Dementia Produced by Wessex LMCs in partnership with:

Dementia Produced by Wessex LMCs in partnership with:

Dementia Produced by Wessex LMCs in partnership with: Dr Nicola Decker, GP Alzheimers Society 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. Dementia What is it? How common is it? What are the usual symptoms and signs? Dementia what is it?

This is a term used to cover a number of conditions The term dementia describes a set of symptoms including memory loss, mood changes, and problems with communicating and reasoning. Dementia is not part of growing old. It is caused by diseases of the brain, the most common being Alzheimer's. Dementia

Two common forms: Alzheimers disease (60%) Vascular dementia (20%) Mixed picture (10%) Dementia how common is it? Two thirds of people with dementia are women

One in three people over 65 will develop dementia In the UK 800,000 people are known to 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 Symptoms and signs Dementia affects different people in different ways

Difficulty in remembering recent event but can recall things from the past Finding it hard to follow conversations or programmes on TV

Forgetting the names of friends or everyday objects Repeating yourself or losing the thread of what you are saying Problems with reasoning Confused even when in a familiar environment A decline in the ability to talk, read or write Common symptoms Memory loss Common early symptom

Mood swings Inability to follow a conversation Common symptoms Disorientation in time and space Change in personality or behaviours This may cause a problem for family and carers

Common symptoms Difficulty with everyday tasks Poor judgement Misplacing things Common symptoms Loss of initiative Loss of interest in hobbies

Problem with words Wandering 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 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: Alzheimers Society Dementia 2012 Report

What is a Dementia Friendly Community? Where the greatest number of people: can live a good life can live independently and be part of their community are met with understanding and given support when needed

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 centred care sign posting to advice and guidance, medication, ethics, impact on families. Suffering from dementia Culture change

Society Doctors NHS to living well with dementia What do you think are the main risk factors?

Risk factors for developing dementia

Age Poor physical health Poor diet Smoking Excess alcohol Lack of physical exercise

Genetics Learning disabilities Modifiable Risk Factors Benefits Harm Mediterranean Diet

Diabetes Cognitive stimulation Smoking Physical exercise

High cholesterol High midlife diastolic blood pressure 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 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 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

Becoming a Dementia Friendly Practice Where can you find more information? www.alzheimers.org.uk www.dementia.org.uk. www.dementiafriends.org.uk

So What do we want to do as a practice?

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