Working with Adults; Dementia Ian Mathews Senior Lecturer in Social Work.

Slides:



Advertisements
Similar presentations
Championing dementia Dr Kritika Samsi Research Associate Social Care Workforce Research Unit Kings College London
Advertisements

Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point.
What can we learn from people with Alzheimer’s disease? Professor Bob Woods Dementia Services Development Centre Wales Bangor University.
DEMENTIA AWARENESS. AIMS To give carers a basic understanding of dementia.
Living and Dying with Dementia (a Hospital Perspective) Dr Oliver J Corrado, Consultant Geriatrician, Leeds Teaching Hospitals and LTHT ‘Dementia Champion’
Psychological Assessment
A presentation by: 1.  Aging well depends on your: Genes Environment Lifestyle  Healthy lifestyle choices may help you maintain a healthy body and brain.
CHALLENGING BEHAVIOUR AND END OF LIFE CARE
Workshop: Opening up the conversation Rev Prof Elizabeth MacKinlay AM PhD, RN Centre for Ageing and Pastoral Studies School of Theology, Charles Sturt.
Dementia Management- Commissioning integrated Care Dr Dee Gallop-GP & Associate Clinical Director Lincolnshire Foundation Partnership Trust Colin Warren.
DEMENTIA. Outline What is Dementia? What is Dementia? Who gets it? Who gets it? What are the symptoms? What are the symptoms? How do we diagnose it? How.
DEMENTIA JOE BEDFORD IBRAHIM ELSAFY ESCALIN PEIRIS.
Community Geriatric Mental Health Services
Dementia Produced by Wessex LMCs in partnership with: Dr Nicola Decker, GP Alzheimer’s Society.
Dementia Awareness An introduction to supporting people with dementia.
Dementia Awareness Alzheimer’s Society. ________________________________________________________________________________________ alzheimers.org.uk What.
Essential dementia awareness: describing dementia.
ALZHEIMER’S DISEASE BY OLUFOLAKUNMI KEHINDE PRE-MD 1.
The Healthy Body, Healthy Brain Campaign Alaska Commission on Aging Alaska Division of Public Health Alaska Mental Health Trust Legislative Health Caucus.
ALZHEIMER’S PART 2. AD VIDEO
ALZHEIMER’S DISEASE BY JOSEPH MOLLUSO.
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 37 Confusion and Dementia.
ALZHEIMER’S DISEASE : problems and decisions The second course general practice nursing st udent Атанас Гроздев (Atanas Grozdev ). Medical University of.
LIVING WITH DEMENTIA Healthcare Assistant Conference 16 September 2015 Dr Manjit Purewal.
EMS Alzheimer’s Training Alzheimer’s Association of NENY Hollie Gray.
NOW WHERE HAVE I PUT MY GLASSES? A DISCUSSION AROUND DEMENTIA Dr Marion Overton U3A SCIENCE 19TH JUNE 2015.
10 signs to early detection 1. Memory loss that affects daily life 2. Challenges in planning or solving problems 3. Difficulty completing projects at.
Justin Timberlake Alicia Keys Angelina Joli David Beckham Jay-Z Gwen Stefani Paris HiltonTom Cruise
BTEC Level 3 National Health and Social Care Unit 40: Dementia care.
CONFUSION & DEMENTIA CHAPTER 35.
Dementia. What is Dementia? Dementia is a gradual decline of mental ability that affects your intellectual and social skills to the point where daily.
From institutionalisation to living well with dementia : a BCU vision Dr Arun Kaimal. MBBS ;MRCPsych Consultant Old Age Psychiatrist and Head of Programme.
1 Supporting people living with dementia and serious sight loss. Catherine Dennison - Thomas Pocklington Trust Rebecca Sheehy - RNIB Mr Paul G Ursell MBBS.
Chapter 39 Confusion and Dementia All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 44 Confusion and Dementia.
Dementia Care Wendy Burnett CNS for Older People.
Alzheimer's disease M O Jamali, H Saeed & T Mathew.
Advance Care Planning Unit 8: Advance care planning and the challenge of dementia.
Section V Mental Health and Social Service Needs Unit 1: Psychosocial Needs of Residents.
{ Dementia Wendy Valenzuela.  A mental deficiency in which the brain has long term complications with various tasks when brain cells begin to die off.
DEMENTIA INFORMATION SESSION Terezie Holmerova – Westminster Dementia Adviser Housing & Care 21.
Mosby items and derived items © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. 1 Chapter 17 Cognitive Impairment, Alzheimer’s Disease, and Dementia.
1 Cognitive Impairment and Dementia: What You Need to Know about Alzheimer's Disease and Related Disorders Part 2 – Clinical focus Susan Rowlett, LICSW.
1 Alzheimer’s Disease: Delirium and Dementia For use in conjunction with: The Eastern North Carolina Chapter of the Alzheimer’s Association. (2003). Module.
Dementia Awareness Chwe Wythnos lecture programme 2013.
RECOGNISING AND REDUCING DEPRESSION IN OLDER PEOPLE Developing Skills – Improving Practice The York Training Programme Session 1.
Dementia Care - a Forward View and a note on the Nottinghamshire Healthcare Strategy Professor Martin Orrell Director, Institute of Mental Health 1.
BME Health Forum Dementia Tuesday 29th September Karen McIvor Karen Brown Lisa Cavanagh Jen Goddard.
Vimla Sharma Matron for Care of the Elderly Dementia-- Challenges for Nurses.
The National Dementia Strategy in the East of England Maureen Begley Dementia Programme Manager East of England.
Improvements needed in the care of people living with Dementia.
The National Dementia Strategy Ruth EleyBirmingham Department of Health27 January 2010.
© The Association for Dementia Studies Dementia, and why it matters. Bernie Coope, Associate Medical Director, WHACT Honorary Senior Lecture, University.
Memory and Aging Educational Presentation Presented by Tessa Lundquist, M.S. University of Massachusetts Amherst.
Living well with dementia` Making Space dementia awareness training.
A tool for NHS Health Check trainers
Dementia Supported by.
Anne Moore Specialist in Special Care NHS Lanarkshire PDS
Dementia : A growing global issue
Produced by Wessex LMCs
Dementia By Chelsea Carr.
DEMENTIA Shenae Whitfield & Kate Maddock.
Vascular Dementia Lewis and Escalin.
Unit 40 Dementia care.
Dr Pattni GP Registrar Church End Medical Centre
Living well with dementia
Communication and Dementia Helen Crouch Speech and Language Therapist Older Adults Mental Health Milford Hospital
Dementia Diagnosis in Care Homes
A tool for NHS Health Check trainers (Updated April 2019)
Chapter 25 The Elderly.
Presentation transcript:

Working with Adults; Dementia Ian Mathews Senior Lecturer in Social Work

What is (senile) dementia? ‘Dementia’ is an umbrella term ~ there are over ? different types of dementia NB the power of language; Senile dementia Alzheimer’s (disease) Cognitive impairment Dementia with Lewy body Multi infarct dementia/Vascular disease Alcohol related dementia (Korsakoff’s syndrome) Huntington’s disease Creutzfeldt-Jakob Disease (CJD) ~bovine spongiform encephalopathy (BSE), a form of prion disease affecting cattle.

Some of the characteristics of dementia Memory impairment; particularly short term memory loss Language impairment Disorientation in time & space ( ‘wandering’) Changes in personality Mood changes Self neglect Disinhibited behaviour Eg uncharacteristic sexual or aggressive behaviour The ability to ‘reason’ or to plan ahead NSF for older people, DOH 2001 How can you diagnose dementia? What are the causes of dementia? How can you treat dementia?

Keady & Nolan (1995) stage model of dementia Slipping; minor lapses in memory & behaviour Suspecting; people & those around them suspect that something is wrong Covering up; conscious & deliberate attempts to compensate for loss of function Revealing; difficulties shared with those closest tot eh individual Confirming; acknowledgement, followed by diagnosis Maximising; strategies devised to maximise functioning Disorganisation; cognitive & physical difficulties become increasingly apparent Decline; needs increase & residential care may be required Death;

The incidence of dementia There are currently 700,000 people with dementia in the UK. There are currently 15,000 younger people with dementia in the UK. There will be over a million people with dementia by Two thirds of people with dementia are women. 60,000 deaths a year are directly attributable to dementia. The financial cost of dementia to the UK is over £17 billion a year. 64% of people living in care homes have a form of dementia. Two thirds of people with dementia live in the community while one third live in a care home.

The prevalence of dementia Age 40 – – plus Crawford & Walker (2005 p 72) Prevalence 1 in 1,000 1 in 50 1 in 20 1 in 5

Living well with dementia; The National Dementia Strategy DOH 2009 A five year plan backed with £150 million over the first two years Has three main aims; 1.Ensure better knowledge about dementia & remove the stigma; for professionals & public; people currently wait up to three years before reporting symptoms of dementia to their doctor; 70% of carers report being unaware of the symptoms of dementia before diagnosis; 64% of carers report being in denial about their relative having the illness; 58% of carers believe the symptoms to be just part of ageing; only 31% of GPs believe they have received sufficient basic and post-qualification training to diagnose and manage dementia ( DOH 2009:26)

Aim 2. Ensure early diagnosis, support & treatment for people with dementia, their family & carers Positive about prevention in dementia – what’s good for your heart is good for your head The current evidence base suggests that up to 50% of dementia cases may have a vascular component (ie vascular dementia or mixed dementia). This holds out the possibility of preventing or minimising dementia by means of promoting better cerebrovascular health. Current health promotion messages on diet and lifestyle and actions such as health checks are therefore likely to have a positive effect. (DOH 2009:24)

Aim 2 contd- Ensure early diagnosis, support & treatment for people with dementia, their family & carers early provision of support at home can decrease institutionalisation by 22% even in complex cases, where the control group is served by a highly skilled mental health team, case management can reduce admission to care homes by 6%; older people’s mental health services can help with behavioural disturbance, hallucinations and depression in dementia, reducing the need for institutional care

Aim 3 - Develop services to meet changing needs Appointment of dementia advisors Development of carers groups & innovative services ( ‘dementia cafes, dementia choirs, Improve ‘Community personal support services’ Emphasise the benefits of personalisation for people with dementia ( individual budgets) Provision of respite care & ‘Intermediate care’

The concept of ‘personhood’ To be counted as a person, and so have ‘personhood’, some people think an individual should have qualities like insight, rationality and memory. Discuss! (Killick J & Allan K 2001:17)

Malignant social psychology Kitwood T (1997) Disempowerment: Not letting someone do what they are capable of doing. Treachery: Tricking someone into taking medication by hiding it in food Infantilization: Talking to them like a baby Intimidation: Making someone frightened Labelling: Using their diagnosis as the main way of understanding their behaviour Stigmatizing: treating someone as an outcast Outpacing: Talking, giving information, and providing choices too quickly, so the person can’t keep up.

Malignant social psychology Invalidation: Not taking the persons feelings seriously Ignoring: Talking over their head, not including them Withholding: Not giving the attention they need Disruption: Breaking into a persons conversation or activity rudely, stopping them carrying on with whatever they were doing. Mockery: Making fun of people Disparagement: Saying critical things about someone, which will damage their self esteem. Imposition: Forcing someone to do something, not giving choices.

References Crawford K & Walker J (2005) Social work with older people, Exeter, Learning Matters Department of Health (2001) National Service Framework for older people Department of Health (2009) ‘Living well with dementia’ the National Dementia Strategy Keady, J., & Nolan, M( 1995) Assessing coping responses in the early stages of dementia, British Journal of Nursing, 4, Killick J & Allan K (2001) Communication and the care of people with dementia, Buckingham, Open University press Kitwood T, (1997) ‘Dementia reconsidered; the person comes first’, Buckingham, Open University press