Unit 3, Block 1

Increase in dementia due to people living 30 yrs longer than 100 yrs ago, as a result of medical knowledge / technology
Medicalization
1. describes something previously viewed as non-medical, now viewed as medical (child birth)
2. Medicalization of dementia gave doctors power and authority
3. after diagnosis people are locked into an unequal power relationship with carers / professionals
Drug treatment
1. Early diagnosis needed for drug treatment to be effective
  1. Stigma / labeling?
2. Drugs not always effective
3. Side effects may outweigh symptoms, assess benefits against risk
4. Drugs can be costly
5. Heller and Heller suggest cholinestrase inhibitor claim more of fair share of resources, rather than focusing on PCC,
  1. Research drug companies have financial investment
Care
1. after diagnosis LA must care out community care assessment
2. Barriers to good care
  1. Staff skills / knowledge
  2. Communication difficulties
  3. Under-funding
  4. High staff turn over
  5. Unsustainable premises
End-of-life care
1. PCC important in EOL
2. discus EOL care early
3. discuss death can be barrier to good care, yet give sense of control
4. Help prevent family conflict later
5. Sampson suggests poor EOL care as lack of palliative support
6. Should concider ...
  1. Patients wishes, fears and preferences
  2. Beliefs and values
  3. Legal attorneys
  4. Interventions / DNR
  5. Prefered place of care
  6. Religious / spiritual / personal support

Zusammenfassung der Ressource

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