Mental Health in Later Life: Understanding the 3Ds – Depression, Dementia, and Delirium

This interactive half-day workshop focuses on the mental health challenges associated with later life, specifically exploring Depression, Dementia, and Delirium (the “3Ds”). Healthcare professionals will gain an understanding of the biological, cognitive, and psychological changes that accompany ageing, alongside practical skills to recognise and manage these conditions in older adults. The workshop emphasises a person-centred approach to enhance patient outcomes.

Learning Objectives:

By the end of this session, delegates will be able to:

Understand the biological, cognitive, and psychological aspects of ageing and their impact on mental health.
Recognise and address depression in older adults, understanding the associated risks and screening tools.
Support individuals living with dementia through person-centred care, focusing on dignity and communication.
Differentiate between delirium and dementia, ensuring early recognition and appropriate management.
Identify the interconnectedness of depression, dementia, and delirium and implement holistic care plans.
Apply workshop learning to clinical practice, improving care for older adults with mental health conditions.

Welcome & Introductions

Understanding the Biological, Cognitive, and Psychological Aspects of Ageing

Biological aspects: brain aging, neurodegeneration, physical health changes, sensory decline
Cognitive aspects: changes in memory, attention, and executive function

Activities: Group discussion on the challenges of working with older adults, and case study analysis.

Depression in Older Adults: Recognition, Risks, and Impact

Recognising the signs and symptoms of depression in older adults (e.g., sadness, apathy, withdrawal, sleep disturbances)
Risk factors for depression: chronic illness, isolation, bereavement, financial issues
The impact of loneliness and inactivity on mental health
Social determinants of health affecting older adults: housing, access to care, socioeconomic status
Appropriate screening tools for depression in later life (e.g., Geriatric Depression Scale)

Activities: Role-play identifying depression, small group work on risk factors, and discussion on referral options.

Dementia: Living with Dementia Post-Diagnosis

Types of dementia and their clinical presentation: Alzheimer’s disease, vascular dementia, Lewy body dementia, etc.
The emotional and psychological effects of receiving a dementia diagnosis
Person-centred care principles: focusing on the individual’s needs, preferences, and life history
Communication strategies and techniques for improving interaction with patients with dementia
Importance of supporting family and caregivers in dementia care

Activities: Group exercises on creating care plans, practical role-play on communication techniques, and video case study analysis.

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Delirium: Recognition and Differentiation from Dementia

Understanding delirium: causes (e.g., infection, medication, dehydration), signs, and symptoms
Differentiating between dementia and delirium: key distinctions in onset, progression, and reversibility
The importance of early recognition and prompt treatment of delirium
Assessment tools for delirium (e.g., Confusion Assessment Method (CAM))
Immediate interventions and treatment options for delirium in a healthcare setting

Activities: Case scenario comparisons, group work on managing delirium, and role-play using assessment tools.

The Interplay Between the 3Ds: Depression, Dementia, and Delirium

Activities: Group discussion on managing overlapping symptoms, and case study analysis.

Applying Learning to Practice: Building Competence and Confidence

Strategies for integrating awareness of the 3Ds into clinical practice
Communication and care planning with families and caregivers
Multidisciplinary collaboration: working with mental health specialists, geriatricians, and social services
Documentation and use of screening tools in practice
Referral processes for specialist mental health services

Conclusion & Next Steps

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