Dementia currently affects 10% of the elderly in Singapore (aged 60 and above), and the prevalence of dementia in Singapore is expected to increase by about five times by 2050, posing a significant health burden for both patients and caregivers. It negatively impacts cognition, psychological state, behaviour and physical health, and thus overall functional state, consequently affecting quality of life for both patients and caregivers. Sörensen et al. reported that compared to non-caregivers, dementia caregivers report higher levels of mood/behavioural issues (more stress, depression and anxiety symptoms) with lower levels of subjective well-being as well as worse physical health outcomes and greater cognitive decline. Medication for the treatment of dementia no doubt plays an important role, but options and benefits are limited, with bothersome side-effects. As dementia unfortunately negatively impacts many domains of a patient’s function, it is important that management of a patient goes beyond pharmacological intervention, and is holistic, addressing the various physical, social, psychological and functional effects on patients and consequently caregivers.

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