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1. How Existing Services Support the Older People Living With
Good care should be offered to the aging population especially people living with Behavioral
Psychological Symptoms dementia (BPSD). For people with dementia, doctors may not be
able to identify and treat the symptoms effectively. Behavioral and Psychological symptoms
of dementia (BPSD) are extremely a disaster and prevalent in care. In contrary to the
inadequate efficiency of medical healings, training care people should not only understand but
also they should manage these symptoms for the importance of quality and safety of life of
aging people living with symptoms of dementia in the world (Spectoret al., 2012 P.
121). Notably, caregivers to people living with dementia play a big role in assessment and
identification of ailmen. In recent years, there are high deficiencies in this area of study. The
below content is a wide explanation of services rendered by the caregivers on the well fare of
elderly individuals with dementia by systematically reviewing the existing Care givers in
1.1. Comparison between Wintringham and Hammond caregivers on
people living with BPSD
The first care giver to discuss in (Australia) is Wintringham care giver services which was
founded in (1989) as an independent non organization, with the motive of providing services
to the aging people living with Dementia in Australia. Wintringham to date remains the
biggest caregiver organization that offers services to the elderly homeless individuals in
Australia. Research indicates that Excessive Alcohol drinking over a period of time may
result to a deficiency call Alcohol Dementias which is associated with memory loss, study and
other learning skills, conclude (BPSD) as high problematic disease.(Edberg, A., Hallberg, I.,
& Gustafson, L. 1996 P 351).
In the year (2011), the United Nations awarded (Wintringham) a certificate of Habitat Scroll
of Honor; and it was the first time in the history an Australian caregiver organization had
achieved such an award which is remains the highest award for human settlement awarded by
UN-Habitat. (Gerontol J Franssen E, Salan S. 1992 P. 87).
The caregiver provides care for aging people who are homeless and the aged care sector
disowned and therefore the organization would be a social justice organization. Similarly on
the view of social justice is that elderly people should have decent housing and human rights
and should not be discriminated because of ethnicity, age, skin color or financial worth.
Wintringham insist that there is great need to develop and design new models of how to care
for elderly persons living with Dementias. The organization of the aged care services should
not discriminate against any person based on their, religion, ethnicity or personal values.
Some of the techniques that (Wintringham) have created to solve the problem of poor service
delivery to elderly people who have no homes has strong implication on the development of
program and tailor made policy settings for efficient delivery of elderly care services to the
aged people who may seem worthless in the society.
So, for (Wintringham), elderly people who have no homes have a right to good care services
and proper housing because they belong to the Nation and therefore they are citizens of
Australia. In the (1970's) and (1980's) the prevailing view was that aged people were
homeless, it was right that they were living in a caregiver center. In other word, these elderly
sick people had no homes and the Caregiver industry has the responsibility to provide for
them. The expression was later reversed and argued, the elderly people were homeless and in
The second caregiver in Australia that we will discuss is HammondCare the center was
founded in the (1930), to date HammondCare is recognized Christian charity working
independently and specializing in dementia care, rehabilitation, palliative care and elderly
peoples mental health services. HammondCare is one of the leading dementia service provider
in Australia's and is vision is to support financially unstable elderly persons in need of decent
The technics and scope of several care systems there is little approach in Commonwealth-
subsidized care to aged person in order to provide necessary care for elderly people with high
or late stage of Behavioral and psychological symptoms of dementia (BPSD). Quite a number
of people living with dementia respond well when living in a care center environment with an
evidence-based, a flexible and prosthetic design system of care that acknowledges and
responds to peoples as individuals with need. Similarly, there still remains a small group of
people that live with late stage of dementias who are exposed to high risks to themselves and
to the society at large, even in a care center environment. The group comprises of those
people with dementia and has high mobility they widely fit in the Tier 6 Category on the
seven tiered triangle.
2. Techniqiues On How To Improve Care Given To Eldely People
Living With BPSD.
The World's elderly population has given the need to continue researching and bring up
strategies that may help in reducing the occurrence of elderly people disorders. Elderly People
living with dementia frequently require great care, some of this cares are provided by the care
centers and home providers. (Neil et al, 2003 P.118) Without the organization of caregivers,
elderly people living with dementia would not have access to good and proper care as well as
medication and monitoring that is required for them to have a smooth life. (McKeith et al,
2000; Feldman et al, 2001; Tariot et al, 2001 P.41) This support is stressed by the caregiver
centers to improve the conditions of people living with dementias and as a result the elderly
can have access to food, clothes, medicine, shelter, proper sanitation, clean environment and
simply they can engage in monitored activities to improve their health mental disorder.
In response Behavioral Psychotic symptom Dementias (BPSD) (2002) International
Psychogeriatric Association, the monitoring technique is produced to give a successful system
for the accomplishment of the set objectives and goals to achieve a technique that can
improve the lives of aging population with mental disorders. (Osuntokun B, Hendrie H, Hall
K 2000P. 86). The structure works to oversee the assets put in place to the delivery of services
and anticipate results attained and objectives acquired by the diverse system of the BPSD. In
consideration to the demographic and geographic states of Australia, this system has been set
up as a versatile and oriented technics to improve the lives of elderly People and in particular
action oriented techniques are required.
A utilized individualized, person-centered care practices in the Care services home must have
staff trained in how to identify and implement approaches that may identify and effectively
treat underlying factors that explain the observed behavior. Provision of individualized
person center care that includes and not limited to learning the individuals personal
preferences routine lifetime occupations and roles recent loss or long ago loss that may be
affecting people likes/dislikes things that help to distract engage or calm the people. (Taylor J
Ray. 1982 P 56)
In order to reduce risk of the fall, adequate staffing in the caregivers homes should be
professional and should have the know-how on how to deliver exceptional services to the
elderly people. Certain late stage and persistent high behaviors, including, aggressiveness,
depression, disinhibiting, unpredictable mood swings and suicidal attempts, such behaviors
may be an early manifestation of physical illness or condition or the medication illness.
(Australian Institute of Health and Welfare, 2012 Dementia in Australia) Abrupt or even
subtle changes in behavior should trigger a systematic review of the people's situations,
consideration of illness or medical problem such as pain, constipation, infection or a new
medication should be taken seriously by the psychiatrist. Creative intervention has positive
impacts on the mental acuity, sociability, memory, self-esteem, the limitation of the
Behavioral and Psychological Symptoms of Dementia (BPSD) and the expressions of
emotions. (Neurol J Geriatr 1990 P. 48)
The main idea will be to offer activity Programs that can help to guide people on their day to
day life by engaging and monitoring them in appropriate activities. (Jpn J Psychiat Treat 1988
P.50-52) Mangone C, Utilize non Pharmacological approaches as first line and also as part of
an ongoing treatment plan that may include medications to meet the individualized needs of
Eighty three percent (83%) of the typical antipsychotic drug claims were that elderly people
in the care centers were diagnosed with conditions in which the use of drugs was approved by
the (FDA) the drugs used were off the label. United Nations, (1988) in order to reduce the
need for antipsychotic antianxiety and hypnotic drugs medication can be appropriate when
using minimal possible dose of medication for the shortest possible duration helps to maintain
the people highest level of psychosocial and physychiotic of well-being. Inter-displinary
communication is critical to insure that people are functioning at his or her highest level. The
idea would be to provide three (3) different dinning programs as follows:
Super clubs to have early stage dementia, main dining room to be for independent People who
require minimal assistance including total assisting tables, meaning they require little physical
assistance. Better club to consist of middle stage dementia, in order to help and improve the
health of patient who suffers memory loss through directing and assisting. Star club to consist
of late stage dementia, feeding assistance to be provided for elderly aged patients. (Ballard et
al, 2004 P.158).
In conclusion elderly people living with BPSD can engage and be active and as well be
monitored in simple appropriate activities and dinning programs. Behavioral symptoms can
be, anticipated, redirected, minimized and observed by the use of antipsychotic medication for
those individuals who have no drug prescription can be reduced or avoided.
Ballard et al, 2004 Jpn J Psychiat Treat (1988) Mangone C, pp. 147-148 How Existing
Services Support the Older People Living With (BPSD).
Psychogeriatrics,(2000). Osuntokun B, Hendrie H, Hall K, pp. 140-144 Solution to be
implemented to help People living with BPSD.
McKeith et al, (2000) Feldman et al, (2001)Tariot et al, (2001) pp.154-156 Excessive Alcohol
drinking over a period of time may result to a deficiency call Alcohol Dementias.
Chan, W. C., Lam, L. C., Choy, C. N., , C. N., et al (2001) pp. 61-64 improve the conditions
of people living with dementias.
Street J. S., Clark, W. S., Gannon, K. S Gannon, K. S., et al (2000) pp. 150-152 Inter-
Taylor J Ray W, , Lichtenstein M, Meador K. (1982) pp. 120-125 Provision of individualized
person center care.
Gerontol J 1992; 47:M9-M16. Reisberg B, Franssen E, Salan S. pp.87-90 improvement of
health mental disorders.
Brodaty H. Draper, B. and Low, L-F 2003. Pp.40-44 Techniqiues On How To Improve Care
Given To Eldely People Living With BPSD.
Neil et al, (2003) PP.47-55 -Utilize non Pharmacological approaches.
Edberg, A., Hallberg, I., & Gustafson, L., (1996).pp. 67-70. Dinning programs ideas.
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- Ver- Writer (Autor), 2016, Care for Elderly People Living with Behavioral and Psychological Symptoms of Dementia (BPSD), München, GRIN Verlag, https://www.grin.com/document/375983