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Obravnava pacientov z alkoholno demenco : diplomsko delo
ID Kolar, Lucija (Author), ID Pajnič, Manca (Mentor) More about this mentor... This link opens in a new window, ID Gogova, Tina (Reviewer)

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Abstract
Uvod: Demenca je klinični sindrom, za katerega je značilno progresivno poslabšanje kognitivnih sposobnosti in sposobnosti samostojnega življenja ter delovanja. Vpliva na spomin, mišljenje, vedenje in sposobnost opravljanja vsakodnevnih ter prostočasnih aktivnosti. Pozorni moramo biti na prve znake in simptome, ki jih delimo na kognitivne simptome, motnje pozornosti in koncentracije ter druge simptome. Poznamo več vrst demenc, najpogostejše pa so Alzheimerjeva bolezen, vaskularna demenca, demenca z Lewyjevimi telesci, frontotemporalna in mešana demenca. Demenca lahko nastane zaradi različnih faktorjev – tudi alkohola, kar pa imenujemo alkoholna demenca ali Wernicke-Korsakoff sindrom, za katerega je značilna huda zloraba alkohola in pomanjkanje vitamina B1 ali tiamina. Pri prekomernem uživanju alkohola je značilno celostno zmanjšanje intelektualnega delovanja, kognitivnih sposobnosti in spomina. Namen: Namen diplomskega dela bo pojasniti, kako pretirana uporaba alkohola vpliva na razvoj demence pri starejših odraslih. Osredotočili se bomo na preprečevanje nastanka alkoholne demence in vlogo medicinskih sester pri pacientih, kjer se je razvila alkoholna demenca. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom znanstvene in strokovne literature v slovenskem ter angleškem jeziku. Literatura je bila pridobljena preko EBSCO host v podatkovnih bazah PubMed in CINAHL Ultimate. Rezultati: V obravnavi pacientov z alkoholno demenco ter njihovih svojcev je najpomembnejši ukrep alkoholna abstinenca, saj preprečuje širjenje nevronskih poškodb in posledično razvoj alkoholne demence. Čeprav je pojavnost alkoholne demence relativno nizka, predstavlja obravnava teh pacientov velik izziv, saj so v začetnih stopnjah bolezni pogosto spregledani, napačno diagnosticirani in posledično neustrezno zdravljeni. Razprava in zaključek: Medicinske sestre pri obravnavi oseb z alkoholno demenco potrebujejo izobraževanje, pridobivanje kliničnih izkušenj in kompetenc, podporo vodstva ter empatijo do pacientov. Pozorni moramo biti na nevropsihiatrične simptome in sindrom izčrpanosti. Ugotovili smo, da za veliko število pacientov skrbijo svojci, naloga medicinskih sester pa je nudenje pomoči in podpore. V obravnavi pacientov z alkoholno demenco je potreben strukturiran multidisciplinarni rehabilitacijski program in posebna pazljivost pri obravnavi pacientov zaradi stigmatizacije pacientov v zdravstvenih zavodih.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, upad kognitivnih sposobnosti, zloraba alkohola, stigma, rehabilitacija
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[L. Kolar]
Year:2025
Number of pages:28 str.
PID:20.500.12556/RUL-173220 This link opens in a new window
UDC:616-083
COBISS.SI-ID:248874243 This link opens in a new window
Publication date in RUL:14.09.2025
Views:179
Downloads:27
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Secondary language

Language:English
Title:The treatment of patients with alcoholic dementia : diploma work
Abstract:
Introduction: Dementia is a clinical syndrome most often reflected in the progressive worsening of cognitive functions and the inability to live and work independently. It affects a person’s memory, thinking, behavior, and the ability to carry out everyday tasks and leisure activities. We must pay attention to the early signs and symptoms of dementia, which can be categorized as cognitive symptoms, attention deficits, concentration difficulties, and others. There are many types of dementia, but the most common ones are Alzheimer’s disease, vascular dementia, dementia with Lewy bodies, frontotemporal dementia, and mixed dementia. Dementia can be caused by factors, including excessive alcohol consumption – the latter may lead to alcohol-related dementia or Wernicke-Korsakoff syndrome. Patients with this type of dementia often suffer from a severe lack of vitamin B1 (thiamine). Excessive alcohol consumption impacts a person’s intellectual abilities, cognitive function, and memory. Purpose: The purpose of the thesis is to explain how excessive alcohol consumption affects the development of dementia in older adults. The focus will be on the prevention of alcohol-related dementia and the role of nurses in caring for patients who have developed alcohol-related dementia. Methods: A descriptive method was used, along with a review of scientific literature in both English and Slovenian. The literature was obtained through the EBSCOhost platform, specifically from the PubMed and CINAHL Ultimate databases. Results: In the care of patients with alcohol-related dementia and their family members, the most important measure is alcohol abstinence, as it prevents the progression of neurological damage and, consequently, the development of alcohol-related dementia. Although the prevalence of this type of dementia is relatively low, caring for these patients represents a major challenge, as they are often overlooked in the early stages, misdiagnosed, and insufficiently treated. Discussion and conclusion: To equip nurses with the necessary knowledge about alcohol-related dementia, they must be provided with education, the opportunity to gain clinical experience and competencies, leadership support, and, arguably most importantly, empathy. Nurses must focus on neuropsychiatric symptoms and caregiver burnout syndrome. During our study, we found that a large number of dementia patients are cared for by family members, and the role of nurses is to provide them with help and support. A structured multidisciplinary rehabilitation program is required in the care of patients with alcohol-related dementia, and special attention is needed due to the stigmatization of these patients in healthcare institutions.

Keywords:diploma theses, nursing care, cognitive decline, alcohol abuse, stigma, rehabilitation

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