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Flashcards in dementia: The vulnerable adult and capacity Deck (17):
1

define dementia

Syndrome due to disease of the brain usually of a chronic or progressive nature in which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgement.

2

what are the main causes of dementia

Alizhmers, vascular dementia- similar symptoms e.g. micro infarcts.
frontotemporal dementia
Lewy body
Progressive supra-nuclear palsy
Huntington
Prion.

3

what benefits does medical management of symptoms have

increases the patients independence

4

what are common signs/symptoms of dementia

memory disorder
vascular risk factor
Agitation and agression
Wandering
Depression- treatable
Psychosis
Sleep disturbance
Incontinenece.
delirium

5

Are patients with dementia classed as lacking capacity

depends- some are, and in these cases the doctor will make treatment decisions in the patients best interest.

6

what support do patient require in community

depends on the extent of dementia but without these services more and more people stay in hospital.

7

what are the signs of dementia in stage 1

memory, personality and visual spatial awareness.

8

what are the signs of dementia stage 2.

aphasia, apraxia, confusion, agitation, insomnia

9

what are the signs of dementia stage 3

resistiveness, incontinence, eating difficulties, motor impairments.

10

what are the signs of dementia stage 4

bedfast, mute, dysphagia, intercurrent infections

11

CMHTs (community mental health teams) are used in dementia as a alternative to what

Intermediate care services (mental health and physical)
Alternatives to admission
Social care interventions
n-patient services- Medical/Psychiatric

12

How are CMHTs (community mental health teams) good in terms of the patient

provide them with independence

13

define advance planning

patient’s wishes are taken into account, of the future where they may lack the capacity to make a decision.

14

what discrimination do dementia patients face

Stigma associated with dementia.
Age discrimination
Fear of diagnosis
Misunderstanding- natural part or ageing.
Avoid people with it
Poor quality care and failure to provide services.

15

which act is key in the royal college of psychiatry

Mental capacity act

16

what are the main challenges for dementia services.

Need for sustained training at all levels
Paternalism and risk averse practice vs autonomy
More open involvement and communication with families
Explanation that legally it is appropriate to take certain risks
An effective advocacy service for people with dementia
More frequent and accurate assessment of capacity
Robust best interests procedures
The increased use of trial home discharges.

17

why is the mental capacity act key in dementia

most patients often lack mental capacity but this is not assessed by staff and therefore the patient management if often inadequate