Dementia Pathways. For Primary Care in ireland

Post Diagnostic Support

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Assessment of NeedPost Diagnosis Information and AdviceSocial SupportsInvolving members of Primary Care TeamMedication ManagementLegal IssuesHome SupportsImpact of Diagnosis

To make this consultation effective start by trying to map out the patient and caregivers needs and then try to match them up with the resources that are available. Having a targeted approach will focus the consultation, providing useful information to the patient without overwhelming them.

1. Information and Advice

It is important to know how much the patient wants to know. The information given to the patient should be appropriate to their stage of illness. Information Leaflets on the dementia can be found in our Patient Information Leaflets section.

2. Home Supports

Patients may find helpful tips on improving their orientation at home helpful. They patient may be eligble for home help.

3. Social Supports

Both people with dementia and carers can benefit from accessing appropriate resources in the community. Please visit our service directory to access the supports available in your county for people with dementia, their families and their carers.

4. Primary Care Team

Consider involving other members of the primary care team in the management of this patient.

5. Medication Management

Advise patients to use a medicine dispenser or to ask the pharmacist to blister pack the medications.

It is likely that the patient will have been commenced on a Cholinesterase Inhibitor e.g. Donepezil (Aricept), Rivastigmine (Exelon), Glanatamine (Reminyl)

6. Legal Issues

Encourage the patient to visit their solicitor or their local Free Legal Advice Centre.

7. Impact of illness

Consider the psychological impact the diagnosis will have on the patient and his family.

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