1. COLLABORATION: Empowering clinical practice in dementia care
Danielle Kennedy
Aged Care Nurse Practitioner
PGNA Conference
September 13th 2019

2. Discussion points Ageing Australia: Service availability and access
Changes and challenges
The remote, rural & regional perspective
Service availability and access
Promoting collaboration
Empowering local staff
There are significant changes and challenges projected with an Ageing Australia
Severe behavioural change associated with dementia
Mental health in the older person
Age
Service awareness
Service access and accessibility
RACF
Home care packages
Fragmentation of services
Carer impact
Collaborative practice
…..Are we meeting the needs of our clients?

3. REMOTE, RURAL & REGIONAL: Murrumbidgee Local Health District

5. Brodaty, Draper & Lee (2003)

6. Severe BPSD
“Ronald, is an 89 gentleman, who was recently admitted into RAC. He had a suspected dementia (no formal diagnosis) with associated behaviours of concern (exit-seeking, sexually inappropriate and intrusive behaviours, disturbed sleep-wake cycle and verbal and physical aggression). His behavioural change was ongoing with increasing episodes of physical aggression and he was entering and propositioning female residents”. 

7. The evolution of BPSD
Empowering local clinicians

8. Getting to the real referral
What is Dementia?
Dementia is an organic brain syndrome that is characterized by loss of intellectual ability.
Many definitions of dementia exist , most include impairment of
cognition,
social and occupational functioning, and
impairment in performance in activities of daily living.
Dementia is a progressive syndrome with persistent dysfunction in intellectual ability, affecting
thinking,
memory,
language,
understanding,
praxis (performance of an action),
gnosia (faculty of perceiving and recognising),
executive functioning (planning and decision making),
communication
and calculation.
Disturbances of mood and alterations in demeanour often accompany the intellectual deterioration.
COLLABORATIVE PRACTICE

9. The collaborative approach:
Enhancers
Barriers
Transparency
Understanding
Effective communication
Interdisciplinary relationships
Service awareness/access
Ineffective communication
Models of care
Organisational silos

10. Points of referral
Local management
RANZGP, 2013

11. The collaborative approach in BPSD
MDT
Role clarification
Communication
Agreements and plans
Knowledge and skills
Link workers
Quality improvement
ELDAC, 2019