Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.
-
Upload
piers-sullivan -
Category
Documents
-
view
217 -
download
0
description
Transcript of Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.
![Page 1: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/1.jpg)
Dementia Diagnosis: Why should we bother?
Dr. Sridhar Vaitheswaran30th October 2013
![Page 2: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/2.jpg)
The Problem
• Growing numbers• Barriers to diagnosis• Treatment gap• Cost to the society
![Page 3: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/3.jpg)
The Problem
• Growing numbers• Barriers to diagnosis• Treatment gap• Cost to the society
![Page 4: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/4.jpg)
World population 60 & above
![Page 5: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/5.jpg)
Population pyramid for Scotland -1981Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
1981
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is from the NRS mid-year population estimates.
![Page 6: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/6.jpg)
Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
1991
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is f rom the NRS mid-year population estimates.
Population pyramid for Scotland - 1991
![Page 7: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/7.jpg)
Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
2001
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is from the NRS mid-year population estimates.
Population pyramid for Scotland - 2001
![Page 8: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/8.jpg)
Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
2011
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is from the NRS mid-year population estimates.
Population pyramid for Scotland - 2011
![Page 9: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/9.jpg)
Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
2021
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is from the NRS mid-year population estimates.
Population pyramid for Scotland - 2021
![Page 10: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/10.jpg)
Population Pyramids of Scotland, 1981-2035
60000 40000 20000 0 20000 40000 60000
0
10
20
30
40
50
60
70
80
90+
Age
PersonsMale Female
2031
Data for 2011 to 2035 is from the 2010-based National Population Projections. Data prior to this is from the NRS mid-year population estimates.
Population pyramid for Scotland - 2031
![Page 11: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/11.jpg)
SCOTLAND[percentage -total population]
0
5
10
15
20
25
30
85+75-8465-74
![Page 12: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/12.jpg)
Population of very elderly in Scotland
• 17% increase in 90+• 44% increase in 100+
General Register Office for Scotland
Year 90+ 100+
2002 29,970
570
2010 35,190
820
![Page 13: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/13.jpg)
Projected Age Change in 65+2010 2035 Change %
Aberdeen City
Aberdeenshire
![Page 14: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/14.jpg)
Projected Age Change in 65+2010 2035 Change %
Aberdeen City 32,105
Aberdeenshire
![Page 15: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/15.jpg)
Projected Age Change in 65+2010 2035 Change %
Aberdeen City 32,105
Aberdeenshire 40,022
![Page 16: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/16.jpg)
Projected Age Change in 65+2010 2035 Change %
Aberdeen City 32,105 51,817 19,712 61.4%
Aberdeenshire 40,022
![Page 17: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/17.jpg)
Projected Age Change in 65+2010 2035 Change %
Aberdeen City 32,105 51,817 19,712 61.4%
Aberdeenshire 40,022 78,474 38,452 96.1%
![Page 18: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/18.jpg)
The Problem
• Growing numbers• Barriers to diagnosis• Treatment gap• Cost to the society
![Page 19: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/19.jpg)
Barriers to diagnosis
• Stigma• Dementia falsely regarded as aspect of normal
ageing• Therapeutic nihilism• Co-ordinated service provision
![Page 20: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/20.jpg)
The Problem
• Growing numbers• Barriers to diagnosis• Treatment gap• Cost to the society
![Page 21: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/21.jpg)
Treatment Gap
• Diagnosis - access to pathway for care, support & treatment
• Treatments effective in ameliorating symptoms & reduce strain among carers
• Carer interventions – facilitate care at home, delay institutionalisation
![Page 22: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/22.jpg)
Treatment Gap
• Persons with dementia to participate in treatment & care planning
• When diagnosis is delivered in a supportive manner this facilitates reassurance & empowerment
• Timely diagnosis facilitates planning with right advice & support
• Most people would like to know their diagnosis
![Page 23: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/23.jpg)
The Problem
• Growing numbers• Barriers to diagnosis• Treatment gap• Cost to the society
![Page 24: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/24.jpg)
Costs to the society
• Average annual societal costs are US$32,865 (£20,493) per person with dementia
• One-off costs of a high quality dementia diagnosis are around US$5,000 (£3,118) per person
![Page 25: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/25.jpg)
World Alzheimer Report 2011• Lack of detection is a significant barrier• Improving the likelihood of earlier diagnosis can be enhanced
through– medical practice based educational programs in primary care– the introduction of accessible diagnostic and early stage dementia care
services– promoting effective interaction between different components of the
health system• Early therapeutic interventions can be effective
– improving cognitive function– treating depression– improving caregiver mood– delaying institutionalisation
![Page 26: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/26.jpg)
Timeline of disease progression
![Page 27: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/27.jpg)
How do we facilitate timely diagnosis?
![Page 28: Dementia Diagnosis: Why should we bother? Dr. Sridhar Vaitheswaran 30 th October 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b5e7f8b9ab0599ac3e5/html5/thumbnails/28.jpg)
References
• World Alzheimer Report 2011http://www.alz.co.uk/research/WorldAlzheimerReport2011.pdf• 2010-based Population Projections, Aberdeen
City and Shire, Briefing paper 2012/01http
://www.aberdeencity.gov.uk/nmsruntime/saveasdialog.asp?lID=45250&sID=3365