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Acknowledgements | |
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Introduction: About This Book | |
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Becoming Acquainted with Dementia | |
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What is dementia? | |
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The extent of dementia worldwide | |
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Dementia in 'minority groups' | |
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Can dementia be treated, cured or prevented? | |
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The goals of supporting a person with dementia: quality of life and well-being | |
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Being a family member or friend of a person with dementia | |
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The basis of supporting a person with dementia: dementia empathy | |
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What family members and friends need to support a person with dementia | |
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How this book can help | |
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Someone Close to Me May Have Dementia: Assessment, Diagnosis and Types of Dementia | |
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Identifying dementia | |
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The first signs of dementia | |
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How people with dementia react to the onset of the condition | |
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Diagnosing dementia | |
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Why is diagnosis important and why do many people with dementia not receive a diagnosis? | |
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Should the person with dementia be told the diagnosis? | |
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After the diagnosis | |
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The main types of dementia | |
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Young-onset dementia | |
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Neurological diseases that may include dementia among their symptoms | |
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Beginning the Journey: The Early Phase of Dementia | |
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The characteristics of early dementia | |
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Dementia empathy and early dementia | |
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Awareness and capacity in early dementia | |
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Planning for the future | |
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Maintaining relationships and keeping active in the phase of early dementia | |
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Compiling a life story | |
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Intimacy and sexuality | |
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Maintaining and giving up independence in the early phase of dementia | |
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Health and social care support for people with early dementia, their families and friends | |
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Family members and friends: looking after oneself and each other | |
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More Help Needed: The Phase of Moderate Dementia | |
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The characteristics of moderate dementia | |
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Where do people with moderate dementia live? | |
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The changing nature of relationships | |
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Communication and language in moderate dementia | |
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Social and leisure activities for people with moderate dementia | |
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Summary: principles of promoting activity with people with moderate dementia | |
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The Challenges of Moderate Dementia | |
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Behaviour that others find difficult | |
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When the person lacks awareness that their actions will put them at risk of coming to harm | |
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When the person's manner and actions indicate that they are in distress | |
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When the person behaves in ways that are socially inappropriate | |
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When the person tries to get their needs met by behaving aggressively or with hostility | |
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When the person seems to be unwilling to accept help from others | |
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The role of medication | |
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Summary: how should family members and friends respond when they find a person's manner and actions difficult? | |
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Challenges to eating and drinking | |
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Meeting continence needs | |
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Sleep disturbances | |
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Professional support for people with moderate dementia, their families and friends | |
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When people with dementia are admitted to hospital | |
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Vulnerability and abuse | |
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The Decision: Considering Residential Care for People with Dementia | |
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Perceptions of residential care | |
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What is residential care? | |
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The decision | |
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Choosing a care home | |
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What should be expected of a care home? | |
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Visiting a care home | |
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Making the transition | |
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Staying involved | |
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Issues with residential care | |
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Concerns about standards of care | |
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Conclusion: care homes are places to live! | |
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Completing the Journey: The Phase of Advanced Dementia | |
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The characteristics of advanced dementia | |
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Well-being and ill-being in advanced dementia | |
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Relationships with a person with advanced dementia | |
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Communication in advanced dementia | |
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Activity and advanced dementia | |
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Helping people with advanced dementia with activities of daily living | |
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Approaching the end of life | |
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The End of Life | |
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What is meant by 'end of life'? | |
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What causes death among people with dementia? | |
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The feelings of family members and friends as end of life approaches | |
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How would we want to die? | |
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Dementia and end of life care | |
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A good death? | |
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Support after death | |
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Conclusion: Suffering from Dementia or Living with Dementia? | |
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References | |
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Resources for Families and Friends | |
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Index | |