Still Alice- 10 Minute

Extended Preview
https://www.youtube.com/watch?v=e28SCF_gqRY
 Younger people may have different needs and require some different support.
In general, younger people with dementia are more likely to?

• be in work at the time of • be more physically fit and active

diagnosis
• have heavy financial
commitments, such as a
• have a partner who still works mortgage

• have dependent children • have a rarer form of dementia

• have ageing parents who they • have an inherited form of

need to care for dementia.
The Benefits of Person Centred Practice

• https://www.youtube.com/watch?v=RxDO5rYn_ac
• Watch the first video. What did the carer do wrong?
• Watch the second video. What did the carer do right?
• How might this benefit the individual?
What does
communication mean?

• Sender and receiver

• Expressing a thought, idea, feeling or message and

passing it on to other people.

• Other people receiving your thought, feeling, idea

or message.

• Understanding the thought, idea, feeling or

message from another person.

• A person responding to your thought/ feeling

Types of Communication
• Verbal Communication
• Speaking Pitch and tone
• formal and informal language
• Using technology, social media
• Non- verbal communication
• Body language
• Eye contact
• Sign Language
• How we listen
• How we dress
How might dementia influence an individual’s
ability to communicate and interact.
• People might not be able to follow a conversation
• People might forget words or substitute the wrong words
• People might not be able to concentrate
• People might not pick up on visual cues
• People might not recognise the person who is communicating with
them
• People may no longer be able to use technology to communicate
Describe how to adapt the style
of communication to meet
needs, strengths and abilities

• https://m.youtube.com/watch?v=G_Oq
wGnqSmc
• MESSAGE Communication in
Dementia: Teaching Examples for
Home Carers – YouTube

• What works well

• what doesn’t work?
Attitudes of others that could
cause an individual with
dementia to feel excluded

• Prejudice Against the individual

• People around them having an attitude that someone with
dementia is incompetent
• Stereotyping the individual by assuming that everyone with
dementia is the same
• They will not be able to remember anything
• It takes to long to work with their issues so what’s the point
bothering
• Organising activities without consulting the individual and not
involving them in the preparation
• Ignoring the individual
• Treating the individual like a small child and not letting them
make decisions
What are the possible effects of
dementia?

• Alzheimer‘s disease

• Vascular Dementia

• Lewy Bodies Dementia

• Front Lobal Dementia

 The Benefits of Person
Centred Practice

• https://www.youtube.com/watch?v=RxDO5rYn_ac
• Watch the first video. What did the
carer do wrong?
• Watch the second video. What did the
carer do right?
• How might this benefit the individual?
 What is dementia?
Dementia describes a set of symptoms
that may include memory loss and
difficulties with thinking, problem-
solving, or language.

Dementia is mainly caused by certain

diseases such as Alzheimer's disease or a
series of strokes. Dementia is progressive Once you have
dementia you will
which means the symptoms will often think you
gradually get worse. are younger than
your actual age
and go back to
your old days and
routines
Watch the first video on dementia

• https://www.youtube.com/watch?v=DtA2sMAjU_Y
• Up to 10 minutes

• What did you learn that you did not know already?

• Group discussion
Watch the second video on dementia

• What did you learn?

• https://www.youtube.com/watch?v=9ev7ZNfyCU0
 key functions in the brain that are affected by
dementia
• The brain is responsible for a variety of
functions can you name them?
• In pairs a list
• Memory
• Thoughts
• Concentration
• Recognising objects and people
• Determining Shape, colour, movement
• Maintaining balance
• Language
• These can be affected in different ways by
dementia
Which part of the
brain does this affect?

http://www.alzheimersresearchuk.org/abo
ut-dementia/helpful-information/the-brain
-tour/?
gclid=CPDnzYHNvsUCFUTJtAodXSAAyQ
 Causes and symptoms
of dementia

• Dementia is caused by gradual changes and

damage in the brain.
• Common causes of dementia include diseases
in which the brain cells degenerate
• In dementia brain cells die more quickly than
they would as part of the normal ageing
process.

• The changes usually happen because of a

build-up of abnormal proteins in the brain.
 Alzheimer's disease

• In Alzheimer‘s disease, among the areas

often damaged first is the hippocampus

• This makes it much harder for someone to

form new memories or learn new
information.

• A person with Alzheimer's may struggle to

remember what they did earlier that day, or
what they have just said, meaning they may
repeat themselves in conversation.
Alzheimer’s disease
Alzheimer's disease is the most common causes of dementia. It was first
described by the German neurologist Alois Alzheimer.

Plaques and tangles of proteins spread in the brain, which leads to the
death of the brain cells
responsible for managing critical life functions.

It is a progressive disease
that gradually worsens over a period of time.
 Alzheimer’s disease
Does anyone know the Symptoms of Alzheimer’s?

 Symptoms will vary according to the stage of Alzheimer’s. Symptoms

include:
 memory problems
 difficulties with language
 disorientation in time and place
 hallucinations or delusions
 Vascular dementia
Vascular dementia is the second most common form of dementia after
Alzheimer's disease. It is a type of dementia caused by problems with the
blood supply to the brain.

In order for the brain to work properly it needs to have a healthy blood
supply. When the blood supply is disrupted this can cause the blood cells
to die.

.
 Symptoms will vary according to
the type and stage of vascular
dementia.

Does anyone know the symptoms?

 difficulties with language

 difficulties in concentration
 disorientation in time and place
 difficulties in visual field
 memory problems
 physical difficulties (such as left or right
sided weakness)
Lewy body dementia

Dementia with Lewy bodies (DLB) is a

form of dementia that shares
characteristics with Parkinson's disease.

It accounts for around 5 percent of all

cases of dementia in older people and
tends to be under-diagnosed. It is the
third most common type of dementia.
 Lewy Bodies Dementia

• Dementia with Lewy Bodies shares symptoms with

both Alzheimer’s disease and Parkinson’s disease.

• It is caused by tiny deposits of protein on the nerve

cells in the brain. This disrupts the connections
between nerve cells.

• Over time there is a progressive death of nerve cells

and loss of brain tissue.
Symptoms will vary according to the stage of Lewy body. These
include:

• fluctuating cognitive states

• hallucinations or delusions
• changes in taste centres
• difficulties in coordination
• difficulty judging spaces
• difficulty with movement

• (sometimes similar to
• Parkinson-like difficulties)
 What is Pick’s Disease?
Pick’s Disease can be defined as: “A progressive dementia commencing in middle life
(usually between 50 and 60 years) characterized by slowly progressing changes in character and
social deterioration leading to impairment of intellect, memory and language”. Pick’s disease is
thought to be due to a build up in the brain of an abnormal form of the protein Tau.

This is a relatively rare form of dementia. The first

description of the disease was published in 1892 by Arnold
Pick. Until recently it was thought that Pick's disease could
not be distinguished from Alzheimer's disease during life.
Consequently, it has been little studied, and much less is
known about it than about Alzheimer's disease.
Symptoms
• Loss of intellectual abilities: Affected individuals may exhibit confusion and
general lack of concern about their surroundings.

• Loss of retentive memory.

• The ability to initiate, organize and follow through on very simple plans and
familiar activities is lost.

• Attention span is poor.

• In many cases, individuals become unusually quiet but when they do

choose to speak it is often slow and in brief sentences.

• The exact cause of Pick’s Disease is still unknown therefore it is difficult to

 Treatment
-There is no proven effective treatment for
Pick’s disease. Monitoring and assistance
with self-care may be required depending on
the severity of the disorder.

-Aggressive, agitated, or dangerous behaviors

could require medication. Anti-depressants
have been shown to improve some
symptoms.
-Medications may be
required to control
aggressive or agitated behaviours or
behaviors that are
dangerous to the person or to others.
 Huntington Disease
(HD) Genetic Disorder
• Physical features:
- involuntary movements
- weight loss
- abnormal gait
- speech & swallowing difficulties.

• Psychiatric Manifestations:
- personality changes
- depression
- aggression
Watch the video

• This is an experiment to test what it might be

like living with dementia

• http://www.bing.com/videos/search?q=experie
nce+of+living+with+dementia++youtube&FOR
M=VIRE1#view=detail&mid=1CE7C6A3384FCBF
020BC1CE7C6A3384FCBF020BC
A more positive experience of living with
dementia
• https://www.youtube.com/watch?v=4YZDJlcyq-4
 Attitudes and behaviours
of others
• In Groups: Think about the 3 scenarios in groups and
work out what you think the attitudes of others might
be.

• Marion is 80 years old and has dementia. She goes to

the supermarket. At the till she becomes confused
when counting out her money.

• Mr Khan, 67 lives alone and has dementia. He is

struggling to handle paying his bills. He also likes to
give to charity and has received many letters from
charities asking for more money.
 Attitudes and behaviour
of others
• Ranjit, 65 has dementia and lives in a care home.

• The care home believes in giving people a choice of

activities.
• Ranjit has dementia and is becoming confused in the
daily meetings at the home by being asked what he
activities he enjoys and what he would like to eat.

• Elsie 78 has recently been diagnosed with dementia.

On a recent visit to the cinema with her daughter she
became confused and started talking to the people
around her and shouting out during the film.
 Difficulties with
communication
For Example
If a service user with dementia is
becoming agitated this could be a s
that they want something.
The health and social care worker is
unsure what they need so they may
say the following to them
“What do want”
“Do you want the toilet or somethin
to eat or do you want to go to your
bedroom and have a lie down?”

How will this make them feel

They may feel confused and their behaviour
can change through frustration and agitated