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oohouch

only CASC toipcs

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dear webmaster,

thanks for all your advice regarding CASC..I Would appreciate if you could make another column for people who want to discuss everything around CASC but not the psychiatric topics related to CASC...We really need to discuss different CASC stations rather than wasting all our energy in unmodifiable factors..after reading all your recent comments about CASC,It seems you are trying hard to save candidates who are unknowing or deliberately harming self...A big thanks to you.

[color=#0000ff]please start another column exclusively for CASC topics.

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Dear Bond001

you are right, it is better to keep the positive frame of mind like a fast moving train. forget about our past failures in casc and move forward and think about how to improve and pass this CASC

regards

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dear webmaster,

thanks for all your advice regarding CASC..I Would appreciate if you could make another column for people who want to discuss everything around CASC but not the psychiatric topics related to CASC...We really need to discuss different CASC stations rather than wasting all our energy in unmodifiable factors..after reading all your recent comments about CASC,It seems you are trying hard to save candidates who are unknowing or deliberately harming self...A big thanks to you.

[color=#0000ff]please start another column exclusively for CASC topics.

8-) 8-) 8-)

Good suggestion. Over to you Webmaster.

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I agree with bond001

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Can anybody give any suggestion how to approach angry son of an elderly person who has dementia with behavioural problem and the doctor has prescribed Olanzapine.The son says why we have prescribed olanzapine because it should not be prescribed for people with dementia.

any thoughts

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Zama Pista Rorra

[smiley=thanks.gif]

:o

We discussed this station in a course last week.

1. You can prescribe olanzapine in dementia

See page 19 of the following document

http://www.nice.org.uk/nicemedia/pdf/CG042quickrefguide.pdf

So don't be apologetic. Justify your use. Do not over-defend yourself. Just tell gently the rationale behind use of OZP. Offer reduction of dose and change of timings. Mention about your guidelines unlike the Alzheimer's society website.

2. Do not just stick on olanzapine. Say alternate medications as well such as cholinesterase inhibitors.

3. Do mention non-pharma appproaches such as on p.16 of the document.

If a person with dementia develops distressing non-cognitive symptoms or behaviour that

challenges, offer an early assessment to identify factors that may influence the behaviour. Include:

– physical health

– depression

– possible undetected pain or discomfort

– side effects of medication

– individual biography

– psychosocial factors

– physical environmental factors

– behavioural and functional analysis in conjunction with carers and care workers.

Develop individual care plans, record in the notes and review regularly at a frequency agreed

with carers and staff.

l For comorbid agitation, consider interventions tailored to the person’s preferences, skills and

abilities.

– Monitor response and adapt the care plan as needed.

– Depending on availability, consider options including:5

u aromatherapy

u multisensory stimulation

u therapeutic use of music and/or dancing

u animal-assisted therapy

u massage.

4. Remember from the previous station, if something helpful for that particular patient was told, encourage that (such as gardening etc.)

5. Ask the daughter what her father enjoys and what he dislikes and plan accordingly.

Hope it's useful

Pa Ma Khade Kha

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:) :) ;) ;)

Great post Afterlife! Nice seeing you there!

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