Dementia :A Global Approach

Publication subTitle :A Global Approach

Author: Ennapadam S. Krishnamoorthy; Martin J. Prince; Jeffrey L. Cummings  

Publisher: Cambridge University Press‎

Publication year: 2010

E-ISBN: 9780511904288

P-ISBN(Paperback): 9780521857765

Subject: R749.1 brain organic mental disorder

Keyword: 神经病学与精神病学

Language: ENG

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Dementia

Description

Growth in the incidence of dementia presents major challenges to global healthcare systems. As the burden of dementia in non-Western cultures grows, developing nations are expected to overtake developed nations in terms of dementia prevalence. Insights from developing nations and transcultural considerations are, nevertheless, neglected in the published literature. Dementia: A Global Approach fills this gap by integrating contemporary cross-cultural knowledge about dementia. Each section reviews the literature from the published, predominantly Western, perspective, contrasting it with empirical knowledge from non-Western cultures. Covering major clinical, epidemiological and scientific areas of interest, detailed consideration is also given to care-giving models across the world and management of patients who have migrated between regions. Enriched with personal insights from clinical experts across the globe, this is a key text for neurologists, geriatricians, psychiatrists, psychologists, epidemiologists and all those responsible for managing provisions of dementia services.

Chapter

Predictors of conversion

Transcultural perspectives

Management of MCI

Future directions

Is there a pre-MCI stage? – subjective cognitive impairment

Conclusion

References

Chapter 3 Alzheimer’s disease: the African American story

Introduction

Incidence of dementia and AD in African Americans

The role of education in risk for AD in African Americans

The genetics of AD in African Americans

Other risk factors

Conclusion

References

Chapter 4A Vascular cognitive impairment: The syndrome of vascular cognitive impairment: current concepts

Introduction

Pattern of cognitive deficit in vascular dementia

Severity of dementia

Leukoaraiosis

Lesion volume (or number)

Lesion site

Multiple types and etiologies of vascular dementia

Atrophy

Inclusion of post-stroke dementia

References

Chapter 4B Debate: is vascular dementia more common in some parts of the world?

Yes

Suvarna Alladi

No

R. Stewart

References

Chapter 5A Cross-cultural issues of global significance: Infections and dementia: the view from a developing nation

Introduction

HIV-associated dementia/AIDS dementia complex

Neurological opportunistic complications of HIV infection

Neurosyphilis

CNS tuberculosis

Neurocysticercosis

Conclusion

References

Chapter 5B Cross-cultural issues of global significance: Nutrition and dementia: where is the nexus?

Introduction

Micronutrients

n-3 long-chain polyunsaturated fatty acids

Conclusions

References

Chapter 6A Assessment: The experience of assessing cognition across cultures

Acknowledgments

References

Chapter 6B Assessment: Assessing behavior in dementia across cultures

Introduction

Terminology and definition

Descriptions of specific behavioral symptoms and their cross-cultural implications

Depression

Apathy and other motivational syndromes

Anxiety

Agitation and aggression

Aberrant motor activity

Psychosis

Behavioral features of major dementia and MCI

Vascular dementia(VaD) in Asia

Parkinson’s disease dementia (PDD)

Frontotemporal dementia (FTD)

Mild cognitive impairment (MCI)

Conclusion

References

Chapter 7A Psychosocial factors: Quality of life in dementia: global perspective and transcultural issues

Introduction

Assessment of quality of life

Definition

Why assess quality of life?

Types of QoL measures

QoL in dementia: conceptual issues

Cognitive function

Loss of insight

Anosognosia

Neuropsychiatric symptoms

Stages of dementia

Proxy reports

Review of key QoL instruments in dementia

The Schedule for the Evaluation of Individual Quality of Life (SEIQoL)

The Quality of Life-AD (QoL-AD)

Dementia QoL (DQoL)

The Community Dementia QoL Profile (CDQLP)

The ADRQL (Alzheimer’s Disease-Related Quality of Life) Instrument

Cognitively Impaired Life Quality Scale (CILQ)

Quality of Life Assessment Schedule (QoLAS)

Dementia-specific cross-cultural issues

Cross-cultural research: methodological issues

Key issues in dementia-specific transcultural research

Transcultural QoL research in dementia: summary of key themes

Attitudes to aging, decline in cognitive capacities, and dementia

Epidemiological studies

Differences in care and service offered

Psychometric scales and screening instruments

Conclusion

References

Chapter 7B Psychosocial factors: Caregiving for dementia: global perspectives and transcultural issues

Introduction

The caregiver

Impact of caring on caregivers

Caregiver education and training: empowering the caregiver

Conclusion

References

Chapter 7C Psychosocial factors: Care arrangements for patients with dementia: China

Introduction

Epidemiology of dementia in Chinese populations

Aging in China: sociodemography

Care arrangements for dementia: mainland China

Specialist care for dementia

Primary care for dementia

Residential care

Community services

Care arrangements for dementia: Hong Kong

Community and residential care

Legal aspects

Public education and advocacy

Care arrangements for dementia: the future

References

Chapter 8A Service delivery and management: Dementia services: developing rural and remote services

References

Chapter 8B Service delivery and management: Non-pharmacological approaches: patient-centered approaches

Introduction

Utilizing primary carers

Educating the family

Counseling the family

Non-pharmacological patient-centered approaches

Exercise

Therapeutic activities and creative arts therapies

Therapeutic touch

Scheduling activities of daily life

Physical restraint

Reality orientation

Validation therapy

Pet therapy in dementia

Music therapy

Reminiscence and life review

Individual case management

Conclusion

References

Chapter 9A The clinical approach to the person with dementia: Peru (South America)

References

Chapter 9B The clinical approach to the person with dementia: Nigeria

Presentation

Pathway

Examination and investigation

Management

Nutrition

Legal issues

End-of-life issues

Postmortem studies

Chapter 9C The clinical approach to the person with dementia: Australia

Introduction

Geography, demography, and government structure

Health and aged care services in Australia

Detection, assessment, and diagnosis

Management of cognitive impairment in dementia

Management of behavioral and psychological symptoms of dementia (BPSD)

The care of the patient with advanced dementia

References

Chapter 9D The clinical approach to the person with dementia The United States of America

Introduction

The number of patients with dementia will increase

Dementia is under-recognized

Medicare and Medicaid fund most direct care costs of dementia care

Academic medical centers rely on advanced technology and combined treatment regimens

Disease-modifying agents may reshape dementia care in the USA

Acknowledgments

References

Chapter 9E The clinical approach to the person with dementia Japan

Introduction

Present situation concerning nursing care for the elderly following implementation of the long-term care insurance

Policies and measures for the establishment of nursing care that maintains dignity

References

Chapter 9F The clinical approach to the person with dementia: China

Introduction

Approach to patients with dementia I: the Special Administrative Region of Hong Kong

Approach to patients with dementia II: in the China mainland

National level (not applicable to Hong Kong)

Beijing, Shanghai, and other major coastal cities

Non-urbanized areas

Future developments

References

Chapter 10A Raising global awareness: the role of non-governmental organizations: Alzheimer’s Disease International

Introduction

Awareness

Influencing policy makers

Examples of national campaigns

Conclusion

Reference

Chapter 10B Raising global awareness: the role of non-governmental organizations: Perspectives from a developing nation

Introduction

Awareness in the community

Role of nonon-governmental organizations

Working with government

Conclusion

11 The contribution of cross-cultural research to dementia care and policy: an overview, focusing on the work of the 10/66 Dementia Research Group

Introduction

The validity of dementia diagnosis across cultures

The development and validation of the 10/66 dementia diagnosis

The validity of 10/66 dementia compared with that of DSM-IV dementia

The prevalence of dementia

The Lancet/ADI estimates of the global prevalence of dementia

The 10/66 Dementia Research Group prevalence studies

The World Alzheimer Report: new estimates of global prevalence of dementia

The impact of dementia

Care arrangements and carer strain

Behavioral and psychological symptoms of dementia (BPSD)

The impact of dementia relative to that of other chronic diseases

Awareness of dementia in LAMIC

Service development and evaluation

Future priorities

Prevention

Treatment and care

References

Further reading

Index

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