Dementia
Dementia is most commonly a slow gradual loss in memory including reasoning and problem solving. It may be demonstrated by difficulty carrying out normal activities such as banking, getting to appointments, dressing or caring independently for one’s self. While the memory may gradually decline over time, the person can usually pay attention. Dementia may be accompanied by changes in personality or mood, telling the same stories or needing reminding to do things. There are many different kinds of dementia but the most common is Alzheimer’s or a mixed Alzheimer’s.
Diagnosis, support and education for dementia can occur in a variety of settings. Geriatricians, Advanced Practice Nurses and Nurse Specialists are available in acute care hospitals to help identify concerns regarding memory changes and make recommendations for care. In the community, most commonly referrals are made from the Family Physician to appropriate supports such as Geriatric Day Hospitals or Memory Disorder Clinics.
A primer for Health Care Professionals entitled What you need to know to work with persons with Dementia: A Primer for those starting to work in dementia care has been published by the Champlain Dementia Network.