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Nursing care of older people with dementia
Roger Watson
www.slideshare.net/RogerWatsonPhDRNFAAN
Ageing and
dementia
Distribution of types of dementia
What does dementia affect?
Problems associated with dementia
• Intelligence
– Lose problem solving ability
• Memory
– Become forgetful and lost
• Language
– Difficulty communicating
Progress of dementia – anatomical
Progress of dementia - temporal
Problems associated with dementia
• Wandering
• Aggression
• Incontinence
• Feeding and nutrition
Nursing role
Dementia care environments
Signage
The Edinburgh Feeding Evaluation in Dementia (EdFED) scale
2010
Ethical and legal dimensions
Because we cannot readily interpret the actions of a person
with dementia we do not know what to do for the best
Questions:
How do we alleviate eating difficulty?
What constitutes force feeding?
When do we stop feeding a person with dementia?
Tube feeding
Support for families
Preventing dementia
• Five ‘Golden Rules’
– Take exercise– Eat a healthy (Mediterranean diet)– Quit smoking– Drink alcohol in moderation– Prevent/treat diabetes and raised BP
Conclusion
• More people globally are suffering from dementia
• Dementia affects every aspect of life
• There is – at the moment – no ‘cure’ for dementia
• Nurses must offer advice and support to families as well as to the persons with dementia
• We must not forger that the person with dementia is still a person
