barbara sharp, a shared understanding of dementia
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Post on 07-May-2015
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A shared understanding of dementia
Barbara Sharp
Dementia is everybody’s
business
ADI (2010;2012)
Dementia in Scotland
• 86,000 people with dementia (2013)• Projected - the number of people
with dementia will double in the next 25yrs
• Dementia is a national priority
The nature of dementia…
• Range of syndromes• Hundreds of variations• Characterised by losses in brain function
- thinking, planning, calculating, remembering, reasoning, language
• Severe impact on personal, social and occupational life
Dementia
Of the many different conditions that cause dementia the most common are:•Alzheimer’s disease•Vascular dementia•Dementia with Lewy bodies•Fronto-temporal dementia
Learning disabilities and dementia
• Higher risk of developing dementia• Risk likely to be genetically determined• Usually Alzheimer’s• Most will have brain changes but not all
develop symptoms• Symptoms broadly similar to other with some
differences
Dementia
• These conditions cause damage to neurones and complex connections between them
• Impact is highly individual
Relationships Environment
The person you are
The person you are
Life experiencesCoping Physical
Psychological health
PhysicalPsychological
health
Brain changes
Personhood
Attention to personhood involves recognition of the central role of relationships and the uniqueness of each person
T. Kitwood 1997
5 pillars of post-diagnostic support
1. Understanding the illness & managing symptoms
2. Supporting community connections
3. Peer support
4. Planning for future decision-making
5. Planning for future care
The person with dementia and the
environment
Interventions and environments
Visual perception in dementia(seeing-understanding)
• Contrast sensitivity• Object and face recognition (agnosia and
prosopagnosia)• Colour and depth perception• Figure/background discrimination• Understanding what you see
Some ideas from the ward
With thanks to sister June Delaney and
the staff at Wester Moffat hospital
External Fire Door & Patient’s Toilet
Way-finding Handrail
Regular Seating(Positive Imaging)