Director of Public Health Annual Report 2015 Dementia Jnuulyary Ja 22001155 Health & Wellbeing in York About dementia: The word dementia describes a set of symptoms that may include memory loss and difficulties with thinking, problem solving or language. Dementia is caused when the brain is damaged by diseases such as Alzheimer’s disease or a series of strokes. By remaining involved and active a person with dementia can maintain their skills and independence for longer and live well with dementia. With an ageing population the number of people with dementia is increasing, however research has shown that lifestyle factors such as a balanced diet, exercise and not smoking are ways to reduce your risk of getting dementia. Two-thirds of people with dementia live at home and of these, one-third live alone. One-third of people with dementia live in care homes, and up to 70% of care home residents in the UK have dementia or significant memory problems (Alzheimer’s Society, 2014a). www.alzheimers.org.uk/site/scripts/ download_info.php?fileID=2318 70 – 80% of older people who live with dementia in a care home experience falls, with more than a third of people who experience a fall suffering a fracture as a result. Half of those who fall, fall again within a year. Five things you n know about de eed to mentia: • Dementia is n ot a natural part of the age ing process. • Dementia is ca used by diseases of the brain. • It is not just about losing your me mory. • It is possible to live well with it. • There is more to the person than th e dementia. Types of dementia: Dementia is an umbrella term used to describe the symptoms of a group of more than 100 conditions that impair memory, behaviours and thinking.The commonest are: • Alzheimer’s disease – 62% of cases.The exact causes of Alzheimer’s are not known but age is the most significant factor. • Vascular dementia – 17% of cases.Vascular dementia is caused by reduced blood supply to the brain due to diseased blood vessels. • Dementia with Lewy bodies – 4% of cases.This form of dementia gets its name from tiny spherical structures that develop inside nerve cells leading to the degeneration of brain tissue. Cause unknown. • Fronto-temporal dementia - 2% of cases. Damage is usually focused in the front part of the brain. Personality and behaviour are initially more affected than memory. What’s good for the heart is good for the head Exercise is beneficial for physical and mental health and can improve the quality of life for people in all stages of dementia. Research shows that people who take part in activities that stimulate the brain are less likely to develop dementia. It is thought that mental activity increases the brain’s capacity to cope with and compensate for physical damage.Taking up new hobbies or learning new skills are great ways to challenge your brain and keep it active. •Physical activity creates valuable opportunities to socialise with others. Activities in Yo rk Moving More O ften - sessions at City of York Council’s M orrell House Older People’s Home focu s on participation o f residents in adapte d versions of Boccia (a game similar to bow ls or petanque devi sed for people with seve re physical impairm ent – see picture below ), parachute games and New Age Kurling. Sp orting Memories ru n sport reminiscence sessions at Windso r House encouraging residents to take pa rt in organised physic al activity.This was recently covered by ITV Calendar http://www.itv.com /news/calendar/ update/2014-12-09/ sporting-memories help-patients-withdementia/ •Improving physical function through exercise can help maintain muscle strength and joint flexibility which can be a way of helping people maintain independence for longer. •Reducing the risk of falls. Picture courtesy of Boccianews.com City of York Council’s Public Health Team has been running dementia awareness workshops with sports clubs and facilities, especially with sports that have a higher age demographic eg bowling, and working towards creating dementia friendly sport and physical activity venues. “How to” presentation Facts: UK 0,000 people with •There will be 85 by the end of dementia in the UK 2015. illion people with •There will be 1 m by 2025. dementia in the UK ple with dementia in o pe f o % 44 y nl •O Northern Ireland England,Wales and receive a diagnosis. 0 carers of people •There are 670,00 e UK. with dementia in th the UK economy • Dementia costs ore than cancer, m ; ar ye a n o lli bi 3 £26. ke. heart disease or stro people know close n io ill m 21 r ve •O cted by dementia. friends or family affe York: •The current estimate is that there are 2,680 people in York aged 65+ with dementia. • 1,729 of these people are female and 951 are male. •In February 2015 there were 1,611 people on dementia registers in GP practises located within the City of York Council area. York has made a commitment to becoming a Dementia Friendly City, where people with dementia are understood, respected, and confident they can contribute to community life , due to increased understanding and improving sources of support. Services/Support in York: • Dementia Forward provides a range of information, advice and support. Their Dementia Advisors provide support to individuals and carers, as well as facilitating a variety of group peer support group activities in York.You can contact them on 01904 692473 or email [email protected]. If you are making a referral on behalf of someone else please make sure you have permission to pass on his or her details. • The York Alzheimer’s Society also runs peer support activities in York, such as Singing for the Brain and dementia cafes, as well as ‘Caring and Coping’ education courses for carers. Email: [email protected] • Here Now Dementia run projects such as the ‘Minds and Voices’ user forum, for people with dementia in York. www.herenow.org.uk •Other organisations, such as Age UK York, Crossroads (carer’s breaks),York Carer’s Centre and Riccall Carers also provide various support services to older people, including people with dementia and their carers. •Adult Social Care information, products and services can be found at www.connecttosupport.org/york Fleetways Taxis is one local business in York that has become more dementia friendly. The drivers took part in dementia education sessions and now display a ‘dementia friendly’ sticker in their taxis to demonstrate to customers that they are aware of and can help passengers with dementia. • Dementia Friends - a dementia friend learns a little bit more about what it is like to live with dementia and then turns understanding into action. Find out how to become a dementia friend at www.dementiafriends.org.uk • Music can be a powerful tool helping a person with dementia to access emotion, unlock past memories and help to create a sense of identity and well being. www.playlistforlife.org.uk encourages families and caregivers to create a playlist of personally meaningful music on an iPod for people with dementia. For more useful information about dementia: www.alzheimers.org.uk www.nhs.uk/conditions/dementia-guide/pages/dementia-prevention.aspx www.dementiaforward.org.uk
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