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Flashcards in Dementia Deck (41)
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What are the attitudes and language which categorise ageism?

1. ugly and useless

2. an elder vs. the elderly

3. grey hordes

4. plague of wrinkles


What is ageism?

prejudice or discrimination on the grounds of a person's age


If you ask someone what they are most worried about in later life, how does this vary to if you asked someone over 65 what they were most worried about?

A younger person says that they are most worried about cancer

Someone over 65 will say that they are most worried about dementia


Why is dementia not described as a disease?

It is a causal condition

There is an underlying pathology that leads to dementia


How does dementia affect an individual and the brain?

It causes a deterioration in intellectual functioning and social behaviour

It does NOT affect the brain uniformly


How does ICD-10 define dementia and its nature?

It is a syndrome due to disease of the brain

It is chronic or progressive in nature


According to ICD-10, how does dementia affect the brain?

There is disturbance of multiple higher cortical functions

e.g. decline in memory, thinking, learning capacity, judgement


According to ICD-10, how does dementia affect consciousness and emotion?

Consciousness is not clouded

Dementia is accompanied by deterioration in emotional control, social behaviour or motivation


what are the different dementia syndromes and how many cases do they account for?

Alzheimer's disease - 62%

Vascular dementia - 17%

Mixed dementia (AD and VaD) - 10%

Dementia with Lewy bodies - 4%

Fronto-temporal dementia - 2%

Parkinson's dementia - 2%

Other dementias - 3%


What are the characteristics of mild dementia?

Cognitive decline limits functional activities but independent living is possible


What are the characteristics of moderate dementia?

There is seriously inhibited functional activity

Familiar material is maintained but independent living is not possible


What are the characteristics of severe dementia?

Complete inability to retain new information

Assistance is required for all daily living activities

There is very limited communication


How many people in the UK have dementia?

How many of these are under 65?

850,000 people in the Uk have dementia

42,000 are under 65


What proportion of dementia patients are female?


2/3 of people with dementia are female

This is because women live longer than men


What proportion of people in care homes have dementia?

2/3 of people in care homes have dementia


Which group of people have an increased risk of developing dementia?

People with learning disabilities

e.g. Down's syndrome


What is Kitwood's enriched model of dementia?

it articulates what dementia means by formulating a mathematical hypothesis

It shows how dementia affects all aspects of a person's life


What is Kitwood's equation for the enriched model of dementia?

Dementia = NI + H + B + P + SP

NI - neurological impairment

H - health/physical fitness

B - biography, life history

P - personality

SP - social psychology


What is the old view of dementia?

Dementia is a disease that can only be confirmed through CT scans

"us and them" approach saw patients as the "living dead"


What is the modern view of dementia?

Dementia is a disability

Care plans are made to put the patient at the centre of their care

Most people are living well in the community


What model does the modern view of dementia follow?

The social model of disability


Why is it difficult to determine the onset of dementia?

The onset is very subtle

It is only after diagnosis that someone may be able to recognise some of the behaviours that may have signalled dementia


Why is dementia often under-detected?

There is a symptom under-reporting as people don't attend GP surgeries over minor symptoms

They also have a lack of self-awareness


What is the underlying change in dementia?

A gradual loss of self or 'personhood'


What is meant by "personhood"?

A status that is bestowed upon one human being, by others, in the context of relationship and social being

It implies recognition, respect and trust


What are the signs and symptoms of dementia relating to memory?

1. struggling to remember recent events, but recalling things from the past

2. forgetting the names of friends or everyday objects

3. other people commenting on your forgetfulness

4. repeating yourself or losing thread of what you are saying

5. feeling anxious, depressed or angry about forgetfulness


What are the other symptoms and signs of dementia?

1. finding it hard to follow a conversation or TV programme

2. problems with thinking and reasoning

3. a decline in the ability to talk, read or write

4. confused even when in a familiar environment


What were the 4 areas of focus in the PM's 5-year challenge of 2015?

1. prevention - healthy living for all

2. quality - care across the disease pathway

3. research - cure or disease-modifying

4. social action - employers, carers


What is the NHS's approach to dementia?

They have the "well pathway" for dementia


What are the 5 aspects of the well pathway for dementia?

1. preventing well

2. diagnosing well

3. supporting well

4. living well

5. dying well