Read the summary and the most important questions on Advanced CN Family affair week 6

• 1 Long term caregiving: Helping families of persons with mild cognitive impairment cope

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• Why is it important to help families cope with a diagnosis of MCI?

  Conversion of MCI in AD is uncertain therefore important helping families cope with diagnosis and care

• What is an 'advantage' of a diagnosis of MCI compared to AD?

  MCI gives time to prepare for future: legal, financial, medical, and social service information while still able to make decisions

• Why should one be aware of engaging in unsafe tasks, communication conflicts and increase burden of family members in MCI?

  MCI pt. less aware of deficits than adults without cognitive impairment.  It is essential to identify areas of congruence and differences perspectives of MCI’s cognitive/functional abilities 

• Name a so-called key-step in assisting caregivers of pt. with diagnosis MCI

  Assessment of family’s current coping status assessing psychological issues and problems patients care: recognize caregivers that don’t need intervention. Acknowledge success family with dealing with diagnosis and leave door open for assistance later

• What are the 5 stages of problems with coping?

  1. denial
  
  2. over-involvement
  
  3. anger
  
  4. guilt
  
  5. acceptance

• Name 3 recommended interventions when family members of pt. with MCI are in denial stage

  1. Include members in physicians appointment
  
  2. Fill out all legal documents
  
  3. Ensure tough decisions are made and plans for the future have been put in place

• Name a consequence of the over-involvement stage of family towards pt. with MCI and an associated intervention of avoiding this problem

  Makes a person more dependent than necessary more quickly. Keep them as independent as possible; learn family members how to simplify tasks for MCI to keep them engaged in activity and modify environment for success

• When family is in the anger stage of coping with diagnosis of pt. with MCI there are several options for intervention. Name 4 interventions.

  1. Teaching family about MCI
  
  2. Showing images of brain and explaining changes in cortex
  
  3. Blaming nature MCI and not PwMCI
  
  4. Attending support groups

• What is common when treating the guilt stage in family members of pt. with MCI?

  Depressed mood is more likely in family members. Treating the underlying depression pharmacologically and non-pharmacologically

• Name 4 family disruptions commonly associated with diagnosis of pt. with MCI

  1.  Family often surprised by emotions associated with changing roles
  
  2.  Challenging making decision for person that requires new skills or professional assistance
  
  3.  Family member concern about communicating and using lies because of conflict between inner values and reality        
  
  4. Family conflicts common, decision making that goes against wishes pwMCI. In this case help focus on issue and not distracted by family history