The Movie Nebraska

Questions: 1. Select a movie related to mental health from the list provided on the first day of class.2. Ensure no other classmate chooses the same movie.3. Prepare a 3-5 page paper (not including a reference page and title page) using the following criteria:a. Title pageb. Introduction c. History of clients illness (past present)i. Discuss the current diagnosisii. Any other mental illness/mental health issuesd. Observations ( what have you observed in the movie, i.e. behavior, SS, enablers, cultural considerations)e. What DSM-V criteria support the diagnosis? Why?f. Incorporate a treatment plan.g. What is the expected outcome?h. Conclusion (include your thoughts about the movie)i. Reference page4. Use APA formatting with in-text citations and references. Please refer to your APA manual as a guide for in-text citations and sample reference pages. Answers: Introduction In this assignment, the author will discuss the movie Nebraska and identify the mental illness highlighted in the film. Relating to the movie, the author will explain the mental illness, its current diagnosis and discuss if it supports the DSM-V criteria. The assignment will represent the observations of the movie i.e. behavior, cultural considerations. Further, the author will present a treatment plan and expected the outcome will be discussed. History of clients illness (past present) The movie Nebraska, by Alexander Payne, depicts the struggle of David, son of Woody Grant, a retired mechanic, and veteran in Korean War. This American road-trip-movie reminds every individual about human dignity by portraying Davids struggle in taking care of his aged father, who is on a verge of Dementia. In addition to congenital crabbiness, Woody is also engaged in alcohol abuse. Dementia is the mental disorder characterized by cognitive impairment, depression and difficulty carrying daily activities. It is most commonly diagnosed in elderly Americans. The onset of this disease is mainly found in 65-69 years, and the prevalence rises with age. In U.K. the prevalence of dementia is increasing, with the current figure being 800,000 and may reach up to one million by the year 2021 (Mitchell et al., 2014). Discuss the current diagnosis Diagnosis requires documenting a history of cognitive impairment, loss of memory, occurring progressively (Le Couteur et al., 2013). The other symptoms observed are poor eyesight, improper speech, apathy, movement disorder, anxiety, praxis, and visual hallucinations. The patients are tested for their executive functions. The primary tools for early detection include brain scans (PET, CT), Mini Mental State Examination, the General Practitioner Assessment of Cognition (GPCOG), the Six Item Cognitive Impairment Test (6CIT) and 7 Minute Screen (7MS). Recently, Bio-marker evidence is introduced in diagnostic formulations (Schaller et al., 2016). It is an efficient and reliable way to accurately identify the disease onset. For example, glucose is the biomarker for Diabetes. Observations The movie shows how dementia patients should be taken care. In the movie David agrees to take his father to Nebraska, despite knowing that the journey would be a significant loss. He was just trying to reduce harm by preserving his mental peace and dignity. In the end, he buys a truck for his father to fulfill his wish after disappointment from the marketing agency. The movie depicts the culture of the Midwest and its beautiful landscape in the road trip. The movie showed the behavioral aspects of the dementia patient and that of other people dealing him. What DSM-V criteria support the diagnosis? Why? The two most important criteria supported by DSM-V are a difference in social interaction and communication and repetition of certain behavior and activities. These provide outlines on elements needed by dementia patients (Le Couteur et al., 2013) Treatment plan Conventional medicines prescribed to treat dementia are Acetylcholinesterase inhibitors like galantamine to reduce hallucinations, Memantine hydrochloride together with other medicines. In the case of severe disruptive behavior, antipsychotics are administered for the short period. Antidepressants are prescribed to reduce depression, anxiety or frustration which is the common issue for dementia patients (Kishi et al., 2015). The psychological treatment includes: Cognitive therapy- includes exercises, problem solving activities, and Pleasurable activities like music, reality orientation, activities to decrease memory loss and improve self-esteem. Validation therapy- involves reframing of mind without any allegations or hurting their feelings to change their perception. Behavioral therapy- aims at treating various behavioral problems to address their delusional thinking or aggression (Chang et al., 2015) What is the expected outcome? Most types of dementia are not curable rather worsens gradually with age. Dementia caused by hormonal or vitamin deficiency is treated by supplements and other such as brain tumors are surgically treated. Dementia involving degeneration of brain is mainly treated by targeting the risk factors such as diabetes, high blood pressure. Most of these medicines have side effects like the rigidity of bones. Some medications induce cancer (Ye et al., 2014). Conclusion The movie creates public awareness about how elderly people with dementia should be valued and treated considering their mental illness. It emphasized on the patient-centered care to be given to such patients and should not be discriminated by caste, race, sex or religion. Their perceptions and interactions should be considered to tailor their management. Most importantly, it gives a message that family members should be supportive and at the forefront in caring their loved ones. It will give the patient enough confidence to fight the illness. The movie teaches us that every human being should be respected of his infinite values irrespective of their physical and mental condition and if they are productive to the society or not. Reference Chang, H., Park, H., Lee, H. S., Cheong, J., Kang, H. (2015). Status of treatment for dementia patients who visited hospital as the first visit.Archives of gerontology and geriatrics,60(3), 453-456. Kishi, T., Matsunaga, S., Oya, K., Ikuta, T., Iwata, N. (2015). Protection against Brain Atrophy by Anti-dementia Medication in Mild Cognitive Impairment and Alzheimers Disease: Meta-Analysis of Longitudinal Randomized Placebo-Controlled Trials.International Journal of Neuropsychopharmacology, pyv070. Le Couteur, D., Doust, J. A., Creasey, H., Brayne, C. (2013). Political drive to screen for pre-dementia: not evidence based and ignores the harms of diagnosis.BMJ Online. Mitchell, G., McCormack, B., McCance, T. (2014). Therapeutic use of dolls for people living with dementia: A critical review of the literature.Dementia, 1471301214548522. Schaller, S., Marinova-Schmidt, V., Setzer, M., Kondylakis, H., Griebel, L., Sedlmayr, M., ... Kolominsky-Rabas, P. L. (2016). Usefulness of a Tailored eHealth Service for Informal Caregivers and Professionals in the Dementia Treatment and Care Setting: The eHealthMonitor Dementia Portal.JMIR research protocols,5(2). Ye, B. S., Choi, S. H., Kim, E. J. (2014). DIFFERENTIAL ASSOCIATION BETWEEN CANCER INCIDENCE RISK AND ALZHEIMER'S DISEASE ACCORDING TO DEMENTIA MEDICATION.Alzheimer's Dementia: The Journal of the Alzheimer's Association,10(4), P910.