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Management of psycho-social problems of elderly (Orientation (Focused…
Management of psycho-social problems of elderly
Hypersexuality and loss of inhibition
This is more problematic in male dementia patients.
Use of certain sedatives or hormone therapy may be required if the uncontrollable patient is placing other people at risk.
Orientation
Focused time/place orientated approach
It promoted as an approach to keeping the demented person in touch with reality
it has been suggested that these programmes may slow down the symptoms
Urinary and faecal
Incontinence are managed by regular timed toileting, as it is not bladder function that is impaired but the ability to control micturition.
The use of indwelling catheters is contraindicated as the demented person does not understand what it is , they many remove it
Long-term nature of the illness
Family and caregivers require extensive support and counselling
The nature of illness, the likelihood of it being passed on genetically and the need for information and constant demands for attention.
Alzheimer's
New drugs are available which claim to slow down the dementia process.
Challenge is therefore to identify the patient could benefit from these newer forms of treatment.
Burnout of caregiver
use of community resources to provide backup and free time should be the focus of the support.
It is not uncommon for spouses to resist all help, but the importance of sustaining the care over a long period of time should be stressed