Dementia treatment.
Dementia treatment requires a holistic multi-disciplinary approach
Going to see a Neurologist or other Specialist (SOD) just to be given a “memory pill” is not good enough!
Attention to detail, focusing on general physical and cognitive function, other co-morbidities, Carer stress issues, quality of life is so important
Reducing adverse drug reactions and drug interactions
“Memory drugs” that may help slow down the memory decline in 1/3rd of patients. These are Acetyl Cholinesterase inhibitors, but 1/3rd of patients could get severe nausea and diarrhoea, in which case the drug needs to be ceased.
These “memory drugs” do not cure the condition, but may slow the down the decline a little, or even make them a little brighter, more interactive, less agitated.
Dementia may be part of a general neuro-degenerative decline so Doctors need to focus on walking and balance disorders
Management of postural hypotension or drop in blood pressure when standing which is a common complication of dementia and contributes to falls
Focus on malnutrition
Assess swallowing safety
Management of urinary and faecal incontinence which is a common complication of advanced dementia
Assessing for extra care and Community Aged Care Support Packages at home
Respite Care to prevent carer burnout
Arrange Enduring Power of Attorney and Enduring Guardianship to be able to make appropriate legal, financial, medical and life-style decision
Appropriate expert drug treatment of major behavioural complications can have spectacular improvements to reduce Carer stress, improve comfort, safety and quality of life for the patient, and reduce the need for nursing home placement
There is always something a Doctor can do to help an older patient with dementia. When a Doctor says “ nothing to be done, nothing can be done” is just failing the patient and their famliy!
For more information read Dr Peter Lipski’s book “Your Elderly Parents Failing Health. Is It Ageing Or A Treatable Condition”.