Role of Nurses in Preventing Progression from Mild Cognitive Impairment to Dementia among the Elderly
Keywords:
Mild cognitive impairment, Dementia, Elderly, Nursing RoleAbstract
Mild Cognitive Impairment (MCI) is a condition that occurs in the elderly, characterized by a decline in cognitive abilities and decision-making, but not severe enough to interfere with daily life. MCI is considered a stage in the brain’s degenerative process, which, if left untreated and unprevented, can lead to dementia. Nurses play a critical role in preventing dementia in elderly patients with MCI. Their responsibilities include assessing cognitive decline, educating elderly individuals and caregivers about brain health, promoting activities that stimulate brain function, and monitoring the patients' daily lives and changes in brain symptoms for continuous care. This article presents detailed information about MCI, its types, causes, symptoms, as well as promotion and prevention strategies, with a focus on the preventive role of nurses in managing care to slow or halt brain degeneration and enhance the quality of life for the elderly.
References
สุรศักดิ์ มุลศรีสุข และพงศ์ศักดิ์ ธรรมกุลศักดิ์. (2565). บทบาทพยาบาลในการส่งเสริมสุขภาพผู้สูงอายุไทยที่อาศัยอยู่ตามลำพัง. วารสารพยาบาลศาสตร์ มหาวิทยาลัยสยาม, 23(44), 104-112.
สำนักงานคณะกรรมการพัฒนาการเศรษฐกิจและสังคมแห่งชาติ. (2562). การคาดประมาณประชากรของประเทศไทย พ.ศ. 2553-2583 (ฉบับปรับปรุง). สำนักงานคณะกรรมการพัฒนาการเศรษฐกิจและสังคมแห่งชาติ.
อารดา โรจนอุดมศาสตร์, เจษฎา เขียวขจี, และทัศนีย์ ตันติฤทธิศักดิ์. (บก.). (2564). แนวทางเวชปฏิบัติภาวะสมองเสื่อม. สถาบันประสาทวิทยา กรมการแพทย์ กระทรวงสาธารณสุข.
Albert, M. S., DeKosky, S. T., Dickson, D., Dubois, B., Feldman, H. H., Fox, N. C., Gamst, A., Holtzman, M. D., Jagust, W. J., Petersen, R. C., Snyder, P. J., Carrillo, M. C., Thies, B. & Phelps, C. H. (2013). The diagnosis of mild cognitive impairment due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Focus, 11(1), 96-106. https://doi.org/10.1176/appi.focus.11.1.96
Alzheimer's Association. (2020). Mild cognitive impairment (MCI). https://www.alz.org/ alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment
Alzheimer's Association. (2016). Alzheimer's disease facts and figures. Alzheimer's & Dementia, 12(4), 459-509. https://doi.org/10.1016/j.jalz.2016.03.001
Belleville, S., Clement, F., Mellah, S., Gilbert, B., Fontaine, F., & Gauthier, S. (2011). Training-related brain plasticity in subjects at risk of developing Alzheimer’s disease. Brain, 134(6), 1623-1634. https://doi.org/10.1093/brain/awr037
Clare, L., & Woods, R. T. (2004). Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease: A review. Neuropsychological Rehabilitation, 14(4), 385-401. https://doi.org/10.1080/09602010443000074
Cotelli, M., Manenti, R., & Zanetti, O. (2012). Reminiscence therapy in dementia: A review. Maturitas, 72(3), 203-205. https://doi.org/10.1016/j.maturitas.2012.04.008
Gaugler, J. E. (2024). Celebrating the National Institute on Aging’s 50th Anniversary: The gerontologist special collection. The Gerontologist, 64(12). https://doi.org/10.1093/geront/gnae159
Gauthier, S., Reisberg, B., Zaudig, M., Petersen, R. C., Ritchie, K., Broich, K., Belleville, S., Brodaty, H., Bennett, D., Chertkow, H., Cummings, J. L., Leon, M.d., Feldman, H., Ganguli, M., Hampel, H., Scheltens, P., Tierney, M. C., Whitehouse, P., & Winblad, B. (2006). Mild cognitive impairment. The Lancet, 367(9518), 1262-1270. https://doi.org/10.1016/S0140-6736(06)68542-5
Geda, Y. E., Knopman, D. S., Mrazek, D. A., Jicha, G. A., Smith, G. E., Negash, S., Boeve, B. F., Ivnik, R. J., Petersen, R. C., Pankratz, V. S., & Rocca, W. A. (2006). Depression, apolipoprotein E genotype, and the incidence of mild cognitive impairment: A prospective cohort study. Archives of Neurology, 63(3), 435-440.
Green, R. (2017). Vitamin B12 deficiency from the perspective of a practicing hematologist. Blood, The Journal of the American Society of Hematology, 129(19), 2603-2611. https://doi.org/10.1182/blood-2016-10-569186
Griffiths, J., Thaikruea, L., Wongpakaran, N., & Munkhetvit, P. (2020). Prevalence of mild cognitive impairment in rural Thai older people, Associated risk factors and their cognitive characteristics. Dementia and Geriatric Cognitive Disorders Extra, 10(1), 38-45. https://doi.org/10.1159/000506279.
Gupta, S., Fukuda, T., Okumura, Y., & Stankus, A. P. (2014). Alzheimer's Disease Caregiver Burden in Japan and the 5 EU. Value in Health, 17(7), A809. https://doi.org/10.1016/j.jval.2014.08.542
Joosten‐Weyn Banningh, L., Vernooij‐Dassen, M., Rikkert, M. O., & Teunisse, J. P. (2008). Mild cognitive impairment: Coping with an uncertain label. International Journal of Geriatric Psychiatry, 23(2), 148-154. https://doi.org/10.1002/gps.1855
Ju, Y. E. S., Lucey, B. P., & Holtzman, D. M. (2014). Sleep and Alzheimer disease pathology-A bidirectional relationship. Nature Reviews Neurology, 10(2), 115-119. https://doi.org/10.1038/nrneurol.2013.269
Julayanont, P., & Nasreddine, Z. S. (2017). Montreal Cognitive Assessment (MoCA): concept and clinical review. Google Scholar https://link.springer.com/chapter/10.1007/978-3-319-44775-9_7
Karp, A., Andel, R., Parker, M. G., Wang, H. X., Winblad, B., & Fratiglioni, L. (2009). Mentally stimulating activities at work during midlife and dementia risk after age 75: Follow-up study from the Kungsholmen Project. The American Journal of Geriatric Psychiatry, 17(3), 227-236. https://doi.org/10.1097/JGP.0b013e318190b691
Li, P., Legault, J., & Litcofsky, K. A. (2014). Neuroplasticity as a function of second language learning: Anatomical changes in the human brain. Cortex, 58, 301-324. https://doi.org/10.1016/j.cortex.2014.05.001
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S.G., Dias, A., Fox, N., Gitlin, L.N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., … & Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413-446.
McEwen, B. S. (2017). Neurobiological and systemic effects of chronic stress. Chronic Stress, 1(1), 1-11. https://doi.org/10.1177/2470547017692328
McGrattan, A. M., McEvoy, C. T., McGuinness, B., McKinley, M. C., & Woodside, J. V. (2018). Effect of dietary interventions in mild cognitive impairment: A systematic review. British Journal of Nutrition, 120(12), 1388-1405. https://doi.org/10.1017/S0007114518002945
Morris, M. C., Tangney, C. C., Wang, Y., Sacks, F. M., Barnes, L. L., Bennett, D. A., & Aggarwal, N. T. (2015). MIND diet slows cognitive decline with aging. Alzheimer's & Dementia, 11(9), 1015-1022. https://doi.org/10.1016/j.jalz.2015.04.011
National Institute on Aging. (2021). Preventing Alzheimer's disease: What do we know? https://www.nia.nih.gov
Ngandu, T., Lehtisalo, J., Solomon, A., Levälahti, E., Ahtiluoto, S., Antikainen, R., Antikainen, R., Bäckman, L., Hänninen, T., Jula, A., Laatikainen, T., Lindström, J., Mangialasche, F., Paajanen, T., Pajala, S., Peltonen, M., Rauramaa, R., Stigsdotter-Neely, A., Strandberg, T., Tuomilehto, J., Soininen, H., & Kivipelto, M. (2015). A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): A randomized controlled trial. The Lancet, 385(9984), 2255-2263. https://doi.org/10.1016/S0140-6736(15)60461-5
Northey, J. M., Cherbuin, N., Pumpa, K. L., Smee, D. J., & Rattray, B. (2018). Exercise interventions for cognitive function in adults older than 50: A systematic review with meta-analysis. British Journal of Sports Medicine, 52(3), 154-160. https://doi.org/10.1136/bjsports-2016-096587
Pankratz, V. S., Roberts, R. O., Mielke, M. M., Knopman, D. S., Jack Jr, C. R., Geda, Y. E., Rocca, W. A., & Petersen, R. (2015). Predicting the risk of mild cognitive impairment in the Mayo clinic study of aging. Neurology, 84(14), 1433-1442. https://doi.org/10.1212/WNL.0000000000001437
Plassman, B. L., Havlik, R. J., Steffens, D. C., Helms, M. J., Newman, T. N., Drosdick, D., Phillips, C., Gau, B. A., Welsh-Bohmer, K.A., Burke, J. R., Guralnik, J. M., & Breitner, J.C. (2000). Documented head injury in early adulthood and risk of Alzheimer’s disease and other dementias. Neurology, 55(8), 1158-1166. https://doi.org/10.1212/wnl.55.8.1158
Petersen, R. C. (2004). Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256(3), 183-194. https://doi.org/10.1111/j.1365-2796.2004.01388.x
Petersen, R. C. (2016). Mild cognitive impairment. CONTINUUM: Lifelong Learning in Neurology, 22(2), 404-418. https://doi.org/10.1212/CON.0000000000000313
Petersen, R. C., Thomas, R. G., Grundman, M., Bennett, D., Doody, R., Ferris, S., Ferris, S., Galasko, D., Jin, S., Kaye, J., Levey, A., Pfeiffer, E., Sano, M., Dyck, C. H. V. , & Thal, L. J. (2005). Vitamin E and donepezil for the treatment of mild cognitive impairment. New England Journal of Medicine, 352(23), 2379-2388. https://doi.org/10.1056/NEJMoa050151
Rob, H. (2020). The progression and stages of dementia: Fact sheet 458LP. Google. default/files/pdf/factsheet_the_progression_of_alzheimers_disease_and_other_dementias.pdf.
Ross, C., & Beattie, E., (2015). Caring for someone with dementia: The economic, social and health impacts of caring and evidence based support for careers. A report prepared for Alzheimer’s Australia (pp. 12-20). Aged and Dementia Care School of Nursing, Queensland University of Technology
Spira, A. P., Gamaldo, A. A., An, Y., Wu, M. N., Simonsick, E. M., Bilgel, M., Zhou, Y., Wong, D. F., Ferrucci, L., & Resnick, S. M. (2013). Self-reported sleep and β-amyloid deposition in community-dwelling older adults. JAMA Neurology, 70(12), 1537-1543. https://doi.org/10.1001/jamaneurol.2013.4258
Whitmer, R. A., Gunderson, E. P., Barrett-Connor, E., Quesenberry Jr, C. P., Yaffe, K. (2005). Obesity in middle age and future risk of dementia: A 27 year longitudinal population based study. BMJ, 330(7504), 1360. https://doi.org/10.1136/bmj.38446.466238.E0
Wilson, R. S., Scherr, P. A., Schneider, J. A., Tang, Y., & Bennett, D. A. (2007). Relation of cognitive activity to risk of developing Alzheimer disease. Neurology, 69(20), 1911-1920. https://doi.org/10.1212/01.wnl.0000271087.67782.cb
Winblad, B., Palmer, K., Kivipelto, M., Jelic, V., Fratiglioni, L., Wahlund, L. O., Nordberg, A., Bäckman, L., Albert, M., Almkvist, O., Arai, H., Basun, H., Blennow, K., Leon, M. D., DeCarli, C., Erkinjuntti, T., Giacobini, E., Graff, C., Hardy, J. & Petersen, R. C. (2004). Mild cognitive impairment–beyond controversies, towards a consensus: Report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine, 256(3), 240-246. https://doi.org/10.1111/j.1365-2796.2004.01380.x
Wise, E. A., Rosenberg, P. B., Lyketsos, C. G., & Leoutsakos, J. M. (2019). Time course of neuropsychiatric symptoms and cognitive diagnosis in National Alzheimer's Coordinating Centers volunteers. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring, 11, 333-339. https://doi.org/10.1016/j.dadm.2019.02.006
Wolfe, C. M., Fitz, N. F., Nam, K. N., Lefterov, I., & Koldamova, R. (2018). The role of APOE and TREM2 in Alzheimer′ s disease-current understanding and perspectives. International Journal of Molecular Sciences, 20(1), 81. https://doi.org/10.3390/ijms20010081
Yaffe, K., Hoang, T. D., Byers, A. L., Barnes, D. E., & Friedl, K. E. (2014). Lifestyle and health‐related Risk factors and risk of cognitive aging among older veterans. Alzheimer's & Dementia, 10,(3 Suppl), S111-S121. https://doi.org/10.1016/j.jalz.2014.04.010
Yaffe, K., Blackwell, T., Barnes, D. E., Schwartz, A., & Cauley, J. A. (2010). Depression, metabolic syndrome, and risk of cognitive decline. JAMA Psychiatry, 67(5), 493-500.