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Management of Dementia. by Sylvia Meijer Nurse Practitioner Older Adult. This presentation. Strategic and personal approach Overview of management concerns P ractical examples Where to find support. Strategic approach to dementia. Guidelines aligned to the MoH
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Management of Dementia by Sylvia Meijer Nurse Practitioner Older Adult
This presentation Strategic and personal approach Overview of management concerns Practical examples Where to find support
Strategic approach to dementia • Guidelines aligned to the MoH • Work in progress on a regional framework • Work in progress on a DHB wide framework • Map of Medicine
Often 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 behaviours • Aggressive behaviours • Agitated behaviours • Depression and dementia
Brief explanation of behaviours • Anxious behaviours • Disinhibited behaviours
Key checks • Communication • Knowing the person is essential • What is the cause for this behaviour: • Eliminate: • Physical concerns • Environmental concerns
Support available • Community organisations • GP teams and specialist services • Day and residential care
Take home message: …… know the person Show patience Be there ……….. Thank you
References Alzheimers 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