Primary Care And Dementia


Primary Care And Dementia
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Primary Care And Dementia


Primary Care And Dementia
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Author : Steve Iliffe
language : en
Publisher: Jessica Kingsley Publishers
Release Date : 2001

Primary Care And Dementia written by Steve Iliffe and has been published by Jessica Kingsley Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Psychology categories.


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.



Primary Care And Dementia


Primary Care And Dementia
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Author :
language : en
Publisher:
Release Date : 2004

Primary Care And Dementia written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.




Primary Care Mental Health In Older People


Primary Care Mental Health In Older People
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Author : Carlos Augusto de Mendonça Lima
language : en
Publisher: Springer
Release Date : 2019-08-07

Primary Care Mental Health In Older People written by Carlos Augusto de Mendonça Lima and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-07 with Medical categories.


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.



Diagnosis Management And Treatment Of Dementia


Diagnosis Management And Treatment Of Dementia
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Author :
language : en
Publisher:
Release Date : 1999

Diagnosis Management And Treatment Of Dementia written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Dementia categories.




Primary Care In Practice


Primary Care In Practice
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Author : Oreste Capelli
language : en
Publisher: BoD – Books on Demand
Release Date : 2016-05-11

Primary Care In Practice written by Oreste Capelli and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-05-11 with Medical categories.


The development of the Chronic Care Model (CCM) for the care of patients with chronic diseases has focused on the integration of taking charge of the patient and his family within primary care. The major critical issues in the implementation of the CCM principles are the non-application of the best practices, defined by EBM guidelines, the lack of care coordination and active follow-up of clinical outcomes, and by inadequately trained patients, who are unable to manage their illnesses. This book focuses on these points: the value of an integrated approach to some chronic conditions, the value of the care coordination across the continuum of the illness, the importance of an evidence-based management, and the enormous value of the patients involvement in the struggle against their conditions, without forgetting the essential role of the caregivers and the community when the diseases become profoundly disabling.



Abc Of Dementia


Abc Of Dementia
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Author : Bernard Coope
language : en
Publisher: John Wiley & Sons
Release Date : 2014-02-19

Abc Of Dementia written by Bernard Coope and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-02-19 with Medical categories.


ABC of Dementia is a practical guide to help healthcare professionals develop knowledge, skills, confidence and an understanding of dementia, in order to support those with dementia to live well. It begins with the cognitive disabilities and underlying brain diseases that define dementia, before moving on to diagnostic assessment and early intervention for dementia. There is a focus on the experience of the person with dementia and their families, highlighting the journey from diagnosis to end of life, including the role of person-centred care, and the limited therapeutic options available. Separate chapters address dementia in acute hospital settings, primary care, and care for those with the most severe challenges, as well as the specific needs of younger people developing dementia. The ethical and legal context of dementia care is also outlined. From a multidisciplinary author team, ABC of Dementia is a valuable resource for general practitioners, family physicians and other health care professionals caring for patients with dementia and related disorders. It is also relevant for geriatricians, psychologists, specialist and practice nurses, and nursing home staff.



Dementia In The Community


Dementia In The Community
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Author : Alzheimer's Society
language : en
Publisher:
Release Date : 2001

Dementia In The Community written by Alzheimer's Society and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with categories.




Casebook Of Dementia


Casebook Of Dementia
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Author : Gloria HY Wong
language : en
Publisher: Cambridge University Press
Release Date : 2024-04-30

Casebook Of Dementia written by Gloria HY Wong and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-04-30 with Medical categories.


Dementia is hugely underdiagnosed and under-managed partly due to stretched specialist services. Written by a team involved in a pioneering community-based primary care service, this practical book brings together 99 case studies from the frontline in providing early intervention for people seeking help for suspected dementia. Both typical and atypical cases of Alzheimer's disease and other dementias are examined, familiarising readers with possible patient scenarios and the recommended management strategies. Useful tools such as example forms for history taking and the use of a modified General Practitioner Assessment of Cognition (GPCOG) equip multidisciplinary teams with the knowledge needed for early identification of dementia. The final chapter sets out key considerations in primary care such as carer support, sharing diagnoses, and forming a dementia-friendly community. The emphasis on collaborative care between the medical and social care provides guidance for post-diagnostic support. This title is available as Open Access on Cambridge Core.



Dementia Diagnostics In Primary Care


Dementia Diagnostics In Primary Care
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Author : Anna Segernäs Kvitting
language : en
Publisher: Linköping University Electronic Press
Release Date : 2019-09-20

Dementia Diagnostics In Primary Care written by Anna Segernäs Kvitting and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-09-20 with categories.


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.



Diagnosis And Risk Management In Primary Care


Diagnosis And Risk Management In Primary Care
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Author : Wilfrid Treasure
language : en
Publisher: CRC Press
Release Date : 2017-10-02

Diagnosis And Risk Management In Primary Care written by Wilfrid Treasure and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-02 with Medical categories.


'Medical technology is beneficial for well researched dangerous diseases. However, most symptoms that people bring to their primary care physician have no single clearly identifiable cause: investigations and drugs do more harm than good - and also waste resources - ' - Wilfrid Treasure Diagnosis and Risk Management in Primary Care teaches that adopting an evidence-based approach to primary care improves patient care and treatment outcomes. It demonstrates that brief clinical assessments, repeated if necessary, allow effective diagnosis while avoiding the costs and complications associated with more advanced testing. Adopting a fresh approach, this book sets consultation skills alongside evidence-based information by both itemising the specific techniques and facts that are needed in the consulting room, and providing detailed information on odds and likelihood ratios to quantify risk and deal with uncertainty. This book provides food for thought, and helps doctors develop communication skills that support their personal styles of consulting, encouraging a more traditional, intuitive treatment. It provides a map of the consultation and a compass to navigate through symptoms, signs and evidence - listening to their patients with one ear and, with the other, to the reflective inner voice of reason. General Practitioner Specialist Trainees and their teachers will find much of interest, as will established General Practitioners with an interest in maintaining traditional models of care. Undergraduate medical students and candidates for the MRCGP will find this an ideal reader for the clinical skills assessment. 'What a breath of fresh air to find an author capable of putting the patient back at the centre of the consultation and who is able to entertain at the same time as he informs and to stimulate critical reflection while nudging us in the direction of a rigorous approach to diagnosis, and the assessment and communication of risk.' From the foreword by Roger Jones