Living and Dying with Dementia (a Hospital Perspective). Dr Oliver J Corrado, Consultant Geriatrician, Leeds Teaching Hospitals and LTHT ‘Dementia Champion’. Setting the Scene. Dementia affects 800,000 people in England and Wales Not just older people, 17,000 in UK are aged under 65 years
Living and Dying with Dementia(a Hospital Perspective)
Dr Oliver J Corrado,
Consultant Geriatrician, Leeds Teaching Hospitals and LTHT ‘Dementia Champion’
Data source: State of the Nation report Dec 2013. Based on QOF data 2012/13.
Proportion of those on dementia diagnosis registers in Leeds
Number of long-term conditions (including dementia)
Patients who are ‘confused’ in hospital or admit to being increasingly forgetful are given a quick memory test and if they score low referred for further review and assessment.
Helping to increase diagnostic rates
“Know Who I Am” / “This Is Me” to find out more about person
“Forget Me Not” symbol to raise awareness
Finger food and snacks, cake at tea time, picture menus, “dementia friendly crockery and cutlery”. Volunteers to provide assistance with eating and for recreational activities
Lasting Power of Attorney
Dementia Friendly Hospital Environments
A ‘good death’
Ensure people die in comfort and with dignity
Forward planning is important, (wherever possible) respect
wishes about place of death, funeral arrangements, readings
(or not), choice of music etc. We are very bad at talking about
Involve families and friends in process
Ensure spiritual needs are met
Avoid unnecessary hospital admission when the best place for the person to
have end of life care is home/ their care home. Improve communication with
families and between health professionals in hospital and in primary care
(GP) about treatment decisions and end of life care.
Recognise when someone is dying and when further active treatment is
not in their best interests.
Good palliative care support and hospice care if needed (these are
not just for people with cancer !)
You only live once ….. but you also only die
once ! (Dying Matters)