dementia complete
TRANSCRIPT
Understanding a person
through a Dementia
Journey
04/06/2015
Centennial College
By: Sherley Jean-Baptiste
Field Seminar/Donna Hinds
SSW program Fall 2013 -Winter 2015
About me
Objectives
Define Dementia
Identify some symptoms of Dementia
Go into details in regards to the three stages of
Dementia
Explore the five domains of Dementia
Most common Do’s
Overall as a S.S.W, you will be able to maximize quality of life across
the dementia journey of a person
Why Dementia?
AS of 2010
Over 500,000 Canadian
live with dementia.
The total economic
burden of dementia is $20
Billion per year.
4.6 million new cases
of dementia are diagnosed
each year.
By 2015
Baby boomers are
reaching the age of 65
40 to 75% of dementia
caregivers develop
psychological illness
“Worldwide, there are
an estimated 44 million
people with dementia”
Dementia
Age range & % affected
5%
15-25%
36-50%
65-74
74-84
85- older
Dementia definition
Dementia is a syndrome caused by a variety
of diseases.
Characteristics are:
Death of brain cells
Chronic & Irreversible
Progressive Decline
Terminal
Five Domains affected
Psychiatric
Behavioural
Cognitive
Functional
Physical
Symptoms
Memory loss
Impaired abstraction and planning
Language and comprehension disturbances
Poor judgment
Impaired orientation
ability
Decreased attention and increased restlessness
Behavioral changes and psychosis
Different types of Dementia
Understand the person
Frustration Confusion
Many tasks, no matter
how simple they might
seem, can quickly
become frustrating.
What might seem logical
to you, may seem very
confusing to someone
with dementia.
Three stages of Dementia
1
Forgetful
Lack judgement
Lack Insight
Poor reasoning
Lack empathy
Declining function
May have delusions or hallucinations
Behavioural and Psychiatric symptoms less likely
Dignity through autonomy (independence)
2
Symptoms of Stage One Worsening
Still have elements of enjoyment
Rarely have capacity for decision-making
Dignity through Safety
Three stages of Dementia cont’
3
Physical decline: incontinent, falls orimmobility
May have psychiatric problems (often notidentified)
May have pain or agitation which is hard torelieve
Dignity Through Comfort
Most common do’s &Video
Remind the
person of: place,
date, time and
season.
Bring well
known photos
into his/her room
and play music
he/she likes.https://www.youtube.com/watch?v=eBrY9v391
L0&list=PLTFODgR4HhgRG4vJb2SZLMAjJHl
L2SolZ&index=11
Be patient with
their repeat
statements.
Provide a safe
secure walking
area and go
with them on
walks so he/she
doesn’t get
lost.
Conclusion
“It is not the person but the
disease”
References
Tricco, Andrea C, PhD, MSc; Soobiah, Charlene, BSc; Berliner, Shirra, RN, MSc; Ho, Joanne M, MD ; Ng,
Carmen H, MSc, BSc; et al. Canadian Medical Association. Journal 185.16 (Nov 5, 2013): 1393-
401. Dementia; The Lancet Psychiatry: Coping strategies therapy significantly improves dementia carers' mental
health and quality of life
NewsRx Health & Science (Dec 7, 2014): 219.
http://www.alzheimer.ca/en/About-dementia/What-is-dementia
http://www.utas.edu.au/wicking/wca/mooc
Questions