Sunday, November 27, 2011

Week 9

Khalid and Sasha have continued to thrive in their relationship and in their lives. Khalid has struggled with his TBI over the years, but, at 57, he is happy to be doing pretty well. He and Sasha adopted 3 children from Russia, and the two enjoyed their 4 children for the many years they were living at home. Sasha still works as an attorney, and the two enjoy time traveling and being involved in the local community. Khalid has started a local club for children who struggle with various forms of hearing impairment, and he sits on the board of several local community agencies.

Khalid has become somewhat concerned recently as he seems to be forgetting more things than usual, and he sometimes has horrible migraine headaches during which even prescription medications provide little comfort.

Khalid visits his mother often, and she is in relatively good health. She has developed difficulty with her hearing, and she and Khalid often communicate through sign language, reminding them both of Khalid's childhood.

* Describe typical developmental milestones during middle adulthood.

* Is Khalid more at risk for dementia owing to his TBI?

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  2. * Describe typical developmental milestones during middle adulthood.
    Middle adulthood has different stages; ranging from age forty to sixty-five. Midlife transition is from forty to forty five, then middle adulthood is forty-five to fifty. Age fifty transition starts at age fifty to fifty-five and the culmination of middle adulthood is ages fifty-five to sixty where is where Khalid is now in his life. Developmental milestones in the physical aspect at Khalid’s age is that the lens of the eye loses its accommodative ability and their hearing can extend to all frequencies in adults this age. Skin begins to wrinkle and age spots may occur. Mentally Khalid will be conscious of his aging. Reaction time decreases as well as memory recall. Retrieving information from long-term memory becomes more difficult. However gains in practical problem solving and expertise occur. Emotional and social changes can occur. Khalid may re-evaluate life’s structure and try to change components that he feels inadequate. Khalid may be concerned with passing his skills and qualities onto his children at this age.


    * Is Khalid more at risk for dementia owing to his TBI?

    Once brain tissue is damaged by either a contusion or a concussion, it can put someone at risk for dementia. Your brain controls all of the functions of your body and if the tissue is damaged, then your brain functioning might also be damaged. Brain tissue can heal, to a certain extent, but even if the tissue is healed, the functioning may still not operate the same. This could be due to the original damage or scaring in the brain tissue. Functions that are not fully regained may cause prolonged or permanent declines in “cognition”. WebMD states that “Cognition is the process of thinking, remembering, understanding, reasoning and communicating”.
    Dementia in a person with a head injury can vary depending on the location of the injury. If the concussion that Khalid got from playing football was to an area of the brain for memory especially, this could be a factor leading to dementia for Khalid. Even with Khalid’s mild case of TBI, there is a good chance that he will develop dementia.

    WebMD (2011). Dementia in Head Injury. WebMD, Better Information, Better Health. Retrieved from http://www.webmd.com/mental-health/dementia-head-injury

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