1. SESSION ; DEMENTIA: BREAKING BARRIERS
SPEAKER ; DR MANI CHANDRAN Sr CONSULTANT GERIATRIC PSYCHIATRIST
DEPT OF GERIATRIC MEDICINE MBBS DPM MD UKCCT FRCPsych

2. Conflict of interest declaration
I hereby declare no conflicts of interest in presenting this session today

3. REAL LIFE CASE SCENARIO
64 Year Old Gentleman Mr R attends our Memory Clinic with his son
He presented with H/O progressive short Term Memory Problems with H/O HT and DM
Evaluation highlighted he was on 11 Medicines along with Insulin
He was Driving and denied any problems with Driving

4. Case Scenario –Cont
Further Evaluation Highlights ,Recently he went to his Hairdressers next street
Lost his way and was located about 100 KM away and not knowing where he was
Another occasion went missing and was located late at night in his Old Farm House area
His son also informs ,though a shrewd businessman by nature he lost 2 Million QR
In his business ,family fears he was duped .

5. What does this case Scenario highlight ???

6. Group Discussion Questions
Is it safe for patients with Dementia to Continue driving
How would you address this issue
2) Our Gentlemen is on 11 Medicines along with Insulin .Are there any Issues that we
need to consider in such cases and if so what and how ?
3) We understand from our Patients family ,he went missing on one occasion and
Lost his way on another occasion .How would you address such issues ?
4) His family also reports he Lost large sums of Money in his business and they fear he was duped
How will you proceed ,what are the measures that can be considered to enhance
safety in this regard

7. DEMENTIA AND SAFETY –CONCLUSION
In History Taking for Dementia –Risk Evaluation is Mandatory
Individuals with Dementia may lack decision making capacity
Driving becomes less safe as cognition deteriorates ,needs further risk assessments
Essential to Ensure Safety Measures in Medication administration are enforced all times

8. DEMENTIA AND SAFETY –CONCLUSIONS
Some patients with Dementia wander and may become lost with an attendant
Risk of personal harm or even death
Impaired financial capacity may occur early in Dementia with adverse consequences ,
this issue should be addressed with family early on after diagnosis
Working across Organizations –Systems should be Established which ensures Enhanced
Safety Measures are Always at the Core of Dementia care in the Country

9. …..the future you see …is the future you get Robert G Allen
Thank you.