PPT on Dementia | Treatment of Dementia | Jagruti Rehab centre

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Dementia care

• Treatment Of Dementia

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How common is Dementia?

• We provide consistent observation assistance to
  the old patients, right from their daily
  activities to recovering certain physical
  cognitive functions.
• We Have Special equipments like Fowler Beds, Bed
  pans pots, Walkers, Traction set, Nebulizer,
  ECG machine, oxygen cylinders, airways, emergency
  medicines. For the Bed-ridden patients Airbeds,
  Wound dressings, bed-sore care available.

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Why early Diagnosis Treatment

• Most types of Dementias cant be cured but, if
  detected early there are various ways to treat
  them or at least maintain mental functions
  prevent deterioration.
• Also if there is an early diagnosis, person can
  plan their own treatments Future.
• They can find out the right people, hospital
  authority of their property, to lead a fulfilled
  life.

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There are Treatable Causes which can mimic
Dementia, which treatable.
Depression Brain Infections Brain Tumors
Hypothyroidism Vit B12 Deficiency Vit D 3 deficiency
Head Injuries Over medications Normal Pressure Hydrocephalous
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Dementia Treatment

• Most Dementias progress slowly they dont have
  cure. But there are some medications available
  which may slow the progress of the Dementia. If
  diagnosed earlier the results quality of life
  may remain very good.
• Person may remain independent for long. Also we
  have to find if any treatable condition like
  vitamin deficiency, hypothyroidism, depression,
  tumor, etc. is there to treat it.
• A Medications
• B) Psychosocial Intervention

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A Medications

• Aricept (Donepezil)
• This is Acetylcholinesterase inhibitor. It is
  having very good results can slow the progress
  of dementia. Others in this class are
  Rivastigmine Galantamine.
• Memantine
• Its another drug used in combination with
  donepezil or as a monotherapy. It reduces cyto
  toxicity by acting on Glutamatergic (NMDA)
  receptors. Its also showed efficacy in slowing
  the progress of Dementia.Both of these drugs may
  reduce the Behavioral symptoms of dementia
  effectively.

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A Medications

• Antipsychotics
• These drugs are used to reduce the behavior of
  an aggressive patient. But at Jagruti we dont
  recommend them as they may cause more side
  effects as falls, sudden deaths increased
  morbidity confusion in patients.
• Antidepressants
• Its based on more emotional than factual
  things. Always there is some reason is there for
  any behavior of the patients. Ex. We have a
  patient Dr Potnis, she always asks when is my
  father coming to take me, although her father
  expired 20yrs back we have to tell her that he
  will come tomorrow or we have talked with him
  just now he will come. Immediately her behavior
  gets stabilized for some time. If we tell her
  that he is expired then she will get agitated
  get unmanageable.

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B Psychosocial Intervention
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• Cognitive Stimulation
• It includes various activities exercises
  designed to improve memory, problem solving
  skills language ability. These can be used to
  reduce aggression, improve communication, improve
  eating habits, to reduce incontinence etc.
• Validation Therapy
• Its based on more emotional than factual
  things. Always there is some reason is there for
  any behavior of the patients.
• Ex. We have a patient Dr Potnis, she always asks
  when is my father coming to take me, although her
  father expired 20yrs back we have to tell her
  that he will come tomorrow or we have talked with
  him just now he will come. Immediately her
  behavior gets stabilized for some time. If we
  tell her that he is expired then she will get
  agitated get unmanageable.

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B Psychosocial Intervention

• Behavioral therapy
• These therapies can be used in various
  difficult behaviors of a patient. E.g. If a
  person is having symptom of wandering, we can
  engage him in some activities so he will be
  occupied his symptom will reduce. Also
  aggression can be reduced using these techniques.
• Challenging Behaviors
• We are using various psychological
  interventions to reduce their challenging
  behaviors without using antipsychotics. A lot of
  time there are unmet needs, e.g. hunger, thirst,
  bowl bladder calls, some things they want. We
  have to carefully observe the patients respond
  accordingly.

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B Psychosocial Intervention

• Family Therapy
• Its important issue, as many have difficulty
  in understanding accepting the fact that their
  loved ones are having Dementia. We have to
  address care givers burden. Many people are
  having depressive symptoms helplessness.
  Supportive therapies work for them or respite is
  another good example to reduce their burden.

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Jagruti Rehabilitation Centre
THANK YOU!!!

• Opp. Krushi Vidyalaya, Sitai Nagar, Near Kudale
  Maruti Showroom, Manjari Farm, Pune-Solapur Road,
  Hadapsar,
• Pune 412307.
• Contact 91 9371425026 
• Email Id jagrutirehabcentre_at_gmail.com