2. HIV Associated Dementia
MOREJOY SAINETI
RGN, RMN, DBA, MSc, QNI
Dementia consultant nurse
Dementia champion
Dementia Lecturer (Greenwich university London)
International dementia nurse 2010 (UK)
Runner up public servant of the year 2010(UK)

3. Global Ageing

4. Estimated increase in dementia worldwide

5. Mechanisms of Action
HIV enters the central nervous system and brain early in the infection.
It can become more severe with duration.
The pattern is changing, but we still have persons living with HIV who have severe dementia

6. What is dementia? A cluster of symptoms
Includes memory loss, disorientation to place and time, inability to self organize tasks of daily life, confusion
Some are treatable (drug interactions) and some irreversible (as from HIV and Alzheimer’s)

7. HANDs-Diagnosis Physical and Neurologic exams Two scales HDS and IHDS
Asymptomatic stage questionable

8. Treatment Combination anti-retrovirals Anti-depressants
Psychosocial support and lifestyle change

9. Africa Dementia Service development
Ideas?

10. Africa Dementia Service development
Service user centred
Family centred
Information sessions
Training sessions; primary school to university syllabus
Health and social care, teachers, families, patients
Dementia centres, day centres, dementia friendly hospital set up, dementia villages

11. Resources http://www.alz.co.uk/ https://www.nia.nih.gov/