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Dementia &  Reducing the Risk Dementia &  Reducing the Risk

Dementia & Reducing the Risk - PowerPoint Presentation

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Dementia & Reducing the Risk - PPT Presentation

Cecilia Craig Education Officer Dementia Services Information amp Development Centre Alzheimers Disease 60 Korsakoff s Dementia Vascular Dementia 20 Lewy Body Dementia 15 ID: 1045193

dementia amp risk social amp dementia social risk disease loss vascular body memory affected abilities brain family increase impairment

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1. Dementia & Reducing the RiskCecilia CraigEducation OfficerDementia Services Information & Development Centre

2. Alzheimer's Disease (60%)Korsakoff’s DementiaVascular Dementia (20%)Lewy Body Dementia (15%)AIDS Dementia ComplexFrontotemporal lobe: Pick’s Disease Creutzfeldt-Jakob DiseaseCommonLess common10%90%% Approx

3. DEMENTIA IS …Any disorder causing brain destruction …… leading to functional loss of those cells.Results in difficulties in:CognitiveSocialPhysical activities of daily living.A gradual process usually.

4. DEMENTIA IS …A disability characterised by:Impaired Memory Impaired ReasoningImpaired Ability to LearnHigh Level of StressAcute Sensitivity to Social & Built Environment (Marshall, M. 1997)

5. What is affected?Physical abilities:EatingDrinkingMovingSleepingWalking etc..

6. What is affected?Thinking abilities:RememberingReasoningThinkingPlanningJudgementCalculationProblem solvingConcentration

7. What is affected?Social abilities:Communicating with othersMaintaining relationshipsWork performanceSocial etiquette

8. What are the Risk Factors for Dementia?

9. FAMILY History AGEGENETICGENDERMEDICAL Conditions LIFESTYLE

10. As you age – the risk increasesAGE

11. A family history increases the riskFAMILY HistoryEthnicity: – Sth. Asian and African-Caribbean originIncreased risk for …vascular diseases and diabetes.

12. GeneticRARELY…Certain genes increase the risk:Presenilin 1, 2 & APP genes (significant)ApoE4 on chromosome 19 (high)Down syndrome (high)

13. Vascular disease Repeated head injuries Diabetes Type 2 Depression Others e.g. Parkinson, MS … all increase the riskMEDICAL Conditions

14. Females are slightly more at risk GENDER

15. Diet - cholesterol - vitamin D etc…Social isolationSedentary LifestyleAlcoholSmokingLIFESTYLE

16. How can the risk be reduced?Video

17. Challenge yourselfChange something in your lifeLearn something new A languageGuitarRoutineJoin ToastmastersVisit new placesParachute from a plane

18. Exercise Healthy Diet Socialise RunWalkSwimLow fatFruit & VegLow alcohol & no smokingMeet peopleEngage in social activities

19. Stress Sleep Rest7-8 hrs sleepMental & Physical RestImprove Coping SkillsEliminate Stressors

20. Reduce your RISKIncrease your RESERVERemember …

21. TYPES …Alzheimer’s type dementia (50-70%)Vascular dementia (10-20%)Mixed dementia (15-20%)Lewy Body dementia (15%)Other (10%)

22. Alzheimer’s DementiaCause – unknown, insidious onset & gradual progression.Memory impairment.Impairment of 1 or more of the following: -Aphasia - Agnosia - ApraxiaDisturbances in executive functionBiopsychosocial approach.

23. Vascular DementiaInterrupted blood supply to the brain.Death of brain cellsRisk associated with:Cardiovascular disease & diabetesMemory impairment – not always the first sign.Reduced ability to concentrate.Personality may be unaffected.Insight may be present for much longer.Depression is not uncommon.

24. Lewy Body DementiaSimilar to other dementias.Cardinal symptoms:Fluctuating decline in cognition and function.Visual hallucinations.Parkinson’s characteristics.Sensitivity to antipsychotic medications.Other features:Transient loss of consciousness – falls.Depression & Daytime sleepiness.

25. Frontotemporal Dementia (<60)Most common < 60yrs & strong family link.Frontal and anterior temporal lobes:Reason, personality, movement, social etiquette, language & some aspects of memory.Changes in personal & social behaviour:Loss of inhibition.Apathy & Social withdrawal.Hyperorality (mouthing of objects).Ritualistic compulsive behaviours.Loss of moral reasoning & sense of self.

26. LESS COMMON DEMENTIAS Parkinson’s DiseaseAlcohol related (Korsakoff’s Disease)Creuzfeldt-Jakob DiseaseHIV/AIDS relatedDementia in people with an intellectual disability – Down Syndrome

27. FACTS ABOUT DEMENTIACurrently 55,000 in IrelandDouble in 20 yrs – 95,000 (Cahill et. al., 2013 – estimation)Stigma associated with dementia.Lack of knowledge & information.Cost of dementia in Ireland - €1.7b (O’Shea, 2007)

28. GLOBAL FACTS44 million around the world (Alzheimer International, 2013) Two thirds in developing countries.Prevalence is 5% - 12% in people over 65.The prevalence will increase due to ageing populations and longer life spans.