I would I would like to talk to you today about different approaches in health care. I want to understand whether you would be happy for these management approaches to be used depending on whether you are talking about yourself in the future, a family member in the present, and whether it matters if the person involved has a delirium which can improve in a short period of time, dementia which is unlikely to improve, or if they have no problems with how they are thinking but behaving in a way that is still putting themselves at risk of falling over and hurting them self e.g. not using walking stick when advised to.

This information will help us to provide more person orientated care.

Just to remind you: Dementia is a condition that interferes with how people think. It usually develops slowly and there is little prospect of improvement over time.

In contrast delirium occurs abruptly and can often be mistaken for dementia. Unlike dementia it can potentially resolve quickly once the cause is identified and treated. Delirum can often be caused by presence of an infection or an imbalance of the salts in your body.

I am going to show you a range of pictures of strategies often used to manage behaviours in acute care. Many have no evidence of effectiveness or are contrary to policy.

I will ask you how you feel about these items being used for:

1) Your parent (in best available cognitive condition)

2) Your parent in presence of delirium (resolvable)

3) Your parent in presence of dementia (permanent)

4) Yourself (in future years in best available cognitive conditions)

5) Yourself if you were to develop a delirium

6) Yourself if you were to permanently have dementia