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Should Dementia Patients be 'Tagged'?

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by

Y Lo

on 22 January 2014

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Transcript of Should Dementia Patients be 'Tagged'?

Should Dementia Patients be 'Tagged'?
End of patient
discharge
meeting.
Dementia is loss of memory such as reasoning and lack of communication skills to carry out daily activities (Alzheimer’s Society, 2009). Moreover, symptoms can also be changes in behaviour (NANDA 2009).
used for wandering dementia patients
Electronic Tagging
AUTONOMY
Ethical Issues
Complementary Treatments
Alternative methods &
Review meeting will be
in a months time.
The Debate on 'Electronic Tagging'


“Everyone has the right to liberty and security of person. No one shall be deprived of his liberty save in the following cases and in accordance with a procedure prescribed by law.”

“The lawful detention of persons of unsound mind.”

Patients must not be subjected to degradation and has a right to privacy.
IS IT LEGAL?
HUMAN RIGHTS ACT


The Mental Health Act 1984 states that compulsory measures can be implemented in order for treatment outside hospital to continue.
Mental Health Legislation
What is Dementia?
Wandering

Wandering can be defined as a character of leaving a premise unintentionally or the inability to locate a significant landmark in a familiar setting
An assistive technology that may
increase quality of care to Dementia
patients.
2 types:
Boundary-crossing alarm
Tracking device (GPS)
In a 5 year prospective study, over 40% of the dementia patients wandered.
Bracelet and monitoring station
Pager for Carers
There are many memory aids in use that include not only reminders but sensory aids, arts and crafts and memory activities.
OT for independence with ADLs
Social Services: care needs
Memory clinic: comprehensive assessment

Smoke-, flood-, gas-alarms
Fixed wandering alarms
Improving physical function maintaining independence
May improve memory and cognitive function
Improved confidence, better awareness of abilities
Referrals
Memory Aids
Orientate in space and time
Help with repetitive tasks/schedules
Telecare Systems
Exercise
Multisensory environment
Anxiety, agitation
Self-stimulating behaviour
& Pharmacological interventions
BENEFICENCE
NON MALEFICENCE
JUSTICE
Right to make their own decisions on their behalf
Duty to do the best for patients
Fair distribution of available resources.
Do no harm.
Ethical Issues
- The study tested equipment. It was carried out in three different settings including
- 4 weeks in two wards (5 clients)
- 6 months in a residential home (4 clients)
- 8 weeks in a clients homes (3 clients)
STUDY ON TAGGING
Reminder Aids:
Objects to help with sensory loss:
Instruments & Sensory objects
Memory activities:
+Activity Mat
+ Bath temperature and overflow alert.
Medication to treat wandering
Use of psychotropic medication is prohibited
Electronic tagging better than medication
Less side effects and adverse effects caused by drug interactions
Pharmacological interventions
Anti-psychotic Drugs
Used to calm patients down
e.g. Haloperidol
Treats schizophrenia, acute psychotic states and delirium
Side effect: Akathisia>restlessness resulting wandering
Full transcript