Dementia in Practice

Dr Marita Long speaks with Prof Nicholas Ashton from Sweden about the development of blood tests which may be able to detect changes of Alzheimer’s Disease before a person develops symptoms. Australian Dementia Network A network of leading scientists and researchers working to establish a dementia registry, guidelines for memory clinics and screening for clinical trials https://www.australiandementianetwork.org.au/  Dementia Training Australia Providing education for GPs and other health practitioners GP resource page - https://dta.com.au/general-practitioners/  DTA home page - https://dta.com.au/  Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Forward with Dementia  A guide for the first year after diagnosis  https://forwardwithdementia.au/    Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide.  24 hour Helpline 18000699799https://www.dementia.com.au/ Wicking Dementia Research and Education Centre Master of Dementia Program - https://www.utas.edu.au/wicking/mdem Understanding Dementia: free online course - https://www.utas.edu.au/wicking/understanding-dementia Preventing Dementia: free online course - http://www.utas.edu.au/wicking/preventing-dementia   Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level.  Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia   Austroads Assessing fitness to drive in people living with dementia and cognitive impairment https://austroads.com.au/publications/assessing-fitness-to-drive/ap-g56/neurological-conditions/dementia   See omnystudio.com/listener for privacy information.

Our roving reporter, Dr Marita Long spoke with Prof Maria Eriksdotter from Sweden and our good friend Prof Kaarin Anstey at the 2023 Australian Dementia Research Forum. Prof Eriksdotter explained the benefits of having a national register for people with dementia and other chronic conditions, while Prof Anstey discusses ways in which we can use the CogDrisk an evidence-based tool to help identify and modify a person’s risk factors for developing dementia. Australian Dementia Network A network of leading scientists and researchers working to establish a dementia registry, guidelines for memory clinics and screening for clinical trials https://www.australiandementianetwork.org.au/  CogDrisk:  An evidence-based personalised dementia risk assessment tool https://cogdrisk.neura.edu.au/  Dementia Training Australia Providing education for GPs and other health practitioners GP resource page - https://dta.com.au/general-practitioners/  DTA home page - https://dta.com.au/    Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Forward with Dementia  A guide for the first year after diagnosis  https://forwardwithdementia.au/    Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide.  24 hour Helpline 18000699799https://www.dementia.com.au/ Wicking Dementia Research and Education Centre Master of Dementia Program - https://www.utas.edu.au/wicking/mdem Understanding Dementia: free online course - https://www.utas.edu.au/wicking/understanding-dementia Preventing Dementia: free online course - http://www.utas.edu.au/wicking/preventing-dementiaCarers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level.  Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia   Austroads Assessing fitness to drive in people living with dementia and cognitive impairment https://austroads.com.au/publications/assessing-fitness-to-drive/ap-g56/neurological-conditions/dementia See omnystudio.com/listener for privacy information.

In our first episode of Dementia in Practice for Season 3, Dr Marita Long caught up with Prof Henry Brodarty and A/Prof Michele Callisaya at the 2023 Australian Dementia Research Forum. They discuss the role of training for the brain and the body, and a re-enablement approach to assisting people with dementia or cognitive impairment. Australian Dementia Network A network of leading scientists and researchers working to establish a dementia registry, guidelines for memory clinics and screening for clinical trials https://www.australiandementianetwork.org.au/  Dementia Training Australia Providing education for GPs and other health practitioners GP resource page - https://dta.com.au/general-practitioners/  DTA home page - https://dta.com.au/    Dementia Australia Providing support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Forward with Dementia  A guide for the first year after diagnosis - https://forwardwithdementia.au/  Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide.  24 hour Helpline 18000699799https://www.dementia.com.au/ Wicking Dementia Research and Education Centre Master of Dementia Program - https://www.utas.edu.au/wicking/mdem Understanding Dementia: free online course - https://www.utas.edu.au/wicking/understanding-dementia Preventing Dementia: free online course - http://www.utas.edu.au/wicking/preventing-dementia Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level.  Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book  Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Austroads Assessing fitness to drive in people living with dementia and cognitive impairment https://austroads.com.au/publications/assessing-fitness-to-drive/ap-g56/neurological-conditions/dementia See omnystudio.com/listener for privacy information.

In many ways dementia in younger people is similar as in older age, however there are differences the GP needs to consider.  Hilton, Steph and Marita meet with Professor Amy Brodtmann to discuss the similarities and differences in the identification and post-diagnostic care of younger onset dementia.           SHOW NOTES: Telephone Interview for Cognitive Status (TICS-m) Administration and Scoring Manual: https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/groups/Neuroimaging/TICS-M%20Australian%20Version%20-%20Admin%20Scoring%20Manual_2020.05.29.pdf TICS-m questionnaire: (Australian Version) https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/TICS-M%20Ax%20Protocol%20(Australian%20version).pdf GP Management plans https://dta.com.au/general-practitioners/#gp-resources Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic  See omnystudio.com/listener for privacy information.

Neuropsychology assessments are often thought to be a necessary component of making a dementia diagnosis but Professor Sharon Naismith returns to talk with the team about the role of the neuropsychologist and how and when they can assist GPs in the diagnosis and post-diagnostic care of people living with dementia.         SHOW NOTES: Telephone Interview for Cognitive Status (TICS-m) Administration and Scoring Manual: https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/groups/Neuroimaging/TICS-M%20Australian%20Version%20-%20Admin%20Scoring%20Manual_2020.05.29.pdf TICS-m questionnaire: (Australian Version) https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/TICS-M%20Ax%20Protocol%20(Australian%20version).pdf GP Management plans https://dta.com.au/general-practitioners/#gp-resources Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic  See omnystudio.com/listener for privacy information.

Dr Eddy Strivens meets with the team to discuss his research work in the Torres Strait Islands and the specific needs of first nations people living with dementia.           SHOW NOTES: Telephone Interview for Cognitive Status (TICS-m) Administration and Scoring Manual: https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/groups/Neuroimaging/TICS-M%20Australian%20Version%20-%20Admin%20Scoring%20Manual_2020.05.29.pdf TICS-m questionnaire: (Australian Version) https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/TICS-M%20Ax%20Protocol%20(Australian%20version).pdf GP Management plans https://dta.com.au/general-practitioners/#gp-resources Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic  See omnystudio.com/listener for privacy information.

Social and community connections provide invaluable support to people living with dementia. Professor Dimity Pond joins Hilton, Steph and Marita to discuss how GPs can utilise social prescribing strategies to optimise the quality of life for people living with dementia.           SHOW NOTES: Telephone Interview for Cognitive Status (TICS-m) Administration and Scoring Manual: https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/groups/Neuroimaging/TICS-M%20Australian%20Version%20-%20Admin%20Scoring%20Manual_2020.05.29.pdf TICS-m questionnaire: (Australian Version) https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/TICS-M%20Ax%20Protocol%20(Australian%20version).pdf GP Management plans https://dta.com.au/general-practitioners/#gp-resources Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic  See omnystudio.com/listener for privacy information.

Part 2 of the 2 part Sleep Matters episode. Professor Sharon Naismith and the team explore sleep and sleep disturbance in people living with dementia.   SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required)  See omnystudio.com/listener for privacy information.

In the first of this two part episode the team talk with Professor Sharon Naismith to discuss the importance of good sleep and the impact that poor sleep can have on cognition, health and wellbeing.   SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required)See omnystudio.com/listener for privacy information.

The team meet with dementia consultant Jason Burton to discuss what can be done to support the person with dementia live their best life possible.     SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

A person with dementia continuing to drive is often a challenging and sensitive area for GPs to navigate. Occupational Therapy Driving Assessors are ideally placed to assist GPs in this. In this episode the team talks with Matt Underwood, OT Driving Assessor, who discusses driving assessments and how they can assist the GP as well as the person living with dementia.    SHOW NOTES: Austroads Assessing Fitness to Drive:  https://austroads.com.au/drivers-and-vehicles/assessing-fitness-to-drive DriveSafe Drive Aware App:  DriveSafe DriveAware on the App Store (apple.com) Driver knowledge test: Intersections - https://learndrivesurvive.com.au/practice-driver-knowledge-test-dkt-intersections/  Article:  Lee, L., Molnar, F., (2017) Driving and dementia: Efficient approach to driving safety concerns in family practice. Canadian Family Physician 63 p27-31. https://pubmed.ncbi.nlm.nih.gov/28115437/ Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic  See omnystudio.com/listener for privacy information.

In this second part of episode 3 talking Dementia Podcasters Heckle and Jeckle expand on their personal experiences living with Early Onset Dementia and provide some fascinating insights, both professionally and personally for the GPs. Laugh, cry and learn from these wonderful ladies as they share their stories and lived experience with us and understand the importance of person centered care for people living with dementia.    SHOW NOTES: Book: My Name is Phoebe Nanna by Jenni Lawson (Author), Karyn Lendich (Illustrator) Dementia is a family disease. "My Name is Phoebe Nanna" is written for families to begin a discussion with grandchildren about the onset of dementia within their beloved grandparent. Although much will change over time, the loving connection to each other remains. Discussions that open questions with grandchildren about dementia helps families stay united throughout the change process - Available from Amazon books Dementia Alliance International   https://www.dementiaallianceinternational.org/ Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

People with dementia often report experiencing a loss of respect, dignity and autonomy. In this two-part episode the team talk with Talking Dementia Podcasters Heckle and Jeckle, two health professionals who have both been diagnosed with Early Onset Dementia. Heckle and Jeckle talk with the team about the importance of respect, dignity and autonomy and discuss how GPs and others can support a person living with dementia continue to be themselves     SHOW NOTES:   Book: My Name is Phoebe Nanna by Jenni Lawson (Author), Karyn Lendich (Illustrator) Dementia is a family disease. "My Name is Phoebe Nanna" is written for families to begin a discussion with grandchildren about the onset of dementia within their beloved grandparent. Although much will change over time, the loving connection to each other remains. Discussions that open questions with grandchildren about dementia helps families stay united throughout the change process - Available from Amazon books Dementia Alliance International   https://www.dementiaallianceinternational.org/ Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

The impact on GPs supporting people with dementia can be profound. Hilton, Marita and Stef provide insights into their experiences, professional and personal, of GP’s walking alongside a person living with dementia throughout their journey.     SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

In this episode Hilton, Stef and Marita discuss the importance of GP practices being dementia friendly and share their ideas, tips and guidance on ways this can be achieved        SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/  Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia Wicking Dementia Research and Education Centre Preventing Dementia MOOChttp://www.utas.edu.au/wicking/preventing-dementia Dementia Australia Dementia Friendly Communities/organisations: https://www.dementiafriendly.org.au/ Forward with Dementia: https://www.forwardwithdementia.org/au/ Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

Covid-19 has had a profound effect on people living with dementia, both in the community and in residential aged care. Professor Dimity Pond chats with the team about what this means for people living with dementia, their GPs, their families, and carers.       SHOW NOTES: Telephone Interview for Cognitive Status (TICS-m) Administration and Scoring Manual: https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/groups/Neuroimaging/TICS-M%20Australian%20Version%20-%20Admin%20Scoring%20Manual_2020.05.29.pdf TICS-m questionnaire: (Australian Version) https://d1vhafmemgbnf1.cloudfront.net/sites/cheba2/files/_local_upload/pdf/TICS-M%20Ax%20Protocol%20(Australian%20version).pdf GP Management plans https://dta.com.au/general-practitioners/#gp-resources Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic      See omnystudio.com/listener for privacy information.

End of life care has unique challenges for people living with dementia, their family and carers and the GP involved. In this episode, we speak with Dr Karen Savery who shares her insights into what might help to make the final part of a journey with dementia as smooth as possible for all concerned.       Show Notes: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vicSee omnystudio.com/listener for privacy information.

The team and Professor Lee-Faye Low discuss the importance of GPs’ applying a cultural and linguistic lens to the diagnosis and care of people living with dementia who are part of culturally and linguistically diverse communities.         SHOW NOTES: Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals It’s not a disgrace - it’s dementia- videos in several languages: https://www.youtube.com/playlist?list=PLAwhBH-4GO5iKAMS5wIMSFSuncvoBYuRM National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic Moving pictures - videos in several languages https://movingpictures.org.au/films/  Journal/research articles: Tierney L, Mason R, Doherty K, Winbolt M, Long M, Robinson A. Workshops on diagnosis and management of dementia for general practitioners: a pre–post intervention study of dementia knowledge BMJ Open 9(4). (full.pdf (bmj.com) Mason, R., Doherty, K., Eccleston, C., Winbolt, M., Long, M., Robinson, A. (2020) Effect of a dementia education intervention on the confidence and attitudes of general practitioners in Australia: a pretest post-test study. BMJ Open (https://bmjopen.bmj.com/content/bmjopen/10/1/e033218.full.pdf) Casey, A-N., Islam, M., Schütze, H., Parkinson, A., Yen, L., Shell1, A., Winbolt, M., Brodaty. H. (2020) GP Q1 awareness, practice, knowledge and confidence: evaluation of the first nation-wide dementia-focused continuing medical education program in Australia. BMC Family Practice. (GP awareness, practice, knowledge and confidence: evaluation of the first nation-wide dementia-focused continuing medical education program in Australia (biomedcentral.com) See omnystudio.com/listener for privacy information.

Part two of this two-part episode where Hilton, Marita and Steph continue their discussion on post diagnosis strategies and interventions that GPs can implement to support and optimise care and quality of life of people living with dementia.      SHOW NOTES: STOPP-START Tool: www.cgakit.com/m-2-stopp-start Delirium Action Plan example: www.hnc.org.au/wp-content/uploads/2017/09/Delirium-Action-Plan-colour.pdf Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic    See omnystudio.com/listener for privacy information.

Part one of this two-part episode. Hilton, Marita and Steph discuss post diagnosis strategies and interventions that GPs can implement to support and optimise care and quality of life of people living with dementia.      SHOW NOTES: STOPP-START Tool: www.cgakit.com/m-2-stopp-start Delirium Action Plan example: www.hnc.org.au/wp-content/uploads/2017/09/Delirium-Action-Plan-colour.pdf Dementia AustraliaProviding support, information and services for people living with dementia, carers, family and health professionals National Dementia Helpline – 1800100500https://www.dementia.org.au/ Dementia Support Australia (DSA)Dementia Support Australia (DSA) provides the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT) nationwide. Dementia Support Australia offers a free national service operating 24/7 365 days a year. 24 hour Helpline 18000699799https://www.dementia.com.au/ Carers AustraliaCarers Australia is the national peak body representing Australia’s unpaid carers, advocating on their behalf to influence policies and services at a national level. It works collaboratively with partners and its member organisations, the Network of state and territory Carers Associations, to deliver a range of essential national carer services. Phone 1800242636https://www.carersaustralia.com.au/ RACGP Silver BookMedical care of older persons in residential aged care facilities (Silver Book) aims to provide GPs and other health professionals including residential aged care nurses, with a resource for delivering quality health care in residential aged care facilities. https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/silver-book RACGP Red Book - Guidelines for preventative activities in general practice - Dementia https://www.racgp.org.au/clinical-resources/clinical-guidelines/ key-racgp-guidelines/view-all-racgp-guidelines/red-book/ preventive-activities-in-older-age/dementia My Aged Care - dementia resourceshttps://www.myagedcare.gov.au/getting-started/health- conditions/dementia Cognitive Screening Tests Standardised Mini-Mental State Examination (SMMSE)Frequently used in general practice as included in most popular medical software programs. MMSE score require for prescribing dementia medications on PBS https://www.ihpa.gov.au/sites/default/files/publications/ smmse-tool-v2.pdf - https://www.ihpa.gov.au/sites/g/files/ net636/f/publications/smmse-guidelines-v2.pdf—explanation of scoring GPCOGThe GPCOG is a reliable, valid and efficient instrument to screen for dementia specifically in a primary care setting. The GPCOG score is not influenced by the cultural and linguistic background of a person making it an invaluable screening tool especially in multicultural patient settings. http://gpcog.com.au/ Kimberley Indigenous Cognitive Assessment (KICA) The Kimberley Indigenous Cognitive Assessment (KICA) was developed in response to the need for a cognitive screening tool for older Indigenous Australians (45 years plus) living in rural and remote areas. The KICA tool was named after where the original research was conducted and comprises of a number of sections and assesses the person and carer. The KICA tool is now widely used in remote or rural locations across Australia. http://kams.org.au/wp-content/uploads/2015/04/KICA-Tool- 2006.pdf Rowland Universal Dementia Assessment Scale (RUDAS)The Rowland Universal Dementia Assessment Scale (RUDAS) is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. https://www.dementia.org.au/sites/default/ files/20110311_2011NSWRUDASscoring_sheet.pdf - the test https://www.dementia.org.au/resources/rowland-universal- dementia-assessment-scale-rudas - information and links to tests in Chinese and Italian Montreal Cognitive Assessment (MoCA)The MoCA is well validated and covers a number of cognitive domains. If repeat tests are required, two alternative versions are available with instructions on the MoCA Test website. The tests are also available in many different European and Asian languages.https://www.mocatest.org/paper/  (Free registration required) GP Management Plans Dementia specific GP management plans for Stages 1, 2 and 3 dementiahttps://www.dta.com.au/gp-management-plans/ Dementia Training Australia - online courseshttps://www.dta.com.au/online-dementia-courses/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 3https://dta.com.au/online-courses/demystifying-dementia/ Demystifying dementia: A practical course in the diagnosis and management of dementiaHours: 2 | RACGP: 4pts | ACRRM: 2hrs https://www.thinkgp.com.au/education/demystifying-dementia- practical-course-diagnosis-and-management-dementia Teaching plans for GP supervisors to use with their registrarshttps://gpsupervisorsaustralia.org.au/teaching-plans/(NB Enter term Dementia into search function to find teaching plans on dementia) Wicking Dementia Research and Education CentreMaster of Dementia Programhttps://www.utas.edu.au/wicking/mdem   Wicking Dementia Research and Education CentreUnderstanding Dementia MOOC https://www.utas.edu.au/wicking/understanding-dementia   Wicking Dementia Research and Education Centre Preventing Dementiahttp://www.utas.edu.au/wicking/preventing-dementia Driving and dementia resourceshttp://www.profjoe.com.au/all-cases-list/driving-with- dementia/ https://www.dementia.org.au/resources/dementia-and- driving-vic    See omnystudio.com/listener for privacy information.