Description
Dementia is reaching epidemic proportions. To date treatment has focused on cognitive and behavioural symptoms and their management, but the physical side has been neglected. Physical comorbidity is extremely common in people with dementia and leads to excess disability and reduced quality of life for the affected person and their family. Physical comorbidity is often treatable if not reversible. Epilepsy, delirium, falls, oral disease, malnutrition, frailty, incontinence, sleep disorders and visual dysfunction are found to occur more frequently in dementia sufferers. Physical Comorbidities of Dementia describes how these may present and gives detailed information and evidence-based recommendations on how to recognise and manage these conditions. Written by clinicians, each chapter deals with a separate condition accompanied by a list of recommendations for management. Physical Comorbidities of Dementia provides practical explanations and solutions to help all healthcare professionals to improve care for people with dementia.
Chapter
Epidemiology of falls in dementia
Etiology of falls in dementia
Gait impairment in dementia
Management of falls and falls risk in people with cognitive impairment and dementia
Epidemiology of delirium in dementia
Etiology of delirium in dementia
Risk factors for delirium in dementia
The impact of delirium on dementia
Features of delirium in dementia
Assessment and management of delirium in dementia
Epidemiology and prevalence of seizures in dementia
Epilepsy as a risk factor for dementia
Features of seizures in dementia
Management of seizures in dementia
5: Weight loss and nutritional disorders
The impact of dementia on weight and nutrition
Epidemiology and prevalence of weight loss in dementia
Causes of weight loss and malnutrition in dementia
Disordered eating patterns and alteration in dietary intake
Increased energy requirements in dementia
Structural changes in the brain
Concomitant medications including cholinesterase inhibitors
Intervention and management for weight loss and malnutrition
Nutritional supplementation
Recommendations for the diagnosis and management of weight loss in dementia
Definitions and physiology of continence
Physiology of normal bladder control
Epidemiology of incontinence in dementia
The impact of dementia on continence
Assessment of urinary incontinence
Intervention and management for urinary incontinence in dementia
Prompted voiding programs
Pathology of sleep disturbance
The epidemiology of sleep disorders in dementia
Intervention and treatment for sleep disturbance in dementia
Carer burden and sleep disturbance
Pathology of visual dysfunction in dementia
The impact of visual dysfunction in people with dementia
Features of visual dysfunction in dementia
Vision issues in residential-care facilities
Management of visual dysfunction in people with dementia
Assessment of vision in people with dementia
Interventions for visual dysfunction in dementia
Epidemiology of oral disease in dementia
The impact of dementia on oral health
The impact of medication on oral health in dementia
Symptoms and signs of oral disease in dementia
Management of oral disease in dementia
Goals of oral health care
Epidemiology of frailty in dementia
Etiology of frailty in dementia
Management of frailty in dementia
Physical Comorbidities of Dementia
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