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Characterised by A progressive decline in mental abilities such as the abilities to remember, learn, understand, communicate and reason. A gradual loss of skills including those needed for everyday activities. Changes in personality or behaviour Jq ZZ OV Who gets a Dementia Most people experience mild memory loss as part of the aging process. Not everybody will develop dementia. Society stats: > 65 1 in 1000 65  70 1 in 50 70  80 1 in 20 80 + 1 in 5 zM  "Where do people with dementia live##("  S! live on their own S! live with a carer S! live in long-term care of people in residential or nursing care have dementia{ {z What is a Dementia nDementia: - is the accelerated death of brain cells caused by disease. It affects a person s ability to REASON, SPEEK, THINK, REMEMBER and make DECISIONS. Dementia is DEGENERATIVELZa   "  The Brain    {Parietal Lobe making sense of the world Frontal Lobe Organising/decisions Temporal Lobe Memory Occipital Lobe Vision      { What are the difficulties  fMemory Short term Communication Understanding Expressive Behaviour Unusual/Unexpected Inappropriate     #   #"e   Types Alzheimer's disease = 50% Vascular dementia = 20% Dementia with Lewy bodies = 20% Picks and frontal lobe = 5% Other dementias = 5% ( .B  G  Unusual Behaviour b So-called  problem behaviour is nearly always an attempt to communicate feelings, needs and wishes. Rather than trying to stop the behaviour, try to work out what it means   Communication  Keep sentences short (6 words) Use actions to back up meanings Remain calm and reassuring Allow extra time Try to interpret their Body Language Really listen to what is being said Some of it will make sense 8   So what should we do Respect the persons dignity & space Don t point out their failings Remain calm & acknowledge feelings Reassure & Support Encourage inclusion/Involvement Look for other ways of doing things Look for the cause  "  6How to contact us DISC Milton Grange 16 Handsworth Wood Road Handsworth Wood Birmingham B20 2DR 0121 554 9355 Asian carers 07793 725 764 Fax: 0121 515 3069 carers@discbirmingham.co.uk HN <(:NY       T       !0/4  +,P.  ` 3f` ]fff3` W.f36d` ff3fffe̙` 3f3` kuos` f___ff̙` /!fff3̙>?" dd@,? 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' ph(  ~  s *l   `      s *h   `<$0   H  0޽h ? 333œBP2@~v___PPT10V.e!3+[W_D' ^= @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-u6Bdiamond(in)*<3<*D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-u6Bdiamond(in)*<3<*D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*+%(D' =-u6Bdiamond(in)*<3<*+D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*+;%(D' =-u6Bdiamond(in)*<3<*+;D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*;F%(D' =-u6Bdiamond(in)*<3<*;FD' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*FN%(D' =-u6Bdiamond(in)*<3<*FND' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*N\%(D' =-u6Bdiamond(in)*<3<*N\D' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*\w%(D' =-u6Bdiamond(in)*<3<*\wD' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*w%(D' =-u6Bdiamond(in)*<3<*wD' =%(D' =%(DF' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-u6Bdiamond(in)*<3<*+8+0+0 +0 *"@x(  x^ x S tIj   B x c $pBt p  B `The Birmingham branch work in conjunction with the Primary Care Trust (PCT) to support Dr s in the care delivery to both people with dementia and their carers. Today's presentation is only scratching at the surface of this issue and can only be interpreted as: basic awareness and not formal training 110 H x 0g ? 3380___PPT10.C 0 0|0(  |^ | S tIj    | c $t p   &XSo let us look at what dementia is: Dementia: - is the accelerated death of brain cells caused by disease. This means that: It affects a person s ability to REASON, SPEEK, THINK, REMEMBER and make DECISIONS. This intern means that it will impact on the persons ability to function within their immediate environment. Unfortunately: Dementia is DEGENERATIVE There is NO cure, so we can only intervene to reduce its impact ~&r   A,k @ H | 0g ? 3380___PPT10.D L[0 k(  ^  S tIj     c $Bt p   a We all lose mental capacity as we grow older. The brain is the same as any other body muscles; We all are not as capable as we were; both physically or mentally This is not a dementia!! Not everybody gets COLDS or HEART trouble! So who does dementia effect?     H  0g ? 3380___PPT10.E`+  0 (  ^  S tIj   Y  c $,)Yt p  Y  Most common diagnosis types: Very difficult for GP s to be precise; normal procedures identify what it isn t GP s will take Bloods MRi scans as well as identify cognitive functions (Mini Mental Test) also talk to relatives to gauge current ability levels*2  z H  0g ? 3380___PPT10.G '0 ,(  ^  S tIj     c $t p   " H  0g ? 3380___PPT10.HpfO0 p(  ^  S tIj   Y  c $dYt p  Y TExperiences of people with dementia, is very difficult for us to imagine! MEMORY: Example  if you join a TV programme half way through, you don t know what's happened before SO its difficult to know what's it all about COMMUNICATION: Example  Think of yourself at a party, your mingling and you join a group of people having a conversation. BEHAVIOUR: Example  How do you feel you would react to the above situations.  H  0g ? 3380___PPT10.HO S0 ,(  ^  S tIj   Y  c $$qYt p  Y " H  0g ? 3380___PPT10.JsӀf0 v(  ^  S tIj   Y  c $t t p  Y l:Case study!! 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