Improving quality of care for people with dementia

Question 1

How many new diagnoses of dementia are made each year?

Answer 1

Nearly 10 million

Question 2

How many seconds between each new dementia diagnosis being made?

Answer 2

3 seconds

Question 3

How many people have diagnosed dementia worldwide?

Answer 3

50 million

Question 4

How is the number of people with dementia set to change before 2050?

Answer 4

Triple

Question 5

Where geographically will the majority of people who develop dementia be located?

Answer 5

Middle and lower income countries

Question 6

What will be the cost of dementia in USD in 2030?

Answer 6

$ 2 trillion

Question 7

What was the cost of dementia in USD in 2015?

Answer 7

$818 billion

Question 8

If the cost of global dementia was a country where would its economy rank?

Answer 8

18th highest

Exceed market values of apple and google

Question 9

Who discover alzheimer’s disease?

Answer 9

Alois Alzheimer

Question 10

When was the diagnosis of alzheimer’s disease first made?

Answer 10

1906
Patient was called Auguste D who was a female patient first seen by DR Alzheimer in 1901 in her early 50s. She had memory impairment, hallucinations and executive dysfunction

Question 11

What causes dementia?

Answer 11

Unknown

Many risk factors

Question 12

What are some ways of improving public and professional attitudes and understanding of dementia?

Answer 12

National dementia strategy
Health promotion
Education
Changing the word, eg. in china the word used to mean stupidity but now means cognitive disorder

Question 13

What causes inactivity in seeking and offering help?

Answer 13

Stigma of dementia prevents discussion
False belief: nothing can be done or dementia is a normal part of ageing. 
Onset insidious
Lack of insight
No simple test
Public and professional misconceptions
Role uncertainty
Impaired help seeking or help offering

Question 14

Describe the goal of dementia diagnosis?

Answer 14

70-80% of people with dementia receive accurate assessment and diagnosis
When they do it is - early in the illness, early enough to enable them choice, in time to prevent harm, in time to prevent crises

Question 15

Where are we in diagnostics?

Answer 15

Accurate diagnosis by careful clinical assessment with multi-disciplinary synthesis of history, examination and investigation

Tests to help make decisions about diagnosis and sub-diagnosis

Question 16

How do you communicate the diagnosis well?

Answer 16

Prepare before giving the diagnosis
Deliver the diagnosis in a sensitive way to both patient and carer
Time to discuss for the patient and carer and for them to ask questions

Question 17

List some risk factors of dementia

Answer 17

Hypertension
Obesity
Smoking
Physical inactivity
Social isolation
Diabetes

Question 18

Describe some brain health promotions

Answer 18

Integrate with other strategies eg. Tobacco control, salt, physical activity, alcohol, CVRF management
It is never too early (hypertension) and never too late (smokin and alcohol)

Question 19

What is next in terms of improving quality of care of people with dementia?

Answer 19

Improved community personal support services

Improving care for carers of people with dementia

Improved quality of care for dementia in general hospitals

Improved intermediate care for people with dementia

Housing support, related services and telecare

Living well with dementia in care homes

Improved end of life care for people with dementia