Module 2: Direct Comprehensive Primary Care in the LTC Setting (59/93) -- Nurse Practitioners Delivering Primary C...

Module 2: Direct Comprehensive Primary Care in the LTC Setting 46 2.5.4 Dementia | Alzheimer’s Disease | Vascular Dementia | Frontotemporal Dementia | Lewy Body Dementia | Other Dementias | | | Prevalence | 60-70% | 10-20% | 10% | 5% | 5% | | Characterized by | Amyloid plaques and beta tangles | Stroke or white matter disease | Atrophy of the frontal and temporal lobes | Lewy body protein deposits | •Parkinson’s Disease •Huntington’s disease •HIV •Creutzfeldt- Jakob disease •Korsakoff syndrome | | Symptoms | Memory, language and visuospatial impairments | Impaired motor skills and judgement | Personality changes and language impairments | Hallucinations, REM sleep disorder, impaired thinking and motor skills | Global Deterioration Scale: - Stage 1: No cognitive impairment - Stage 2: Subjective memory complaints - Stage 3: Mild cognitive impairment - Stage 4: Moderate Cognitive impairment - Stage 5: Moderately severe cognitive impairment - Stage 6: Severe cognitive impairment - Stage 7: Very severe cognitive impairment[4] Management of Dementia: - Multimodal: - Non-pharmacological management - Pharmacological options: Cholinesterase inhibitors, Glutamate antagonists - Social prescribing - Education of patient and caregivers - Collaborative interprofessional team approach - Responsive behaviours / non-cognitive symptoms - Capacity assessment - Driving - Power of Attorney for Care