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Managing patients with dementia

Petrazzuoli, Ferdinando LU ; Lionis, Christos and Young, Venetia (2020) p.145-167
Abstract
1. Dementia is a clinical syndrome with several causes which
creates impairments in mental ability, personality, affect and
socialisation.
2. Information from family members can be very useful in the
early identification of cognitive impairment.
3. Patients presenting with cognitive impairment should be evaluated
for potentially reversible causes, with a range of laboratory
tests and investigations.
4. Sharing the diagnosis is one of the hardest parts of dementia
care. Family physicians/ general practitioners (FPs/GPs) should
give information gradually and sensitively.
5. Dementia medications have only modest efficacy. It is encouraged
to discuss the risks, side effects and benefits with... (More)
1. Dementia is a clinical syndrome with several causes which
creates impairments in mental ability, personality, affect and
socialisation.
2. Information from family members can be very useful in the
early identification of cognitive impairment.
3. Patients presenting with cognitive impairment should be evaluated
for potentially reversible causes, with a range of laboratory
tests and investigations.
4. Sharing the diagnosis is one of the hardest parts of dementia
care. Family physicians/ general practitioners (FPs/GPs) should
give information gradually and sensitively.
5. Dementia medications have only modest efficacy. It is encouraged
to discuss the risks, side effects and benefits with the
patient and family.
6. Non-pharmacological management such as regular structured
routine, good sleep hygiene, reminiscence and cognitive stimulation
can help to improve the wellbeing of patients with dementia.
7. During the course of dementia most patients develop behavioural
and psychological symptoms of dementia (BPSD).
These result in a lower quality of life, high caregiver burden
and psychotropic drug use.
8. When the burden of care exceeds the resources of the caregiver,
nursing home placement commonly ensues.
9. When patients with dementia lack mental capacity to make decisions
about areas of their lives, legal processesmay be necessary.
10. In dementia care there are considerable differences between
countries and within countries. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Mental Health, DEMENTIA
host publication
Global Primary Mental Health Care : Practical Guidance for Family Doctors - Practical Guidance for Family Doctors
editor
Dowrick, Christopher
pages
23 pages
publisher
Routledge
ISBN
978-0-367-13422-8
language
English
LU publication?
yes
id
01a4650f-b278-4afe-a30b-577f0d04e495
date added to LUP
2020-07-14 21:35:25
date last changed
2020-07-31 14:05:20
@inbook{01a4650f-b278-4afe-a30b-577f0d04e495,
  abstract     = {1. Dementia is a clinical syndrome with several causes which<br/>creates impairments in mental ability, personality, affect and<br/>socialisation.<br/>2. Information from family members can be very useful in the<br/>early identification of cognitive impairment.<br/>3. Patients presenting with cognitive impairment should be evaluated<br/>for potentially reversible causes, with a range of laboratory<br/>tests and investigations.<br/>4. Sharing the diagnosis is one of the hardest parts of dementia<br/>care. Family physicians/ general practitioners (FPs/GPs) should<br/>give information gradually and sensitively.<br/>5. Dementia medications have only modest efficacy. It is encouraged<br/>to discuss the risks, side effects and benefits with the<br/>patient and family.<br/>6. Non-pharmacological management such as regular structured<br/>routine, good sleep hygiene, reminiscence and cognitive stimulation<br/>can help to improve the wellbeing of patients with dementia.<br/>7. During the course of dementia most patients develop behavioural<br/>and psychological symptoms of dementia (BPSD).<br/>These result in a lower quality of life, high caregiver burden<br/>and psychotropic drug use.<br/>8. When the burden of care exceeds the resources of the caregiver,<br/>nursing home placement commonly ensues.<br/>9. When patients with dementia lack mental capacity to make decisions<br/>about areas of their lives, legal processesmay be necessary.<br/>10. In dementia care there are considerable differences between<br/>countries and within countries.},
  author       = {Petrazzuoli, Ferdinando and Lionis, Christos and Young, Venetia},
  booktitle    = {Global Primary Mental Health Care : Practical Guidance for Family Doctors},
  editor       = {Dowrick, Christopher},
  isbn         = {978-0-367-13422-8},
  language     = {eng},
  pages        = {145--167},
  publisher    = {Routledge},
  title        = {Managing patients with dementia},
  year         = {2020},
}