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Korsakoff Syndrome (KS)

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Presentation on theme: "Korsakoff Syndrome (KS)"— Presentation transcript:

1 CONNAUGHT HOUSE Do people with Korsakoff Syndrome benefit from supported living accommodation?

2 Korsakoff Syndrome (KS)
KS is a memory disorder caused by lack of vitamin B1 (poor diet, poor absorption) Classical symptoms- loss of memory (ST), loss of spontaneity and initiative, confabulations, lack of insight, apathy, talkative or repetitive behaviours, unsteady gait when walking, poor hand, finger control Affects person’s ability to plan & organise Affects person’s ability to live an independent life

3 Alcohol in Northern Ireland

4 Amnesic Syndrome Admission to Northern Ireland Hospitals
ICD-10 Korsakoff Syndrome included under the umbrella of Amnesic Syndrome

5 Connaught House 5 bedded supported living unit
Opened in June Data collection began in September 2004. First facility in Ireland which is specifically aimed at addressing the needs of people with KS.

6 Staffing Structure

7 Overall Objective Encouraging optimum level of independence through receiving practical help and support in dealing with everyday situations. Doing things with the individual rather than doing things for them For example: Re-discovering old skills lost through and brain damage (alcohol abuse) and lack of use (living situation) Rekindling positive relationships lost through hectic lifestyle

8 Model of care Provide a safe ‘alcohol free’ environment
Provide support with all aspects of daily living e.g. regular nutritious meals, personal hygiene, accessing medical services, budgeting & finances Encourage meaningful daytime activities Support & encourage family involvement Encourage social inclusion/ community involvement Support alcohol abstinence Memory exercises

9 Combining daily tasks with pet therapy
Taking care of the hens Dinner time for Honey the dog

10 “Memory is the diary that we all carry around with us”.
Activities Memory Exercises “Memory is the diary that we all carry around with us”. (Oscar Wilde 1969)

11 Rediscovering lost skills and uncovering interests
Activities Rediscovering lost skills and uncovering interests

12 Evaluation 3 Year case study based evaluation Tenant Outcomes
baseline months 12 months Daily living skills (personal hygiene, household chores) Quality of life (physical, mental, social) Depression Alcohol relapse Improvements in everyday memory Family Involvement

13 Methodological Techniques
Range of standardised questionnaires LSP (Parker et al. 1991) QOL-AD (Logsdon et al. 1999) CES-D (Radloff 1977) Semi structured Interviews (tenants & staff) Postal Questionnaire (family members) Record Analysis (tenant monthly summaries, review notes, incident reporting) Observation Informal conversations with staff

14 Overview of 2 tenants Individual Tenant Demographics & Background Outcome from key areas- daily living skills & quality of life General Overview Alcohol Relapse Everyday Memory Exercises

15 Case Study 1: Philip Age on entry to scheme: 38 Length diagnosed: 5 yr Previous Accommodation: Long Stay Psychiatric Hospital/ 5 years Co-morbidity: Bi-polar depression

16 Philip: Daily Living Skills
Feeding hens, hovering his room, helping with meals Washing & ironing his own laundry Attending a day centre 2-3 times per week

17 Philip: Quality of Life
Uses staff for reassurance & support (mood & cravings) Regular visits from children on a Sunday

18 Case Study 2: Mark Age on entry to scheme: 57 Length diagnosed: 6yr
Co-morbidity: Brain Injury due to fall Previous Accommodation: Mental Health Flat Cluster / 4 years

19 Mark: Daily Living Skills
Overall improvement in personal hygiene and diet No incidents of drinking Physical & mental health problems- limited chores & much help with self care

20 Mark: Quality of Life Reluctance to accept support
Higher level of supervision has lead to improved living conditions, general health, personal hygiene

21 Alcohol Relapse 1 alcohol relapse Family- agree with no alcohol policy
Factor in unsuccessful tenancies

22 Memory Exercises 2-3 times per week i.e. contact family/friends, social events, financial situation, and meals Reduction in anxiety and challenging behaviour Improvements in everyday memory Evening activities i.e. reminiscing games, quiz

23 Conclusion Encouraging optimum level of independence
through receiving practical help and support in dealing with everyday situations. For more information:

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