1. Management of Dementia
by Sylvia Meijer Nurse Practitioner Older Adult

2. This presentation Strategic and personal approach
Overview of management concerns
Practical examples
Where to find support

3. 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

4. Often voiced concerns “I don’t need a shower, I just a had a wash !”,
“This isn’t my house.” ,
“Someone took my handbag !”

5. Brief explanation of behaviours
Aggressive behaviours
Agitated behaviours
Depression and dementia

6. Brief explanation of behaviours
Anxious behaviours
Disinhibited behaviours

7. Key checks Communication Knowing the person is essential
What is the cause for this behaviour:
Eliminate:
Physical concerns
Environmental concerns

8. Support available Community organisations
GP teams and specialist services
Day and residential care

9. Take home message: …… know the person Show patience Be there ………..
Thank you

10. 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