The later stages of dementia are as important, if not more so, as
the earlier stages, since they harbour unique characteristics and
events, which profoundly affect the lives of patients and their
carers. Severe dementia has not had a high profile in the clinical
literature as until recently prognosis was poor and there were few
beneficial interventions. With the recent licensing of memantine,
clinicians finally have a drug option that will delay disease
progression.
"Severe Dementia" is the first book to focus exclusively on
severe dementia. It addresses both the clinical features of the
disease and the social aspects of care. Introductory chapters on
the differential diagnosis, neurochemistry and molecular pathology
of severe dementia set the scene for the clinical discussion.
Detailed clinical chapters on cognitive function, depression,
physical effects, staging and function follow. All therapeutic
interventions are then discussed, including memantine,
anticholinesterases, neuroleptics and non-pharmacological
treatment. The final chapters review the social and economic
aspects of dementia care, including family involvement,
person-centered care, palliative care, ethics and health
economics.
Written and edited by experts in geriatric psychiatry and
geriatrics, "Severe Dementia" is of value to all clinicians
involved in the management of this complex and vulnerable group of
patients. It is also of interest to general practitioners and
carers in nursing homes.
General
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