Pages in this set

Page 1

Preview of page 1
Quick reference guide


Issue date: November 2006

Dementia
Supporting people with dementia and their carers in
health and social care




NICE clinical guideline 42
Developed by the National Collaborating Centre for Mental Health

Page 2

Preview of page 2
Dementia




About this booklet
This booklet summarises the recommendations NICE and SCIE have made to the NHS and social
care services in `Dementia: supporting people with dementia and their carers in health and social
care' (NICE clinical guideline 42).

Who should read this booklet?
The booklet is for health and…

Page 3

Preview of page 3
Dementia Contents




Contents
About this booklet 2

Key priorities for implementation 4

Principles of care 6

Diagnosis and assessment 9

Promoting independence and maintaining function 13

Interventions for cognitive symptoms and maintenance
of function 14
Interventions for non-cognitive symptoms and behaviour
that challenges 16
Interventions for comorbid emotional disorders 19…

Page 4

Preview of page 4
Dementia Key priorities for implementation




Key priorities for implementation

The following recommendations have been identified as priorities for implementation.

Non-discrimination
G People with dementia should not be excluded from any services because of their diagnosis, age
(whether designated too young or too old) or coexisting learning disabilities.

Valid consent
G…

Page 5

Preview of page 5
Dementia Key priorities for implementation




Key priorities for implementation continued

Structural imaging for diagnosis
G Structural imaging should be used in the assessment of people with suspected dementia to
exclude other cerebral pathologies and to help establish the subtype diagnosis. Magnetic
resonance imaging (MRI) is the preferred modality to assist…

Page 6

Preview of page 6
Dementia Principles of care




Principles of care
Person-centred care

Treatment and care should take into account each person's individual needs and preferences. Good
communication is essential, supported by evidence-based information, to allow people to reach
informed decisions about their care.
People with dementia should have the opportunity to make informed…

Page 7

Preview of page 7
Dementia Principles of care




Diversity and equality

G Always treat people with dementia and their carers with respect.
G Ensure people with dementia are not excluded from services because of their diagnosis, age
(whether regarded as too old or too young), or any learning disability.
G If there is a…

Page 8

Preview of page 8
Dementia Principles of care




Ethics and consent

G Always seek valid consent from people with dementia.
­ Explain options and check that the person understands, has not been coerced and
continues to consent over time.
­ Use the Mental Capacity Act 2005 if the person lacks capacity.
G Encourage the…

Page 9

Preview of page 9
Dementia Diagnosis and assessment




Diagnosis and assessment
Except where indicated, recommendations in this section are mainly relevant to healthcare professionals.

Risk factors and prevention

Risk factors
G Do not conduct general population screening.

G In middle-aged and older people, review and treat vascular and other risk factors for dementia,
such…

Page 10

Preview of page 10
Dementia Diagnosis and assessment




Diagnosis and assessment

G Make a diagnosis of dementia only after a comprehensive assessment, including:
­ history taking ­ review of medication to identify any drugs
­ cognitive and mental state examination that may impair cognitive functioning.
­ physical examination
G Ask people who are assessed…

Comments

No comments have yet been made

Similar Psychology resources:

See all Psychology resources »See all resources »