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Special Care Dental Nursing Dental Treatment For Patients Living with Dementia

Special Care Dental Nursing Dental Treatment For Patients Living with Dementia. Anne Moore Specialist in Special Care NHS Lanarkshire PDS. Mental Health disorders. Eating disorders Addiction Dementia. Dementia – a growing concern. Every 4 seconds someone in the world develops dementia

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Special Care Dental Nursing Dental Treatment For Patients Living with Dementia

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  1. Special Care Dental NursingDental Treatment For Patients Living with Dementia Anne Moore Specialist in Special Care NHS Lanarkshire PDS

  2. Mental Health disorders • Eating disorders • Addiction • Dementia

  3. Dementia – a growing concern • Every 4 seconds someone in the world develops dementia • This means up to 20 PEOPLE EVERY DAY, 600 PEOPLE EVERY MONTH, 7,200 PEOPLE EVERY YEAR could develop dementia IN SCOTLAND Alzheimers Scotland

  4. Dementia • Term used to describe the symptoms which occur when brain affected by specific diseases and conditions • Many types each caused by different disease affecting the brain • Currently no cure although some medication can slow progression • Terminal illness

  5. Dementia types • Alzheimer’s disease • Vascular dementia • Dementia with Lewy bodies • Fronto-temporal dementia • Rarer forms include: • Korsakoff’s syndrome • Alcohol related dementia • CJD • Huntington’s disease

  6. Alzheimer’s disease • Most common cause – 62% of those with diagnosis • Approximately 465,000 people in UK • 98% affected are over age of 65 • Risk of developing increases with age • But can develop in younger people – 5,000 under age of 65 in UK

  7. Alzheimer’s disease - symptoms • General decline in cognitive abilities • Poor memory for recent events • Impaired concentration • Decision making difficulties • Disorientation • Difficulty in carrying out everyday tasks Alzheimer’s disease is progressive but rate varies widely

  8. Dementia types • Alzheimer’s disease • Vascular dementia • Dementia with Lewy bodies • Fronto-temporal dementia • Rarer forms include: • Korsakoff’s syndrome • Alcohol related dementia • CJD • Huntington’s disease

  9. Vascular Dementia • Second commonest form • Approximately 112,000 people in UK • Risk increases with age • But one of most common types in younger people

  10. Vascular Dementia - symptoms • Problems with concentration • Problems with communication • Memory problems (may not be first symptom) • Periods of acute confusion • Epileptic seizures • May have physical symptoms of stroke • Often good awareness of difficulties leading to depression Often “stepped” progression – constant level and then sudden deterioration

  11. Dementia types • Alzheimer’s disease • Vascular dementia • Dementia with Lewy bodies • Fronto-temporal dementia • Rarer forms include: • Korsakoff’s syndrome • Alcohol related dementia • CJD • Huntington’s disease

  12. Dementia with Lewy Bodies • Lewy bodies, named after the doctor who first identified them, are tiny deposits of protein in nerve cells. • Accounts for about 10% of those with diagnosis • Approximately 25,000 people in UK • More prevalent in over 65s • Rare in under 65s

  13. Dementia with Lewy Bodies – symptoms (DLB) • Memory loss • Shortened attention span • Disorientation • Verbal communication difficulties • Often experience Parkinsonian symptoms • Visual hallucinations • Fluctuations in symptoms • Prone to fainting & unexplained falls Similar progression to Alzheimer’s disease

  14. Dementia types • Alzheimer’s disease • Vascular dementia • Dementia with Lewy bodies • Fronto-temporal dementia • Rarer forms include: • Korsakoff’s syndrome • Alcohol related dementia • CJD • Huntington’s disease

  15. Fronto-temporal Lobe Dementia Frontal lobe regulates behaviour andTemporal lobe stores new information: • Relatively rare • Approximately 11,000 people in UK • More likely to affect under 65s

  16. Fronto-temporal Lobe Dementia - symptoms • Early on memory intact but personality and behaviour changes • Lack insight • Lose capacity to empathise • Inappropriate or disinhibited behaviour • Occasionally aggressive and withdrawn • May develop compulsive behaviour Progression varies greatly – less than 2 years to more than 10

  17. Dementia Journey Living well with dementia: • Fully involved in decisions about their care • Keep as physically healthy as possible • Remain as independent and in control as abilities allow Living well with increasing help and support: • Flexible support • Tailored to individual needs • Recognising rights and respecting individual’s beliefs End of life and dying well: • Progressive condition • Palliative and end of life care complex • Family support crucial Scottish Dementia strategy

  18. Scotland's National Dementia Strategy 2013-2016 All those involved in care of people living with dementia should be trained to at least “informed” level

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