Sunday, September 30, 2012

NATIONAL INSTITUTE OF MENTAL HEALTH PROMOTES DEMENTIA HELP LINE

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 Lanka’s National Institute of Mental Health’s (NIMH) help line service that gives information and support for people with dementia and their carers has assisted hundreds of people over the past year. However, more awareness needs to be raised about the line, so people know that the service is available.

The Dementia Help Line – 0113140844 - is available 24 hours a day. Calls between the hours of 8 a.m. to 7 p.m. are taken by qualified staff that:

·         Provide clinical expertise
·         Discuss any concerns
·         Sign post to relevant services
·         Offer emotional support

Outside of these hours callers will be offered emotional support and information only. Research has shown that support can make a positive difference in managing dementia. The Dementia Help Line is here to provide the help Sri Lankans need.

In addition to the help line, during the Open Days at NIMH as part of World Mental Health Day activities on the 12th, 13th and 14th October, the NIMH psycho-geriatric unit will provide a free memory skill assessment and trained staff member will be available to conduct cognitive assessments.

As well, a dementia clinic is offered at the National Hospital of Sri Lanka every Monday in Room 43, O.P.D, at 2 p.m. It is a walk-in clinic and no prior appointment is needed.

Dementia affects thousands of Sri Lankans every year. The percentage of the population over 60 years of age in Sri Lanka is expected to increase from 8% in 2003 to 13% in 2010 to 21% in 2025. Accordingly, the number of dementia sufferers in the country will increase. Thus, we are going to see an increasingly physically-able, but a cognitively-disabled population.

“The numbers show we have to get it right and figure out how to support our aging population, said Dr. Jayan Mendis, Director, NIMH. “If we can keep our elderly population healthy and keep them productive, we are going to be winners in the 21st century.”

The evolution of the Help Line began in 1999 when a special unit was started for residential care for people with dementia. Since 2009, a clinic has been held for people with dementia in the out patient department of the National Hospital of Sri Lanka under supervision of the NIMH. In the process of delivering the above services, it was revealed that people were brought for treatment only at the late stages of dementia due to the lack of knowledge about this condition in the community.

“It can be difficult to raise the issue of dementia with a loved one,” said Dr. Mendis. “However, early diagnosis means patients can receive appropriate treatment earlier and can get the care and support to ensure they are able to live well. Typically, people living with dementia feel relieved when they are diagnosed with the condition. They are reassured to know what the problem is and that there are strategies they can develop to deal with the condition. It’s our hope that the Dementia Help Line helps with this process and lead to more care being delivered in the community and in people’s homes, rather than inside hospitals.”

Medical professionals agree that during our busy lives and as we get older, everyone has trouble remembering things from time to time. In fact, for many people some forgetfulness is a completely normal part of the aging process.

“It is important to know that memory loss can also be a symptom of something more serious,” says Dr. Kapila Ranasinghe, Consultant Psychiatrist in charge of the male Geriatric Unit at NIMH. “Memory loss that gets progressively worse and ultimately interferes with daily life is often the first symptom of Alzheimer’s disease. Certain illnesses that affect the brain such as Parkinson’s disease, Huntington’s disease and conditions of the brain that are caused by strokes can lead to memory loss. Forgetfulness can also occur in people who are suffering from depression.”

If you or a family member is having trouble remembering things, it may not be cause for concern. However, doctors recommend seeking medical advice to be on the safe side - particularly if the memory loss is interfering with daily life. Only your doctor, with the help of other health care professionals can determine whether the loss of memory is an indicator of dementia.

“Dementia is a term used to refer to a group of symptoms that are the result of the deterioration of intellectual functions, such as thinking, remembering and judgment that is severe enough to hinder everyday activities and social relationships,” said Dr. Pushpa Ranasinghe, Consultant Psychiatrist in charge of the female Geriatric Unit at NIMH.

Research shows that there are important interventions, including medical treatments that can treat some of its symptoms. So it is a good idea to know the symptoms of the disease. In general, the signs and symptoms of dementia include the following:

·         Memory loss that affects everyday life
·         Difficulty performing familiar tasks such as using an appliance and problem naming common objects
·         Getting lost easily, even in familiar places
·         Poor and decreasing judgment
·         Problems with abstract thinking
·         Frequently losing or misplacing items
·         Changes in mood, behaviour and personality
·         Loss of interest or lack of initiative in usual activities

It’s important to note that not everyone with dementia has all of these signs and not all these signs indicate dementia is present. If you or someone you know has these symptoms, you should contact a health care professional for an evaluation. T

The good news is that strategies and therapies are available that can help treat the symptoms of mild to moderate dementia. In addition, prescription medications may help those in early and moderate stages of dementia to retain cognitive functions for a longer period of time. There are also some places and organizations that offer non-medical support for dementing patients and their families. These resources include support groups, adult day services and local organizations.

Call new Dementia Help Line to find out what other resources are available in your area.

The National Institute of Mental Health plays an integral role in Sri Lanka by providing specialized psychiatric services to individuals and the community with professionalism and care, and is the centre for mental health training and research in the country.

“WE VALUE THE QUALITY OF LIFE OF THE NATION.”

For more information about the Dementia Help Line or to arrange an interview, please contact:
                                                                
Shaun Humphries (English)                                       
VSO volunteer, NIMH media unit                   


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