Catharine Jenkins is a Senior Nurse Lecturer at Birmingham City University. Laura Ginesi is a Lecturer in Health Sciences at the University of East Anglia. Bernie Keenan is a Senior Lecturer at Birmingham City University.

• Preface viiiAcknowledgements ixAbout the companion website xPart 1 Setting the scene 11 Introduction 22 The experiences of people with dementia 4Part 2 Dementia causes and types 73 Brain basics 84 Progression of dementia 105 Alzheimer’s disease 126 Vascular dementia 147 Less common forms of dementia 168 Younger people with dementia 189 People with learning disabilities and dementia 20Part 3 Well-being and response in early stages 2310 Promoting health to reduce risk of dementia 2411 Recognition and assessment 2612 Post-diagnostic advice 2813 Signposting 30Part 4 Underpinning principles and skills 3314 Values: Compassion and dignity 3415 The work of Tom Kitwood 3616 Cultural issues 3817 Spirituality 4018 Communication 4219 Common dementia-related problems 44Part 5 Mental health problems 4720 Depression in people with dementia 4821 Delirium in dementia 5022 Psychosis in people with dementia 52Part 6 Physical health problems 5523 Sensory impairment 5624 Falls 5825 Nutrition 6026 Protecting and caring for skin 6227 Continence 6428 Constipation 66Part 7 Interventions 6929 Exercise and dementia 7030 Dementia-friendly communities 7231 Medication for dementia-related problems 7432 Anti dementia medication 7633 Medication management 7834 Cognitive interventions 8035 Activities for people with dementia 8236 Creativity and people with dementia 8437 Music therapy 8638 Reminiscence 8839 Life stories and memory boxes 9040 Reality orientation 9241 Validation 94Part 8 The physical environment 9742 Sensory environments 9843 Pets: animals as therapy 10044 Assistive technology 10245 Design for dementia 104Part 9 Carers and relationships 10746 Relationships and dementia 10847 Sex and sexuality 11048 Carers’ issues and carer support 11249 Reducing stress levels for family carers 11450 Having difficult conversations 116Part 10 Responding to dementia-related difficulties 11951 The multi-disciplinary team 12052 Care planning 12253 Personal care 12454 Resistance to care 12655 Sundowning syndrome and sleep 12856 Transitions 13057 Walking 13258 End-of-life care 134Part 11 Ethical and legal issues 13759 Abuse, neglect and safeguarding 13860 Ethical issues 14061 Advocacy 14262 Mental capacity 144Part 12 The future 14763 Leadership issues 14864 Research 15065 Conclusion 152References 155Further reading 156Index 158

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