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You‟re going to walk out on me after everything-” “Don‟t start that Not because you didn‟t want to hurt him, but because you were scared of him. And that‟s.
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Sometimes concerns arise because a person with dementia seems to have a need to walk. In fact, it is unreasonable to expect that people should be happy to spend their time just sitting.
Beach House - Walk in the Park Lyrics | SongMeanings
There is nearly always a reason why a person with dementia wants to walk. It might simply be that the person has energy they wish to use. Or it could be that the person is walking to try to resolve some kind of problem they have — perhaps they are completely bored, or maybe they are looking for something. Walking can become more of an issue if we are worried that the person is at risk.
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Perhaps we know that this person has had falls in the past, or the person wishes to go out and we are worried that they will come to harm. Here, it is important that we conduct a thorough analysis of the risk. We need also to consider the benefits that the person gets from walking. It will also be important to monitor her abilities since, as dementia progresses, the level of risk might increase. See the Gardens feature in the Dementia-friendly environments section.
If we are concerned that a person might fall, there are many things we can do to lessen the possibility of this happening: for example, ensuring that the person has been assessed for appropriate walking aids, that their footwear fits properly and that the environment is well-lit and free from obstacles and hazards. For more on this, see the Lighting feature in the Dementia-friendly environments section. Knowing a person as an individual, recognising their abilities as well as their difficulties, and keeping focused on their needs, will help us know when and how to intervene when people with dementia walk.
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Kemshall, H. Robb Rutledge, a neuroscientist at University College, London, and his colleagues performed an experiment with 26 subjects whose brains were scanned while they made a series of selections, each of which could result in either a certain outcome or an uncertain one — a gamble.
Participants were also asked to rate their sense of happiness after every second or third go. Plus, a similar experiment — without the brain scanning — was carried out by over 18, participants via a smartphone app, The Great Brain Experiment.
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Among various interesting findings , the team discovered that when participants had a lower expectation that they would win, their response to winning equal rewards was elevated. These scans revealed increased activity in an area of the brain associated with dopamine neurons. Dopamine, a complex neurotransmitter , could in this case be linked to changes in emotional state. Some machines may be designed to actively entice us to gamble with the very colours they use Credit: Getty Images. But are devices like gambling machines actively manipulative as well?
Griffiths has written about the cues that electronic gaming machines give to players. Much is still unknown about how their design impacts player behaviour, but, for example, many machines and casinos use red and similar colours — considered more arousing. Then there is the role of sound. Griffiths wonders whether the taunts of a common machine referencing The Simpsons has an antagonistic effect on players.
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One key factor in how addictive any kind of gambling might be is how frequently players can place bets. Because the availability of opportunities to gamble is linked with the level of problem gambling in a given community, Griffiths argues that it is the number of potential rewards — not actual rewards or even the type of betting — that drives pathological gamblers.
Games and machines are also often designed to keep players interested by offering substitute rewards, like additional credit or — after a loss — the possibility of winning bigger than usual next time. The process of betting may be the most powerful draw after all… Credit: Getty Images. Griffiths gives the example of UK gaming machines which are designed with adaptive logic that means they might pay out more than they take from customers during a certain period, after which they will revert to a less generous system.
Should you put it all on red or black?
Are devices like gambling machines actively manipulative as well?