Dementia: An introduction for nursing, health and social care [Mīkstie vāki]

About the authors; Abbreviations


SECTION 1: Introduction

1. Introduction to the book

Amy Pepper



2. What is dementia?

Karen Harrison Dening

     2.1 Introduction

     2.2 Causes of dementia

     2.3 Symptoms of dementia

     2.4 Alzheimer's disease

     2.5 Vascular dementia

     2.6 Dementia with Lewy bodies

     2.7 Frontotemporal dementia

     2.8 Risk factors for dementia




3. Person-centred care and dementia

Amy Pepper

     3.1 Person-centred care and dementia

     3.2 Criticisms of the model

     3.3 So what is person-centred care?

     3.4 The importance of knowing the person

     3.5 Positive person work and malignant social psychology

     3.6 From person-centred to relationship-centred: evolving models of
care




SECTION 2: The dementia care pathway

4. Diagnosis of dementia

Karen Harrison Dening

     4.1 Introduction

     4.2 Ruling out conditions that can mimic dementia

     4.3 Mild cognitive impairment

     4.4 Why diagnose dementia?

     4.5 What does an assessment for dementia involve?

     4.6 Giving a diagnosis of dementia

     4.7 Prognosis of dementia




5. Medications used in dementia and their management

Karen Harrison Dening

     5.1 Introduction

     5.2 Treatment of the cognitive symptoms of dementia

     5.3 Using AChEIs in clinical practice

     5.4 Risks and benefits

     5.5 Treatment of the non-cognitive symptoms of dementia

     5.6 Treatment of other medical conditions that occur alongside dementia




6. Post-diagnostic support for people with dementia and their carers

Amy Pepper

     6.1 Introduction

     6.2 What does good post-diagnostic support look like?

     6.3 Understanding and managing dementia

     6.4 Psychological and emotional wellbeing

     6.5 Practical support

     6.6 Planning for the future



7. Assessment for care and support

Amy Pepper

     7.1 Social care

     7.2 The Care Act and the role of the local authority

     7.3 The assessment process

     7.4 The eligibility criteria

     7.5 The financial assessment

     7.6 Support for 'self-funders'

     7.7 The carer's assessment

     7.8 Types of care

     7.9 NHS continuing healthcare

     7.10 The experience of navigating the care and support system

     7.11 Differences in social care in other areas of the UK




8. End-of-life care and dementia

Emma Wolverson

     8.1 Introduction

     8.2 The importance of early conversations about dying

     8.3 Recognising end-of-life signs

     8.4 Best practice in end-of-life care for people with dementia and their
families

     8.5 Caring for the person in the final days

     8.6 Bereavement support



SECTION 3: Common issues in dementia care

9. Communication and dementia

Amy Pepper

     9.1 Introduction

     9.2 Communication and the brain

     9.3 Verbal and non-verbal communication

     9.4 Difficulties with communication in dementia

     9.5 Person-centred care and communication

     9.6 Things to think about when we are communicating with someone with
dementia

     9.7 The VERA framework

     9.8 Communication and family carers



10. Capacity and decision-making in dementia

Karen Harrison Dening

     10.1 Introduction

     10.2 Decision-making

     10.3 Decision-making capacity

     10.4 What we mean by the terms capacity and competency

     10.5 Mental Capacity Act 2005

     10.6 Fluctuations in capacity

     10.7 Best interests decisions

     10.8 Shared decision-making

     10.9 Lasting powers of attorney

     10.10 Deputyship



11. Risk and dementia

Amy Pepper

     11.1 Introduction

     11.2 What is risk?

     11.3 Risks in dementia

     11.4 Risk enablement

     11.5 A risk assessment and management framework

     11.6 Risk management

     11.7 Safeguarding




12. Distress in dementia

Emma Wolverson

     12.1 Introduction

     12.2 What do we mean by distress?

     12.3 Distressed behaviours

     12.4 The language used to talk about distressed behaviours

     12.5 What do we mean by unmet needs?

     12.6 What causes distress in people with dementia?

     12.7 Assessment

     12.8 Non-pharmacological approaches

     12.9 The impact of distress on staff




13. Delirium and dementia

Karen Harrison Dening

     13.1 Introduction

     13.2 What is delirium?

     13.3 Types of delirium

     13.4 Supporting people with delirium and dementia

     13.5 Delirium and dementia

     13.6 How do we diagnose delirium?



14. Dementia and other health conditions

Karen Harrison Dening

     14.1 Introduction

     14.2 What do we mean by comorbidity and multimorbidity?

     14.3 Comorbidities and dementia

     14.4 Diagnostic overshadowing

     14.5 Frailty

     14.6 Management of comorbidities in dementia

     14.7 Cancer

     14.8 Pain

     14.9 Sensory impairments

     14.10 Mental health and dementia

     14.11 Depression and anxiety



15. Supporting family carers

Tia Cheung-Cook

     15.1 Introduction: families and dementia

     15.2 Carers

     15.3 What types of support do family carers give?

     15.4 The impact of caring for someone with dementia

     15.5 Supporting carers



16. Ethical issues in dementia care

Amy Pepper

     16.1 Introduction

     16.2 What do we mean by ethics and ethical practice?

     16.3 Ethical frameworks

     16.4 Therapeutic lying

     16.5 The use of assistive technology

     16.6 Sexuality and dementia



17. Dementia policy and guidance

Karen Harrison Dening

     17.1 Introduction

     17.2 Historical roots to present policy

     17.3 The drive for reducing the risk of a person developing dementia

     17.4 Dementia care policy and guidance a brief history

     17.5 Dementia the 'well' pathway

     17.6 Dementia policy in the future



18. Research and people with dementia

Emma Wolverson

     18.1 Introduction

     18.2 The importance of healthcare research

     18.3 The research landscape in dementia

     18.4 Priorities for dementia research

     18.5 Why does research matter to people with dementia?

     18.6 The rold of staff in supporting research in dementia

     18.7 Where to signpost people to

     18.8 Getting involved in research



19. Future challenges in dementia care

Madeleine Walpert

     19.1 Introduction

     19.2 The rising prevalence of dementia

     19.3 Disease-modifying treatments

     19.4 Future of diagnosis

     19.5 Inequalities

     19.6 Technology and digital health advancements

     19.7 Changes in healthcare delivery and models




Index