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Memory Works in DCU school of Nursing’s Healthy Living Centre

Memory Works in DCU school of Nursing’s Healthy Living Centre. Dr Kate Irving. Academic practice.

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Memory Works in DCU school of Nursing’s Healthy Living Centre

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  1. Memory Works in DCU school of Nursing’s Healthy Living Centre Dr Kate Irving

  2. Academic practice • Academic practice is defined as the deliberate integration of research and education with practice. The HLC is a community focused centre with both a local and national remit and practitioners include those from medical, nursing, psychology and psychotherapy backgrounds with experience in primary, secondary and tertiary care sectors.

  3. Main Aims • A primary care support service where people who are concerned about their memory can get advice and assessment • A primary care service providing holistic assessments for GPs who feel a patient might benefit from a more detailed approach and the provision of a full report • A holistic assessment of factors that impact on memory problems such as sleep disturbance, mood disorders, stress, grief, diet, exercise and social interaction. • Individualised advice on cognitive strengths, coping mechanisms and risk reduction strategies. • Onward referral for counselling or psychotherapy where appropriate • Advocacy for the family and person with dementia when they are finding it difficult to get clarity or support for the problems they are facing.

  4. Philosophy • Positive approaches to healthy ageing / Strengths based • Open up the social taboo of talking about cognitive problems whatever age • Early identification of memory problems should not be an end in itself • Memory is complex and regardless of disease status there are modifiable risks that will benefit anyone in they are concerned about their memory

  5. Set up • Clinic in the School of Nursing – purpose built Healthy Living Centre • Supported by the school + means tested fee • 1-2 clients a week • 1 clinician plus counselling and psychotherapy • Self referrals, referrals from the Alzheimer’s Society Helpline, GP referrals • About ¼ get referred to a secondary health service

  6. Process • Interview to ascertain, social supports, psychological coping mechanisms, life events, sleep patterns, dietary habits, exercise, social interaction, cognitive stimulation, medical history, drug history, mood etc • Mini-cog, MMSE, GDS. (about 1 ½ hours) • Feedback, follow up letter, letter to GP and or memory clinic • Into the future…

  7. With ourselves in mind: Strengths based dyad support group- 8 weeks • Remember who they are and preserve their valued identities; • Live with significant losses; • Pace themselves, activate themselves and take it easy on themselves; • Stand up for themselves and assert independence; • Accept the help of others and make use of community resources; • Keep going when times are tough; • Prepare for and shape their futures; • Work together with their relatives on each of the above.

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