Younger People With Dementia: A Multidisciplinary Approach

Book Cover......Page 1
Half-Title......Page 2
Title......Page 3
Copyright......Page 4
Contents......Page 6
Contributors......Page 8
Preface......Page 11
Acknowledgements......Page 13
chapter 1 Introduction......Page 14
References......Page 19
Classification of dementia syndromes......Page 20
Alzheimer’s disease......Page 24
Clinical characteristics......Page 25
Individual differences: Focal presentations of Alzheimer’s disease......Page 27
Clinical investigations in Alzheimer’s disease......Page 29
Down’s syndrome......Page 30
Frontotemporal dementia......Page 31
Clinical characteristics of frontotemporal dementia......Page 32
Behavioural subtypes of frontotemporal dementia......Page 35
Pathology......Page 36
Clinical syndromes related to frontotemporal dementia......Page 37
Semantic dementia......Page 38
Progressive apraxia......Page 39
Alcoholic dementia......Page 40
Progressive supranuclear palsy......Page 41
Huntington’s disease......Page 42
CADASIL......Page 43
Late onset leukodystrophies......Page 44
Corticosubcortical encephalopathy......Page 45
Dementia with Lewy bodies......Page 46
Corticobasal degeneration......Page 47
Creutzfeldt-Jakob disease......Page 48
Differential diagnosis of dementias......Page 49
Differentiation from extrinsic encephalopathies......Page 51
Differentiation from metabolic encephalopathies......Page 52
References......Page 54
Psychiatric assessment......Page 56
History and mental state......Page 57
Physical examination......Page 59
Special factors......Page 60
Referral criteria......Page 61
Initial service assessment......Page 62
The Care Programme Approach (CPA): CPA reviews and service reviews......Page 63
Nursing assessment......Page 64
Risk assessment......Page 65
Occupational therapy assessment......Page 66
Leisure activities profile......Page 67
Speech and language therapy assessment......Page 68
References......Page 69
Non-pharmacological management......Page 71
Pharmacological treatment for dementia......Page 72
The cholinesterase inhibitors......Page 73
Donepezil (Aricept)......Page 74
Rivastigmine (Exelon)......Page 75
Galantamine (Reminyl)......Page 76
Clinical application of cholinesterase inhibitors......Page 77
Future directions in treatment with antidementia agents......Page 79
Novel therapeutic agents......Page 80
Antipsychotic agents......Page 81
Antidepressants......Page 83
Conclusion......Page 84
References......Page 85
chapter 5 Occupational therapy interventions......Page 87
The aims of occupational therapy interventions with younger people with dementia......Page 88
The principles of occupational therapy interventions with younger people with dementia......Page 89
Interventions in self-care activities......Page 90
Interventions in productivity......Page 91
Leisure interventions......Page 94
Interventions in the later stages of illness......Page 96
References......Page 97
Skills of the clinical psychologist......Page 99
Principles of working with younger people with dementia......Page 100
Issues to consider when working with younger people with dementia......Page 101
Individual approaches......Page 102
Dealing with losses......Page 103
Memory rehabilitation......Page 104
Validation therapy......Page 106
Cognitive behaviour therapy (CBT)......Page 107
Behaviour modification......Page 109
Future directions......Page 115
References......Page 116
Roles......Page 117
Skills (Table 7.1)......Page 118
Knowledge (Table 7.2)......Page 122
Theory into practice: Specialist or not?......Page 123
References:......Page 128
Environment......Page 129
Timetable......Page 130
Baking......Page 131
Art and craft sessions......Page 132
Outings......Page 133
Reference......Page 134
chapter 9 Support for patients......Page 135
Issues to consider when starting a support group......Page 136
Group participants......Page 137
Group structure......Page 138
Aims......Page 139
Supervision......Page 140
Group evaluation......Page 141
Venue and transport......Page 142
Participant selection......Page 143
Group timetable......Page 144
Group evaluation......Page 146
References......Page 147
chapter 10 Support for carers......Page 149
Why are support groups helpful?......Page 150
Leaving the person with dementia......Page 154
Staffing......Page 155
Criteria for attendance......Page 156
Format......Page 157
Ground rules......Page 158
Suggestions for topics......Page 159
References......Page 161
chapter 11 Support for families......Page 162
The approach of the Central Manchester (Carisbrooke) Family Therapy Team......Page 163
The families who have used the service......Page 164
The operation of the Family Therapy Clinic......Page 166
References......Page 169
Memory clinic models......Page 170
The memory clinic process......Page 172
The memory clinic and national reports......Page 173
Functions of the memory clinic......Page 174
Accessing the memory clinic......Page 175
The Cerebral Function Unit (Robert Baldwin)......Page 176
The Old Age Psychiatry Service (Robert Baldwin)......Page 177
References......Page 178
HIV-associated dementia......Page 180
Alcohol-related dementia......Page 183
Reference......Page 185
chapter 14 Views of users and carers......Page 186
Interview schedule......Page 187
Demographics......Page 188
Themes......Page 189
Involvement......Page 190
Expectations and impressions......Page 191
Impact on their lives......Page 192
Initial expectations and impressions......Page 193
Relationships......Page 194
Accommodation......Page 195
Time for the carers......Page 196
Conclusion......Page 197
References......Page 199
Principles of service development......Page 200
Planning services......Page 201
Identifying medical responsibility......Page 203
Information......Page 204
Reference......Page 205
Appendix 1 Geriatric Depression Scale, 15-item verson......Page 206
Appendix 2 Useful contacts......Page 208
Index......Page 211