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
Catharine Jenkins is a Senior Nurse Lecturer at Birmingham City University.
Laura Ginesi is a Lecturer in Health Sciences at the University of East Anglia.
Bernie Keenan is a Senior Lecturer at Birmingham City University.
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