Awareness – a person may begin to notice problems, for example, forgetting things. Other people might notice the person not managing their life in the usual way.
Assessment / diagnosis – a person may start to struggle with everyday living, needing prompts and reminders. As it becomes more obvious that the person is having difficulties this leads to assessment and a diagnosis. Getting a diagnosis can be difficult and it is estimated that currently only a third of people get a diagnosis (Source: Alzheimer’s Society). A person’s General Practitioner, and local memory assessment services should ensure people are screened, assessed and diagnosed.
Living with dementia – a person will need increasing ongoing support in a number of areas around everyday living. But focussing on a person’s strengths and wellbeing is important throughout the course of the illness to help them live well.
It is also essential to provide support, guidance and education about dementia to the carers who are living with the person.
End of life care – keeping a person comfortable and pain free is the focus of care at end of life.
Making decisions about the care and treatment for the person with dementia needs to take into account the person’s best interests in consultation with the carers/family. Where a person has completed any form of advance care planning this can help decision-making.
Using pain assessment tools can be helpful in determining appropriate pain management.