Management of Dementia
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Transcript of Management of Dementia
Management of DementiaManagement of Dementia
by Sylvia Meijerby Sylvia Meijer
Nurse Practitioner Older AdultNurse Practitioner Older Adult
This presentationThis presentation• Strategic and personal approach• Overview of management concerns• Practical examples• Where to find support
Strategic approach to dementiaStrategic approach to dementia
Guidelines aligned to the MoHWork in progress on a regional
frameworkWork in progress on a DHB wide
frameworkMap of Medicine
Often voiced concernsOften voiced concerns
“I don’t need a shower, I just a had a wash !”,
“This isn’t my house.” , “Someone took my handbag !”
Brief explanation of Brief explanation of behavioursbehaviours
Aggressive behavioursAgitated behavioursDepression and dementia
Brief explanation of Brief explanation of behavioursbehaviours
Anxious behavioursDisinhibited behaviours
Key checksKey checksCommunicationKnowing the person is essentialWhat is the cause for this
behaviour: Eliminate:
◦Physical concerns◦Environmental concerns
Support availableSupport available
Community organisationsGP teams and specialist servicesDay and residential care
Take home message: ……
know the person
Thank you
Show patience
Be there ………..
ReferencesReferencesAlzheimers organisation NZ: http://www.alzheimers.org.nz/
Management of patients with dementia. A national clinical guideline.
www.guideline.gov/content.aspx?id=8809
Dementia management, recommendations for health professionals
http://www.alz.org/national/documents/phase_4_home_care_recs.pdf
Ministry of Health NZ: http://www.health.govt.nz/your-health/conditions-and-
treatments/mental-health/dementia