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  • TITLE
  • DECLARATION
  • CERTIFICATE
  • PREFACE
  • ACKNOWLEDGEMENT
  • CONTENTS
  • LIST OF TABLES
  • LIST OF FIGURES
  • I INTRODUCTION
  • 1.1 Process of Ageing
  • 1.2 What is Dementia?
  • 1.3 Epidemiology of Dementia
  • 1.4 Symptoms of Dementia
  • 1.4.1 Memory loss
  • 1.4.2 Difficulty in performing familiar tasks
  • 1.4.3 Problems with language
  • 1.4.4 Disorientation to time and place
  • 1.4.5 Poor or decreased judgment
  • 1.4.6 Problems with keeping tack of things
  • 1.4.7 Misplacing things
  • 1.4.8 Changes in mood or behaviour
  • 1.4.9 Changes in personality
  • 1.4.10 Loss of initiative
  • 1.5 Four steps to Recognizing Dementia
  • 1.5.1 Recognize the early symptoms
  • 1.5.2 Listen to the person
  • 1.5.3 Listen to the carer
  • 1.5.4 Seek professional advice
  • 1.6 Common Causes of Dementia
  • 1.6.1 Alzheimers disease
  • 1.6.2 Vascular dementia
  • CRITERIA FOR VASCULAR DEMENTIA
  • 1.6.3 Dementia associated with lewy bodies
  • 1.6.4 Frontotemporal dementias
  • 1.6.5 Other dementias
  • 1.6.6 Depression
  • 1.7 Nature of Dementia
  • 1.7.1 Mild Dementia
  • 1.7.2 Moderate Dementia
  • 1.7.3 Severe Dementia
  • 1.8 Problems of Dementia in India
  • 1.9 Diagnosis of Dementia
  • 1.9.1 History
  • 1.9.2 General neurologic examini~tion
  • 1.9.3 Laboratory tests
  • 1.9.4 Discussion of diagnosis and formation of rapport with the family
  • 1.9.5 Those whose lives it has clouded
  • 1.10 Pharmacological Interventions in Dementia
  • 1.10.1 General Principles in the Drug Therapy of Dementia
  • 1.10.2 New understanding of the pathological process and Possible avenues of treatment
  • 1.11 Ayurvedic Concept in the Management of Dementia
  • 1.12 Non Pharmacological Management of Dementia
  • 1.12.1 Memory loss in Dementia
  • 1.12.2 Memory aids
  • 1.12.3 Reality orientation
  • 1.12.4 Reminiscence therapy
  • 1.12.5 Behavioural therapy
  • 1.12.6 Social interaction
  • 1.12.7 Domiciliary care
  • 1.12.8 Day care
  • 1.12.9 Family intervention programme
  • 1.12.10 Self help group - caregivers meeting
  • 1.13 Impact of Dementing Diseases on Care giving Families
  • 1.14 Psycho-Social Problems of Care givers
  • 1.15 Effect of Dementia on Care givers
  • 1.16 Conclusion
  • II REVIEW OF LITERATURE
  • 2.1 Dementia and Family Care givers
  • 2.1.1 The Dementias
  • 2.1.2 Who is the informal care giver?
  • 2.1.3 Why does family Care givers care?
  • 2.1.4 Family structure and care-giving
  • 2.1.5 Caregiver - care recipient relationship
  • 2.1.6 Severity of dementia and Caregivers
  • 2.1.7 Relationship factors
  • 2.2 Studies on Basic Issues in Family Care-giving
  • 2.2.1 Care giving as an on going process: careers of care givers
  • 2.2.2 Care giving stress: processes of proliferation and containment
  • 2.2.3 Care giving in a family context
  • 2.2.4 The perspective of the care recipient
  • 2.3 Emotional and Social Reactions of Care givers
  • 2.3.1 Emotional problems of Care: givers
  • 2.3.2 Psychological morbidity
  • 2.3.3 Behavioural problems of the Care givers
  • 2.3.4 Problems with activities of daily living
  • 2.3.5 Burden in care-giving
  • 2.3.6 Coping
  • 2.3.7 Physical morbidity
  • 2.3.8 Social Isolation
  • 2.3.9 Financial Problem
  • 2.4 Care Givers interventions
  • 2.4.1 Support
  • 2.5 Therapeutic Approaches to Care
  • 2.5.1 Psychological care strategies
  • 2.5.2 Care in the community
  • 2.5.3 Effectiveness of cornmunity based services
  • 2.6 Conclusion
  • III RESEARCH METHODOLOGY
  • 3.1 Introduction
  • 3.2 Statement of the Problems
  • 3.3 Scope of the Study
  • 3.4 Objectives of the Study
  • 3.5 Definition of the Concepts
  • 3.5.1 Emotional Reactions
  • 3.5.2 Social Reactions
  • 3.5.3 Care - giver
  • 3.5.4 Elderly Demented Persons
  • 3.6 Hypothesis
  • 3.7 Methodology of the Study
  • 3.7.1 Universe and Geographical Area
  • 3.7.2. Sample Size
  • 3.7.3 Methods and Procedure of Sampling
  • 3.7.4. Pilot study
  • 3.8 Research Design
  • 3.9 Sources of Data
  • 3.9.1 Primary Data
  • 3.9.2 Secondary Data
  • 3.10 Tools of Data Collection
  • 3.10.1. Interview Schedule
  • 3.10.2. Family Burden Interview Schedule by Pai & Kapur
  • 3.10.3 General Health Questionnaire (GHQ- 28) by Goldberg and Hillier- (1979)
  • 3.11 Pre-Test
  • 3.12 Data Collection
  • 3.13 Data Analysis
  • 3.14 Statistical Techniques
  • 3.14.1 Chi-Square test
  • 3.14.2 t test
  • 3.15 Setting of the Study
  • 3.16 Limitation of the Study
  • 3.17 Chapterisation
  • IV ANALYSIS AND INTERPRETATIONS
  • 4.01 Socio-Economic Conditions of Elderly Demented Persons
  • 4.02 Personal Information of Primary Care givers
  • 4.03 Emotional Reactions of Care givers
  • 4.03 Emotional Reactions of Care givers
  • 4.04 Awareness About the Disease and Care of Dementia Patients
  • 4.05 Social Reactions of the Care givers
  • 4.05 Social Reactions of the Care givers
  • 4.06 Total Expressed Emotions
  • 4.07 Factors Relating to the social Participation of Care givers
  • 4.07 Factors Related to Social Participation of Care givers
  • 4.08 Level of Burden in Different Areas of Family Functioning
  • 4.09 Extent of Problems Faced by Care givers
  • 4.09 Extent of Problems Faced by Care givers
  • 4.10 One Way Anova Results for the Selected Psychological Variables Based on Age of Dementia Patients
  • 4.11 T Test results for the Selected Psychological Variables Based on Sex of Dementia patients
  • 4.12 One way Anova Results for the Selected Psychological Variables based on Education of Dementia Patients
  • 4.13 T Test Result for the Selected Psychological Variables Based on Type of Dementia
  • 4.14 One Way Anova Results for the Selected Psychological Variables Based on Age of the Care givers
  • 4.15 T Test Results for the Selected Psychological Variables Based on Marital Status of the Caregivers
  • CONCLUSION
  • V ANALYSIS AND INTERPRETATIONS
  • 5.01 One Way Anova Result for the Dimension of Family Burden Based on Age of Dementia Patients
  • 5.02 One Way Anova Results for the Factors of Psychological Distress Based on Age of Dementia Patients
  • 5.03 T Test results for the Dimensions of Family Burden Based on Sex of the Dementia Patients
  • 5.04 T Test Result for the Factors of Psychological Distress Based on Sex of the Dementia Patients
  • 5.05 One Way Anova Results for the Dimension of Family Burden Based on Education of Dementia patients
  • 5.06 One Way Anova Results for the Factors of Psychological Distress Based on Education of Dementia Patients
  • 5.07 One Way Anova Results for the Dimension of Family Burden Based on Occupation of Dementia Patients
  • 5.08 One Way Anova Results for the Factors of Psychological Distress Based on Occupation of Dementia Patients
  • 5.09 T Test Result for the Dimensions of Family Burden Based on Type of Dementia
  • 5.10 T Test Result for the Factors of Psychological Distress Based on Type of the Dementia Patients
  • 5.11 T Test Result for the Dimensions of Family Burden Based on Location of Dementia Patients
  • 5.12 T Test Result for the Factors of Psychological Distress Based on Location of Dementia Patients
  • 5.13 One Way Anova results for the Dimension of Family Burden Based on Age of Caregivers
  • 5.14 One Way Anova Results for the Factors of Psychological Distress Based on Age of Care givers
  • 5.15 T Test Result for the Dimensions of Family Burden Based on Sex of Dementia Patients
  • 5.16 T Test Result for the Factors of Psychological Distress Based on Sex of Care givers
  • 5.16 T Test Result For the Factors of Psychological Distress Based on Sex of Care givers
  • 5.17 One Way Anova Results for the Selected Psychological Variables Based on Education of the Care givers
  • 5.18 One Way Anova Results for the Dimension of Family Burden Based on Education of Care givers
  • 5.19 One Way Anova Results for the Factors of Psychological Distress Based on Education of Care givers
  • 5.20 T Test Result for the Dimensions of Family Burden Based on Marital Status of Care givers
  • 5.20 T Test Result For the Dimensions of Family Burden Based on Marital Status of Care given
  • 5.21 T Test Result for the Factors of Psychological Distress Based on Marital Status of Care givers
  • 5.22 T Test Result for the Dimensions of Family Burden Based on Religion of Care givers
  • 5.23 T Test Result for the Factors of Psychological Distress Based on Religion of Care givers
  • 5.26 One Way Anova Results for the Dimension of Family Burden Based on Monthly Income of Care givers
  • 5.27 One Way Anova Results for the Factors of Psychological Distress Based on Monthly Income of Care givers
  • 5.28 T Test Result for the Dimensions of Family Burden Based on Type of House of Care givers
  • 5.28 T Test Result for the Dimensions of Family Burden Based on House Type of Care givers
  • 5.29 T Test Result for the Factors of Psychological Distress Based on Type of House of Care givers
  • 5.30 T Test Result for the Dimensions of Family Burden Based on Family Type of Care givers
  • 5.30 T Test Result for the Dimensions of Family Burden Based on Family Type of Care givers
  • 5.31 T Test Result for the Factors of Psychological Distress Based on Family Type of Care givers
  • 5.32 T Test Result for the Dimensions of Family Burden Based on Family Size of Care givers
  • 5.32 T Test Result for the Dimensions of Family Burden Based on Family Size of Care givers
  • 5.33 T Test Result for the Factors of Psychological Distress Based on Family Size of Care givers
  • 5.34 Correlation Results for the Selected Variables Under Study
  • 5.34 Correlation Results for the Selected Variables Under Study
  • 5.35 Correlation Results for the Selected Socio Economic Conditions and the level of Burden and Psychological Distress Based on Age of Care givers
  • CONCLUSION
  • VI FINDINGS AND SUGGESTIONS
  • SUGGESTIONS
  • Academic suggestions
  • Practical suggestions
  • CONCLUSION
  • APPENDIX I Bibliography
  • APPENDICES
  • APPENDIX II Interview Schedule for the Care givers
  • APPENDIX III Family Burden Assessment Interview Schedule
  • APPENDIX IV General Health Questionnaire (GHQ)