93176
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
- describes something previously viewed as
non-medical, now viewed as medical (child birth)
- Medicalization of dementia gave
doctors power and authority
- after diagnosis people are locked into an unequal
power relationship with carers / professionals
- describes something previously viewed as
non-medical, now viewed as medical (child birth)
- Drug treatment
- Early diagnosis needed for drug
treatment to be effective
- Stigma / labeling?
- Stigma / labeling?
- Drugs not always effective
- Side effects may outweigh symptoms,
assess benefits against risk
- Drugs can be costly
- Heller and Heller suggest cholinestrase
inhibitor claim more of fair share of
resources, rather than focusing on PCC,
- Research drug companies have
financial investment
- Research drug companies have
financial investment
- Early diagnosis needed for drug
treatment to be effective
- Care
- after diagnosis LA must care out
community care assessment
- Barriers to good care
- Staff skills / knowledge
- Communication difficulties
- Under-funding
- High staff turn over
- Unsustainable premises
- Staff skills / knowledge
- after diagnosis LA must care out
community care assessment
- End-of-life care
- PCC important
in EOL
- discus EOL
care early
- discuss death can be
barrier to good care, yet
give sense of control
- Help prevent family conflict later
- Sampson suggests poor EOL care as
lack of palliative support
- Should concider ...
- Patients wishes, fears and preferences
- Beliefs and values
- Legal attorneys
- Interventions / DNR
- Prefered place of care
- Religious / spiritual / personal support
- Patients wishes, fears and preferences
- PCC important
in EOL
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