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Index
Cover
Series Page
Title Page
Copyright
List of Contributors
Introduction–A Call to Action
Why is the need to learn about dementia changing?
The evidence base
Changes in society
Policy and politics
Chapter 1: Dementia in the UK
Introduction
Terminology
Economic impact
Who has dementia?
The Diversity of dementia
The changing journey
Physical disability and death
Conclusion
Further reading
Chapter 2: Causes of Dementia
Introduction
Alzheimer's disease (AD)
Vascular dementia (VaD)
Mixed AD and VaD
Dementia with Lewy bodies (DLB)/Parkinson disease dementia (PDD)
Frontotemporal dementias (FTDs)
Normal pressure hydrocephalus
Risks and protective factors in the aetiology of dementia
Primary prevention
Further reading
Chapter 3: Assessment
Introduction
Why?
What?
How?
The story of change
What has changed?
Testing cognitive ability
Imaging
The diagnosis
Further reading
Chapter 4: Early Intervention for Dementia
Introduction
Exploring the concept of early intervention in dementia
The Evolving Service Model
Conclusion
Chapter 5: Drug Treatment
Introduction
Ethical considerations
Available medications
Efficacy
Adverse effects and interaction
Dosing
Cognitive enhancers and behavioural and psychological symptoms of dementia
Vascular dementia
Guidance from the National Institute of Clinical Excellence (NICE)
Criticisms of the guidance
Thinking about treatment – what should be discussed with the patient and carer?
Drugs to avoid in cognitive decline
Conclusion
Further reading
Chapter 6: Dementia and Families
Introduction
Dementia and families
The family experience of dementia
Assessment of families and family members in caregiving relationships
Interventions with families affected by dementia
Conclusion
Acknowledgement
Further reading
Chapter 7: Person-Centred Care
Personhood in dementia
Malignant Social Psychology
Positive person work
Communicating well with people living with dementia
The challenge of providing person-centred care
The whole organisation approach
Finally, a word about labels
Further reading
Chapter 8: Behavioural and Psychological Symptoms of Dementia (BPSD)
Introduction
Impact on carers and prediction of institutionalisation
Legal framework
Assessment and management of BPSD
Prevention
Watchful waiting
Specific interventions
Pharmacological treatments
Specific medications
Conclusion
Further reading
Chapter 9: Dementia in Younger People
Epidemiology
Diagnosis
Aetiological subtypes
Pharmacological treatment
Comprehensive assessment and support
Information needs
Social needs
Carer and family needs
Physical needs
Service development
References
Chapter 10: Dementia in Primary Care
Introduction
Prevalence of dementia
Closing the dementia gap – working towards earlier diagnosis
Prevention
The role of primary care in diagnosis and management
Assessing cognitive function
The team approach
Patient-centred care
Advance decision planning
Dementia in care homes
The future of dementia management in primary care
Further reading
Chapter 11: Dementia in the Acute Hospital
Introduction
Challenges to the person with dementia
Challenges to family
Challenges to the hospital
Better dementia care in hospital
The role of relatives and carers
Delirium in the acute hospital setting
Conclusion
Further reading
Chapter 12: Dementia and the Law
Introduction
Legislation
Mental Capacity Act 2005
Relationship between the Mental Health Act and Mental Capacity Act
Deprivation of Liberty Safeguards (DoLS)
Making decisions for the future: advance care planning
Financial decisions
Difficulties around capacity
Dementia, driving and the law
Conclusion
Further reading
Chapter 13: End-of-Life Care in Dementia
Introduction
Advance care planning and bereavement issues for people with advanced dementia and their families
Risk factors for mortality in dementia
Symptoms experienced by people with dementia at the end of life
Pain
Swallowing difficulties
Dehydration and cachexia
Acute confusion/delirium superimposed on dementia
Infections
Conclusion
References
Index
End User License Agreement
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