NURS6055 Mental Health Acute Care


Concentrating on Major Neurocognitive Disorder’s diagnostic classification, explore the current literature to draw conclusions about evidence-based interventions that will ensure best practice in a clinical setting.

This assignment involves both therapeutic and pharmacological interventions.


The term dementia refers to a mental disorder.

It can affect the functioning of the brain and interfere with a person’s health.

As a result, dementia patients face challenges because they find it difficult to socialize with others.

Although dementia can be severe, it is also not fatal.

Because it is easy to recognize in its early stages, and if possible treated.

Doctors attend to patients who are diagnosed and take care of them so that their condition doesn’t worsen.

When dementia is severe, it can lead to crises.

It is impossible to change the current situation.

The patient will have to live with the current situation until the end, as well as the challenges presented by the disease.

The family member is responsible for taking care of their loved one, especially if they have a family history of dementia.

In the past years, dementia has been on the rise and many people find themselves in this situation.

The disorder can spread to the brain’s sensitive parts and cause acute dementia (Hinkelmann and co-authors, 2009).

Because it takes time and some people may not be aware of the symptoms, this is why some people do not know.

It is important to be vigilant if you notice any unusual behavior or habits in someone who has been around these patients.

It’s dangerous to believe that someone is mad or has changed their habits.

Psychology, according to psychology and people, says that one must shift a habit toward the positive, not the negative.

If some of the habits that have been part of a person’s life are being changed, it is best to get checked and placed on palliative treatment.

The patient should be treated as a child to determine whether his brain is functioning normally.

People often ask what causes dementia.

Dementia does not represent a specific disease. It is a combination untreated brain conditions.

This is why it exists in certain people. It is due to the ignorance of signs and symptoms that were present in the past. (Heaton et. al. 2011, Heaton).

Delirium, the most well-known form of dementia, is the most prevalent.

Delirium can be described as a form or sickness that is caused by untreated illness.

Malaria is a serious illness that tends to disappear without treatment.

Treatment is crucial because it kills protozoa which are linked to malaria.

The protozoa become mature and it becomes difficult to recognize the causative agent. It erupts into a serious disease that almost kills.

Not only does it leave dementia patients, but many others also die from the effects.

It is a general term that refers to memory loss and mental impairment that interferes with the person’s daily life.

It is caused primarily by physical brain changes.

This disease is defined in the fifth edition Diagnostic Statistical Manual (Ismail, 2016).

Individuals should seek medical attention immediately if they are experiencing any symptoms not listed in the diagnostic criteria.

The DSM 5 criteria are as follows (Ismail, et al. 2016,).

Memory impairment

Each of these symptoms should be present.



Disruptions in executive functions

The cognitive impairment caused by the above two criteria is significant and causes impairment in social or occupational functioning. It also represents a substantial decline from the prior level of functioning.

Cognitive deficits don’t just occur during delirium.

The best treatment for dementia begins with treating the root cause.

The main causes of dementia include malnutrition, hormonal imbalances, the emergence or development of brain tumors and any drugs that are related to it. Some cases can be reversed (Sheehan, et al. 2015).

There is no cure for Alzheimer’s or many other diseases.

A combination of medications and other therapies, including psychotherapy, can help improve cognitive and behavioral symptoms.

The treatment goal is to slow down dementia-related impairments and control behavioral symptoms. It may include psychotherapy, environmental modifications and medication.

Psychotherapy, a form of behavior therapy that aims to reduce the severity and frequency of certain disorders such as aggression and socially unacceptable conduct, is an impressive approach.

The caregiver’s reactions and the changes in the environment can help identify the problem behavior.

Another strategy involves breaking down the complex tasks and being involved in the simpler steps to reduce confusion and agitation.

Modifying the environment can also be used to increase safety and comfort, as well as decreasing agitation.

Safety modification refers to the protection of and includes the removal of or the locking up of dangers due to sharp knives, dangerous chemicals, and other tools.

Childproof latches could be used to restrict access (Dennis, et al. 2014).

Important safety measures include bathroom safety rails and bed rails.

A second example is to reduce the temperature of the hotwater. This will lower the risk that the stove may burn and disable it.

For patients suffering from dementia symptoms, the medications are also available.

For improving brain function, there are many drugs available.

There are both the standard anti-dementia drugs and other psychotropic drugs that are available.

There are many current anti dementia drugs that belong to the class of inhibitors of the Acetyl Cholinesterase (Dennis and al., 2014).

Acetylcholine is a substance in the chemical fields that allows brain cells to communicate with one other, the so-called Neurotransmitters.

According to research, Acetylcholine hyas been found in AD patients’ brains.

These drugs can be used to stop acetylcholine being rapidly eliminated and extend their ability to carry chemical messages between cells in the brain cells.

In clinical trials, they were shown to delay the onset of the disease by at least 12 month.

These drugs could not only preserve and partially improve mental capabilities and help with daily activities but also delay the onset and reduction of behavioral disturbances.

Psychotropic drugs can also be used to support the treatment of dementia-related behavioral issues.

The use of antipsychotic drugs, which are typically used to treat schizophrenia and other disorders, can help reduce persistent aggression. It is also useful for patients who have not responded to other non-pharmacological treatments and who may be at risk of harm to their own or others. But, it is important to remember that these medications should be used only on a short-term basis, up to six weeks, and not as a regular treatment.

Anti-anxiety medications, which are typically used to treat anxiety disorders, can be prescribed to treat agitation or restlessness.

To alleviate depression symptoms, antidepressant medication is also available.

Prescribed medication must be administered to dementia patients in the most gentle manner possible, so that side effects are minimized.

The side effects of medications are known (Huntley, et al. 2015).

There is no evidence that this type of disease will prolong the life expectancy or make the patient’s life more normal.

There are drugs that may be helpful to some patients in order to improve their quality of life and prolong their lives (Huntley and al., 2015).

People with dementia may benefit from these therapies in the area of activities of daily living.

Patients may be taught how to properly use canes, walkers and get in and out from chairs or beds through physical therapy.

For people with dementia, aroma, music and reminiscence can be helpful. Art activities may also have a relaxing or rewarding effect.

As a treatment for AD and related conditions, there are a number of natural remedies, vitamins, and dietary supplements that are being promoted (Pezzati, et al. 2014).

These natural remedies can appeal to some people.

While many of these treatments may be viable options for treatment, there are legitimate concerns about using them as an alternative or additional to doctor-prescribed therapy.

These products do not require further scientific testing and have not been proven safe or effective.

You should also be aware that they might not all be manufactured in the same way or contain the exact ingredients as listed on the label.

Additionally, herbal and nutritional supplements may interact with prescribed medication in harmful ways (Pezzati and al., 2014).

It is important to consult a physician before taking any supplement.

Aside from the treatment of specific dementia symptoms, it is important that you monitor your general health. Good general health can improve your well-being and may delay or prevent the onset of dementia.

For those of tender years, however, dementia can be difficult to manage.

It is too dangerous to them to survive and it doesn’t respond to medication.

Some surgery may be necessary to manage the disease. However, some people are not able to recover their normal condition.

There are certain tasks that are not permitted to be performed by these patients.

Patients are not advised to use these types of patients for difficult tasks such as overthinking and other activities that strain their brains.

They must be able to perform simple tasks which require a lot of brain power and do not require excessive thinking.

The brain has a limited capacity. It can only accommodate a small percentage of activities.

The brain is capable of storing different types of information at the same time.

The brain also has a limited capacity to store thoughts at any given time. This is especially true when one goes to sleep or takes a nap.

Thus, the brain recirculates and refunctions.

Therefore, it rests and refreshes.

One is then said to have elevated blood pressure because the brain malfunctions.

The mind can block blood flow in the blood vessels and increase pressure necessary for blood pumping (Lee, 2012).

High blood pressure can sometimes lead to dangerously high levels, which can cause brain eruptions.

It is possible to develop dementia from the inner bleeding of your mind.

Resumés must be prepared quickly to help people in an emergency.

Many people with dementia are those who have been in accidents before. They must attend clinics until they either confirm that the patient is free or declare them completely healed.

There are no side effects from internal neural-bleeding that are different for any age or gender.

Everyone is affected by it, so you must take immediate action to stop the bleeding.

If it is not treated promptly, the bleeding can cause delirium, which can be the main reason for dementia.

Additional diseases that are associated with dementia include stress, fatigue, intense pain and other conditions.

People can be affected by adverse circumstances.

Some situations are so serious that they cannot be changed.

The body then accumulates stress, which can lead to fatigue.

Stress and straining are the primary causes of fatigue (Heaton ETAL, 2012).

Stress can strain the brain and send a negative message through the feet muscles.

The rest the body feels tired and finds it hard to do simple tasks.

As the body’s normal function is disrupted, muscles relax and one feels funny.

As stress increases, it can lead to a new level of consciousness that eventually causes some people to lose their awareness.

This situation can lead to mental problems.

The person must be treated immediately and given care (Godard ET Al, 2011).

Counseling and advice are recommended before one can resume normal activities.

To determine if the stress has affected any sensitive areas of the brain, the patient must undergo several tests before treatment can begin.

Minor injuries, or the recurrence of a minor condition that was neglected in the past can lead to serious brain damage.

The technicians that deal with people in need counseling are known as psychiatrists.

They play a significant role in the prevention of dementia (Marazziti ET AL 2011).

They are capable of handling such cases with care.

Before they get into a serious session they take their time, and test the blood pressure.

Because their families find it difficult to give them some assets or property, dementia patients are among the poorest in society (Belmaker et. al. 2008).

Their spouses and children are left with nothing to leave them.

Lawyers can assist these patients’ families with wills.

They ensure that all rights are granted to the families of dementia patients.

However, some people tend to ignore these people.

Dementia is a condition that does not affect the brain’s functioning.

However, it is not always that the patient is in an unusual condition (Heaton ETAL, 2012).

Sometimes the patient behaves normally and does their daily duties as usual.

They can communicate with the best people without making mistakes and they also communicate normally.

These people have a slight brain problem that can be corrected.

Although they can be granted assets and property, they cannot manage them.

They should not allow their family members to use their current circumstances to grab all they have. This could be dangerous for everyone.

It is important that the affected persons take care of dementia patients. This is because love, support, and palliative care can help the patient live a longer, healthier life.

To prevent the creation of other similar disorders, they must take responsibility for their families (Godard ET al, 2011).

Parents should also be aware that children are not meant to be stressed at an infancy.

Children need to have time to unwind, be in a peaceful environment, and feel safe.

Children are more successful in a positive environment and they can also be more open to the opinions of others.

Parents are generally responsible for taking care of their children (Marazziti, et al., 2011).

For children with small babies, it is important to make sure that all miner infections are treated immediately to prevent the growth or accumulation of disease.

The government must pass legislation regarding the mentally handicapped.

They have experienced, and still face, many challenges in their entire lives.

People who violate their rights are not punished with harsh or severe measures.

Women and young girls are examples of such people.

These female patients have to face difficult times because they are raped or get unwanted pregnancies. (Belmaker ETAL, 2008).

Unplanned children are also born to them, and they may never have known their biological parents.

Patients can also get HIV AIDS.

Another problem is that these patients may be involved with serious crimes, such as murder, theft or prostitution.

Many of these people end up dying from stress due to minor injuries, sickness, or pain during birth.

When one has assets, it is difficult to calculate the actual value of those assets (McClintock 2010).

The reason is that mild NCD can cause changes in brain function, which could result in incorrect calculation.

These people are likely to lose property worth millions.

They can, however, end up with a firm and strong position that makes it difficult to negotiate a price for an asset.

Therefore, the assets might not be productive for a longer time.

When the same people are involved in a case, they may experience difficulties because they cannot give the right evidence.

They might be unable to take a stand and continue to banter about the same issues throughout the case.

Even though some lawyers are available, the case may not go as the suspect or complainant would like.

Because the person responsible is not normal, most cases like this are withdrawn and thrown aside.

People sometimes find it hard to accept people like these (McArthur ET AL. 2010).

However, they are essential in all aspects of one’s life.

These people are responsible and could have been better citizens, before there were problems.

Patients who are male may also have to deal with the challenges of society, since other people could be the cause.

According to Heaton (2011), drug abuse is the leading cause of dementia.

Once they have a brain disorder, these individuals are mistreated.

Because they are unable to socialize with the rest of society, it is difficult for them to be normal.

They often work hard, but they get less pay or no pay.

These people are just as vulnerable as other people and they should be respected.

These people should be given priority and the government should set aside money to help them.

When one has assets, it is difficult for the person to calculate the actual value of those assets (McClintock 2010).

The reason is that mild NCD can cause changes in brain function, which could result in incorrect calculation.

These people are likely to lose property worth millions.

They can, however, end up having a strong and solid position that makes it difficult to negotiate a price for an asset.

Therefore, the assets might not be productive for a longer duration.

When the same people are involved in a case, they may experience difficulties because they cannot give the right evidence.

They might be unable to take a stand and continue to banter about the same issues throughout the case.

Even though some lawyers are available, the case may not go as the suspect or complainant would like.

Because the person responsible is not normal, most cases like this are withdrawn and thrown aside.

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