Dementia Diagnosis in Care Homes By Alex Stephenson Advanced Nurse Practitioner RMN
What is Dementia? Syndrome which is chronic and progressive in nature Deterioration in cognition and functional skills Affects older adults mostly Not normal part of ageing
Types of Dementia Alzheimer’s disease Vascular dementia Frontotemporal dementia Dementia with Lewy Bodies Mixed type dementia (Alzheimer’s disease and vascular dementia) HIV related dementia Creutzfeldt-Jakob disease (CJD)
Recognising Dementia Changes in memory Repetitive Misplacing items Communication difficulties Psychotic symptoms Mood changes Movement problems Sleep disturbances Personality and behavioural changes Thinking skills
How is Dementia Diagnosed? LOTS OF QUESTIONS Cognitive testing Scanning – MRI or CT Neuropsychology
Benefits of a Dementia Diagnosis Advanced care planning Risk of delirium Explanation Deprivation of liberty Help for the care home staff Missed out residents Treatment Involvement of services
Referral for Assessment Consent GP Community Matron Dementia Service Care Home Liaison
How to Access Care Home Liaison Telephone number – 01206 228970 Ask to speak to Alex, Mike or Kirstie Email with patient name, date of birth, NHS number (if known) and brief reason for referral Referral form Memory assessment only
Thank you for listening Any Questions?