Dementia patients
are often condemned to poor care for other illnesses, doctors warned last
night.
They said the
‘stigma’ around the condition meant they were given less attention than
patients who were similarly ill.
They also said
sufferers in their 90s or older were likely to be written off when they could
receive treatment.
An estimated 850,000
people in the UK suffer from Alzheimer's and other forms of dementia
Charities said the
warnings – issued at the Dementias 2017 conference – showed the need for fair
treatment. ‘People with dementia have a right to equal access to treatment,
support and care irrespective of their condition,’ said Rachel Thompson of
Dementia UK.
‘Dementia affects
everyone – the person with the condition and their family and friends. It is
critical that the correct support and care systems are in place to ensure the
well-being of everyone involved.’
The conference – held
last week at the Royal College of GPs in London – was told dementia patients
and their families were too often sidelined.
Dr Liz Sampson, a
palliative care specialist at University College London, told the conference
about an 80-year-old woman she saw last Tuesday.
She had a tumour that
produced similar symptoms to Alzheimer’s but was offered much better care than
would have been offered to a dementia patient.
‘What struck me was
the cornucopia of services that were available to her and her family,’ she
said.
Elderly patients are
often diagnosed with dementia without other options being considered
‘She was bed-bound,
she was doubly incontinent, agitated – her presentation was 99 per cent similar
to the people that I see with advanced dementia. So we manage to provide care
when there’s a diagnosis of a brain tumour, yet the prognosis is the same as
someone in the advanced stages of dementia.’
Jonathan Waite, a
consultant in old age psychiatry from Nottingham, said he felt the NHS
prioritised the care of younger people. He said: ‘I’m really concerned about
the ageism inherent in the whole process.’
Speaking afterwards,
he added: ‘Older people have been contributing to the system their whole lives
yet we seem to prioritise resources on the young.’ He warned that many older
people who appeared to have dementia could have a simple short-term condition
such as delirium instead.
One NHS consultant
said that healthcare prioritizes resources on the young despite older people
'contributing to the system their whole lives'
He said confused
patients in their 90s were often diagnosed with dementia without other options
being considered properly.
Another doctor, who
did not give her name, admitted colleagues tended to make less effort with
elderly patients as soon as they realised they had dementia.
‘Sometimes, even if I
think someone who is 95 has Alzheimer’s disease, I might not diagnose it
because I know it will be a negative stigma for the patient,’ she said.
‘It won’t be in the
patient’s best interests to have the diagnosis because once they have that
diagnosis we won’t care about their physical health as much. It’s a very
serious thing because in a hospital a doctor will say: “The patient is 94, has
dementia – OK we don’t care as much about his physical health”.’
Speaking at last
week’s conference, Dr Peter Bagshaw, a GP from South Gloucestershire, said:
‘The thought of missing a preventable diagnosis is the thing that keeps me
awake at night.’
Alzheimer’s and other
forms of dementia affect around 850,000 people in the UK with the figures
expected to reach two million by 2051 as the population ages.
SOURCE: Rosie Taylor, Daily Mail
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