Dementia care

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					       Further knowledge in dementia part 1
South West Dementia Partnership   Further knowledge in dementia part 1
Welcome

    Introductions

    Group Agreement

    What will be achieved from this session?




South West Dementia Partnership          Further knowledge in dementia part 1
Main Talking Points
    How the brain is affected when a person has
     dementia
    Person centred care and positive communication
    How physical health is important to a person with
     dementia




South West Dementia Partnership          Further knowledge in dementia part 1
South West Dementia Partnership   Further knowledge in dementia part 1
Changes in dementia
Difficulties with:
 Getting lost

 Forgetting & losing things

 Finding the right words

 Expressing strong feelings in an appropriate way

 Making decisions and judgements

 Managing social situations

 Managing money and finances


South West Dementia Partnership       Further knowledge in dementia part 1
The different types of dementia
    Alzheimer’s disease
    Vascular dementia
    Lewy Body dementia
    Frontal temporal dementia
    Parkinson’s Disease
    Korsakoff’s Syndrome
    CJD



South West Dementia Partnership   Further knowledge in dementia part 1
Alzheimer’s disease
    Most common form of dementia
    Progresses gradually over time
    The damage to the brain cells usually starts in the
     temporal lobe of the brain which results in a person
     having problems with short term memory and new
     learning
    Damage to all areas of the lobes of the brain is
     common as the disease progresses


South West Dementia Partnership           Further knowledge in dementia part 1
Vascular dementia
    Sometimes referred to as ‘stroke related dementia’
    multi infarct / single infarct dementia
    The damage to the brain cells are dependent on
     where the blood vessel damage occurs
    Sometimes it is described as ‘stepwise’ in the way
     the changes occur
    The way the disease progresses is very variable from
     person to person


South West Dementia Partnership          Further knowledge in dementia part 1
Lewy Body dementia
    This dementia shares similarities with both
     Alzheimer’s and Parkinson’s diseases
    Lewy bodies are tiny round deposits found in the
     nerve cells which disrupt the brains normal
     functioning
    Hallucinations and delusions are commonly
     experienced
    The person with Lewy body dementia may react
     badly to anti-psychotic medications

South West Dementia Partnership          Further knowledge in dementia part 1
Person centred care and positive
communication
    Tom Kitwood and psychological needs of people with
     dementia
    Person centred care in practice
    Positive communication in distressing situations




South West Dementia Partnership        Further knowledge in dementia part 1
Tom Kitwood

                                   Occupation

                Comfort                                 Identity
                                  Psychological
                                     Needs

                         Attachment             Inclusion



South West Dementia Partnership                    Further knowledge in dementia part 1
Think of ways you
might uphold a
person’s well being
in each of these
areas
Person centred care in practice

Key difficulties and responses

    When the person is confused by past memories

    Positive and effective communication in distressing
     situations



South West Dementia Partnership          Further knowledge in dementia part 1
When the person is confused by
past memories:
    Consider is it possible to orientate the person to
     reality?
    Validating/ agreeing with the person’s feelings
    Explore past memories that the person is
     experiencing
    Provide reassurance and comfort




South West Dementia Partnership            Further knowledge in dementia part 1
Positive communication in distressing
situations
Responding to distress and frustration:
    Do not argue with the person – focus less on the
     factual content of what is being said and more on
     how the person is feeling
    Do not blame the person for being distressed
    Try not to take it personally if the person displays
     angry behaviour towards you
    It may help to try and distract the person with
     everyday routines such as meals /walks

South West Dementia Partnership            Further knowledge in dementia part 1
Responding to distress and frustration:
    Consider the person’s sense of ‘reality’ and
     respond to this - using reminiscence to link to past
     stories in the person’s life and asking questions to
     engage the person.
    Look to identify how the person is feeling and
     respond to this.
    Identify ‘themes’ and plan accordingly.




South West Dementia Partnership            Further knowledge in dementia part 1
Verbal communication
    Speak in a calm way; notice the tone of your voice
    Use short sentences giving small amounts of
     information
    Make time for the person to answer
    Don’t argue about facts or try to ‘correct’ the
     person




South West Dementia Partnership           Further knowledge in dementia part 1
Identify the non verbal skills that are being
used in this communication
Non-Verbal Communication
    Move to the person’s level
    Gain eye contact where possible
    Use gestures, objects or signals as well as words e.g.
     show the person an object that relates to what you
     are saying




South West Dementia Partnership            Further knowledge in dementia part 1
General health and well being
    Exercise: does the person have opportunities to
     move around?
    Good diet: is the person getting enough to eat, is this
     a balanced diet and nutritional?
    Having enough fluids: is the person getting enough
     to drink?
    Being free from pain and infection
    Environment: is the room warm/cool enough?


South West Dementia Partnership            Further knowledge in dementia part 1
Focus on physical health in order to:

    Reduce the risk of delirium
    Reduce potential
     communication difficulties
     where a person is trying to
     express these needs
    Increase an individuals
     wellbeing


South West Dementia Partnership    Further knowledge in dementia part 1
Main Talking Points re-visited:
Any questions?

    How the brain is affected when a person has
     dementia
    Person centred care and positive communication
    How physical health is important to a person with
     dementia




South West Dementia Partnership          Further knowledge in dementia part 1

				
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