In this episode we hear from Mardi, who was diagnosed with Alzheimer’s Disease a few years ago, Mardi talks about her symptoms, diagnosis and how she approached and continues to approach a life living with Alzheimer’s disease. We very much appreciate Mardi being involved in our podcast.

See omnystudio.com/listener for privacy information.

In this episode Hilton Koppe talks to Suraj Sumtani a researcher from the centre for healthy brain ageing, about social isolation and loneliness. We learn that reducing the impact of these factors can have the same benefit as stopping smoking on our health. Suraj talks and inspires us all to think about interactions with each other and how even the simplest of interactions may be reducing the impact of social isolation.

See omnystudio.com/listener for privacy information.

In this episode, Steph talks to Rowena Mobbs - a cognitive neurologist with a special interest in CTE and concussion, something that has been gaining interest in mainstream media and research. She talks about the theory and impact that multiple micro traumatic head injuries can have on the brain and what we can do to identify people who may have CTE, as well as talking about strategies for risk reduction.

See omnystudio.com/listener for privacy information.

In this episode Hilton talks to Paul Yates, Associate Professor and geriatrician and researcher from the National Ageing Research Institute (NARI) and Austin Health. Paul describes the landscape of Alzheimer’s research in relation to biomarkers for Alzheimer’s Disease and the use of this to assist with treatments that may be available in the future. Paul talks about some of the limitations and challenges that are facing the implementation of new treatments.

See omnystudio.com/listener for privacy information.

In this episode Steph talks to Madeline Healy a geriatrician from Melbourne who received a Churchill Fellowship to travel internationally and research the services for people living with dementia who also have Down syndrome. Down syndrome is associated with a significant risk of Alzheimer’s disease and there are limited specialist services for this population in Australia. Madeline talks about some of the approaches for supporting both people with Down Syndrome and Intellectual Disability and how we can learn from international examples of care.

See omnystudio.com/listener for privacy information.

In this episode Hilton interviews Mark Yates a Geriatrician from Ballarat. Mark introduces some simple principles to use when assessing capacity particularly in relation to the person living with dementia. He talks about the URUC model, which stands for understanding, retain, utilise and communicate information for which they are being assessed. Mark is able to break down what can be a very complex and challenging process for medical professionals into simpler terms that can be easily applied.

See omnystudio.com/listener for privacy information.

Join Dr Stephanie Daly and her GP colleagues, Drs Hilton Koppe and Rebecca Moore for a fascinating exploration into dementia risk reduction. In light of the 2024 Lancet Commission Report in which it was announced that approximately 45 percent of dementia is attributable to modifiable risk, there are several simple lifestyle modifications which people can institute which may help mitigate their risk of developing dementia.

Resources:

Livingston, G., Huntley, J., Liu, K. Y., Costafreda, S. G., Selbæk, G., Alladi, S., Ames, D., Banerjee, S., Burns, A., Brayne, C., Fox, N. C., Ferri, C. P., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Nakasujja, N., Rockwood, K., Samus, Q., … Mukadam, N. (2024). Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet (London, England), 404(10452), 572–628. https://doi.org/10.1016/S0140-6736(24)01296-0

The CogD risk is an online tool available to everyone. It determines areas of strength and challenge in terms of dementia risk and individualised suggestions of ways to attenuate risk. There are also factsheets for GPs to provide patients about diet, exercise and vascular risk.

Cognitive Health and Dementia Risk Assessment

Fact Sheets for General Practitioners – Cognitive Health and Dementia Risk Assessment

CPD (RP & MO)

Reflect on the way in which you currently perform your 45 to 49 year old health checks.

Following this podcast, is there anything in your practice that you intend to change?

How might you incorporate a discussion about brain health during the 45-49 year old health check?

Identify three upcoming patients for whom a 45 to 49 year old health check would be appropriate. Recommend they complete the Cog-D risk online tool prior to their appointment.

This time, perform your usual 45 to 49 year old check but incorporate a discussion about brain health and go over their Cog-D risk results. In addition to vascular risk, consider factors including mental health and social isolation, hearing and vision loss and head injury.

How did you find the experience?

How do you think the patients responded?

Do you plan to frame your 45 to 49 year old health checks like this in the future.

See omnystudio.com/listener for privacy information.

A very special episode of Dementia in Practice where one of our own GPs, Dr Steph Daly talks with her GP colleagues Drs Hilton Koppe and Rebecca Moore about the challenges she experienced as a doctor and a daughter when one of her parents was diagnosed with dementia.

Resources

Providing person centered care - About me document Dementia Support Australia – for assisting in creating information about an individual.

https://www.dementia.com.au/resource-hub/about-me-resources

Guidance for goals of care discussions in the elderly

https://www.palliaged.com.au/Evidence-Centre/Evidence-Summaries/Goals-of-Care

CPD

1. Review the palliaged document above – consider for dementia with use of resources from DTA such as the trajectory slide and stages framework, how you might advise patients or assist patients in advanced care directive conversations.
2. If you work in aged care, consider the utility of a document such as the about me resource, and how this might assist in your ability to provide person centered care for an individual
3. If you have a family member affected by dementia, reflect on whether this has impacted your practice and how you care for other people whom you see living with dementia.

See omnystudio.com/listener for privacy information.