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Question 3 (LO 1.2)
Describe the key functions of the brain that are affected by dementia.
Area of the brain Symptoms that appear as a result of damage to this part of the
brain
Question 4 (LO 1.3)
Explain why depression, delirium and age related memory impairment may be mistaken for
dementia.
Condition Symptoms
Depression
Delirium
Age-related memory
impairment
Question 6 (LO 1.3)
Explain why it is important to detect depression and delirium in a person with dementia. Write your
answer in the box.
Explain why dementia should be viewed as a disability. For example, think about how this would
impact on access to services.
Question 10 (LO 3.1, 3.2, 3.3, 3.4)
List the most common causes of dementia, likely signs and symptoms, risk factors and prevalence
rates.
Describe how different individuals may experience living with dementia depending on age, type of
dementia and level of ability and disability.
Outline the impact that the attitudes and behaviours of others may have on an individual with
dementia.
Mary
Mary has been living in the Parkland Residential Home for three years. She has Lewy body
dementia. Previously, Mary lived with her husband. Five months ago Marys husband died and she
frequently asks where he is. Support workers have avoided telling Mary that her husband died, as
they are afraid of how she will cope and the impact this will have on other staff members and
residents. Mary spends a lot of time looking for her husband, often walking around the residential
home for most of the day, searching for him.
Mary is capable of doing a lot of activities for herself. She is able to dress herself after prompting
and only requires assistance reaching her clothes. Mary has some difficulty with her mobility but
can feed independently and enjoys singing and dancing. She sometimes gets lost when returning to
her room as the corridors are bare, although her name is written on her room. Mary sometimes has
difficulty expressing herself, but for the majority of time has good receptive communication. Mary
has some sight difficulties and wears glasses. Occasionally she experiences hallucinations.
One morning Mary suddenly appears much more confused than normal. The carer on duty makes a
note but is not investigated further. Mary also seems more agitated. The carers help in the morning
and provide full support to her. The carer on duty the next day is new to care, has not had any
training, does not know Mary well and continues to provide full support to help Mary get dressed.
When the carer talks to Mary she does not stand close to her and assumes that Mary cannot
understand her. Mary becomes very angry and starts to shout at the carer. Mary is then excluded
from the activities that day, as it is thought that she is too aggressive. Mary sees the activities
going on and attempts to join in. The carer tells Mary you are not allowed to join in today and
takes her back to her room. Over the next few days Mary becomes unwell and the doctor is called to
assess her and prescribes medication.
When Marys health starts to improve she still appears less motivated. Mary has stopped going to
activities and seems to need a lot more support than normal.