Generic Grisactin

CONFLICTS BETWEEN SUFFERER, CARER AND MEDICAL PROFESSIONALS

Some carers report reluctance on the part of GPs to deal with the acute conditions that can occur in someone with dementia. These acute-on-chronic crises can be very frightening and yet the problem is seen in the light of the underlying dementia, i.e. the person has one 'untreatable' condition which leads to the assumption that all other things occurring are untreatable. Nothing could be more wrong -acute illnesses resolve in the confused elderly as in other people. What is wrong is to allow an already confused person to become even more disorientated and upset through ignorance. In difficult cases it is often possible to ask the GP to arrange for a home visit by a specialist (geriatrician or psychogeriatrician). This allows for a thorough airing of views and anxieties, lets the specialist see the sufferer in their own home, lets them meet the carer and listen to them and hopefully also allows the specialist to meet the GP at the patient's home and discuss the case.
Respite breaks and holiday breaks are initially arranged through the GP, who then contacts the relevant organization. Obviously as much notice as possible should be given. Admission to hospital for whatever reason is usually based on the decision of the GP. Some elderly people are extremely reluctant to consider hospitalization and need great reassurance; the GP will know of any other schemes that may be available to keep an elderly person at home and yet give them the care they need. Some areas have 'hospital at home' schemes, with intensive nursing hours provided; on other occasions the local day hospital may be appropriate. Problems do arise when either the person himself or a carer feels that they should be in hospital but the GP disagrees. This can usually be talked through and a solution agreeable to both parties arrived at, but should there be any medical change in the person's condition then the GP should be called back.
Good GPs are worth their weight in gold; bad ones can mean misery to a frail old person and their carers. Their gate-keeping role is a very powerful one indeed.

*90/128/5*
GENERAL HEALTH

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
• Read the product information leaflet provided with the product before using it.

   

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