Dementia presentation jcb 3 may final
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The document discusses dementia, its importance, symptoms, challenges, and approaches to treatment. It notes that dementia is common and increasing, though there is no cure for the disease itself. Symptoms vary between individuals and over time, and include memory loss, difficulties with planning and new places, word finding problems, personality and mood changes, and more. The document outlines efforts at Hampshire Hospitals NHS Foundation Trust to recognize and care for dementia, including specialized nurses and pathways focused on symptoms. It suggests future approaches may involve integrated systems across physical and cognitive impairments, with hospitals playing a role but not the default option.
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Dementia presentation jcb 3 may final
- 1. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital Dementia Dr James Croft-Baker Consultant Physician
- 2. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital • Why is it important? • How do I recognise it? • What can we do about it as a disease? • What are the challenges of dementia as a condition? • What has been done at HHFT? • What about the future?
- 3. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital Why is it important? • Individual • Relatives and carers • Communities • Nationally • Common, increasing numbers
- 4. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital The ‘disease’ vs the ‘condition’ • Alzheimer’s Disease • Vascular • Mixed • Others • Alzheimer’s dementia
- 5. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital How do I recognise dementia? • Loss of abilities • Change in person’s ability to live as they were • In absence of major physical reason • (delirium, depression,..)
- 6. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital Symptoms and signs • Memory • Planning • New places • Word difficulties • Money • Personality • Mood • Aggression • Wandering • Sleep • Agitation • Hallucinations • Delusions • Apathy
- 7. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital What can be done about the disease itself? • No cure for disease • Not able to slow disease itself or modify • Can slow progression of condition • Drugs • Effect? • (Indirect vascular risk factor treatment)
- 8. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital What are the challenges of the condition itself? • Multiple symptoms • Vary between people • Vary in time and place • Change suddenly if stresses
- 9. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital What has been done at Hampshire Hospitals NHS Foundation Trust? • System to recognise • ‘This is me’ • John’s Campaign • Pathways of care (symptom focused) • Training and education • Specialist nurses
- 10. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital What about the future? • Physical and visual impairments-society • Part of bigger picture including ‘frailty’ • Integrated/whole system approaches • Include hospital but not the default
- 11. Andover War Memorial Hospital Basingstoke and North Hampshire Hospital Royal Hampshire County Hospital Thank you Dr James Croft-Baker
Editor's Notes
- Figures but add person centred common vs even one person could be devastating, global cost, societal, local, hospitals, individuals,
- Maybe put symptoms here including BPSD
- Variable symptoms, change, -support system varies ie relies friends, ‘no one patient is the same’
- Stroke-dementia-frailty , hospital isnt the default place of ‘safety’, care offer