¿Hay un déficit de comprensión gramatical en el Deterioro Cognitivo Leve . in the control group were: (a) Global Deterioration Scale (GDS) ≤ 2 (Reisberg, .. Validez clínica de dos escalas instrumentales en la enfermedad de Alzheimer. -Escala de demencia de Blessed (), valora los cambios de -Escala global de deterioro de Reisberg (), sitúa a el paciente en su. Se seleccionó una muestra de sujetos para aplicar las escalas, de los . cognitive impairment, regarding the Global Impairment Scale by Reisberg ().
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Mild cognitive impairment in elderly users of municipal centers of the Ezcala of Murcia Spain. This article of investigation tries to know the issue of mild cognitive impairment MCI in elderly users of municipal centres to measure the importance of psycho-educational dimension like preventive alternative. For this reason, we have used a qualitative methodology semistructurated interview after a selection of people applying quantitative scales e.
We selected a edterioro of people for the scales, out of which 30 people were considered suitable for the interviews.
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The results show that despite the fact that elderly people have a MCIthey are able to practice activities for improving their quality of life. Within this investigation, new lines of work based in the free time, lonely, self esteem and self are opened to elderly people with MCI.
Elderly people; health; quality of life; mild cognitive impairment; education. Los resultados arrojan evidencias de que, incluso en situaciones de DCL, se pueden llevar a cabo actividades que redunden en la mejora de la calidad de vida de los mayores.
Both, ageing the population worldwide, and increasing the quality of life of elderly people, are two of the principal aims along XX century. However, the fact that we live longer and longer and with better vital conditions do not prevent other situations or difficulties to find out, appear, so that other alternatives can be offered to contribute to keep and improve the quality of life.
In this sense, the cognitive damage constitutes one of the most important public health problems within developed countries. Traditionally, The Mild Cognitive Impairment DCL was related to the process of ageing; a vital stage which was detected in advanced stages of such illness. Within such meaningful increase in people over 65 it will be probable an increase in those illnesses associated to such age, like demencies, as it was stated in a previous paragraph. Nevertheless, we have to be conscious that not everybody who is getting elder without developing demency, do it with their intellectual qualities undamaged or reduced, in a mild or non pathological way: But, what do we mean by Mild Cognitive Impairment?
Globally, the DCL is an alteration which affects a profile of people, generally elder people who, not being properly insane, show a slope in their intellectual and cognitive skills, and a slope which will be manifested in their daily life Molinuevo, Regarding Alvarez and Alom the cognitive stage which states between normal conditions and insane, is characterized with cognitive deficit which is acquired without affecting the functional skills and the daily routines of people.
Those surveys show that it is highly advisable for such elder people with DCL to use a cognitive therapy oriented to the preservation of intellectual activity and the development of mechanisms of compensation. In this sense, from a psychological point of view there are lots of possibilities for elder people with DCL.
Therefore, the work of researching which is shown, tries to offer a view about the state of the situation from the own perception of the person, by using for that purpose, a qualitative methodology of research, without renouncing in favor of some quantitative tools which have made possible a diagnosis for those elder people who have been interviewed as suffering DCL.
In this respect, some studies Casullo, showed the importance to supply designs of investigation focused on analyzing how interviewed people make their social representations about this topic, need or problem to research. Other similar studies deal with it from different points of view Escarbajal de Haro, ; Martinez de Miguel, ; Minano, ; Montero, ; Salmeron,but none of them deal with DCL in elder people who use social centers from their perceptionspsycho educational lacks and from the possibilities to work with a psycho educational action within this collectivity.
That is why, within the research along this article the following aims were taken into account: All of them are part of the Programme about Gerontology and Healthy Ageing which the social centers are carrying out in different parts of the region of Murcia. It is a programme which offers elder people better possibilities to feel useful in society and live their ageing in an active way. As far as social-demographic variables, we have to show that a In order to establish the final draft of this research, we followed the following procedure: Out of elder people were selected by geriatricians in such centers from the individuals who were valued with subjective symptoms of loss of memory GDS2which identifies a normal individual with mild cognitive impairment, regarding the Global Impairment Scale by Reisberg And, after analysing the data which were obtained when assigning the psychometrical proofs, 34 individuals with DCL were detected which would correspond to the stage GDS3 according to Reisberg Scale.
Though we decided to use a qualitative approach for the key point of such research, it was also necessary, as we have stated, the use of quantitative tools to be able to select, in an accurate way, the individuals within this research.
The following tests were taken to individuals with subjective sympthoms with loss of memory: As we pretended those people for the research to be autonomous as the results obtained would be much more objectivewe applied Lawton Scale on the basic activities of daily life, and we checked the ratio of comorbility by Charlson, which was designed to forecast mortality in a long period according to the function of the associated chronicle pathologies. The analysis of the results showed that out of 34 people, 4 of them did not fulfill the necessary requirements so that their autonomy were total, that is to say a ratio by Lawton of 8 the punctuation to be autonomous should be under 8and the comorbility by Charlson between 0 and 1, as it involves a risk of mortality.
For that purpose, the criteria by Petersenwere necessary for the diagnosis of Mild cognitive Impairment: Finally, 30 individuals took part in the interview those ones who fulfilled the criteria by Petersen and had autonomy. In this sense, Lyman showed that it is possible, even, to interview ill people suffered from Alzheimer throughout guided conversations. Hereby, in this research, the semi structured interview focuses on thematic essences which have orientated the questions which were designed.
Once we obtained the necessary permissions, we proceeded to start the fieldwork of research which consisted of: Quotation of such people in one of the centers which is usual for them to meet.
Compromise to use the data only and exclusively for such research.
Ask for permission for those interviewed people to be recorded, by explaining them that in such way, we collect reliable information not losing details which can be interesting by avoiding to record images since such images had a bad influence on the interviewed person. The data analysis was a key point, as well as problematic, within the process of research. The open and flexible character of this methodology, as well as the diversity of views involved in it and the lack of orientation and systematization on this respect, will have conditions which can explain such situation.
Mind to stand up that, when we use, in a qualitative research, the interview as a tool to obtain information, the adequate sample can be between people, to avoid permeate the information which was obtained according to the researchers by Taylor and Bogdan In such case, we worked with a sample made up of 30 elder people with DCL.
The data which we obtained were gathered according to 6 categories of analysis and some subcategories. These basic categories could make the conclusions of such investigation, after analyzing and discussing the results: Health Category was doubled into two subcategories: Psychic Health and Physical Health, so, this way we could make a more detailed analysis of basic elements for people with DCL.
Regarding Psychic health, we could check that a meaningful number of individuals who were interviewed show a not very high state of mind, and it can be attributed, among other reasons, to age, to its impairment or to any other circumstance around their lives, such as familiar or personal situations: Bad, as I do not want to be on my own, I would not get up; Everything Deterioeo can see is bad though people say this is deterioor so E2.
I feel really reisbery E7. I have a nice day though others I feel slump in moral E Though there are also people with much more in the mood and willingly to live. Maybe, this is one of the most essential categories, as one of the principal axes of the investigation are people with DCL, and it is here where we can enquire into, in a clear way, within the topic.
It is in this category where we can find in a significant way any symptom which characterizes deterrioro cognitive impairment.
We can check how most these elder fall into oblivion objects in their house, and glboal can remember facts and events which happened long time ago, and however, they cannot remember events which have just happened: I can remember better something feisberg happened long time ago.
I start preparing lunch and say: What are the ingredients for this lunch? Maybe I forget what happened yesterday but I can remember what happened long time ago E Nevertheless, all the individuals which are part of the sample face up the problems quite well, and besides, they have the support of their sons or daughtersand, mainly in their couples when they feel they are not capable of facing or solving any question which arise in their daily life.
But what it is more notable is, that, in general, despite the fact that they sometime feel slump in moral, all these people who were interviewed were really willing to live and they accept health problems as something natural of their age. They can understand and adopt the normal health disability conditions which can appear with their age. We can obtain necessary information about the perception of physical Health if there exists any condition which avoids them continue living in a natural life.
It is meaningful that all elder individuals who were interviewed within this research have a similar concept about health: They feel weaknesses, in general regarding their age, but they feel quite well and it is so how they eeterioro it in escaoa answers: How do I feel? Well, with some weaknesses, but well E Sometimes my legs hurt, but this is something normal related to my age E The interviewed elder people state that health conditions do not affect their lives.
Their chronic problems do not suppose an obstacle to go on living a normal life. This is quite interesting as it shows how these individuals are able to reidberg out lots of activities and their DCL is not a problem. Concerning the relationships, we can state that social relations are a key point for elder people, and it is clear that both sons, daughters, family in general reieberg friends, are really part of glboal social environment; it is a notable fact that they can have relationships more with their family members than any deteriioro people or social group: Yes, certainly, I get on well with my sons and daughters which reiberg the principal thing, and with my family E Though it is also important to point out their social relationships with neighbors and friends, which are equally important and gratifying: Yes, Globwl have lots of friends E Life has to be lived together to other people E Any time we travel we always make friends E Their relationships, so, are satisfactory at all and they can encourage it in activities in centers for elder people, trips, parties, etc.
Equally, Education category was divided into two parts: As it was stated in a first category, the academic education in this group of elder people is really low. As far as elder women, rural life, the epoch when women dedicated their life to work the land or housework, as it is known, registered a generation of women who suffered from a society who kept them apart and did not offer any possibility to be considered equal to men.
Nearly all interviewed women would have liked to study: I would have liked to become a nurse E5. Me, without doubt, a teacher E8. Nevertheless, elder women who are part of this sample, did not study but they have in common a very important aspect: All of them would study now if they could. Regarding elder people’s expectations and projects, we can state that it is not lack of illusion, but willingness and age make them not plan any longer or a difficult project: I think that we can always do things if we have illusion and we are strong enough to do them.
E16although it is true that they are involved in lots of leisure and educational activities like painting or socio-cultural workshops.
Self-stem also constitute a meaningful category of analysis within this research. That is to say, self-stem is a key point which has to be considered when carrying a project about Healthy Ageing, since it is really tied to psychical health of people.
Demencia. by Jeronimo Ap on Prezi
A high self-stem, in general, is a key point as these people consider themselves really valuable and think that their experience is very positive for everybody. These elder people who were interviewed show a great satisfaction about what they lived in their youth despite the fact that they suffered and the effort, and the work that they did. They consider themselves necessary so that their children can work, and it makes them important.
Now they are in a stage of their lives where vitality, beauty, and strengh I think it is a positive stage it is life, isn’t it?