Dementia. 2.1.1 In line with the Wolverhampton Joint Dementia Strategy 2019-24 the BCF Dementia work stream has the remit to implement/deliver the elements of the Dementia strategy.
2.1.2 This includes the five elements of the Dementia Strategy; Preventing Well, Diagnosing Well, Living Well, Supporting Well and Dying Well.
2.1.3 The Workstream which includes representatives from multiple agencies; will also review existing dementia specific day services, education and awareness training and the health and social care pathway. The aim is to promote greater independence and choice for people with dementia, increasing their self-esteem and encouraging people to maintain good social and personal relationships.
Dementia. Across the developing-country centres included in this study, the GMS was highly effective at discriminating between de- mentia cases and high-education controls, therefore the data presented here are entirely consistent with earlier reports of the satisfactory validity of GMS/AGECAT when used in well-educated developed- country populations (Xxxxxxxxxx et al, 1990; Xxxxxxxxxx et al, 1993). It was in this context that the GMS was first developed and the AGECAT algorithm calibrated. In the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS; 1998) the age-specific prevalence of GMS/ AGECAT organicity was very similar to that consistently reported from other major European and North American population- based surveys. In developing countries the GMS is a useful adjunct to dementia diagnosis. Our earlier analyses have demonstrated that it adds to the discriminating power of an algorithm, including informant report of decline in cognitive and functional ability (from the CSI–D) and cognitive testing (from the CSI–D and the CERAD ten-word list learning test) (Xxxxxx et al, 2003). More detailed findings presented here underline a tendency for the GMS to overdiagnose 4 3 2 VA L ID I T Y OF THE G M S Table 2 Discriminability by region of the Geriatric Mental State (GMS) organicity items dementia in low-education groups in some but not all centres, and for a relative insen- Item Dementia Depression High education Low education sitivity to the presence of dementia in others. Given that the items contributing Date of birth incorrect India 54 36 7 41 LAC 47 5 1 2 Age incorrect India 45 14 2 15 LAC 47 5 1 2 Discrepancy between date of birth and age LAC 49 8 1 4 One or more of above India 64 54 8 50 China 61 6 0 3 LAC 61 11 1 6 Day of week incorrect India 8 2 0 1 China 41 1 0 0 LAC 30 5 1 1 Month incorrect India 35 6 1 4 China 43 2 0 0 LAC 49 6 1 1 Year incorrect India 40 11 1 9 China 52 5 1 9 LAC 54 8 1 4 Address incorrect India 44 11 1 5 China 28 1 0 1 LAC 49 5 2 6 Claimed to have seen interviewer before LAC 30 2 1 3 Did not recall interviewer’s name India 81 31 6 12 China 79 29 8 39 LAC 67 28 7 19 Did not recall country’s leader India 85 39 12 32 LAC 54 18 5 12 Did not recall country’s past leader India 90 50 15 41 LAC 65 38 18 27 Interviewer’s opinion Participant has difficulty with memory
Dementia. Given the high number of older people accessing care homes, those living with dementia are likely to be a daily feature of carers’ work. Providers shall therefore ensure that carers are trained to work with people living with dementia Recent research undertaken by Personal Social Services Research Unit has identified key features of an excellent service. These are: ▪ The importance of flexibility in the provision of services. ▪ Staff trained and aware of dementia and able to recognise the particular nuances of expression and unique features characteristic of dementia and able to respond appropriately. ▪ The value of using life stories and other memory aids. ▪ Being able to recognise when specialist care and support is required. ▪ The importance of consistency in care workers. ▪ Recognising when someone is developing dementia type behaviours and ensuring they are referred for assessment.
Dementia. 7.1 The Provider will take an asset, rather than deficits, approach to maintain the Service User’s resilience, understand the Service User’s cognitive abilities and difficulties, so that Care and Support Plan can build on strengths and promote independence and resilience.
7.2 The Provider will ensure that Care Workers are trained to identify and work with those Service Users living with Dementia. The Provider will also ensure that specialist advanced dementia training is provided to enable Care Workers to deliver services to those Service Users whose dementia is advancing but are still able to live independently with support.
7.3 Knowing a person’s life story or biography is important, when working with Service Users, with dementia to help support problem solving, as a communication and engagement cue and to identify preferred coping strategies. As the dementia advances the Provider will need to work with the Adult Social Cate Team to amend the care packages in terms of what support and time is needed.
7.4 Building relationships with Service Users is a key part of the work with those living with dementia therefore the Provider will ensure consistency of care workers, using a minimum of care workers to help xxxxxx trust between the Service User and Care Worker.
7.5 The Provider will have a good understanding of balancing rights and risks and how this links with delivering outcomes, including application of the Mental Capacity Act (2005).
7.6 The Provider will work in partnership with carers to support the Service User with dementia and the carer. Maintaining a carer’s resilience and ability to carry on caring, where this is their wish, is crucial in taking a preventative approach and maintaining someone at home.
7.7 The Service will be flexible to accommodate the needs and abilities of Service User’s with dementia which can change from day to day. It is important to be able to adjust service provision quickly and effectively.
7.8 The Provider will be able to deliver services at very short notice to provide additional support in a crisis, including out of hours. Night time and weekend cover will also be available.
7.9 If the Service User circumstances change between reviews, the Provider must inform the Adult Social Care Team as soon as possible.
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Dementia. Alzheimer's means a neurological diagnosis that includes loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life. (See, e.g., xxxxx://xxx.xxx.xxx/alzheimers- dementia/what-is-dementia)
Dementia. Dementia is a condition which can affect memory, thinking, behaviour and ability to perform everyday activities. It is a progressive illness and as yet there are no cures. It affects mainly people over the age of 65 but there are people that experience early onset dementia. The impact of dementia in St.Helens is significant; at the end of 2014/15, 0.96% of the population was diagnosed with dementia in St.Helens. This is the second highest rate of diagnosis in Merseyside and corresponds to 1,793 people. It is estimated that approximately a further 500 people are living with dementia but have not been diagnosed. Dementia also now accounts for nearly 10% of all deaths in St.Helens (189 resident deaths in 2014 from dementia and Alzheimer’s combined). The number of people predicted to have dementia locally is expected to increase significantly, as outlined in the table below. Total by gender 852 0000 0000 0000 1242 1897 1445 2186 Total 2293 2683 3139 3631 In the ten years to 2025, the number of people with dementia is expected to increase by over 800 people, an increase of 37% on the 2015 total, again creating significant service pressures.
Dementia. Dementia is widespread among persons aged over 65; worldwide almost 27 million persons are affected by dementia (Xxxxxxxxxx M. et al, 2009)and in the European Union there is a prevalence rate between 5.9%-9.4% (Berr et al., 2005). These numbers are going to rise because of the increase in the number of persons aged over 65 worldwide. Dementia can have different causes such as Alzheimer’s Disease (the commonest cause of dementia), vascular dementia, Lewy body dementia, Xxxxxxxxx’x disease, Creutzfeldt-Jakob disease, frontal lobe dementia, and progressive supranuclear palsy (Xxxxxx XX, 2003).This disease deeply impacts on daily life and everyday personal activities, being often related to behavioural symptoms, personality change and numerous clinical complications. Furthermore in many cases dementia increases also the necessity of nursing care and the risk for urinary incontinence and falling that could bring to hip fracture and other injuries. Thus, costs of care with dementia are really high. Therefore there is the need to find prevention strategies to reduce the impact of dementia on society both from an economical and a social point of view. As a matter of fact even delaying the onset of dementia of some years could halve the burden of the disease (Xxxxxxxxxx M et al., 2009). Attention as to be focused on primary prevention so to reduce the biological onset or the risk factor, while secondary prevention should aim at an early detection of the symptoms so to try to reduce the progression of dementia and its consequences. In the matter of dementia there are several risk factors to be taken into account (Xxxxxxxx X.X. xx al., 2010). Some of these are reported in the scheme of the Fig. 9.
Dementia. Dementia is ‘a general term for a range of progressive organic brain diseases that are characterised by problems of short-term memory and other cognitive deficits’ (Xxxxxx, 2012). A variety of different disease processes and/or clinical presentations characterise dementia including Alzheimer's Disease, Lewy-body dementia, fronto-temporal dementia, Xxxxxxxxx’x disease, HIV-related dementia and vascular dementia (Xxxxxx, 2012). Some types of dementia such as fronto-temporal variants tend to have an average age of onset before 65 years (Snowden, Neary, & Xxxx, 2002). However, most forms of dementia show increased prevalence in older adults, with age being the main risk factor (Xxxxxx, 2012). The type of behaviours exhibited by those with a diagnosis of dementia will vary according to individual characteristics, environmental triggers, internal states and the underlying disease process including the disease stage. This means those caring for people with dementia may be attempting to cope with a variety of different symptoms that may also change over time. For instance, people with a diagnosis of Lewy-body dementia are more likely to suffer from hallucinations and delusions, which also occur in people with hearing or visual difficulties, or as a result of a delirium. Apathy, or lack of motivation, on the other hand, is more common in those whose frontal lobe is impacted by dementia. Other difficult behaviours that occur in dementia can include aggression, wandering, incontinence, sleep disruption, nutrition difficulties, depression, agitation and anxiety. Those that care for people with dementia may need psychoeducation as to the nature of dementia, support in managing challenging behaviours, and in developing awareness of the impact that caring has on them as individuals and how to cope with those effects.
Dementia. Dementia" means the loss of cognitive function, including the ability to think, remember, problem solve, or reason, of sufficient severity to interfere with an individual's daily functioning. Dementia is caused by different diseases and conditions, including but not limited to Alzheimer's disease, vascular dementia, neurodegenerative conditions, Creutzfeldt-Jakob disease, and Huntington's disease.
