When Memory Fails: Helping Dementia Patients Remember God by Sharon Fish Mooney
Journal of Christian Nursing Continuing Nursing Education Winter 2006 Volume 23, Number 1 expires December 2007
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Purpose Statement
The purpose of this self-directed study is to evaluate current thinking about aging and elder care and explore ways care must change to meet present and future needs.
Learning Objectives After reading this article, learners will be able to: 1. Describe diagnostic and clinical differentiations of Alzheimer's and other types of dementia. 2. Explore the ministry of memory and its efficacy with patients experiencing dementia.
Questions:
1. How is dementia medically classified? a. Disease b. Response c. Symptom d. Syndrome
2. Which of these best describes dementia? a. Repression of the emotions b. Bondage of the mind c. Oppression of the soul d. Burden of aging
3. Causes of Alzheimer's Disease may include damage to or loss of cells in which area of the brain? a. Medial temporal area and hippocampus b. Frontal and anterior temporal lobes c. The deep white-matter d. Brainstem and cortical areas
4. Which of these must a patient exhibit before a diagnosis of dementia may be given? a. Mild to moderate or severe memory loss b. Difficulty orienting to time, person or place c. Personality changes with behavioral problems d. Cognitive impairment in two or more areas
5. A patient who has difficulty communicating and has memory impairment to the extent that they can no longer live alone would be classified in which stage? a. Mild cognitive impairment b. Mild dementia c. Moderate dementia d. Severe dementia
6. According to the Dictionary of Biblical Imagery, what might be humankind's greatest spiritual malady? a. Lack of compassion b. Rebellion c. Forgetfulness d. Pride
7. Which book of the Bible refers frequently to the concept of remembrance? a. Psalms b. Proverbs c. Philippians d. Philemon
8. Spiritually speaking, what abilities must a patient with dementia have in order for rituals to be effective? a. To listen and speak b. To process and comprehend c. To experience and receive d. To read and recite
9. What physical effects in the brain may explain how the observance of a ritual stirs the memory? a. A ritual induces natural tissue plasminogen activators b. Rituals inhibit amyloid plaques and neurofibrillary tangles c. Rituals act like chemical cholinesterinase-inhibitors d. A ritual is a stimulus for healthy neurotransmission
10. In the Bible, what is the goal of “acts of remembrance”? a. Peace with our faith traditions b. Ability to take direction from the past c. Ability to learn from the mistakes of others d. Complete obedience to God
11. In order to initiate the ministry of memory, what should a nurse know about the patient? a. Whether the family gave consent b. The patient's faith tradition c. The meaning of the rituals d. The patient's emotional state
12. If a patient, friend or family member exhibits sudden onset of dementia, what diagnosis should be considered? a. Dementia with Lewy Bodies b. Multi-Infarct Disease c. Subcortical Disease d. Frontotemporal Dementia
Objective 1 Yes No Objective 2 Yes No