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Dementia

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by

Emily Vo

on 29 October 2012

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Transcript of Dementia

Have you ever had a moment when your mind has gone blank and you couldn't remember something that you should? Have you ever had a moment where you couldn't remember something and just blanked out? For many of us, we will remember it sooner or later. But what if.... permanent? This condition is known as Dementia it was A broad term used to describe symptoms of a large group of illnesses that cause a progressive decline in a person’s functioning There are over 100 diseases that can cause dementia. The effects of the different types of dementia are similar, but not identical, as each one tends to affect different parts of the brain. Treatable * Hypothyroidism
* Vitamin B12 deficiency
* Neurosyphilis, which is a syphilis infection in the brain
* Reactions to medications
* Poisoning. * Alzheimer's disease
* Lewy body dementia
* Binswanger's disease
* Frontotemporal dementia
* HIV-associated dementia
* Huntington's disease It is not a single disease; it is in fact a syndrome caused by a variety of conditions such as strokes, head injuries, drugs, and nutritional deficiencies. Untreatable Signs/Symptoms experiencing challenges completing everyday tasks memory loss of recent events having difficulty concentrating trouble communicating motor and coordination changes emotional and behavioural changes hallucinations Treatment At present, there is no cure for most types of dementia however medications and alternative treatments have been found to relieve a number of symptoms but unfortunately, only for a short period of time. In Australia, Cholinergic and Memantine drugs are used to relieve symptoms for mild-moderate Alzheimer's disease.
There are medications available to treat symptoms such as depression, anxiety, insomnia, hallucinations and aggressive behaviour. Pharmacist's role * Recommend alternatives to medication - change in lifestyle such as diet and exercise

* Recommend over the counter products instead of prescription medicines. eg. Supplements

* Monitor if medications the patient is taking has adverse reactions.

* Monitor if medication is working for the patient or if they are taking too much medication

* Good communication - counsel patients, give them advice on ways to manage chronic condition

* Dispense medication

* Develop strategies to cope and improve patient well-being

* Often pharmacies are in a busy setting and do not have enough time to interact with patients Nurse's Role * Showing support for patients and family by positive reinforcements, understanding and empathy

* Can only give prescribed medication

* Must take orders from other medical staff

* Assist patients physically (prepare meals, assisting with bathing and going to the toilet)

* Patients and nurses develop a closer relationship as they have more time interacting together Similarities * Must develop a strong relationship between health care practitioners (HCP) and patient by establishing trust, respect and honesty

* Routine check-ups

* Effective communication with patients

* Educating and advising patients regarding their conditions But for effective patient management,
it requires interdisciplinary care * review the medication if they believe that there is an overlap with its function of relieving symptoms

* Any concerns that the patient has disclosed with their pharmacist

* repeat medical advice if a patient is unsure with the medication/s they should be taking Patient care is a multidisciplinary, team based approach, comprised of a diverse range of specialized professionals * Doctors have the responsibility for treating conditions but nurses spend more time with a patient and are able to know how they are really doing

* develop trust with the patient and the patient will disclose information about their condition that may be intimidating to tell their doctor

* collaborative communication adopted instead of hierarchical relationship between nurses and doctors The team is actively independent but will continually communicate with each other as the patient’s treatment progresses. Advantages * Increased care and attention to patient ie. Patient health issues and needs will be identified

* Actively engaged with HCP through increased knowledge and understanding of their condition

* Greater professional satisfaction for HCP

* Comprehensive care for patient starting from acute to long-term preventative care and management of chronic diseases.

* HCP to focus on their area of expertise of the patient’s condition.

* HCP to gain knowledge and share experiences from other HCP Disadvantages * Team formation is time consuming.

* Difficult to match schedules with each HCP.

* Cultural and language barriers.

* Differences in expectations, professional standards and regulations by each HCP.

* Unequal levels of qualifications and status.

* Fear of lack of professional recognition.

* Rivalries between HCP.

* Patient health may be affected - team is not actively resolving on-going conflict and re-assessing goals Where can I get help? Patients can obtain immediate information and help as soon as a diagnosis made. Alzheimer’s Australia in each State and Territory can help patients understand what is happening and can provide emotional support, information, advice and counseling for patients, family members and carers by contacting the Community support and services play a major role in self-management and understanding the progression of dementia. National Dementia Helpline (1800 100 500). North Ryde
Vincent Fairfax Family Resource Centre
Cnr Coxs & Norton Roads
Tel: 02 9805 0100 Newcastle
2 Percy Street
Hamilton
Tel: 02 4962 7000 Mid North Coast
55 Lord Street
Port Macquarie
Tel: 02 6584 7444 Far South Coast
5 Hill Street
Bega
Tel: 02 6492 6158 Coffs Harbour
Suite 2/222 Harbour Drive
Coffs Harbour
Tel: 02 6651 7101 Sutherland/St George
C/- Southcare, Sutherland Hospital
126 Kareena Road
Miranda
Tel: 02 9531 1928 South West Sydney
Suite 1, Queen Street Centre
Queen Street
Moss Vale
Tel: 02 4869 5651 Liverpool (1day per week counselling service)
Catholic Care
2nd level, 45 Scott St
Liverpool
Tel: 0417 844 123 Orange and Cabonne Shires
Jenny Stephens
Extended Care Service
Orange Hospital (PO Box 319)
Orange
Tel: 02 6369 7164 New England
Sally Henry
New England Division of General Practice
213 Rusden Street
Armidale
Tel: 02 6771 1146 Riverina
Hannah Klapdor
Aged Care Services
The Forrest Centre
Lewisham Street
Wagga Wagga
Tel: 02 6932 3095 * Family doctor: refer them to a specialist for further help and information

* Cognitive Dementia and Memory Services (CDAMS): provide expert assessment to patients suffering memory loss or changes to their thinking

* Aged Care Assessment Service (ACAS): doctors, social workers and other HCPs come together to work out what type of care will best meet the needs of the patient Other health services include: Benefits of receiving health care services The human brain is complex. It can process and store information faster than any computer

* Dementia and Memory Community Centres

* The Living with Memory Loss Program (LWML) provides support to patients with early stages of dementia

* Highly skilled educators deliver seminars on dementia related subjects * LWML - improved well-being of those people who participate in the program.

* Carer support groups - able to communicate in a safe and supportive environment.

* Opportunity to discuss issues confidentially with highly skilled and experienced counselors.

* Receive education and help they need through free activities

* Increase public awareness within society towards dementia patients By Emily Vo, Cindy Ginh and Michelle Lai So what if everything we knew slowly faded away? Alzheimer's Australia has national programs - information, support, counselling, training and education Interview with pharmacist 5/9/12 Interview with nurse 10/8/12 Interview with nurse 10/8/12; interview with pharmacist 5/9/12 Interview with doctor 15/9/12 Interview with doctor 15/9/12 Called up National Dementia Helpline 21/9/12 Called up National Dementia Helpline 21/9/12 Called up National Dementia Helpline 21/9/12 No audio recording for nurse due to confidential hospital issues
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