Home' Australian Ageing Agenda : AAA May-Jun 2014 Contents ATTENTION ALL
Do you want your staff to:
• Have a better understanding of dementia?
• Improve their capacity to facilitate positive responses
from people with dementia?
• Use person-centred strategies to address behaviours
that cause concern to residents, staff and family?
• Build leadership capacity?
THIS FREE TOOLKIT IS COMING YOUR WAY!
Dementia Dynamics Toolkits are being distributed to all residential
aged care facilities in Australia. The national roll out of the Toolkit
is supported by the Department of Social Services under the
Encouraging Better Practice in Aged Care (EBPAC) Initiative.
The Toolkits contain: an e-learning disk, a 'personalising practice'
disk, and a manual designed to support leaders and potential
Make sure you send your leaders and potential leaders to
the workshops so you have key staff to support the use of this
flexible education resource.
On-line support will also be provided through:
supporting the Dementia Dynamics Toolkit
Do you have representatives attending a Best Practice
Conference this year? If so, take the opportunity to register for
the Dementia Dynamics Workshop the day before, and often at
the same venue for your convenience. Confirmed dates for
ACT Canberra (25 Aug) NSW Sydney (27 Aug)
QLD Brisbane (17 Sept) SA Adelaide (30 Jul)
TAS Hobart (19 Nov) WA Perth (15 Oct)
Other locations (dates to be confirmed)
NSW: (Coffs Harbour, Newcastle, Wagga Wagga, Wollongong &
Orange) NT: (Alice Springs & Darwin) QLD: (Townsville,
Rockhampton, Toowoomba, Gold Coast & Cairns) SA: (Port
Pirie & Port Lincoln) VIC: (Melbourne, Geelong Mildura
Shepparton, Traralgon, Wangaratta, & Warrna
WA: (Albany). Workshop Benefits
• Personal copy of e-learning disk.
• Free book (valued at approx $30)
• Dementia Training Study Centre (Victoria/Tasmania) Fellowship
opportunities with 12 months mentoring for relevant projects
• Scholarship opportunities to study an online topic with Flinders
For more information, or to register your interest in attending
one of these workshops contact: firstname.lastname@example.org
at $30 per
regulations are driven by a futile attempt
to eliminate all risk but potentially have
far more significant consequences.
She sees the media, the public and a
fear of litigation as fuelling a risk-averse
culture and calls for a robust debate to
discuss its broader, and often less visible
To begin to address this issue in the
area of building design, the Dementia
Services Development Centre (DSDC)
at the University of Stirling is producing
handbooks which outline the authority
and underpinning rationale for different
areas of regulation in the UK.
"If you can clarify what these
regulations are based on you can start
to have a sensible negotiation and look
more widely at the costs to individuals
from wholehearted implementation," says
Professor Marshall, who was the director
of the DSDC until 2005.
"Those of us who are primarily
committed to the self-esteem, quality
of life and independence of people with
dementia need to know the regulations
better than the regulators."
The dementia centre has already
identified 12 areas in English regulation
in which there is a conflict between what
is best for people with dementia and what
is required by regulators and is currently
working on a handbook for Scotland. n
Professor Marshall will present at the
International Dementia Conference on 26
June. Go to: dementiaconference.com
Tighter protections needed
for antipsychotics: Judd
HAMMONDCARE CEO Stephen Judd says he is concerned about
the inappropriate use of antipsychotic medication in residential aged
care and argued for tighter controls to monitor their use.
Dr Judd says because antipsychotics are a major medical
intervention they should be administered by authority only. While he
acknowledges it may an unpopular view, he says it is necessary for
the adequate protection of aged care residents.
"We have to ensure that there is not inappropriate chemical
restraint and the use of any antipsychotic medication is only used for
the benefit of the person for whom it is prescribed," he tells Australian
Ageing Agenda ahead of his keynote address at the International
Dementia Conference in June.
The use of antipsychotic medications merely to sedate residents
is not acceptable and greater monitoring and review is required, he says.
He says for medications with a PRN order in place, a specific indication for use can include
a medical review within a short duration to limit the use of these drugs without ongoing review.
While he says antipsychotic medications have a role to play in dementia care, their non-
reviewed use needs to be confronted.
Dr Judd says he is also concerned that recent changes to medication reviews
conducted by pharmacists could weaken the oversight of antipsychotic and psychotropic
use in residential aged care.
In February, the Federal Government and the Pharmacy Guild of Australia announced
that a new minimum two-year interval between the government-funded medication reviews
would be introduced.
Dr Judd describes the budget control measure as a "great mistake" and says there
should be a minimum of annual psychotropic surveys for aged care residents.
"There needs to be regular reviews of antipsychotics and all psychotropic medications
for individual residents and there should be a minimum of annual psychotropic surveys,"
says Dr Judd.
Dr Stephen Judd
www.australianageingagenda.com.au | 49
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