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Living well with dementia

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Presentation on theme: "Living well with dementia"— Presentation transcript:

1 Living well with dementia
How we think about it is important Matthew Croucher

2

3 Published November 2013

4 www.health.govt.nz/publication/new-zealand-framework-dementia-care End
of Life Addressing challenges to Maximise Well-being Living Well with Dementia Assessment, Diagnosis, Early Intervention and On-going Support Awareness and Risk Reduction

5 www.health.govt.nz/publication/new-zealand-framework-dementia-care End
of Life Addressing challenges to Maximise Well-being Living Well with Dementia Assessment, Diagnosis, Early Intervention and On-going Support Awareness and Risk Reduction

6

7 Open University Press 1997

8 The Dementia Spiral, after Tom Kitwood
Dementia reconsidered: The person comes first. Open University Press. Buckingham / Philadelphia

9 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

10 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

11 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

12 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

13 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

14 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

15 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

16 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I.

17 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

18 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

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21 Neurological Insult N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

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23 Source: Dementia SOS, Colorado’s Dementia News and Resource Center, www.coloradodementia.org

24 Neurological Insult Malignant Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

25 Neurological Insult Malignant Psychosocial Factors N. I. M.P.Fs N. I. N. I. N. I. N. I. N. I. N. I. N. I.

26 Neurological Insult Malignant Psychosocial Factors N. I. M.P.Fs N. I. M.P.Fs M.P.Fs M.P.Fs N. I. N. I. N. I. N. I. M.P.Fs M.P.Fs M.P.Fs M.P.Fs N. I. N. I.

27 Neurological Insult Malignant Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

28 Neurological Insult Positive Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I.

29 Neurological Insult Positive Psychosocial Factors N. I. N. I. N. I. N. I. N. I. N. I. N. I. N. I. ‘Rementia’ with recovery of personhood

30 Source: Manawatu Standard
14/8/2011

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32 Person-centred care Patient-centred care Disease-centred care

33 Person-centred care Patient-centred care Disease-centred care

34 Personhood:

35 Personhood: The collection of those qualities that make us a unique person

36 Personhood: The collection of those qualities that make us a unique person in our own eyes and in the eyes of others.

37 Person-centred care Patient-centred care Disease-centred care

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39 Published 2016 Alzheimers NZ (with grateful thanks to Dementia Australia)

40 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

41 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

42 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Thoughts and feelings Fun and laughter Spirituality Self-care

43 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

44 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Finances EPOA Advanced care plan Will

45 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

46 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Culture Sexuality Gender Life story

47 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

48 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Creativity Social life Work Driving De-stressing Exercise Brain exercise Nature Music

49 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

50 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Asking for help Support services Home safety Emergencies

51 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

52 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Diet Toxins Medications

53 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

54 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms Reminders Communication Way-finding General health Mental health Neurological health Other cognitive strategies

55 Activities of daily life
Living Well Coping with diagnosis Planning ahead Supporting identity Meaningful activity Activities of daily life Brain health Managing symptoms

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