Improving quality of care for people with dementia Flashcards
How many new diagnoses of dementia are made each year?
Nearly 10 million
How many seconds between each new dementia diagnosis being made?
3 seconds
How many people have diagnosed dementia worldwide?
50 million
How is the number of people with dementia set to change before 2050?
Triple
Where geographically will the majority of people who develop dementia be located?
Middle and lower income countries
What will be the cost of dementia in USD in 2030?
$ 2 trillion
What was the cost of dementia in USD in 2015?
$818 billion
If the cost of global dementia was a country where would its economy rank?
18th highest
Exceed market values of apple and google
Who discover alzheimer’s disease?
Alois Alzheimer
When was the diagnosis of alzheimer’s disease first made?
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
What causes dementia?
Unknown
Many risk factors
What are some ways of improving public and professional attitudes and understanding of dementia?
National dementia strategy
Health promotion
Education
Changing the word, eg. in china the word used to mean stupidity but now means cognitive disorder
What causes inactivity in seeking and offering help?
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
Describe the goal of dementia diagnosis?
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
Where are we in diagnostics?
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
How do you communicate the diagnosis well?
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
List some risk factors of dementia
Hypertension Obesity Smoking Physical inactivity Social isolation Diabetes
Describe some brain health promotions
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)
What is next in terms of improving quality of care of people with dementia?
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
