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Dementia

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Transcript of Dementia

GUILT
GRIEF AND LOSS
STRESS
PHYSICAL
MORBIDITY
IMPACT ON CARERS
DETECTION & DIAGNOSIS
impairment of brain functions including:
IMPACT ON CARERS AND SUFFERERS
DEFINITION:
Dementia with Lewy Bodies*
CAUSES:
Huntington's disease
Creutzfeldt-Jakob disease
Multiple sclerosis
HIV
Neurosyphilis
Parkinson's disease
Cerebral tumours
Alcohol
Tuberculosis
Wilson's disease
Hypothyroidism
Alzheimer's disease*
Vascular dementia*
Frontotemporal dementia*
(Holmes, 2012; Dementia UK, 2007)
(AIHW, 2012)
THE IPE TEAM
PHYSIOTHERAPISTS
OCCUPATIONAL
THERAPISTS
FOCUS: to improve overall well being and daily functionality of patients by:
observing
assessing
communicating
planning
implementing

RESULT: modify environment to support patients
NURSES
most contact time with patients and their families
communication
assist management & administration of:
drugs
therapy measures
GENERAL PRACTITIONERS
first point of contact
gate keepers of specialists
DIETICIAN
THE DEMENTIA PATIENT
CLINICAL PSYCOLOGISTS
MEDICAL IMAGING SPECIALISTS
PHARMACISTS
individually tailor and manage each patient
anti-psychotic drugs
olazapine
Acetycholine inhibitors
resource for families regarding risk factors
FORMAL COGNITIVE TESTING
Mini-mental State Examination (MMSE)
General Practitioner Assessment of Cognition (GPCOG)
Rowland Universal Dementia Assessment Scale (RUDAS)
Informant Questionnaire of Cognitive Decline in the Elderly (IQCODE)
CT & MR scans
Alzheimer and Vascular Dementia
PET imaging & CSF tests
Alzheimer's Dementia
SPECT scan
Frontal Temporal Dementia
FP-CIT scan
Dementia with Lewy Bodies
STRUCTURAL IMAGING
SCREEN FOR CO-MORBID DEPRESSION AND OTHER CONDITIONS
Geriatric Depression Scale (GDS)
PHARMACOLOGICAL REVIEW FOR DRUG EFFECTS
Full blood examination
Urea, electrolytes and creatinine
Liver function tests
Serum B12
Random blood gluocose
Mid stream urine
Erythrocyte sedimentation rate
Folate, Calcium, Phosphate
PATHOLOGY TESTS
DIAGNOSTIC WORK-UP WILL INCLUDE THE FOLLOWING:
GP SUSPECTS COGNITIVE IMPAIRMENT
Exclude other causes such as:
delirium
depression
drugs
and considers DEMENTIA as a possible diagnosis
(Holmes, C., 2012)
(Workman et. al, 2010)
REFERENCES:
(Comper, 2013)
(Bluestein, D., 2010)
(Holmes, 2012; Comper, 2013)
(Au
stralianonlinepharmacy.com.au, 2014)
(
Comper, 2013
)
(Heyman, J.I
, 2010)
(Wellspring Lutheran Services, 2014)
(
Paige, 2013
)
(Vec
torportal.com, 2014
)
(Workman et al., 2010)
(Workman et al., 2010)
(Workman et al., 2010)
(Workman et al., 2010)
FATIGUE
ANGER
IMPACT ON SUFFERERS
aggression
agitation
anxiety
depression
'sundowning'
hallucinations
dis-inhibitions
wandering
(Rabins et al., 1982)
DEPRESSION
(Bruce et al., 2002)
(Caregiver Insights Foundation, 2011)
(Vec
torportal.com, 2014
)
(Clipartbest
.com, 2014
)
language
memory
perception
personality
cognitive skill
(Mental Healthy, 2014)
Full transcript