association between memory loss with sex , education , occupation before coming to the old age home , marital status , income before coming to the old age home , duration of stay in the old age home , family history of mental illness , source of income among elderly.This study was supported by Gary .J Kennedy (2008), assessed the age associated memory impairment. 160 participants were selected with the age group of 70 -80 years. Used 4 computerized 3 non computerized memory tests. The participants score was low on two memory test. The data suggest that 80 % subjects had memory impairment.3) The third objective was to associate the cognitive impairment with demographic variables.There is no significant association between cognitive impairment with demographic variables such as age , sex , education , occupation before coming to the old age home , marital status , income before coming to the old age home , duration of stay in the old age home , family history of mental illness , and source of income among elderly.This study was supported by John . M Starr et al (1999) conducted a study on age associated cognitive decline in healthy older people. Results were the study fails to support the hypothesis that cognitive decline can be attributed to age alone in healthy older people. They detected 57% older people had contain cognitive impairment.4) The fourth objective was to assess the correlativity between memory loss and cognitive impairment.Mean value for memory loss is 38.3 and standard deviation value is 5.60, and mean value for cognitive impairment is 15.5 and standard deviation value is 2.89. Correlation of memory loss and cognitive impairment score is 0.407. It is evident that there is a tyrannical correlational statistics between memory loss and cognitive impairment among elderly.This study was supported by Noboru Habu., et al (2010). Conducted a cross sectional study on family relationship between mild memory impairment and cognitive impairment. Results were the study there is a correlation of coefficient of memory loss and cognitive impairment(r = 0.391). There is a positive correlation between memory loss and cognitive impairment among elderly.SUMMARYThe present study aimed to assess the memory loss and cognitive impairment among elderly at ST. JOSEPH old age home in Coimbatore.The objectives were to1) Assess the memory loss and cognitive impairment among elderly.2) Associate the memory loss with demographic variables among elderly3) Associate the cognitive impairment with demographic variables among elderly.4) Correlate the memory loss and cognitive impairment among elderly.Review of literature facilitated the investigator to collect the relevant reading to support the study. The researcher adopted descriptive research design for conducting this study. The conceptual frame work was based on Modified bio psychosocial model 1999. The researcher to constitute the memory loss and cognitive impairment among elderly. 60 elderly were selected by convenient sampling technique .The tool used for d ata collection consists of Wechsler memory scale, mini mental status examination.The data was collected for a period of 6 weeks in ST. JOSEPH OLD sequence HOME Coimbatore. Based on the objectives, data were analyzed using both descriptive and inferential statistics.MAJOR FINDINGS OF THE STUDYAccording to statistical analysis, 1(1.66%) elderly had mild memory loss.19(31.66%) elderly had moderate memory loss.40(66.66%) elderly had severe memory loss.3(5%) elderly had mild cognitive impairment.56(93.33%) elderly had moderate cognitive impairment.1(1.66%) elderly had severe cognitive impairment.Chi square value for the association of age with memory loss is significant at 0.001 levels. So these findings indicated that as age progress the memory will get decreased.Chi square value for the association of cognitive impairment with demographic variables is not significant.Mean value for memory loss is 38.3 and standard deviation is 5.60.Mean value for cognitive impairment is 15.5 and stand ard deviation is 2.89.The findings indicated that the Correlation value of memory loss and cognitive impairment is 0.407. It was evident that there is positive correlation between memory loss and cognitive impairment. It can be assumed when memory loss get increased the cognitive impairment also will increase.CONCLUSIONThat it is concluded that elderly are suffers from memory loss and cognitive impairment, there is a significant association between age and memory loss. As the age progress the memory will get decreased. And there is no significant association between cognitive impairment with demographic variables. There is a positive correlation between memory loss and cognitive impairment among elderly.IMPLICATIONSThe present study findings have several implications in nursing practice, nursing education, nursing administration and nursing research. Nurse can assess the problems of elderly and prevent further complication.Nursing practiceIncreased attention towards family members r egarding care of elderly.Nurses can provide memory information for the elderly.Nurses can advice the elderly to maintain the diary for remembering great matters.Nurses can provide counselling for psychological problems of the elderly.Nursing Education Nursing educator plays an important role for preparing the nurses for caring the elderly and meets the psychological and physical ask of the elderly.Nursing educator Involve the students in memory training program.Nursing educator slipway to improve and maintain cognitive health.Nursing AdministrationNursing administrator can plan and organizing community based classes to the community people regarding improving memory and cognitive impairment among elderly.Nursing administrator can encourage students to participate in health education and counselling programme for the family members.Nursing administrator can conduct in-service education, workshop, continuing nursing education to the nursing students and update their knowledge abou t needs (physical psychological) for the elderly.Nursing ResearchThis study can be baseline for future studies to build on.Nursing research provides evidence based clinical practice. LIMITATIONSThis study was limited to single setting.This study was limited to the sample surface of 60 elderly.This study was limited to only assessment of memory loss and cognitive impairment among elderly. RECOMMENDATIONSA study can be conducted to find out the needs of the elderlyA study can be conducted in various settings.A study can be conducted to psychological and physical problems of elderly.A study can be conducted to compare the memory loss and cognitive impairment of elderly staying in old age home and staying in home.A study can be conducted in community settings.A study can be conducted memory loss and cognitive impairment can affect the activities of daily living and occupational functions of the elderly.ABSTRACTThe present study entitled, study to ASSESS THE MEMORY LOSS AND COGNITIVE IMPAIRMENT AMONG ELDERLY AT ST. JOSEPH OLD AGE HOME COIMBATORE. The objectives of the study were to assess the memory loss and cognitive impairment among elderly, associate the memory loss with demographic variables among elderly, associate the cognitive impairment with demographic variables among elderly, and correlate the memory loss and cognitive impairment among elderly. Descriptive research design was adopted for this study. This study was conducted in ST.JOSEPH old age home, Coimbatore. The sample size was 60 elderly. The Conceptual frame work adopted for this study was Modified bio psychosocial model (1999). The study was conducted for a period of six weeks. The tools used to assess the memory loss and cognitive impairment is Wechsler memory scale and Mini mental status examination. The results of the study were Among 60 samples, 1.66% elderly had mild memory loss, 31.66% elderly had moderate memory loss, and 66.66% elderly had severe memory loss. In cognitive impairment 5% e lderly had mild cognitive impairment, 93.33% elderly had moderate cognitive impairment, and 1.66% elderly had severe cognitive impairment. There is a significant association between age and memory loss .There is no significant association between cognitive impairment with demographic variables. Positive correlation between memory loss and cognitive impairment among elderly. The study concluded that as the age progress the memory will get decreased.