NURS 6630 Discussion Therapy for Clients with Dementia

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NURS 6630 Discussion Therapy for Clients with Dementia

NURS 6630 Discussion Therapy for Clients with Dementia


In so many countries, to be old is shameful; to be mentally ill as well as old is doubly
shameful. In so many countries, people with elderly relatives who are also mentally ill
are ashamed and try to hide what they see as a disgrace on the family.
—Dr. Nori Graham, psychiatrist and honorary vice president of Alzheimer’s Disease
In this quote, Dr. Graham is expressing her observations and experiences in her work
with numerous international organizations. Many patients and their families experience
feelings of anxiety and shame upon receiving a diagnosis of dementia. Lynda Hogg, an
Alzheimer’s patient, shares her feelings that “some people don’t want to be associated
with someone with an illness affecting the brain” (Alzheimer’s Disease International,
2012). As a psychiatric mental health nurse practitioner providing care to clients
presenting with dementia, it is critically important to consider the impact of these
disorders on clients, caregivers, and their families. A thorough understanding of the
health implications of these disorders, as well as each client’s personal concerns, will
aid you in making effective treatment and management decisions.
This week, you explore strategies to become a social change agent for psychiatric
mental health. Then, as you examine the assessment and treatment of clients with
dementia, you also consider related ethical and legal implications.
Discussion: Influencing Social Change
Individuals with psychiatric mental health disorders are frequently stigmatized not only
by society as a whole, but also by their friends, family, and sometimes healthcare
providers. In your role, however, you have the opportunity to become a social change
agent for these individuals. For this Discussion, consider how you might make a positive
impact for your clients and advocate for social change within your own community.
Learning Objectives
Students will:
 Apply strategies to become a social change agent for psychiatric mental health
Learning Resources
Note: To access this week’s required library resources, please click on the link to the
Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Angermeyer, M. C., Matschinger, H., & Schomerus, G. (2013). Attitudes towards
psychiatric treatment and people with mental illness: Changes over two decades. The

British Journal of Psychiatry, 203(2), 146–151. Retrieved from

Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia.
American Family Physician, 85(1), 20-22.

Dingfelder, S. F. (2009). Stigma: Alive and well. American Psychological Association,
40(6), 56. Retrieved from

Jenkins, J. H. (2012). The anthropology of psychopharmacology: Commentary on
contributions to the analysis of pharmaceutical self and imaginary. Culture, Medicine
and Psychiatry, 36(1), 78-79. doi:10.1007/s11013-012-9248-0

Price, L. H. (2010). Violence in America: Is psychopharmacology the answer? Brown
University Psychopharmacology Update, 21(5), 5.

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Optional Resources
Bennett, T. (2015). Changing the way society understands mental health. National
Alliance on Mental Illness. Retrieved from
Mechanic, D. (2007). Mental health services then and now. Health Affairs, 26(6),
1548–1550. Retrieved from
Rothman, D. J. (1994). Shiny, happy people: The problem with "cosmetic
psychopharmacology.” New Republic, 210(7), 34–38.
To prepare for this Discussion:
 Reflect on how you might influence social change for psychiatric mental health.
Note: For this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on the "Post
to Discussion Question" link and then select "Create Thread" to complete your initial
post. Remember, once you click on Submit, you cannot delete or edit your own posts,

and you cannot post anonymously. Please check your post carefully before clicking
on Submit!
By Day 3
Post an explanation of how you, as a nurse practitioner, might become a social change
agent for psychiatric mental health. Include how you might advocate for change within
your own community.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing additional insights or
alternative perspectives.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 10 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 10 Discussion

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