Welcome to the National Conference Community Care An Integrated Approach

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Welcome to theNational ConferenceCommunity
CareAn Integrated Approach

• Australian Meals On Wheels
• Association Inc.

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Meals on Wheels National Conference

• Caring for clients with Dementia
• What Role does
• Meals on Wheels Play?
• Lewis Kaplan
• Chief Executive
• Alzheimers Australia NSW

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Definition of Dementia

• Dementia is the term used to describe the
  symptoms of a large group of illnesses which
  cause a progressive decline in a persons mental
  functioning.

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Definition of Dementia

• It is a broad term which describes a loss of
• memory,
• intellect,
• rationality,
• social skills and
• normal emotional reactions.

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Why is Dementia Important?

• Ageing Population exponential growth
• Community awareness / fear ?
• Earlier Diagnosis
• Wide prevalence means its everyones business

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Dementia is

• A highly disabling condition
• A long-term chronic and progressive illness
• An increasing burden for any carer
• An growing epidemic for the whole community

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PREVALENCE OF DEMENTIA

• Doubles every 5 years past 60 years
• 60 - 64 yrs ... 0.7
• 65 - 69 yrs ... 1.4
• 70 - 74 yrs ... 2.8
• 75 - 79 yrs ... 5.6
• 80 - 84 yrs ... 11.1
• 85 yrs ... 23.6
• 90 yrs ... ?35 -40

Source Henderson, AS Jorm, AF (1998)
Dementia in Australia. A.G.P.S., Canberra.
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Australian Population Pyramid
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Australian Population Pyramid
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Australian Population Pyramid
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The Dementia Epidemic - Prevalence

• New data indicate that in 2005, the number of
  Australians with dementia will pass the 200,000
  mark (and reach 1.0 of the population).
• This compares with previous data projecting
  around 182,000 Australians with dementia in 2005.

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The Dementia Epidemic - Incidence

• In 2005 we project there will be nearly 52,000
  Australians newly diagnosed with dementia 1,000
  per week.
• This compares with earlier data which projected
  around 18,200 new cases per year a nearly
  3-fold increase.

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The Dementia Epidemic -Long term

• By 2050, there are projected to be over 175,000
  new cases every year, more than the total number
  of people with dementia in Australia in 2000.

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DEMENTIA PREVALENCE, 2005 People under the age
of 65

• 10,000 nationally in 2005
• Compares with previous data of 6,600
• Increases to over 12,000 by 2009

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The Dementia Epidemic

• Around 50 of people with dementia live at home
• Eventually almost everyone will need to move to
  residential aged care.

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Cost to Society

• In Australia, dementia already costs 6.6
  billion - 5.6bn in real economic costs and 1bn
  in transfer costs.
• (2003 data Access Economics)

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• What is Alzheimers Australia?
• What do we do?

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Alzheimers Australia Vision and Mission

• Enhancing the quality of life and dignity of all
  people living with dementia and their family
  carers
• and working towards a society free of dementia.

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Alzheimers Australia Vision and Mission

• We provide leadership in dementia awareness,
  understanding and care.

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Alzheimers Australia - Services

• 24 hour Dementia Helpline
• Counselling individual family
• Dementia Memory Centres

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Alzheimers Australia - Services

• Support Groups
• Mixed community residential care
• Specific - telephone NESB remote
• Professional facilitation for leaders
• Living with Memory Loss special program for
  people with early stage dementia

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Alzheimers Australia - Services

• Education
• Carer Education
• Professional Training Development
• Information
• Library
• Website
• Community Awareness
• Dementia Awareness Month NOW ON

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Alzheimers Australia - Services

• Professional Dementia Support Network
• Regional Partners
• Regional Dementia Advisory Services
• Client Database

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Alzheimers Australia - Role

• Advocacy and Policy development
• Dementia Helpline is on the pulse of peoples
  concerns.
• Analysing and focusing the input of family carers
  and of people with early stage dementia
• Turning concerns into Policy Speak
• Lobbying politicians, industry and other
  decision-makers

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Why is / are Meals on Wheels Important?

• Front line trusted, valued great brand
• Volunteer focus helping ourselves in 10 years
  time..
• Thousands of people with mild dementia or Mild
  Cognitive Impairment depend on you

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What Can Meals on Wheels Do Better?

• Integration with other community services such as
  Neighbour Aid
• Social Nutritional support ideal
• Eyes and ears of higher level community care
• Promote Safely Home program

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What Can Meals on Wheels Do Better?

• Front-line staff / volunteer dementia training
• Encourage referrals to Alzheimers Australia
• Awareness of other HACC programs

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• National Dementia Helpline
• 1800 100 500

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• See
• www.alzheimers.org.au
• for more details about Alzheimers Australia
  and its work.