1 / 12

11 TOP TIPS

11 TOP TIPS. Improving Dementia Care in Childwall & Belle Vale N eighbourhoods. Think Dementia as a team. Receptionists Pharmacists – patients getting confused with repeat prescriptions GP – patients presenting (repeatedly) with bizarre, nonsensical complaints

hidi
Download Presentation

11 TOP TIPS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. 11 TOP TIPS Improving Dementia Care in Childwall & Belle Vale Neighbourhoods

  2. Think Dementia as a team • Receptionists • Pharmacists – patients getting confused with repeat prescriptions • GP – patients presenting (repeatedly) with bizarre, nonsensical complaints • Relatives or carers expressing concerns • Bank Managers & other unexpected sources

  3. Do the blood tests • Relevant bloods (QOF) to rule out other treatable causes of cognitive impairment • ECG – helpful where Donepezil contemplated

  4. Check for Depression • Can often present as cognitive impairment especially in older patients • PHQ9 • Geriatric Depression questionnaire

  5. Deafness ? • Check the patient’s ears !

  6. Use Chronic Disease Reviews • 50% of patients will have vascular dementia rather than Alzheimers • Consider adding 2 memory questions to chronic disease review • Practice nurses have more time / are less intimidating than GPs • Opportunity to improve control of risk factors

  7. New Dementia DES Targeted case finding of patients with: • Down’s syndrome over age 40 • Learning disability over age 50 • Cardio-vascular disease over the age 60 • Neurological disease

  8. Screen • 6CIT – on EMIS and validated for use in primary care. Easy to do in a GP or practice nurse consultation • GPCOG - checks about carer • Clock face test – especially Alzheimers

  9. Refer EARLY • Don’t be disappointed if patient returned to you with diagnosis of Mild Cognitive Impairment • 50% of patients will not progress to dementia but 50% will ! • Gerontologists and psychiatrists do not have long waiting lists in Liverpool

  10. Carer • Early identification of carer’s needs • More likely to feel supported • Less likely to have crisis presentation of dementia with associated emergency admission • Forward planning – Lasting Power of Attorney • Time for families to come to terms with diagnosis

  11. Flag Delirium admissions • Consider creating ‘At risk of dementia’ register • Look out for dementia appearing on discharge letter de novo • Check with care home managers and community matrons for patients with undocumented dementia • Cleanse data - memory loss or dementia ?

  12. End of Life Care plans • Working with Community Matrons and Dr Becky Bancroft • Patient and family prepared • Avoids unwanted unnecessary admissions • Peaceful death at home

More Related