Part II: Dementia Care & Management-Dementia Care & Management Slides

Dementia Care & Management Slides

Pdf Summary

This document covers various key topics related to end-stage dementia and medical management. It starts by discussing coding issues and documentation points related to dementia in hospice care. It then delves into the underlying themes of dementia at the end of life and provides a palliative care checklist for managing geriatric syndromes such as incontinence, sleep problems, delirium, falls, and weight loss. The document also highlights the importance of caregiver preparedness, decision making, and advance care planning in end-stage dementia.<br /><br />The management of medications in end-stage dementia is also discussed, with specific focus on de-prescribing and the potential risks and benefits of various drug classes such as cholinesterase inhibitors, antiplatelet agents, anticoagulants, inhalers, oral hypoglycemics, and statins.<br /><br />The document further addresses the management of nutrition and hydration in end-stage dementia, including the assessment of risk factors, medical and non-medical interventions, and considerations for artificial nutrition and hydration. The importance of infection management, particularly urinary and lower respiratory tract infections, is also emphasized.<br /><br />The document explores the risks and prevention strategies for falls and traumatic injury in end-stage dementia, as well as the assessment and management of pain, mental health issues such as dementia-related psychosis and mood disorders, and the unique challenges related to late-life unipolar depression.<br /><br />Lastly, the document briefly touches upon important considerations for live discharge and revocation in hospice care, as well as the effects of sub-acute rehab episodes of care on end-of-life management.<br /><br />Overall, the document provides a comprehensive overview of medical management strategies and considerations for end-stage dementia, aimed at optimizing the quality of life for patients and their families.

Keywords

end-stage dementia

medical management

hospice care

palliative care checklist

geriatric syndromes

medication management

nutrition management

infection management

falls prevention

pain management