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|Beschreibung:||286 pages ; 23 cm|
|Inhalt:||List of Tables. List of Illustrations. Preface.; 1. What is dementia? What is dementia? How does dementia differ from normal ageing? What are the main types of dementia? How common is dementia? Is dementia becoming more common? What is the impact of dementia upon society? Summary.; 2. Prevention of dementia - general strategies. Disease prevention. Public health model of prevention. Universal dementia prevention strategies. Age and the role of antioxidants and nutrition. Education, intelligence and brain reserve. Summary.; 3. Prevention of dementia - specific strategies. Selective dementia prevention strategies. Genetic factors. Vascular risk factors. Cholesterol, fats and weight. Gender - the role of hormone replacement therapy. Inflammation - the role of anti-inflammatory medication. Occupational exposures. Indicated dementia prevention strategies. Mild cognitive impairment. Depression in old age. Some unproven factors. Summary.; 4. The symptoms and course of dementia. Pre-dementia - mild cognitive impairment. Mild or early-stage dementia. Moderate or middle-stage dementia. Severe or late-stage dementia. Advanced dementia. Summary.; 5. Types of dementia. Alzheimer's disease. Vascular dementia. Dementia with Lewy bodies. Frontotemporal dementia. Other neurodegenerative causes of dementia. Other dementias. Summary.; 6. Dementia assessment. What is dementia assessment? Who should perform the assessment? What else may be causing memory changes - the differential diagnosis of dementia. Making the diagnosis. Initial management. Summary.; 7. Drug treatments. Some general principles. Memory and cognition: the cognitive (memory) enhancing drugs. Some unproven cognitive (memory) enhancing drugs. Drugs for the behavioural and psychological symptoms of dementia (BPSD). Medical problems that impact on dementia. Summary.; 8. Psychosocial treatments. Person-centred care. Some general rules of communication. Emotional support and lifestyle advice. Memory training. Making memories. Cognitive stimulation therapy. Validation therapy. Reminiscence therapy. Reality orientation. Music therapy. Physical exercise and activity programs. Aromatherapy and touch therapy. Stimulated presence therapy. Summary.; 9. Family and other carers. The impact of mild dementia. The impact of moderate dementia. The impact of severe dementia. Carer burden and depression. Family education and support. Alzheimer's associations. Positive aspects of caregiving. Summary.; 10. Community care services. History of community care in Australia. The Aged Care Assessment Program (ACAP). The Home and Community Care (HACC) Program. Carer Services. Community Aged Care Packages (CACPs). Extended Aged Care at Home (EACH) packages. Extended Aged Care at Home Dementa (EACHD) packages. Dementia Behaviour Management Advisory Service (DBMAS). Aged care psychiatry. Summary.; 11. Residential care. Why does placement into residential care occur? Preparation required for entering residential care. Requirements for good residential care. Types of residential care for dementia. The residential care system in Australia. Resident fees and charges. Quality in aged care facilities. Future concerns. Summary.; 12. Ethical and legal issues. Ethical principles. Mental competency: decision-making capacity. How is decision-making capacity determined? Substitute decision-makers. Advance health care directives. Power of attorney and enduring power of attorney. Enduring guardianship. Guardianship. Driving. Research on people with dementia. Electronic tagging of people with dementia. Placement into residential care against the person with dementia's wishes. End-of-life decisions. Summary.; 13. The future. Detection of presymptomatic individuals and early diagnosis of dementia. Prevention of dementia. Treatment of dementia. Assistive technology. How will effective prevention and treatment of dementia affect society? Summary.; Appendix I: Telephone helplines.; Appendix II: Useful websites.; Appendix III: Books for carers. Glossary, Bibliography. Index.|