内容

目次

Preface viii Acknowledgements ix About the companion website x Part 1 Setting the scene 1 1 Introduction 2 2 The experiences of people with dementia 4 Part 2 Dementia causes and types 7 3 Brain basics 8 4 Progression of dementia 10 5 Alzheimer???s disease 12 6 Vascular dementia 14 7 Less common forms of dementia 16 8 Younger people with dementia 18 9 People with learning disabilities and dementia 20 Part 3 Well–being and response in early stages 23 10 Promoting health to reduce risk of dementia 24 11 Recognition and assessment 26 12 Post–diagnostic advice 28 13 Signposting 30 Part 4 Underpinning principles and skills 33 14 Values: Compassion and dignity 34 15 The work of Tom Kitwood 36 16 Cultural issues 38 17 Spirituality 40 18 Communication 42 19 Common dementia–related problems 44 Part 5 Mental health problems 47 20 Depression in people with dementia 48 21 Delirium in dementia 50 22 Psychosis in people with dementia 52 Part 6 Physical health problems 55 23 Sensory impairment 56 24 Falls 58 25 Nutrition 60 26 Protecting and caring for skin 62 27 Continence 64 28 Constipation 66 Part 7 Interventions 69 29 Exercise and dementia 70 30 Dementia–friendly communities 72 31 Medication for dementia–related problems 74 32 Anti dementia medication 76 33 Medication management 78 34 Cognitive interventions 80 35 Activities for people with dementia 82 36 Creativity and people with dementia 84 37 Music therapy 86 38 Reminiscence 88 39 Life stories and memory boxes 90 40 Reality orientation 92 41 Validation 94 Part 8 The physical environment 97 42 Sensory environments 98 43 Pets: animals as therapy 100 44 Assistive technology 102 45 Design for dementia 104 Part 9 Carers and relationships 107 46 Relationships and dementia 108 47 Sex and sexuality 110 48 Carers??? issues and carer support 112 49 Reducing stress levels for family carers 114 50 Having difficult conversations 116 Part 10 Responding to dementia–related difficulties 119 51 The multi–disciplinary team 120 52 Care planning 122 53 Personal care 124 54 Resistance to care 126 55 Sundowning syndrome and sleep 128 56 Transitions 130 57 Walking 132 58 End–of–life care 134 Part 11 Ethical and legal issues 137 59 Abuse, neglect and safeguarding 138 60 Ethical issues 140 61 Advocacy 142 62 Mental capacity 144 Part 12 The future 147 63 Leadership issues 148 64 Research 150 65 Conclusion 152 References 155 Further reading 156 Index 158