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Dementia in LD (Intervention (Early
Cues, routine, memory airs,…
Dementia in LD
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Assessment
When
Reactive - more difficult to detect
Baseline - Carr 2000 DS pre 30
Need register
Monitor - Resource? Brief screen needed
Previous study demonstrated it picked up cases
Neuro
MRI?
NAID
RBANS
CAMCOG-DS - pred.valid
BPVS
Rivermead: mild-mod
GDS/GAS
SIB
Exec: fluency, key search
Challenges
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Differential (BPS)
Ageing, Abuse, Sensory, Bio,
Sleep, Grief, MH, delirium
DEMENTIA - Tsidris 1997
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Evidence
Needs Lit Review
Llewellyn 2011 #
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Models
ECEPS - Janicki 2002
Early screen, Clin Support, Environ, Programme adapt, Specialis
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Edinburgh Principles 2001
QoL, Strengths, Systemic, Choice, Available, Consideration
Intervention
Early
Cues, routine, memory airs, orientation
Mid
Health monitoring, reminiscence, Strengths
End
Physical health, Physical health
Agencies
SaLT, OT, SW, CST
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Carers
Training Session
Other residents
Social Model - NICE 2006
Further disability due to exclusion society
Gibson 1994 Life Story
Focus on remaining skills, stress/failure free activities
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