Loading in 2 Seconds...
Loading in 2 Seconds...
Mental Illness or Terminal Illness? Competing constructions of advanced dementia and implications for care. Professor Fran McInerney Australian Catholic University/Mercy Health, Melbourne IFA 11 th Global Conference on Ageing 28 th May – 1 st June 2012 Prague, Czech Republic. Co-authors.
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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Professor Fran McInerney
Australian Catholic University/Mercy Health, Melbourne
IFA 11th Global Conference on Ageing
28th May – 1st June 2012
Prague, Czech Republic
Dementia is an issue of increasing concern in Australia & internationally
Latest Australian figures identify dementia as the third leading cause of death in Australia (AIHW 2011) & the second leading cause of disability burden (Al Aust 2008)
Increasingly recognized as a progressive, global, life-limiting, condition however, large gaps in understanding still evident
At least 50% of PWD (moderate to advanced) are resident in RACFs (Al Aust 2008)
At least 50% of the total RACF population consists of PWD – closer to 80% in high care & 100% in dementia units (DUs) (AIHW 2010)
In later stages, PWD commonly experience:
Eating & drinking problems;
Reduced mobility; &
All of which contribute to mortality
Prognosis from diagnosis to death has been estimated at 4.5 years (Larson et al 2004), while for those in the most advanced stage (eg those resident in DUs), the survival time has been estimated at 6 - 24 months (Mitchell et al 2009)
I: I wondered if you could tell me what you understand dementia to be?
R: In her case it was really a little bit, almost schizophrenic ... she started thinking people had been in the house and had walked through the house, and she would go out at night, and we were away overseas at the time, and she would go out at night thinking there had been an accident and she had to find people.
I: Right, so she had what we might call delusions?
I: She thought things were happening that weren’t?
R: Yeah and she would go out at night ... [DU13]
R1: See I hate it being called the dementia unit because it’s…
R2 …I agree with that, I agree with that.
R1: It’s the behaviour unit, it’s…It’s the wandering unit.
R1:I only call it the dementia unit here [with staff], but I call it St X [outside of staff space]
R2: Yes, that’s exactly right. Yes, it’s either the wandering unit or the blue door, or something… [PCAs/Lifestyle FG3]