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Management of DementiaManagement of Dementia
by Sylvia Meijerby Sylvia Meijer
Nurse Practitioner Older AdultNurse Practitioner Older Adult
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This presentationThis presentation• Strategic and personal approach• Overview of management concerns• Practical examples• Where to find support
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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
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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 !”
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Brief explanation of Brief explanation of behavioursbehaviours
Aggressive behavioursAgitated behavioursDepression and dementia
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Brief explanation of Brief explanation of behavioursbehaviours
Anxious behavioursDisinhibited behaviours
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Key checksKey checksCommunicationKnowing the person is essentialWhat is the cause for this
behaviour: Eliminate:
◦Physical concerns◦Environmental concerns
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Support availableSupport available
Community organisationsGP teams and specialist servicesDay and residential care
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Take home message: ……
know the person
Thank you
Show patience
Be there ………..
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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