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Vol 5 No 5 October/November 2016

Australian Journal of Dementia Care

11

There’s a list of national

contacts for organisations that

can direct people to allied

health professionals in their

area, such as MyAged Care

and professional associations

such as the Australian

PhysiotherapyAssociation.

Allied health professionals can

also be accessed through a

person’s primary health

network, local health service/

hospital, GP or geriatrician.

A four-minute film promotes

the guides and is available on

both the ACI andAlzheimer’s

Australia websites.

Integrated approach

There has been tremendous

growth in knowledge over the

past decade about dementia

and how it affects the person

and those close to them.

Australia’s new

Clinical practice

guidelines and principles of care for

people with dementia

states that

“people with dementia should

not be excluded from any

health care services because of

their diagnosis, whatever their

age” (Guideline Adaptation

Committee 2016).

This recommendation reflects

the contribution allied health

professionals can make,

especially in areas not

previously considered part of

dementia health care, such as

rehabilitation, behaviour

management and palliative

care. There is also increasing

recognition of the value of an

inter-professional healthcare

team approach: where a group

of health professionals

collaborate to frame a common

understanding and develop an

integrated approach to

dementia health care.

The following examples from

the guides demonstrate just

some of the ways allied health

professionals may partner with

people with dementia.

Shaun’s story

Shaun had always worked

hard. When he developed

dementia and had to retire

earlier than planned, he needed

to make some big adjustments.

But adjust he has. He started

tending a vegetable patch at

home, and now volunteers at

two community gardens,

earning a TAFE certificate along

the way.

He also regularly attends a

coffee club organised by a

dementia advisor. Between 10

and 25 people, some with

dementia, some carers, meet at

the same café once a fortnight

to talk and relax. Adementia

advisor is always present to

provide support and

information. Shaun found the

coffee club so enjoyable he’s

now going to others in

neighbouring areas: “I enjoy

them. I like to feel I can support

and encourage people,” he

says. “This is a good way of

helping others out.”

Social worker and dementia

advisor, Sue, explains that the

aims of the café are to promote

social inclusion and peer

support, and to offer ongoing

information and support in a

relaxed way: “They are a great

way for people to feel

connected with each other”.

“I think two of the most

valuable aspects of this model

are the peer support, and the

fact that it is appropriate for

people with dementia from the

very early stages and

throughout the progression of

the disease,” Sue says.

“Peer support is very

powerful. I can spend a lot of

time informing people about

services, but being able to talk

to others that receive services is

far more effective in helping

people to accept them. Recently

one of our participants was

admitted to hospital and

needed to move into residential

care; his wife didn’t drive so a

couple of other carers from the

group took her around to look

at facilities and supported her

throughout this very difficult

time.”

“I find being involved in the

cafes very personally and

professionally rewarding.”

Daniel’s story

Acouple of years after being

diagnosed withAlzheimer’s

disease, Daniel joined a pilot

study on cognitive stimulation

therapy (CST) at a metropolitan

teaching hospital. He joined a

group with eight others who

were also living with dementia.

Social workers, nurses and an

occupational therapist were

involved in running the weekly

groups, with two staff each

week sharing the role.

Although he questioned the

reason for attendance each

week, Daniel never missed a

session. He made friends with

another man and they caught

A call to action

Dementia means living with change. The

impact of dementia on the person and

those close to them changes as the

condition changes.

Joan Jackman (pictured) cared for her

husband Michael, who had a younger

onset dementia. Joan’s experience in

supporting Michael through the changes in

his cognitive, perceptual and language

abilities as the condition progressed, together with her

professional experience as an occupational therapist, has

inspired her and other consumer representatives from

Alzheimer’s Australia to issue a ‘call to action’ for allied health

professionals.

“We want all allied health professionals to understand the

complex but varied needs of people living with dementia and the

vital role they play in supporting people with dementia to live the

life they deserve,” Joan said. “Allied health professionals are

enablers – working with the person with dementia and their

carer, they help people adjust to their individual changing

abilities and capacities.”

“Our experience was that there was not as much support for the

disabilities that come with dementia as for other types of

disability, such as stroke and brain injury for example, an area I

worked in for many years. I knew the difference that allied health

professionals could make and it was incredibly frustrating to feel

like we couldn’t access that help,” Joan said.

Allied health professionals can make a positive difference to the lives of people living with dementia and

their carers, with strategies for minimising the impact of memory loss, keeping physically and mentally

active and staying socially connected.

Photos: ACI