Addressing dementia through a human-centered approach in Tokyo and beyond

This is a sponsored history, created and published exclusively through Tokyo’s updates of the Tokyo Metropolitan Government.

The Tokyo Metropolitan Government (TMG) has taken many proactive steps to resolve dementia, adding the release of its Tokyo Demedia Navi website, which serves as a data center. The Social Welfare Bureau also hosted a Dementia Symposium in Tokyo on September 17, 2024, commemorating World Alzheimer’s Day on September 21.

The day’s program featured discussions held through specialists in the field, as well as the lunch served as a grace of the error orders, whose team includes other people living with the condition.

The panel of the Japanese-based symposia was joined by Dr. S. Katarina Nagga, professor of geriatric medicine at Linkoping University Sweden. A physician and researcher in the box connected to dementia, Nagga is also a founding member of a Swedish program introduced in 2010 to meet the demanding situations of BPSD (behavioral and mental symptoms of dementia). The team introduced a manager to patient care and in the end it lessens those symptoms.

When people with dementia are unable to communicate their needs, Nagga explained, they may develop symptoms of irritability, anxiety or agitation as a means of self-expression. The BPSD approach implements assessments to identify these needs. One example is that it can be difficult to detect the presence of physical pain if the individual cannot communicate it verbally. In such cases, the program encourages the use of a non-communication-based assessment scale, which can help detect the presence of pain by identifying specific facial expressions or body movements.

The BPSD program was subsequently implemented in Japan, and the symposium provided an opportunity for the Swedish and Japanese BPSD research teams to re-touch base with each other’s work.

Nagga praised TMG’s efforts to increase information and awareness among citizens about the condition, noting that dementia remains both underdiagnosed and undertreated worldwide.

By adapting the Swedish BPSD style for use in Japan, Nagga found that other people with dementia in either country have a high percentage of many non-unusual needs. Early detection is crucial, she stressed, because older adults who live alone are less likely to recognize early symptoms from early symptoms. Illness and seek diagnosis or treatment. In Sweden, many other people with severe dementia are admitted to care institutions, while in Japan, home care is no more unusual. NAGGA strongly supports the progression of care systems that other people with dementia get proper home care.

The Dementia Remedy notes that Nagga deserves not to be limited to medical interventions. Instead, he argues that other approaches, such as living environment changes and concentration on communication desires, deserve consideration for treating behavioral and mental symptoms.

“Pharmaceutical remedies can be reduced through other interventions, such as physical therapy or integrating more physical movements into your daily activities to the ability to participate in daily activities of relatives,” he observed, adding that “it is vital to talk about the characteristics of the features. Have with the user and their circle of kinship members at an early level of the condition to ensure that their wishes are respected.

The BPSD program should at all times be based on a scientific, evidence-based approach, Nagga said, highlighting the necessity of working in teams, which might comprise nurses, doctors, and physical/occupational therapists, wherein everyone is on board together to look at the patient from different perspectives while working toward the same person-centered objectives for treatment.

Dr. Miharu Nakanishi, a professor associated at the University of Graduate of Medicine, said that the main dementia players in Japan are the superior staff of the University of Tohoku, who pointed out that the main actors to deal with dementia in Japan are Attention staff

“Those who care other people with dementia face isolation and loneliness,” Nakanishi said. “It is vital for them to know that they are not alone, because the same demanding situations also face other countries. This can be very encouraging for them. “

“Sweden’s BPSD model can give Japan’s care workers the confidence necessary to employ non-medical, non-pharmacological strategies for dementia-related care,” she added.

His colleague, Dr. Atsushi Nishida, a visiting professor at the University of Tokyo and director of the Tokyo Metropolitan Institute of Medicine of Social Sciences and Medicine, also noted that in the past, other people with dementia in Japan and elsewhere who expressed symptoms expressed symptoms. given antipsychotic drugs, which are the highest threat of cardiovascular disease and early mortality.

“At that time, only the symptoms were being considered, but today, we understand that the root causes of such symptoms were actually unmet needs,” he added, echoing Nagga. “We must aim to meet these needs through non-medical strategies, which requires a change in perspective.”

“Age is the biggest threat to dementia, and if the condition is rarely addressed much before it moves to a complex stage, it becomes very difficult to treat, and it’s too late,” Nagga reiterated.

Prior to the start of the symposium, a group of TMG officials sat down for lunch in the building’s 32nd-floor cafeteria.

To hurry to the room, take and deliver orders, they were servers with the Erroneous Command restaurant, a program for other people with dementia. Every time the servers seemed confused, a team of followers on the site to direct them to the right table or offer breath words.

The philosophy of the program is that food orders can be delivered well or not, and aims to domesticate an environment of coexistence where such errors face and have laughed.

“Too too often, other people who live with the condition only need to leave, and I wanted to know that it is not necessary,” said Yukio Wada program director.

He points out that, of course, it is a faster and faster procedure for food to prepare, but by putting those who with dementia in the task of the task, they may feel more in their own lives.

The restaurant’s logo is a mouth with its tongue sticking out, which Wada says is a globally identified facial expression that is noticeable after someone has made a mistake, perfectly encapsulating the show’s lighthearted spirit.

“I believe that dementia should be approached from the perspective of human rights rather than the matter of providing care,” Wada observes. “It is our mission to help create a society where all people can live with human dignity up until the end of their lives.”

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