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Anne Moore Specialist in Special Care NHS Lanarkshire PDS
Special Care Dental Nursing Dental Treatment For Patients Living with Dementia Anne Moore Specialist in Special Care NHS Lanarkshire PDS
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Mental Health disorders
Eating disorders Addiction Dementia
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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
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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
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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
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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
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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
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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
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Vascular Dementia Second commonest form
Approximately 112,000 people in UK Risk increases with age But one of most common types in younger people
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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
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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
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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
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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
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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
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Fronto-temporal Lobe Dementia
Frontal lobe regulates behaviour and Temporal lobe stores new information: Relatively rare Approximately 11,000 people in UK More likely to affect under 65s
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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
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Scottish Dementia strategy
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
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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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