Dementia
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The government has established a 5-year national strategy called "Living Well with Dementia" to address dementia care. This strategy draws on recommendations from health organizations. Several laws provide a framework for supporting those with dementia and their caregivers, including the Mental Capacity Act of 2005, which establishes how decisions can be made for those unable to decide for themselves. Educating families on dementia can help prepare and support them to understand the condition and care provided.
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Mental health disorders are common but underestimated conditions that negatively impact daily life. They are not visible but can be debilitating. The Philippine government passed the Republic Act 11036 or the Philippine Mental Health Law to promote mental healthcare, prevent discrimination, and protect the rights of those suffering. It established policies for community and clinical services, education, and capacity building. The law aims to ensure Filipinos experiencing mental illness can participate fully in society without stigma or deprived rights.
Anand Grover, UN Special Rapporteur on the Right to Health
The document discusses the right to mental health under international law. It outlines that major depression is a leading cause of disability globally and will become the second leading cause of disease burden within 20 years. Both physical and mental health are recognized under international laws and treaties. The right to health includes availability, accessibility, acceptability and good quality of mental health services and facilities without discrimination. States have a duty to respect, protect and fulfill this right through appropriate policies, monitoring and participation of those with mental health issues. The document examines Ireland's mental health policies and laws and notes that A Vision for Change established a community-based, rights-respecting approach.
Mr Anand Grover, UN Special Rapporteur on the Right to Health. Anand Grover M...
Mr Anand Grover, UN Special Rapporteur on the Right to Health.
Anand Grover Mental Health: Human rights and legislation - Possibilities in
Ireland?
Anand Grover, UN Special Rapporteur on the Right to Health
1) The document discusses mental health and the right to health under international law. It notes that major depression is a leading cause of disability globally and will become the second leading cause of disease burden within 20 years.
2) It outlines that both physical and mental health are recognized in international laws and conventions. The UN Principles for the Protection of Persons with Mental Illness state that all persons have the right to mental healthcare.
3) The document analyzes Ireland's mental health policies and A Vision for Change plan. However, it notes concerns that budget allocations remain hospital-focused rather than on community care, and legislative and implementation challenges remain.
Aging in place Lifelong Learning Program
The document discusses aging in place and strategies for aging well. Key points include:
- Most older adults want to age in their own homes and communities rather than facilities.
- The older adult population is growing rapidly, with many living into their 80s.
- Maintaining health, independence, and social involvement are important for successful aging.
- Planning and communication around future care needs and preferences allows for dignity.
ADVANCE DIRECTIVES.pptx
- Advance directives are legal documents that allow patients to specify their end-of-life medical care wishes in advance in case they become unable to communicate their decisions.
- They can be used to refuse life-sustaining treatment or appoint a healthcare agent to make decisions on their behalf if they lose decision-making capacity.
- Having advance directives gives families and medical professionals peace of mind by making a patient's end-of-life wishes clear from the start.
dr.nia-Pelayanan paliatif dokter keluarga.pptx
The document discusses palliative care, which aims to improve quality of life for patients facing life-threatening illness. It defines palliative care according to the WHO as preventing and relieving suffering through early assessment and treatment of pain and other problems. Palliative care is applicable early on and provides relief from symptoms, affirms life, and offers support for patients and their families coping with illness and bereavement. Common symptoms in advanced cancer patients and effective palliative care approaches are described.
Common Chronic Conditions
Dementia is a general decline in the cognitive function of the brain caused by various disorders. It is not a normal part of ageing. Dementia symptoms (and Alzheimer's symptoms) can include difficulty with concentration, spatial and temporal confusion, memory loss, mood changes, struggling with conversations, and withdrawal from social interactions.
Caring for Alzheimer's & Dementia
Dementia is a general decline in the cognitive function of the brain caused by various disorders. It is not a normal part of ageing. Dementia symptoms (and Alzheimer's symptoms) can include difficulty with concentration, spatial and temporal confusion, memory loss, mood changes, struggling with conversations, and withdrawal from social interactions.
Geriatrics27
Geriatrics focuses on healthcare for the elderly aged 65 and over. It aims to promote health and prevent/treat diseases in older adults. Key competencies include managing cognitive/behavioral disorders, medications, mobility issues, atypical disease presentation, and palliative care. Geriatric medicine considers age-related decline of organs over a lifetime of habits. Common geriatric conditions include dementia, Alzheimer's, cancer, diabetes, heart disease, osteoporosis, Parkinson's, sleep disorders, and stroke. Most older adults take multiple daily medications which can impact hospital care if not reported. Specialties include rehabilitation, psychiatry, cardiology, and oncology tailored to senior needs. Treating geriatrics involves complex legal and medical
General structures of Health care and Population service principles.The organ...
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Palliative Group wk2
This document discusses palliative care, hospice care, and end-of-life planning. It defines palliative care as treating people with serious illnesses through managing symptoms and improving quality of life. Hospice care provides medical care, pain management, and emotional/spiritual support for those facing a life-limiting illness. The document encourages having early conversations with loved ones about one's end-of-life wishes through completing advance directives that appoint a healthcare agent and document treatment preferences. It provides tips on involving loved ones, preparing, storing, and sharing advance directives to ensure one's wishes are followed.
The mental capacity act
The document provides an overview of the Mental Capacity Act 2005 in the UK. It explains that the Act provides a framework for making decisions for those lacking mental capacity and defines key terms like mental capacity, competence, and best interests. It states that capacity is decision-specific and cannot be assumed based on appearance alone. For those deemed to lack capacity, decisions must consider past wishes, values, and be in their best interests. Advanced directives and lasting powers of attorney are also discussed.
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"This is how i want to die" DPT Study Day 16th September 2011
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A stoma bag collects waste from a surgically created opening (stoma) in the abdomen. A stoma may be needed for conditions like cancer or bowel disease. There are three main types of stoma - for the small bowel, large bowel, or ureters. To care for a stoma bag, the area around the stoma must be cleaned gently without rubbing before applying a new bag. The bag flange is cut to size and fitted securely over the stoma to collect waste without leaks. Full bags are emptied into the toilet and disposed of properly.
Pressure Sore
Pressure sores, also known as decubitus ulcers or bed sores, are localized skin injuries caused by prolonged pressure, friction, or shearing forces that impair blood flow. They commonly form over bony areas of immobilized patients and cost health systems billions annually to treat. Prevention focuses on reducing pressure, moisture, and shearing through frequent repositioning, skin care, nutrition, and devices like air mattresses. Pressure sores are staged from 1 to 4 based on tissue depth involvement and managed accordingly through cleaning, debridement, dressings, and sometimes antibiotics.
Child protection 4
Local authorities have a duty to investigate if a child is suspected to be at risk of significant harm. Safeguarding aims to protect children's wellbeing and development by ensuring their safety, stability, and care. It also aims to prevent maltreatment, neglect, violence, and impairment that could affect a child's life chances. Child protection refers specifically to protecting children who are suffering or likely to suffer significant harm. Child protection conferences bring together family and professionals to assess risk and create plans for children deemed at risk of harm.
Child Protection 3
The document discusses safeguarding children from harm and impairment. It defines significant harm as ill-treatment or impairment of a child's health or development. Children can be more vulnerable if they are babies, disabled, isolated, in care, or have emotional/behavioral difficulties. Professionals must take special care to safeguard children living in stressful circumstances such as poverty, domestic violence, parental mental illness, substance abuse, racism, or crime. Babies under one are especially vulnerable to abuse and have the highest rates of homicide and child protection plans.
Child Protection
This document discusses child protection in the UK. It defines child protection as protecting children from abuse and neglect through measures and structures. The aims are to raise awareness of safeguarding responsibilities and signs of possible abuse. The Children Act 1989 is the key legislation, establishing the paramount principle of a child's welfare and defining parental responsibility, local authority duties to investigate suspected harm, and children "in need". The 2004 Act responded to inquiries by integrating children's services and establishing safeguarding boards between agencies.
Stroke Awareness
There are two main types of stroke: ischaemic and haemorrhagic. Ischaemic strokes are caused by blockages in arteries supplying the brain, usually from blood clots or fatty deposits. Haemorrhagic strokes occur when a blood vessel in the brain bursts, usually due to high blood pressure. Key tests to determine the type of stroke include brain scans such as CT or MRI scans, and ultrasounds of the neck arteries. The type of stroke determines the appropriate treatment.
Stroke Awareness
Signs and symptoms of a stroke include drooping of the face, arms or legs, blurred vision, slurred speech, confusion, weakness or numbness. Key stages include symptoms developing suddenly due to a blockage or bleed in the brain. Location of damage in the brain determines affected areas of the body. Treatment depends on stroke type, such as clot-busting drugs for ischemic strokes. Recovery often occurs in the first few months but can last years with rehabilitation support. Prevention is important as risk of another stroke remains high post-stroke.
Stroke Awareness
A stroke occurs when the blood supply to part of the brain is interrupted, causing brain cells to be damaged or die. This document provides an overview of a stroke awareness training course, which aims to teach candidates about stroke symptoms, types, risk factor management, emergency response, and post-stroke management and support. The goals are to help people understand what a stroke is, recognize the signs of a stroke, and know how to appropriately respond in the event of a stroke.
Personal Care
The document provides guidelines for various caregiving tasks including reducing costs of high protein foods, preventing skin breakdown, lifting and moving recipients safely, general positioning principles, turning and positioning rules, ambulation safety, and safe cleaning product use. Key recommendations are to use cheaper poultry over red meat, change recipient positions every two hours to prevent skin issues, bend at hips and knees with back straight when lifting, and do not mix cleaning products.
Personal Care
Health records serve two main functions - primary and secondary. The primary function is to record important clinical information for healthcare professionals involved in a patient's care, such as treatments, allergies, medications, test results, and personal details. The secondary function is to use anonymized record data to improve public health services, track disease spread and risk factors, and conduct clinical research on treatment effectiveness. Records take many forms, both paper and electronic, and include notes from appointments, hospital admission and discharge records, test results, x-rays, and images. Employers and those in control of premises have a legal duty under RIDDOR to record and report work-related injuries, diseases, and incidents.
Personal Care
Personal care involves assistance with activities of daily living like washing, dressing, eating and mobility. It is provided by trained carers rather than nurses for those needing help but not medical care. Good communication techniques include listening, making eye contact, using simple language, giving feedback without interrupting or appearing impatient. Kitchen safety means avoiding high heat with grease, using potholders for hot items, cleaning spills immediately, and being careful with knives. Signs of infection can include fever, restlessness, chills, abnormal discharge, swelling, lack of appetite, redness, pain, and changes in behavior.
Personal Care
This document discusses a personal care course that teaches candidates how to provide quality personal care according to individuals' needs. The course covers bathing, showering, mouth and denture care, hair care, foot and nail care, and adhering to basic safety and standard precaution principles. The aims are to understand what personal care involves, how to provide different types of personal care according to needs, and the importance of recording and reporting. Personal care includes assistance with bodily functions like dressing, washing, bathing, toileting, eating, drinking, taking medication, and communicating. It is the occupation of attending to the physical needs of those unable to care for themselves, such as tasks involving moving, eating, cooking, shopping,
Peg Feeding
Feeding tubes are often inappropriately inserted in patients with dementia contrary to their and their families' wishes. Research shows little benefit from aggressive nutritional support via feeding tubes for those with dementia as it does not improve life expectancy, weight, or reduce complications. Feeding tubes should not be used for administrative convenience and have been found to adversely affect quality of life in terminal patients. Hospitals are now reviewing PEG requests with nutrition teams and consultants to appropriately assess if insertion will improve quality of life rather than just prolonging it.
Peg Feeding
This document provides an introduction to PEG (percutaneous endoscopic gastrostomy) feeding. PEG is a medical procedure where a feeding tube is inserted directly into the stomach through the abdominal wall, allowing for enteral nutrition when oral intake is not adequate. The document outlines what PEG is, the insertion method, benefits of PEG feeding, post-insertion management and care, potential complications, and feeding techniques. PEG is an alternative to open surgical gastrostomy that does not require general anesthesia, using mild sedation instead. PEG tubes can also be extended into the small intestine for feeding.
Learning Disability
This document discusses several physical and emotional conditions that are often associated with learning disabilities, including autism, Asperger's syndrome, cerebral palsy, Down's syndrome, fragile X syndrome, global development delay, and challenging behaviors. It notes that individuals with learning disabilities may receive multiple diagnoses and require additional support. Brief descriptions of each condition are provided.
Learning Disability
Learning disabilities can be caused by factors that affect brain development before or shortly after birth, such as the mother becoming ill during pregnancy, problems during birth like lack of oxygen, or genetic factors. Specific conditions like Down syndrome, cerebral palsy, autism, and epilepsy are also associated with higher rates of learning disabilities. Profound multiple learning disabilities involve more than one disability where the most significant is a learning disability, and often co-occur with physical, sensory, health or mental challenges requiring full-time care.
Learning Disability
This course aims to provide an understanding of learning disabilities, including what they are, their causes, diagnosis, and how they relate to other conditions. Participants will learn about the different types of learning disabilities and approaches to dealing with challenging behaviors. Learning disabilities refer to significant difficulties learning in a typical manner and can cause unique challenges throughout life, though interventions and technologies exist to help individuals learn strategies for success.
Epilepsy Awareness
There are two main categories of epilepsy - idiopathic (no apparent cause) and symptomatic (known cause such as brain injury). Common causes of symptomatic epilepsy include strokes, brain tumors, head injuries, infections, and birth complications. Seizures can be partial (affect small area of brain) or generalized (affect large area). Partial seizures may cause strange sensations but consciousness is retained, while complex partial seizures cause loss of awareness. Generalized seizures include absence, myoclonic, clonic, atonic, and tonic-clonic seizures which vary in their physical symptoms and effects on consciousness.
Epilepsy Awareness
The document discusses how epilepsy is diagnosed and treated. For diagnosis, it is important for doctors to get a clear description of seizures from both patients and witnesses. Tests like brain scans, EEGs, and bloodwork can help diagnose epilepsy but may be normal. A diagnosis usually requires more than one seizure. Treatments include daily anti-seizure medications to stabilize brain activity, though epilepsy cannot be cured. Medication choice depends on seizure type, age, and other factors. Most people's seizures are controlled with one medication, though some require two.
Epilepsy Awareness
Epilepsy is a neurological condition that causes repeated seizures over time. It is diagnosed when a person experiences at least two seizures that are not caused by a known medical condition. The frequency of seizures in people with epilepsy varies significantly - from years between seizures to daily occurrences. Epilepsy can affect anyone at any age and around 456,000 people in the UK have the condition. Seizures in epilepsy are caused by disturbances in the electrical activity of the brain, though the underlying cause is often unknown.
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Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
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Dementia
- 2. Dementia Strategies The government have planned a 5 year national strategy called “Living Well with Dementia”, this strategy draws on the recommendations from 2 organisations working with the department of health they are the National Institute for health and Clinical Excellence, the Social Care Institute for Excellence.
- 3. Legislation relevant to people suffering with dementia and their carers Human Rights Act 1998 Mental Capacity Act 2005 DOLS (Deprivation of liberty safeguards) Enduring Power of Attorney Act 1985 Community Care Act 1990
- 4. Legislation relevant to people suffering withdementia and their carers Mental Health Act 1983 Care Standards Act 2000 Data Protection Act 1998 Equalities Act 2010 Carers (Equal Opportunities) Act 2004
- 5. Mental Capacity Act 2005 The mental capacity act 2005 provides a statutory framework to empower and protect vulnerable people who are not able to make their own decisions. It makes it clear who can take decisions, in which situations and how they should go about this. It enables people to plan ahead for a time when they may loose capacity.
- 6. Family andOthers Supporting family members and others such as friends to understand Dementia and the signs/symptoms will prepare them and also give them a greater understanding of the kind of support that services give to their loved ones. Carers/family/others should also be aware of their rights and support they can access.
- 7. Conclusion A change in mental or emotional status of the patient is not uncommon with a life-threatening illness Need to be aware of conditions that may be normal reactions or have causes that are potentially reversible, but at the end of life, may need to focus on acute management of these conditions Need compassionate, supportive care for patient and caregiver, always addressing safety