Read this primer to learn about: how to prepare for Advance Care Planning (ACP) conversations with patients and Substitute Decision-Makers (SDMs) and practical information on: consent, capacity and decision-making, how to determine who the automatic SDM is for a patient and finally how to prepare SDMs for decision making about healthcare in the future.
Long-term care homes must work within current regulations and legislation to meet the needs of people with dementia and their families. There is an urgent need to change the culture of care – shifting from an institutional model to a relationship-based approach – and to focus on the needs of people with dementia and their families through a person-centred approach. This approach is beneficial for all people, especially those with dementia, regardless of the stage of the disease or where they live, and is based on the values of dignity and respect, information sharing, participation and collaboration.
This article provides an overview of these often undiagnosed and untreated disorders including the impact to quality of life; challenges to diagnosis related to later life differences in presentation; pharmacological treatment and psychotherapeutic interventions.