Dementia (National Institute for Health and Care Excellence (Great Britain)) / National Institute for Health and Care Excellence (Great Britain).

Format:

Book

Author/Creator:

National Institute for Health and Care Excellence (Great Britain), author, issuing body.

Language:

English

Subjects (All):

Dementia.

Physical Description:

1 online resource (1 PDF file ( 419 pages)) : illustrations

Other Title:

Dementia

Place of Publication:

[London] : National Institute for Health and Care Excellence, 2018.

Summary:

Dementia is a term used to describe a range of cognitive and behavioural symptoms that can include memory loss, problems with reasoning and communication and change in personality, and a reduction in a person's ability to carry out daily activities, such as shopping, washing, dressing and cooking. The most common types of dementia are: Alzheimer's disease, vascular dementia, mixed dementia, dementia with Lewy bodies and frontotemporal dementia. Dementia is a progressive condition, which means that the symptoms will gradually get worse. This progression will vary from person to person and each will experience dementia in a different way - people may often have some of the same general symptoms, but the degree to which these affect each person will vary (Dementia Gateway, Social Care Institute for Excellence). This guideline addresses how dementia should be assessed and diagnosed. It covers person-centred care and support, tailored to the specific needs of each person living with dementia. As part of this, it can help professionals involve people living with dementia and their carers in decision-making, so they can get the care and support they need. It also addresses care coordination and staff training, and how dementia may impact on the care offered for other conditions.

Contents:

Context

1. Guideline committee membership and NICE technical team

1.1. Guideline committee

1.2. Guideline social care subgroup

1.3. NICE Centre for Guidelines Team

2. Strength of recommendation

Interventions that must (or must not) be used

Interventions that should (or should not) be used - a 'strong' recommendation

Interventions that could be used

3. Methods

3.1. Evidence synthesis and meta-analyses

3.2. Evidence of effectiveness of interventions

3.3. Methods for combining direct and indirect evidence (network meta-analysis) for interventions

3.4. Diagnostic test accuracy evidence

3.5. Qualitative evidence

3.6. Health economics

4. Summary of recommendations

4.1. Recommendations summary

4.2. Research recommendations summary

5. Dementia diagnosis

5.1. Dementia diagnosis

5.2. Distinguishing dementia from delirium or delirium with dementia

5.3. Case finding for people at high risk of dementia

6. Involving people living with dementia in decisions about care

6.1. Barriers and facilitators to involvement in decision making for people living with dementia

7. Care planning, review and co-ordination

7.1. Health and social care co-ordination

7.2. Post diagnosis review for people living with dementia

8. Inpatient care

8.1. Caring for people living with dementia who are admitted to hospital

9. Care setting transitions

9.1. Managing the transition between different settings for people living with dementia

10. Modifying risk factors for dementia progression

10.1. Risk factors for dementia progression

11. Cholinesterase inhibitors and memantine for dementia

11.1. Cholinesterase inhibitors and memantine for people living with Alzheimer's disease

11.2. Co-prescription and withdrawal of cholinesterase inhibitors and memantine in Alzheimer's disease

11.3. Pharmacological management of dementia with Lewy bodies

11.4. Cholinesterase inhibitors and memantine for types of dementia other than typical Alzheimer's disease

12. Drugs that may worsen cognitive decline

12.1. Drugs that may cause cognitive decline

13. Non-pharmacological interventions for people living with dementia

13.1. Pre-, peri- and post-diagnostic counselling and support for people living with dementia and their families

13.2. Interventions to promote cognition, independence and wellbeing

14. Managing non-cognitive symptoms

14.1. Interventions for treating illness emergent non-cognitive symptoms in people living with dementia

15. Supporting informal carers

15.1. Supporting informal carers of people living with dementia

16. Staff training

16.1. Staff training

17. Needs of younger people living with dementia

17.1. The specific needs of younger people living with dementia

18. Assessing and managing comorbidities

18.1. Assessing and treating intercurrent illness in people living with dementia

18.2. Management strategies for people living with dementia and co-existing physical long term conditions

18.3. Managing mental health conditions alongside dementia

19. Palliative care: care towards and at the end of life

19.1. Palliative care

20. Glossary

Appendix A. Committee membership list - Dementia Guideline

Appendix B. Scope

Appendix C. Review Protocols

Appendix D. Review search strategies

Appendix E. Evidence tables

Appendix F. Excluded studies

Appendix G. GRADE and CERQual tables

Appendix H. Meta-analysis & network meta-analysis results

Appendix I. References

Appendix J. Health Economics

Appendix K. Evidence review flow charts

Appendix L. Research recommendations

Appendix M. Health Economics Evidence Tables

Appendix N. POMH Report

Appendix O. Overview of Systematic Reviews of Non-pharmacological Interventions for Dementia

Appendix P. Diagnosis

P.1. Evidence tables

P.2. GRADE tables

P.3. Meta-analyses.

Notes:

Description based on publisher supplied metadata and other sources.