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Dementia, Safety and Risk for Abuse. Mary Schulz Director of Education Alzheimer Society of Canada. Conflict of Interest Disclosure Mary Schulz, MSW; RSW Director of Education Alzheimer Society of Canada. Has no real or apparent conflicts of interest to report. Alzheimer Society of Canada.
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Dementia, Safety and Risk for Abuse Mary Schulz Director of Education Alzheimer Society of Canada
Conflict of Interest DisclosureMary Schulz, MSW; RSWDirector of EducationAlzheimer Society of Canada Has no real or apparent conflicts of interest to report.
Alzheimer Society of Canada Framework: Person Centred Approach to Care Throughout the Continuum of the Disease Dementia and Safety Risks • Driving • Home Safety • Way finding • Vulnerable to exploitation (judgement) • Responsive behaviours • Carer stress • Dependence on carers (e.g. LTC homes) • Restraint use Early Middle Late End of Life
Rationale • “Rising Tide: The Impact of Dementia on Canadian Society” • Personal stories and the media
Alzheimer Society of Canada Focus on Abuse
Abuse of People with Dementia: Some findings • Abuse = Typically a hidden problem • 4% - 10% of Canadian seniors experience some form of abuse of neglect
Abuse of People with Dementia: Some findings • People with dementia are more vulnerable to abuse • ↑ Dependency • ↓ Social networks • ↑ Isolation • ↓ Ability to take action due to ↓ cognitive abilities • Attitude that people with dementia are of lesser value • Caregiver issues and “abuse” by person with dementia
TOOLS • Evidence based tools for detection, management and prevention of elder abuse • National Initiative for the Care of the Elderly www.nicenet.ca • “In Hand” – tool to help practitioners in their ethical reflection leading to decision making in a senior abuse situation
Our staff speak: • Survey of learning needs • Key findings
Alzheimer Society of Canada Our Challenges Complex Multi-faceted Multiple priorities – sense of urgency • Living Safely with Dementia • Resources and capacity • Ethics
Lives saved Awareness of safety strategies
Moving Forward • Create staff toolkits • Partnerships ++ • Build safety tips into all our literature
Mary Schulz MSW; RSW Director of Education Alzheimer Society of Canada mschulz@alzheimer.ca