Dealing with Dementia A Guide to Alzheimer's Disease and Other Dementias,9781865088532

Dealing with Dementia A Guide to Alzheimer's Disease and Other Dementias

by Draper, Dr. Brian
ISBN13: 9781865088532
ISBN10: 1865088536
Format: Paperback
Pub. Date: 2004-09-01
Publisher(s): Allen & Unwin
List Price: $27.33

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Summary

This work examines dementia with a special focus on Alzheimer's disease. A down-to-earth, comprehensive, and compassionate resource, this guide provides guidance for anyone struggling to come to terms with a diagnosis of dementia for themselves or a loved one. Filled with practical advice on drug treatments, complementary therapies, and residential or respite care, this guide is an invaluable tool for anyone worried about the effects of aging on the mind.

Author Biography

Dr. Brian Draper is the assistant director of the academic department for old age psychiatry at Prince of Wales Hospital in Sydney, Australia.

Table of Contents

List of illustrations x
List of tables xi
Preface xiii
CHAPTER 1 WHAT IS DEMENTIA? 1(11)
Defining dementia
1(1)
How does dementia differ from normal ageing?
2(4)
What are the main types of dementia?
6(1)
How common is dementia?
7(1)
Is dementia becoming more common?
8(1)
What is the impact of dementia upon society?
9(2)
Summary
11(1)
CHAPTER 2 PREVENTION OF DEMENTIA I 12(14)
Disease prevention
12(3)
Public health model of prevention
15(1)
Universal dementia prevention strategies
16(1)
Age and the role of antioxidants
16(2)
Education, intelligence and brain reserve
18(4)
Cerebral blood flow
22(1)
Nutrition
22(2)
Summary
24(2)
CHAPTER 3 PREVENTION OF DEMENTIA II 26(19)
Selective dementia prevention strategies
26(1)
Genetic factors
26(3)
Vascular risk factors
29(3)
Nutrition
32(2)
Gender: The role of hormone replacement therapy
34(1)
Inflammation: The role of anti-inflammatory medication
35(1)
Occupational exposures: Electromagnetic radiation, fumigants/defoliants
36(1)
Delirium (acute confusional state)
37(1)
Indicated dementia prevention strategies
38(1)
Cognitive impairment
38(1)
Depression in old age
39(1)
Some unproven factors
39(2)
Summary
41(4)
CHAPTER 4 THE SYMPTOMS AND COURSE OF DEMENTIA 45(26)
Pre-dementia: Mild cognitive impairment
45(1)
Early or mild dementia
46(6)
Moderate or middle stage dementia
52(11)
Severe or late stage dementia
63(6)
Advanced dementia
69(1)
Summary
70(1)
CHAPTER 5 TYPES OF DEMENTIA 71(17)
Alzheimer's disease
74(4)
Vascular dementia
78(2)
Dementia with Lewy bodies
80(2)
Frontotemporal dementia
82(2)
Other neurodegenerative causes of dementia
84(1)
Other dementias
85(2)
Summary
87(1)
CHAPTER 6 DEMENTIA ASSESSMENT 88(18)
What is dementia assessment?
89(1)
Who should perform the assessment?
89(8)
What else may be causing memory changes? The differential diagnosis of dementia
97(5)
Making the diagnosis
102(2)
Initial management
104(1)
Summary
105(1)
CHAPTER 7 DRUG TREATMENTS 106(17)
Some general principles
106(1)
Memory and cognition: The cognitive (memory) enhancing drugs
107(6)
Cognitive (memory) enhancing drugs not yet available in Australia
113 (1)
Some unproven cognitive (memory) enhancing drugs
114 (1)
Drugs for the behavioural and psychological symptoms of dementia
115(7)
Medical problems that impact on dementia
122(1)
Summary
122(1)
CHAPTER 8 PSYCHOSOCIAL TREATMENTS 123(15)
Some general rules of communication
123(1)
Early dementia
124(2)
Emotional support and lifestyle advice
124(1)
Memory training
125(1)
Making memories
126(1)
Moderate-severe dementia
126(11)
Validation therapy
127(2)
Reminiscence therapy
129(1)
Reality orientation
130(1)
Music therapy
131(1)
Physical exercise and activity programs
131(1)
Aromatherapy and touch therapy
132(1)
Audiotapes and videotapes
133(1)
Behaviour therapy
134(1)
Pet therapy
135(1)
Light therapy
135(1)
Multisensory stimulation: Snoezelen rooms
135(1)
Physical restraints
136(1)
Summary
137(1)
CHAPTER 9 FAMILIES AND OTHER CARERS 138(16)
The impact of early dementia
138(5)
The impact of moderate dementia
143(3)
The impact of severe dementia
146(2)
Gender differences
148(1)
Family education and support
149(2)
Alzheimer's Association
151(1)
Positive aspects of caregiving
152(1)
Summary
153(1)
CHAPTER 10 COMMUNITY CARE SERVICES 154(16)
History of community care in Australia
154(2)
Aged Care Assessment Program
156 (4)
Home and Community Care (HACC) Program
160(1)
Carer services
161(3)
Community Aged Care Packages (CACPs)
164 (2)
Aged Care Psychiatry (Psychogeriatric or Mental Health for Older People) Services
166(1)
Innovative community services
166(2)
The future of community care in Australia
168(1)
Summary
168(2)
CHAPTER 11 RESIDENTIAL CARE 170(18)
Why does placement into residential care occur?
170 (1)
Preparation required for entering residential care
171(3)
Requirements of good residential care
174(4)
Types of residential care for dementia
178(3)
The residential care system in Australia
181(1)
Resident fees and charges
182(3)
Quality in aged care facilities
185(2)
Future concerns
187(1)
Summary
187(1)
CHAPTER 12 ETHICAL AND LEGAL ISSUES 188(16)
Ethical principles
188 (1)
Mental competency: Decision-making capacity
189 (1)
How is decision-making capacity determined?
189(2)
Substitute decision makers
191(1)
Advance health care directives
192 (1)
Power of attorney and enduring power of attorney
193(1)
Enduring guardianship
193(1)
Guardianship
194(1)
Driving
195(3)
Research on subjects with dementia
198(1)
Electronic tagging
199(1)
Placement into residential care
200(1)
End-of-life decisions
201(2)
Summary
203(1)
CHAPTER 13 THE FUTURE 204(16)
Detection of pre-symptomatic individuals and early diagnosis
204(6)
Prevention
210(1)
Treatment
211 (3)
How will effective prevention and treatment of dementia affect society?
214(5)
Summary
219(1)
Appendix 1 Australian telephone helplines 220(2)
Appendix 2 Websites 222(8)
Appendix 3 Books for careers 230(2)
Glossary 232(6)
Notes 238(14)
Index 252

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