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Management of Dementia
by Sylvia Meijer Nurse Practitioner Older Adult
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This presentation Strategic and personal approach
Overview of management concerns Practical examples Where to find support
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Strategic approach to dementia
Guidelines aligned to the MoH Work in progress on a regional framework Work in progress on a DHB wide framework Map of Medicine
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Often voiced concerns “I don’t need a shower, I just a had a wash !”,
“This isn’t my house.” , “Someone took my handbag !”
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Brief explanation of behaviours
Aggressive behaviours Agitated behaviours Depression and dementia
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Brief explanation of behaviours
Anxious behaviours Disinhibited behaviours
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Key checks Communication Knowing the person is essential
What is the cause for this behaviour: Eliminate: Physical concerns Environmental concerns
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Support available Community organisations
GP teams and specialist services Day and residential care
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Take home message: …… know the person Show patience Be there ………..
Thank you
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References Alzheimers organisation NZ: http://www.alzheimers.org.nz/
Management of patients with dementia. A national clinical guideline. Dementia management, recommendations for health professionals Ministry of Health NZ: health/dementia
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