Decision Making and Caregivers
12 important questions on Decision Making and Caregivers
Early stages of dementia
Middle stages of dementia
- Severer memory disturbances
- greater personality changes
- impairments in abstract thinking and judgment
- anger and agitation
- depression
Late stages of dementia
- Often: nursing home placement
- Not necessarily a decrease in caregiver burden
- Improvement in burden might occur
- Increase in financial strain
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What do caregivers with a high burden show?
Financial Capacity Instruments
- Basic monetary skills
- Financial conceptual knowledge
- Cash transactions
- Checkbook management
- Bank Statement management
- Financial judgment
- Bill payment
- Knowledge of personal assets/ estate arrangements
- Investment decision making
Prodormal phase of dementia
- Financial conceptual knowledge
- Bank statement management
- Bill payment skills
Financial decision making- mild dementia
- Patients with a mild AD early on have a broad range of impaired financial skills
- These skills hsow relatively rapid further decline over a one-year period
- Declines emerges on both simple and complex tasks on almost all domains.
Caregiver predictors are gender difference:
- Female caregivers experience more depressive symptoms, anxiety and general psychiatric symptoms than male caregivers
- Women spend more time on caregiving tasks than men
- Women perceive greater strain and burden related to caregiving than men and are more likely to experience role conflicts (e.g. with work and social activities)
- Women are more likely to attempt to be “supercaregivers” and accomplish several tasks simultaneously whereas men are likely to plan a smaller number of tasks and accomplish then in a linear manner
Caregiver predictors relation to patient
Caregiver predictors coping
Caregiver predictors personality
Caregiver predictors other factors
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