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Created with Fabric.js 1.4.5 dementia Dementia 30,700in 2014 More Western Australians are living with dementia Alzheimer’s Australia (2014) Frontotemporal LobarDegeneration Dementia Associated with Parkinson’s Disease Lewy Body disease Vascular dementia Alzheimer’s Disease DeBellis et al, 2009 Symptoms describes any condition where there is an irreversible loss of cognitive capacity and memory, such that thereis a decline in a person’s ability to function socially, physically and emotionally over time People living with dementia can experiencesome, or all of these symptoms 68,000+by 2050 Dementia is an umbrella term that includes... • Amnesia (memory loss) • Disorientation • Changes in behaviour. • Apraxia (changes in abilities) • Aphasia (communication difficulties) predominately found with Alzheimer’s disease in time, place, person or activity. Strategies Here are some patient-centred care strategies that may help with caring for patients living with dementia. pain relief People living with dementia perceive and communicate pain differently from those without dementia. Behavioural changes, such as calling out, withdrawing, agitation and pacing may indicate pain that requiresrelief. Regular administration of pain relief to relieve both chronic and acute pain is also effective. environment focus on abilities allow the patient to perform as many tasks as possible for themselves, as difficult as this is on a busy ward.You will enable them to maintain or improve their level of function and promote their feelings of self worth. involve the carer /significant other the carer is the expert on the person living with dementia. They are a great resource person for hintson caring for that person. Document those tips to help the patient and other health professionals. communication rebrand behaviours of concern use simple requests/messages and only give one messageat a time. Give the patient time to respond. Non-verbal communication, such as carrying a towel with you prior to the verbal request for a shower, can be effective. once we think of these behaviours as unmet needs it changes our attitude towards them and how we will approach managing them. Provide an environment that is supportive of the patient and doesn’t over or under stimulate them. Assist with maintaining the patient’s orientation with access to a large analogue clock and signage or verbal cueing. Leave the ensuite bathroom door open to help the patientfind the toilet. Delirium is an acute reversible disorder affecting cognitive function..Any older patient is at risk of developing delirium in the hospital setting. A patient with dementia is at an even greater risk. Deliruim More Information • Alzheimer’s Australia WA runs regular education sessions that are free of charge for those working in the acute care setting. See Glengarry Education newsletter for details or www.wa.fightdementia.org.au• Dementia resource folder on Acacia ward• Dementia champion Acacia ward Sally Clements An acute change in cognitive function in any older patient needs to be investigated. disorientation confusion sleep pattern changes rambling speech Dementia Champions resource kit Alzheimer’s Australia (2014) Come Into My World- How to Interact with a Person who has Dementia:An educational resource for undergraduate healthcare students on person-centred care, DeBellis A, Bradley SL, Wotherspoon A, Walter B, Guerin P, Cecchin M and Paterson J (2009) Flinders University, Hyde Perk press, Adelaide. Delirium and Confusion training package Western Australia Dementia Training Study Centre (WA DTSC) Curtin University References Kitwood, 1997, Chen, Foo and Ury, 2002; World Health Organisation, 2007 (Cited in Alzheimer's Australia, 2014)
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