Dementia Care at a Glance.

Intro -- Dementia Care at a Glance -- Contents -- Preface -- Acknowledgements -- About the companion website -- Part 1 Setting the scene -- 1 Introduction -- Context -- Who the book is for -- Overview of dementia -- Defining our terms -- 'Stages' of dementia -- Causes for optimism -- The strengths of people with dementia -- Our beliefs and approach -- 2 The experiences of people with dementia -- Gaining insight into people's experiences -- Listening to people with dementia -- Learning through creative media -- Stigma -- Memory and identity -- Part 2 Dementia causes and types -- 3 Brain basics -- Introduction to the brain -- The nervous system -- Other tissues of the nervous system -- The cerebrum -- Cerebral hemispheres -- Basal ganglia -- Limbic structures -- The brainstem -- The cerebellum -- 4 Progression of dementia -- The normal ageing brain -- Progression of dementia -- Signs and symptoms -- Early diagnosis -- 5 Alzheimer's disease -- Overview -- AD is not a normal part of ageing -- Amyloid cascade hypothesis -- Hyperphosphorylation of tau -- Multiple neurotoxic pathways -- Genetic risk factors for AD -- Other factors -- 6 Vascular dementia -- Vascular dementia -- The cerebral circulation -- Impaired perfusion of cerebral vessels ('brain attack') -- Atherosclerosis of cerebral arteries -- Haemorrhagic stroke -- Cerebral amyloid angiopathy -- Cerebral small vessel disease -- 7 Less common forms of dementia -- Dementia with Lewy bodies -- Frontotemporal dementia including Pick's disease -- Korsakoff's syndrome -- Creutzfeldt-Jakob disease -- Huntington's disease -- Mixed dementia -- 8 Younger people with dementia -- Context and statistics -- Causation -- Recognition and assessment -- Life-stage and family issues -- Care and interventions -- Later stages and specialist care -- 9 People with learning disabilities and dementia.

Old age and learning or intellectual disability -- Genetic factors -- Recognition -- Family, friends and carer issues -- Problems associated with dementia -- Approaches to care -- Part 3 Well-being and response in early stages -- 10 Promoting health to reduce risk of dementia -- Reducing risk -- Everyday physical well-being -- Smoking cessation -- Healthier diets -- Moving more -- Everyday mental well-being -- Thinking and planning -- Learning new skills -- Developing social networks -- Gendered health -- 11 Recognition and assessment -- Forgetfulness -- More than forgetfulness - recognising dementia -- Benefits of diagnosis -- The assessment process -- Memory clinics -- After the diagnosis -- 12 Post-diagnostic advice -- Timely diagnosis -- Feelings -- Getting support -- Understanding the condition -- Practical priorities -- Planning ahead -- Legal issues -- 13 Signposting -- The signposting process -- For people diagnosed with dementia -- For people with concerns or 'subjective cognitive impairment' -- For partners, family and family carers -- For friends of people with dementia -- For volunteers -- For health professionals -- Part 4 Underpinning principles and skills -- 14 Values: Compassion and dignity -- Values and approaches to care -- All behaviour and communication has meaning -- Person-centredness -- Empathy -- Compassion -- Dignity -- Respect -- Protection -- Comfort, well-being and enjoyment of life -- 15 The work of Tom Kitwood -- Tom Kitwood: Dementia Care Pioneer -- Kitwood's life -- Kitwood's ideas -- Defining dementia -- Malignant social psychology -- Personhood -- Dementia care mapping -- Critiquing Kitwood -- 16 Cultural issues -- The significance of culture -- Culture and old age -- Memory problems and cultural responses -- Culture and care -- 17 Spirituality -- Defining spirituality -- Spirituality and living with dementia.

Living in the moment -- Potential crises related to spiritual needs -- Health and social care professionals -- The 'golden rule' -- Responses of faith communities -- 18 Communication -- The brain and communication -- Communication approach -- Listening -- Non-verbal communication -- Verbal communication -- Communicating without language -- 19 Common dementia-related problems -- Why difficulties arise -- Common problems -- Low mood -- Apathy -- Repetitive speech -- Aggression -- The need for a sensitive approach -- Part 5 Mental health problems -- 20 Depression in people with dementia -- People with depression and dementia -- Causes of depression -- Recognising depression -- Other peoples' responses -- Coping with depression and low mood -- 21 Delirium in dementia -- Definition -- Manifestations of delirium -- Causes of delirium -- Prevention -- Management Strategies -- Excessive drowsiness -- 22 Psychosis in people with dementia -- Defining psychosis -- Delirium (see Chapter 21) -- Hallucinations and delusions in dementia -- Coping strategies -- Care and treatments -- Part 6 Physical health problems -- 23 Sensory Impairment -- Dementia and sensory loss -- Visual problems -- Interventions -- Hearing problems and treatments -- Interventions -- Taste and smell: olfactory impairments -- Touch -- Proprioception (or 'position sense') -- 24 Falls -- Possible reasons for falls -- Specialist falls services -- Design and technology -- 25 Nutrition -- The pleasures of eating -- Poor nutrition in people with dementia -- Strategies to address poor nutrition -- Assistance with eating -- Malnutrition -- 26 Protecting and caring for skin -- Promoting healthy skin -- Nutrition -- Causes of skin damage -- Particular risk factors associated with dementia -- Strategies to avoid skin problems -- Specialist care -- Pressure area care.

Devices that can help relieve pressure -- 27 Continence -- Continence -- Assessment -- Mobility -- Behavioural management -- Helpful design -- Diet and lifestyle -- Specialist services -- 28 Constipation -- Constipation -- Causes of constipation -- Treatment of constipation -- Strategies to prevent constipation -- Part 7 Interventions -- 29 Exercise and dementia -- Physical inactivity and dementia -- Later life and risk of cognitive impairment -- Potential benefits of physical activity -- Confidence and self-efficacy -- How much physical activity is beneficial? -- 30 Dementia-friendly communities -- Dementia-friendliness -- The objectives of environmental changes -- The physical environment -- Wayfinding -- Design -- The social environment -- Hogewey village -- 31 Medication for dementia-related problems -- Anti-dementia drugs -- Anti-depressants -- Anti-psychotics -- Hypnotics -- Pain relief - analgesia -- Polypharmacy -- 32 Anti-dementia medication -- Available medications -- Benefits -- How they work -- Side effects -- Existing medications and dementia -- Vitamins and herbal remedies -- New drugs in development -- Taking part in drug trials -- 33 Medication management -- Concordance -- Problems associated with multiple medications or 'polypharmacy' -- Addressing medication problems -- Prompts and aids -- Adjusting for disabilities -- Swallowing difficulties -- Covert medication -- 34 Cognitive interventions -- Brain reserve -- Cognitive stimulation interventions -- Benefits of cognitive stimulation -- Cognitive rehabilitation -- Cognitive training -- Benefits and disadvantages of cognitive rehabilitation and training -- 35 Activities for people with dementia -- Recommended levels of physical activity for older adults -- Staying active with dementia -- Which activities work best? -- Everyday activities -- Activities to avoid -- Quality of sleep.

36 Creativity and people with dementia -- Being creative -- The nature of creativity -- Procedural memory and creativity -- Emotional strengths of people with dementia -- Childlike fun -- Modern technology - engaging with iPads and tablets -- Appreciating art and the natural world -- 37 Music therapy -- Music and music therapy -- Music and the brain -- Benefits -- Incorporating music into the life of somebody with dementia -- 38 Reminiscence -- The power of the past -- Approaches to reminiscence -- Reminiscence resources -- Benefits of reminiscence -- Disadvantages of reminiscence -- The evidence base -- Building reminiscence into other therapeutic activities -- 39 Life stories and memory boxes -- Life stories -- Memory boxes -- Making a life story -- Life review -- Decisions on what to include -- Potential difficulties -- The format -- Therapeutic benefits -- 40 Reality orientation -- Therapies for people with dementia -- Reality orientation -- Twenty-four-hour RO -- Examples -- Criticisms of RO -- Themed RO -- Incorporating RO into everyday practice -- 41 Validation -- The world of the person with dementia -- Naomi Feil -- Stages of dementia -- The validation process -- Critiques of Feil's theories -- Conclusions for current practice -- Part 8 The physical environment -- 42 Sensory environments -- All environments -- Benefits of a sensory room -- Design of sensory rooms -- Gardens -- Reminiscence rooms -- Sensory input at home -- 43 Pets: animals as therapy -- The benefits of animal company -- Risks and disadvantages -- Pets at home -- Pets in care homes -- Animals visiting hospital units -- Robotic pets -- 44 Assistive technology -- Definition -- Prompting -- Safety -- Reassurance -- Safety features -- Telecare -- Surveillance systems -- Communication, stimulation and occupation -- Ethical issues -- 45 Design for dementia.

The environment and well-being.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.