Primary Care And Dementia

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 78
Total Download : 390
File Size : 53,8 Mb
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Primary Care And Dementia

Author by : Steve Iliffe
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 68
Total Download : 627
File Size : 42,9 Mb
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Description : This practice and training guide is written with the needs of health and social care professionals working with people with dementia in mind. The book is illustrated with case studies and includes a chapter on understanding and responding to the needs of the carer - such as access to information and support - and the effect on their own health.


Right From The Start

Author by : Alzheimer's Disease Society
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 64
Total Download : 594
File Size : 46,6 Mb
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Dementia Diagnostics In Primary Care

Author by : Anna Segernäs Kvitting
Languange : en
Publisher by : Linköping University Electronic Press
Format Available : PDF, ePub, Mobi
Total Read : 54
Total Download : 266
File Size : 47,5 Mb
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Description : Background Age is the greatest risk factor for developing dementia and the total number of people aged 60 years and above is expected to more than double globally from 2013 to 2050 (1). Primary health care (PHC) is important for basic diagnostic evaluations. Objective test measurements have been shown to be more reliable than a patient's subjective memory complaints in dementia assessments (2). However, several studies indicate the low use of objective cognitive screening tools in dementia diagnostics in PHC (3). Some general practitioners (GPs) do not perceive today’s cognitive instruments as helpful in the diagnostic process and administration problems have been reported in PHC (4, 5). The overall aim of this thesis was to investigate the accuracy of several cognitive tests used in dementia assessments in PHC, especially among older patients: A Quick Test of Cognitive Speed (AQT), Cognistat and Cognitive Assessment Battery (CAB). The normative values of the Mini Mental Status Examination (MMSE) in the oldest old was also studied. Methods The studies included in this thesis are from two different study populations. Studies I, II and IV. Patients with and without cognitive symptoms were recruited from four primary health care centres in Sweden between 2007 and 2009.Study III. The Elderly in Linköping Screening Assessment (ELSA 85) cohort-population examined people born in 1922 in the municipality of Linköping, Sweden. Results Study I. Results showed that AQT is a usable test for dementia diagnosis in PHC. Sensitivity for AQT is superior to the Clock Drawing Test (CDT), equivalent to MMSE and the combination MMSE and CDT. The AUC for AQT was 0.773, valued good enough. Study II. Overall, the results for Cognistat in this study are superior to MMSE and CDT, also in combination. Cognistat is promising for improved dementia diagnosis in PHC with a quick and easily administered multi-domain test for dementia assessments. Study III. This study presents valuable information about normative MMSE data for the oldest patients. Results, suggest using the 25th percentile in MMSE of 25 to 26 points, and indicate that MMSE 26 is as a reasonable cut-off for cognitive decline and further medical evaluation in older persons aged from 85 to 93 years. Study IV. In summary, the additive value of the CAB test in dementia investigations in PHC is not obvious. In addition to questionable accuracy, the test is quite time consuming and normative values are scarce. By introducing the numerical sum (CABsum) the accuracy was increased. Conclusion In conclusion, objective cognitive tests are an important part of dementia diagnosis in PHC and there is a need for improved instruments and norm-values. From our results, several cognitive quick tests are usable in PHC - MMSE, AQT and Cognistat - but they have some disadvantages. MMSE 26 is a reasonable cut-off for cognitive decline in the oldest patients 85 to 93 years from a well-educated population with quite good socioeconomic. There is a great interest in finding short and better multi-domain instruments but the additive value of CAB in dementia investigations in PHC is questionable.


The Management Of Dementia In Primary Care

Author by : Luc Pieter De
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 26
Total Download : 369
File Size : 47,7 Mb
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Description : High-quality in-home primary healthcare services are pivotal for people with dementia and their families to avoid inappropriate hospital admissions and premature nursing home placement, which are associated with worsened quality of life of both the person with dementia and his family and financial burden.


Evidence Informed Approaches For Managing Dementia Transitions

Author by : Linda Garcia
Languange : en
Publisher by : Academic Press
Format Available : PDF, ePub, Mobi
Total Read : 67
Total Download : 562
File Size : 46,7 Mb
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Description : Evidence-Informed Approaches for Managing Dementia Transitions provides evidence-informed approaches and future directions for supporting a higher quality of life for people living with dementia. Through a person-centered lens, this book equips care providers to better help people living with dementia align their expectations and hopes with the trajectories they can expect in their journey. It highlights the various transitions that those with dementia will experience and describes best practices for optimal adjustment to each. Topics covered include problem identification, driving cessation, loss of financial autonomy, acute hospital admission, moving to assisted living residences and long term care homes, and palliative and end of life care. This is a must have reference for researchers, clinicians, and mental health professionals (psychologists, counsellors, social workers, mental health nurses) as well as policy makers and other health and social care providers working with individuals with dementia. Emphasizes empowerment and quality of life for all those living with dementia Explores strategies for managing the ups and downs of the dementia journey from diagnosis to end of life Recommendations are couched in evidence and extensive experience of the authors


Neurobiology Of Primary Dementia

Author by : Association for Research in Nervous and Mental Disease
Languange : en
Publisher by : Amer Psychiatric Pub Incorporated
Format Available : PDF, ePub, Mobi
Total Read : 96
Total Download : 509
File Size : 43,7 Mb
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Description : Although Alzheimer's disease represents the most frequent cause of dementia, it is not the only cause. Cerebrovascular disease and other degenerative and metabolic disorders have similar profound and debilitating consequences. This wide-ranging compendium of writings by leading educators and physicians is aimed at helping practitioners achieve one of the nation's primary health care goals -- reducing the number of people who require assistance for personal care activities by the year 2000. In this balanced examination of the frequency and characteristics of dementia and cognitive impairment, contributors base their observations and conclusions on data collected within an ethnically diverse registry of elderly people who use community-based health care services. They explore topics ranging from familial Alzheimer's disease, prion diseases, and dementia associated with poststroke major depression to vascular dementia, dementia pugilistica, and head trauma as a risk factor for Alzheimer's disease. These experts also discuss diagnostic and treatment issues, as well as the thought-provoking topics of ethical questions involving dementia and dementia as it relates to health care reform. Practitioners in health care and related services, providers, and policy makers will find the research, interpretation, and collective wisdom presented here essential for sound decision making about the way medicine deals with dementia in the elderly.


Dementia In The Community

Author by : Alzheimer's Society
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 81
Total Download : 561
File Size : 43,7 Mb
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Dementia Primary Care Project

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 88
Total Download : 290
File Size : 47,7 Mb
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Description : "The Dementia Primary Care Project (DPCP) was funded under Measure 1 of the Dementia Initiative ... In Phase 1, opportunities and challenges relating to dementia care in the primary care setting were to be identified, and recommendations made for activities to be undertaken in Phases 2 and 3. At the time of writing only Phase 1 was completed. Therefore, the Project Review of the DPCP is concerned with Pase 1 only. Phase 1 was essentially a needs assessment; a form of research that identifies the gap between current practice and good (or best) practice, in order to identify opportunities for improvement."--Executive summary, page 1.


Alzheimer S Disease And Its Variants

Author by : Richard Caselli
Languange : en
Publisher by : OUP USA
Format Available : PDF, ePub, Mobi
Total Read : 13
Total Download : 734
File Size : 48,6 Mb
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Description : The number of patients with dementia is rising in proportion to the aging of our population; therefore, by 2050 the prevalence of Alzheimer's disease is expected to triple, risking the integrity of the entire U.S. healthcare economy. More NIH dollars are spent on Alzheimer's disease research than on any other neurological disease and our available fund of information has commensurately accelerated. Whereas 30 years ago little distinction was made between different forms of dementia, clinicians now distinguish multiple degenerative and vascular syndromes, each with their own etiologic, therapeutic and prognostic implications. New genetic insights reach the popular press on a regular basis. Consequently Alzheimer's disease (and related disorders) has become a special concern to the majority of the population whose main avenue of care lies with the primary care physician. The primary care physician (general internist, family practitioner, nurse practitioner), geriatrician, and geriatric psychiatrist are the target audiences for this book; in short anyone who is not a neurological expert who provides dementia-related care. As the primary care physician is the target audience for this title, the volume begins with a discusion of how to produce an effective diagnosis through a series of precise, easy- to- follow steps. Additional sections detail the current research state of each of the major individual dementia diseases that the general clinician frequently encounters. The last section procides a clinically focused 'how to' guide for treatment including symptom-directed pharmacotherapy, as well as an up-to-date summary of ongoing major therapeutic trials and an assessment non-pharmacological management issues such as driving and end-of- life considerations. Aiming to be clear, consice and practical, this volume provides the essential information in dementia related care, from disease diagnosis to symptom management. Because it uses the most up-to-date dementia research available, this volume will become a close companion of the primary care physician, who seeks direct answers to the common questions and issues that arise in the diagnosis and management of patients with dementia.


Primary Care Mental Health In Older People

Author by : Carlos Augusto de Mendonça Lima
Languange : en
Publisher by : Springer
Format Available : PDF, ePub, Mobi
Total Read : 64
Total Download : 116
File Size : 49,9 Mb
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Description : This book is a practical resource that will support the delivery of holistic mental health interventions in the primary and community care setting for older people. Primary care delivery is discussed in relation to both functional mental health problems, such as anxiety, depression, and psychotic and personality disorders, and acquired organic mental disorders of old age, such as dementia, cognitive impairments, and delirium. Careful consideration is paid to the complex relationship between mental and somatic health problems, as well as the impacts of multimorbidity and polypharmacy. Further topics include, for example, epidemiology, wider determinants of health, different care models, history taking, neurocognitive and capacity assessment, and pharmacological, psychological, and physical interventions. The wider goals of the book are to support the development of community resilience and self-care in older people; to promote universal access and equity for older people in order to enable them to achieve or recover the highest attainable standard of health, regardless of age, gender, or social position; and to promote pathways to care for older people with mental health problems respecting their autonomy, independence, human rights, and the importance of the life-course approach. This book will be an invaluable resource for all professionals who work with older adults with mental health problems and those training in these fields including physicians, psychiatrists, family doctors, geriatricians, general practitioners, nurses, psychologists, neurologists, occupational therapists, social workers, support workers and community health and social care workers.


Screening For Dementia

Author by : U. S. Department of Health and Human Services
Languange : en
Publisher by : CreateSpace
Format Available : PDF, ePub, Mobi
Total Read : 44
Total Download : 450
File Size : 42,6 Mb
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Description : Dementia is an acquired syndrome of decline in memory and at least one other cognitive domain such as language, visuo-spatial, or executive function sufficient to interfere with social or occupational functioning in an alert person. Multiple diseases can cause the syndrome of dementia. The large majority of people with dementia have neurodegenerative disease or cerebrovascular ischemia as the underlying cause. Between 60% and 70% of people with the dementia syndrome have Alzheimer's disease; about 20% to 30% have vascular or mixed vascular and Alzheimer's disease causes. A smaller number have other causes such as Lewy body dementia, frontal dementia, Parkinson's disease, hypothyroidism, and vitamin B-12 deficiency. To date, research has produced no effective approach for primary prevention of dementia. Chemoprevention has been advocated, but data on effectiveness are lacking. Although control of hypertension reduces the risk of cerebrovascular accidents, its role in reducing small vessel vascular dementia is less clear. The wealth of literature has been on screening for dementia with the hope of reducing its burden of suffering by earlier intervention. Routine history and physical examinations do not readily diagnose dementia during clinic or physician visits. Multiple studies in the United States and abroad indicate low identification of dementia by primary care physicians. More than 50% of patients with dementia have never been diagnosed by a physician. This raises the possibility that effective screening tests might be able to identify people with dementia at an early stage, thus allowing the possibility of earlier intervention. Key question addressed include: KQ1: Does screening for dementia in older adults (over 60 years) do any of the following: improve or worsen patients. cognitive, social, or physical function? increase or decrease hospitalizations, institutionalizations, or health care visits? prevent or precipitate behavioral problems? alleviate or worsen caregivers. stress and coping? prevent or precipitate accidents, such as accidental falls or automobile crashes? improve or worsen patients. health-related quality of life? KQ2: What is the prevalence of undiagnosed dementia in primary care patients? What are the common causes of dementia in primary care patients? KQ3: Is there a reliable and valid screening test to detect dementia in primary care populations? KQ4: Do pharmacologic interventions of potentially reversible or irreversible dementia improve any of the 6 outcomes noted in KQ1? Such treatments include antiplatelet therapy for vascular dementia, cholinesterase inhibitors for Alzheimer's disease, thyroid treatment for hypothyroidism, and vitamin B-12 for vitamin B-12 deficiency. KQ5: Do nonpharmacologic interventions, such as sensory, environmental, behavioral, or activity-directed programs, improve any of the 6 outcomes noted in KQ1? KQ6: Do caregiver interventions improve any of the 6 outcomes noted in KQ1? KQ7: What are the adverse effects of screening for dementia? KQ8: What are the costs and cost-effectiveness of screening fordementia? KQ9: What are the adverse effects of dementia therapy?


Alzheimer S And Dementia For Dummies

Author by : Consumer Dummies
Languange : en
Publisher by : John Wiley & Sons
Format Available : PDF, ePub, Mobi
Total Read : 41
Total Download : 666
File Size : 55,6 Mb
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Description : Your sensitive, authoritative guide to Alzheimer's and dementia If a loved one has recently been diagnosed with dementia or Alzheimer's disease, it's only natural to feel fraught with fear and uncertainty about what lies ahead. Fortunately, you don't have to do it alone. This friendly and authoritative guide is here to help you make smart, informed choices throughout the different scenarios you'll encounter as a person caring for someone diagnosed with dementia or Alzheimer's disease. From making sense of a diagnosis to the best ways to cope with symptoms, Alzheimer's and Dementia For Dummies is the trusted companion you can count on as you navigate your way through this difficult landscape. Affecting one's memory, thinking, and behavior, dementia and Alzheimer's disease can't be prevented, cured, or slowed—but a diagnosis doesn't mean you have to be left helpless! Inside, you'll find out how to make sense of the symptoms of dementia and Alzheimer's disease, understand the stages of the illnesses, and, most importantly, keep your loved one safe and comfortable—no matter how severe their symptoms are. Find out what to expect from Alzheimer's and dementia Discover what to keep in mind while caring for someone with Alzheimer's or dementia Uncover symptoms, causes, and risk factors of Alzheimer's and dementia Learn the critical information needed to help manage these illnesses Whether you're new to caring for a person affected by Alzheimer's or dementia or just looking for some answers and relief on your journey, this is the trusted resource you'll turn to again and again.


Abc Of Dementia

Author by : Bernard Coope
Languange : en
Publisher by : John Wiley & Sons
Format Available : PDF, ePub, Mobi
Total Read : 91
Total Download : 319
File Size : 54,6 Mb
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Description : ABC of Dementia is a practical guide, written with the needs of professionals in training in mind. Its aim is to enable readers to explore attitudes towards dementia, and find the knowledge and skills required in the important task of supporting the lives of people with dementia and their carers. This new edition is designed to assist students and practitioners working within both primary and secondary care settings with the diagnosis, treatment and provision of care. It covers the causes of dementia, diagnostic assessment, early intervention, pharmacological treatment, person-centred care, legal and ethical issues, and more. This resource has been thoroughly revised to reflect the most recent research and evidence-based practice. New and expanded content addresses dementia and frailty in care homes, explores the role of technology in the treatment of dementia, discusses working with minority groups, and examines case studies. Aids healthcare professionals in developing the knowledge, skills and confidence to care for those with dementia Highlights the importance of person-centred care and the effects of dementia on families and carers. Describes the cognitive changes and neurological disorders central to dementia Addresses the needs of younger people developing dementia Provides guidance on managing dementia in primary care, the acute hospital and end-of-life care settings Covers the Neuropsychiatric Symptoms of Dementia (NPSD) Features numerous full-colour photographs and illustrations ABC of Dementia is a must-have for healthcare students, general practitioners, and other healthcare professionals caring for people with dementia. It will also be of interest to members of the general public who wish to know more about dementia.


Dementia Identification And Assessment

Author by : United States. Veterans Health Administration
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 69
Total Download : 253
File Size : 41,7 Mb
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Geriatrics An Issue Of Primary Care Clinics In Office Practice

Author by : Demetra Antimisiaris
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 63
Total Download : 189
File Size : 45,9 Mb
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Description : This issue of Primary Care: Clinics in Office Practice, guest edited by Demetra Antimisiaris, PharmD and Laura Morton, MD, CMD, is devoted to Geriatrics. Articles in this comprehensive issue include: Managing Polypharmacy in the 15 Minute Office Visit; Sexuality in the Older Adult; Dementia for the Primary Care Provider; Hormone Replacement: The Fountain of Youth?; Depression in Older Adults; Advance Care Planning in the Outpatient Geriatric Medicine Setting; Pain in the Elderly: Identification, Evaluation and Management of the Older Adult with Pain Complaints and Pain-Related Symptoms; Delirium; The Older Adult With Diabetes And The Busy Clinician; Geriatric Assessment for the Primary Care Provider; Hypertension in the Older Adult; and Evaluation of the Older Driver.


Ham S Primary Care Geriatrics E Book

Author by : Gregg A. Warshaw
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 49
Total Download : 130
File Size : 54,6 Mb
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Description : Uses a case study format that is ideal for learning, retention, and rapid recall. All case studies are thoroughly up to date with current references. Features an interdisciplinary perspective to provide team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults. Contains a new chapter on Lesbian, Gay, Bisexual, Transgender (LGBT) Medicine in Older Adults, as well as completely revised or rewritten chapters on rehabilitation, infectious disease, and urinary incontinence. Provides up-to-date information on key topics such as opioid management and polypharmacy, the “geriatric emergency room, cultural humility in the care of older adults, and the five signs of problematic substance abuse. Includes key learning objectives and USMLE-style questions in every chapter.


Primary Care Geriatrics

Author by : Richard J. Ham
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 89
Total Download : 717
File Size : 49,8 Mb
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Description : Accompanying CD-ROM contains video learning modules on gait and balance and dizziness, a dermatology quiz, and downloadable cognitive assessment tools, to hone clinical skills. File formats include QuickTime movies, PDFs, and HTML documents.


Living Better With Dementia

Author by : Shibley Rahman
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 31
Total Download : 862
File Size : 43,8 Mb
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Description : What do national dementia strategies, constantly evolving policy and ongoing funding difficulties mean for people living well with dementia? Adopting a broad and inclusive approach, Shibley Rahman presents a thorough critical analysis of existing dementia policy, and tackles head-on current and controversial topics at the forefront of public and political debate, such as diagnosis in primary care, access to services for marginalised groups, stigma and discrimination, integrated care, personal health budgets, personalised medicine and the use of GPS tracking. Drawing on a wealth of diverse research, and including voices from all reaches of the globe, he identifies current policy challenges for living well with dementia, and highlights pockets of innovation and good practice to inform practical solutions for living better with dementia in the future. A unique and cohesive account of where dementia care practice and policy needs to head, and why, and how this can be achieved, this is crucial reading for dementia care professionals, service commissioners, public health officials and policy makers, as well as academics and students in these fields.


Ham S Primary Care Geriatrics E Book

Author by : Richard J. Ham
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 34
Total Download : 306
File Size : 45,9 Mb
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Description : Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults. "Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real". Reviewed by: Dr Harry Brown, July 2014 Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need. Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout. Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter. Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.


From General Practice To Primary Care

Author by : Steve Iliffe
Languange : en
Publisher by : Oxford University Press
Format Available : PDF, ePub, Mobi
Total Read : 68
Total Download : 806
File Size : 42,8 Mb
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Description : Anxiety about medicine becoming impersonal and mechanised permeates the NHS. This is particularly prevalent in general practice, as plans for massive policlinics are revealed and payment systems shift seemingly inexorably towards incentives and targets. The ethos of family medicine, which places so much stress on continuity of care, psychosocial understanding of illness, and the careful management of doubt, is challenged by guidelines, governance, qualityframeworks, and patient satisfaction surveys. General practice is being industrialized into primary care, or so it can seem. This book explores the origins of industrialization, why it is being implemented by government policy, and what it offers both patients and staff. Are thereboth benefits and disadvantages? Finally, how should those working in the community work with the changes to offer the best possible quality of health care?