痴呆症与孤独：我们能发挥的作用.pdf

1、4/8/20251Dementia and Loneliness:Our Role in Making a DifferenceSusan Frick,MSW,LSWRush Alzheimers Disease Center1750 W.Harrison,Suite 1000Chicago,IL 60612312.942.5359Susan_Frickrush.eduObjectives124/8/20252Effects of Loneliness Increase in depression Poor sleep quality Impaired executive function A

2、ccelerated cognitive decline Poor cardiovascular function Impaired immunity Louise C HawkleyJohn P CapitanioArticle from 2015 Risk for premature death Kassandra Alcaraz,PhD,MPH Article from 2019 Increased risk of stroke Nicole Valtorta,PhD Article from 2016 Increase risk of dementia Angelina Sutin,P

3、hD The Journals of Gerontology:Series B,online 2018Brendan Behan-Irish Poet“At the innermost core of all loneliness is a deep and powerful yearning for union with ones lost self.”344/8/20253From the Perspective of the Person Isolation Change in roles Change in mood and personality Increase in anxiet

4、y Increase in depression“I dont know where I am.Not just in this spot but in the whole world.”Person with younger onset Alzheimers564/8/20254Alzheimers Disease is IsolatingPeople with Alzheimers talk about feeling alone and different-because of the disease because of the world around themChanges Add

5、ing to IsolationMemory Often trouble with short term memoryProcessing Difficulty understanding steps involved in a task,confusion with time and placeAttention Trouble following through on a taskCommunication Problems following conversation or joining in Visual Trouble with balance,reading judging di

6、stance,determining color and contrast,or issues with driving784/8/20255Emotional Changes Adding to IsolationDecreased self-esteem Many with dementia make negative comments about themselvesDepression Families often report seeing signs of depression before signs of dementiaFear A feeling that somethin