Dementia: Assessment, management and support for people living with dementia and their carers
- PMID: 30011160
- Bookshelf ID: NBK513207
Dementia: Assessment, management and support for people living with dementia and their carers
Excerpt
Dementia is a term used to describe a range of cognitive and behavioural symptoms that can include memory loss, problems with reasoning and communication and change in personality, and a reduction in a person’s ability to carry out daily activities, such as shopping, washing, dressing and cooking. The most common types of dementia are: Alzheimer’s disease, vascular dementia, mixed dementia, dementia with Lewy bodies and frontotemporal dementia. Dementia is a progressive condition, which means that the symptoms will gradually get worse. This progression will vary from person to person and each will experience dementia in a different way - people may often have some of the same general symptoms, but the degree to which these affect each person will vary (Dementia Gateway, Social Care Institute for Excellence).
This guideline addresses how dementia should be assessed and diagnosed. It covers person-centred care and support, tailored to the specific needs of each person living with dementia. As part of this, it can help professionals involve people living with dementia and their carers in decision-making, so they can get the care and support they need. It also addresses care coordination and staff training, and how dementia may impact on the care offered for other conditions.
Copyright © NICE 2018.
Sections
- Context
- 1. Guideline committee membership and NICE technical team
- 2. Strength of recommendation
- 3. Methods
- 4. Summary of recommendations
- 5. Dementia diagnosis
- 6. Involving people living with dementia in decisions about care
- 7. Care planning, review and co-ordination
- 8. Inpatient care
- 9. Care setting transitions
- 10. Modifying risk factors for dementia progression
- 11. Cholinesterase inhibitors and memantine for dementia
- 12. Drugs that may worsen cognitive decline
- 13. Non-pharmacological interventions for people living with dementia
- 14. Managing non-cognitive symptoms
- 15. Supporting informal carers
- 16. Staff training
- 17. Needs of younger people living with dementia
- 18. Assessing and managing comorbidities
- 19. Palliative care: care towards and at the end of life
- 20. Glossary
- Appendix A. Committee membership list – Dementia Guideline
- Appendix B. Scope
- Appendix C. Review Protocols
- Appendix D. Review search strategies
- Appendix E. Evidence tables
- Appendix F. Excluded studies
- Appendix G. GRADE and CERQual tables
- Appendix H. Meta-analysis & network meta-analysis results
- Appendix I. References
- Appendix J. Health Economics
- Appendix K. Evidence review flow charts
- Appendix L. Research recommendations
- Appendix M. Health Economics Evidence Tables
- Appendix N. POMH Report
- Appendix O. Overview of Systematic Reviews of Non-pharmacological Interventions for Dementia
- Appendix P. Diagnosis
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