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Dementia awareness for surgeries - Hants

Dementia awareness for surgeries - powerpoint presentation by Dr Nicola Decker,

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Dementia awareness for surgeries - Hants

  1. 1. Dementia Produced by Wessex LMCs in partnership with: Wessex AHSN Dr Nicola Decker, GP Alzheimer’s Society
  2. 2. Contents: Why are we here? Understanding Dementia The Brain Symptoms – four main dementias Case Studies Models Visual problems Communication Further Resources Questions
  3. 3. This is designed as an interactive session to use in general practice to increase the understanding of a condition that affects many of your patients and has a significant impact on their family.
  4. 4. Becoming a……… Dementia Friendly Practice
  5. 5. Figures • 1 in 14 people over 65 have dementia. • 1 in 6 people aged 80 and over have dementia. • 850,000 people live with dementia in the UK today. • 20,000 people living with dementia in Hants • 108 diagnosed at Oakley Surgery
  6. 6. Facts • Two thirds of people with dementia are women • At end of life, one third of people will have dementia • Dementia is most common in older people but younger people (under 65) can get it too. • 40-64 years: 1 in 1,400 • 65-69 years: 1 in 100 • 70-79 years: 1 in 25 • 80+ years: 1 in 6
  7. 7. Case Studies
  8. 8. Small Changes…… Big Differences….. 1. Make sure all health-care staff know whether a patient has dementia before they are seen 2. Remember! People living with dementia may need a longer appointment 3. Don’t let people with dementia fall out of the system if they don’t keep appointments NB! If someone without a dementia diagnosis repeatedly forgets to attend appointments, it may be a sign that they should be screened 4. If possible, send appointment reminders to both patient and carer 5. Where appropriate, include family carers in decision making 6. Ensure family members have copies of relevant documents – letters, monitoring equipment, appointments, changes to medication etc 7. Continuity of care is very important to the person with dementia – it is better to be seen by the same health-care professional on each visit
  9. 9. Communication • Before you speak • When you speak • What to say • Listening • Body Language and Physical Contact
  10. 10. Perceptions of what life is like for people with dementia… • 58% thought quality of life was fairly bad or very bad • 52% thought that care provided was fairly bad or very bad • 61% thought inclusion in communities was fairly bad or very bad YouGov survey 2011
  11. 11. People with dementia feel that their community could help by: • Better understanding of dementia and less social stigma • More public awareness of the condition • More local activities and opportunities to socialise • More tolerance and patience from others • More community spirit Source: Alzheimer’s Society Dementia 2012 Report
  12. 12. NHS Commitment to raising awareness • Awareness – understanding symptoms, recognising signs, challenging behaviour; • Knowledge of the condition – types of dementia, differences between dementia, delirium, depression etc. • Communications, listening skills and supporting people with dementia; • Person centered care – sign posting to advice and guidance, medication, ethics, impact on families.
  13. 13. Risk factors for developing dementia • Age • Lack of physical exercise • Obesity • Mental activities in mid life • Diabetic • Current Smoking • Excess alcohol • Genetics • Learning disabilities
  14. 14. Modifiable Risk Factors
  15. 15. Diagnosis – the earlier the better • Only 1/3 of people with dementia have a proper diagnosis. Early diagnosis means that: • There is more time to plan ahead and support self management • The carer is able to cope for longer • The need for placement of the patient away from their home is delayed
  16. 16. Support for Carers and Family • Registering as a carer with GP • Carers Together/Princess Royal Trust for Carers • Carers assessment • Information and resources • Alzheimer’s Society/Andover Mind • Memory advisors and support teams • Adult services
  17. 17. What can we do? • Become “dementia friends” • (see ’Video about dementia friends’ if access to the internet is available) • Support national campaigns • Become a ‘Dementia Friendly Practice’
  18. 18. Our role as a dementia friendly practice • Maximise health and well-being and help people to remain independent • Improve patient and carer experience • Improve teamwork • Improve clinical consultations – better prescribing & improved referrals • Improved care planning for the future • Improved quality of life for our patients • Know & be able to sign post patients to available services
  19. 19. Where can you find more information? • • • • (e-learning)
  20. 20. So………… • What do we want to do as a practice?