Living well with dementia

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Presentation transcript:

Living well with dementia How we think about it is important Matthew Croucher

Published November 2013 www.health.govt.nz/publication/new-zealand-framework-dementia-care

www.health.govt.nz/publication/new-zealand-framework-dementia-care End of Life Addressing challenges to Maximise Well-being Living Well with Dementia Assessment, Diagnosis, Early Intervention and On-going Support Awareness and Risk Reduction www.health.govt.nz/publication/new-zealand-framework-dementia-care

www.health.govt.nz/publication/new-zealand-framework-dementia-care End of Life Addressing challenges to Maximise Well-being Living Well with Dementia Assessment, Diagnosis, Early Intervention and On-going Support Awareness and Risk Reduction www.health.govt.nz/publication/new-zealand-framework-dementia-care

Open University Press 1997

The Dementia Spiral, after Tom Kitwood Dementia reconsidered: The person comes first. Open University Press. Buckingham / Philadelphia. 1997

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Source: Dementia SOS, Colorado’s Dementia News and Resource Center, www.coloradodementia.org

Neurological Insult Malignant Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult Malignant Psychosocial Factors N. I. M.P.Fs N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult Malignant Psychosocial Factors N. I. M.P.Fs N. I. M.P.Fs M.P.Fs M.P.Fs N. I. N. I. N. I. N. I. M.P.Fs M.P.Fs M.P.Fs M.P.Fs N. I. N. I.

Neurological Insult Malignant Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult Positive Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

Neurological Insult Positive Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I. ‘Rementia’ with recovery of personhood

Source: Manawatu Standard www.stuff.co.nz 14/8/2011

Person-centred care Patient-centred care Disease-centred care

Person-centred care Patient-centred care Disease-centred care

Personhood:

Personhood: The collection of those qualities that make us a unique person

Personhood: The collection of those qualities that make us a unique person in our own eyes and in the eyes of others.

Person-centred care Patient-centred care Disease-centred care

Published 2016 Alzheimers NZ (with grateful thanks to Dementia Australia)

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Thoughts and feelings Fun and laughter Spirituality Self-care

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Finances EPOA Advanced care plan Will

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Culture Sexuality Gender Life story

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Creativity Social life Work Driving De-stressing Exercise Brain exercise Nature Music

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Asking for help Support services Home safety Emergencies

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Diet Toxins Medications

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Reminders Communication Way-finding General health Mental health Neurological health Other cognitive strategies

Activities of daily life Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms