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Have the social safety nets, environmental protections, and policies to redress wealth and income inequality enacted after World War II contributed to declining rates of dementia today—and how do we improve brain health in the future? Winner of the American Book Fest Health: Aging/50+ by the American Book Fest, Living Now Book Award: Mature Living/Aging by the Living Now Book Awards For decades, researchers have chased a pharmaceutical cure for memory loss. But despite the fact that no disease-modifying biotech treatments have emerged, new research suggests that dementia rates have actually declined in the United States and Western Europe over the last decade. Why is this happening? And what does it mean for brain health in the future? In American Dementia, Daniel R. George, PhD, MSc, and Peter J. Whitehouse, MD, PhD, argue that the current decline of dementia may be strongly linked to mid–twentieth century policies that reduced inequality, provided widespread access to education and healthcare, and brought about cleaner air, soil, and water. They also • explain why Alzheimer's disease, an obscure clinical label until the 1970s, is the hallmark illness of our current hyper-capitalist era; • reveal how the soaring inequalities of the twenty-first century—which are sowing poverty, barriers to healthcare and education, loneliness, lack of sleep, stressful life events, environmental exposures, and climate change—are reversing the gains of the twentieth century and damaging our brains; • tackle the ageist tendencies in our culture, which disadvantage both vulnerable youth and elders; • make an evidence-based argument that policies like single-payer healthcare, a living wage, and universal access to free higher education and technical training programs will build collective resilience to dementia; • promote strategies that show how local communities can rise above the disconnection and loneliness that define our present moment and come together to care for our struggling neighbors. Ultimately, American Dementia asserts that actively remembering lessons from the twentieth century which help us become a healthier, wiser, and more compassionate society represents our most powerful intervention for preventing Alzheimer's and protecting human dignity. Exposing the inconvenient truths that confound market-based approaches to memory enhancement as well as broader social organization, the book imagines how we can act as citizens to protect our brains, build the cognitive resilience of younger generations, and rise to the moral challenge of caring for the cognitively frail.
This scholarly yet accessible textbook is the most comprehensive single text in the field of dementia care. Drawn from research evidence, international expertise and good practice guidelines, the book has been crafted alongside people with dementia and their families. Case studies and quotes enrich every chapter, illustrating the realities of living with dementia and bringing theory to life. Fully updated with 10 brand new chapters, this landmark textbook has enormous breadth and gives an authoritative overview of dementia care. The 2nd edition now includes chapters on the following topics: • Dementia friendly communities • Representations of dementia in the media • Younger people with dementia • The arts and dementia • Enhancing relationships between families and those with dementia • Whole person assessment • Dementia friendly physical design • Transitions in care This compelling new edition is a must purchase for those working or volunteering in health and social care, undergraduate and postgraduate students across a range of disciplines in health and social work, and anyone interested in the field of dementia care including people with dementia and their families. “While we have made significant advances in the care for people with dementia and their families, there is much work yet to be done. This book provides a fantastic framework in which to set our understanding of dementia and to take things forward.” Alistair Burns, Professor of Old Age Psychiatry, Faculty of Medical and Human Sciences, University of Manchester, UK “Bravo to the authors of Excellence in Dementia Care! They have created a must read guidebook for those providing care to persons experiencing cognitive changes and their families. This collaborative effort focuses on successful provider strategies encompassing topics across the dementia journey and is filled with spot on, relevant, and timely information. Best of all, this work is loaded with real case studies to help translate knowledge to practice, making it a true resource for all practitioners.” Suzanne Bottum-Jones, MA, Wisconsin Alzheimer's Institute, School of Medicine & Public Health, University of Wisconsin-Madison, USA
This is a clinically-oriented text written by internationally-recognized experts. The work's three major sections establish the neuroanatomical and cognitive framework underlying disorders of cognition, provide fundamental as well as cutting-edge material covering specific diseases associated with dementia, and discuss approaches to the diagnosis and treatment of dementing illnesses.
2010 AJN Book of the Year Award Winner in both Gerontologic Nursing and Hospice and Palliative Care! "This book...provides important information on best practices and appropriate ways to care for a person with Alzheimer's and advanced dementia. Drs. Martin and Sabbagh have assembled a team of experts to help craft recommendations that should ultimately become standards that all professional caregivers adopt." -Michael Reagan Son of former President Ronald Reagan President, Reagan Legacy Foundation This book testifies that caregivers can have a monumental impact on the lives of persons with advanced dementia. Through specialized programming and a renewed effort toward patient-centered care, caregivers can profoundly enrich the quality of life for these persons. Providing guidelines for health care professionals, caregivers, and family members, this book introduces palliative care programs and protocols for the treatment of people with advanced dementia. The book is designed to guide professional caregivers in meeting the needs of patients and their families, providing insight into the philosophy, assessment, planning, implementation, and evaluation measures involved in interdisciplinary palliative care. The chapter authors offer guidelines and standards of care based on contributions from nurses, physical therapists, social workers, dietitions, psychologists, family caregivers and pastors. An exhibit at the end of every chapter clearly articulates the standards of care appropriate for all advanced dementia facilities and health care staff. This book helps caregivers: Enhance the physiological, psychological, social, and spiritual well-being of the patient and the patient's family Anticipate and meet the patient's basic human needs: hunger, thirst, body positioning, hygiene, continence, and management of any pain Ensure that the patient's surroundings are safe, comfortable, and homelike Address health care decisions that will support the patient's right to self-determination until the end of life
"Practical coverage of driving, day care, support groups, and respite is particularly welcome. This is a good book to have available, not just for social work faculty and students, but also for those in the health sciences, psychology, and sociology. It will be a useful resource for professionals coping with the increasing problems for family and community that an aging population and the epidemic of Alzheimer's disease bring with them....Recommended. Lower-level undergraduate through professionals/practitioners."--Choice Beyond the immediate and devastating effects dementia can have on individuals and their quality of life are the strains that are placed on the families, caregivers, and communities that support them. Social workers are in a unique position to address all these issues at the same time that they provide care for individuals with dementia. To facilitate the entrance of social workers into this area of care, Carol B. Cox has edited a volume of expert articles on the biological, psychological, and social aspects of dementia. . Readers will learn the latest assessment instruments, as well as how to distinguish between Alzheimer's and non-Alzheimer's dementias. Intervention strategies for every stage of dementia are presented. The effects of culture and diversity on the treatment of persons with dementia are examined, including examples of successful programs from several countries. The benefits and drawbacks of adult day services, community care, and residential care are discussed. Finally, a discussion of the legal, financial, and psychological stresses faced by caregivers of those with dementia rounds out this much needed text.
An essential guide to assessing and treating people with dementia syndromes As the number of older adults with dementia continues to skyrocket, every health care professional needs accurate, up-todate knowledge of these conditions, their prevention, and possible treatments. This compact, evidence-based book discusses essential aspects of the diagnosis, assessment, and interventions of Alzheimer's disease and the syndromes of dementia and mild cognitive impairment. It reviews the diagnostic criteria from the National Institute on Aging, Alzheimer's Association, and the DSM-5 and provides a broad range of treatment options, including psychosocial, educational, and lifestyle interventions. Practitioners will especially appreciate the current overview of caregiver interventions. Practitioners and students alike will find the clear information, the tools for assessment, and other resources provided in this volume extremely useful for helping patients and their families cope with dementia.
Person-centered care for persons with dementia has been developed and expanded over the last few decades. Speech-language pathologists are uniquely positioned to understand the striking impact that communication challenges have on persons with dementia and their caregivers, and can lead the charge to improve access to communication and participation. This volume serves as a starting point and reference manual for those who want to provide person-centered and life-enhancing services to persons with dementia, and to inspire the continued generation of quality research to demonstrate the value of cognitive-communication, behavioral, and caregiver interventions. It serves as a call to action for an interprofessional team of healthcare providers across healthcare settings to promote meaningful life engagement in persons with dementia using evidence-based assessment and intervention approaches. This volume provides background on the evolution of caring for persons with dementia, as well as a description of the diagnostic process for dementia syndromes and the cognitive and communication characteristics of dementias with an emphasis on Alzheimer’s dementia. Its chapters cover the person-centered assessment process for persons with cognitive and communicative disorders of dementias; intervention approaches for the wide variety of cognitive, communicative, eating/swallowing, and behavioral symptoms and consequences of dementia syndromes; reimbursement and documentation issues for various settings in which persons with dementia are seen; and issues and challenges of quality of life and end-of-life care.
This volume provides a broad and critical presentation of the behavioral and psychosocial treatments of Latinxs with dementia in the United States (U.S.) and across a representative sample of Spanish-speaking countries in the world. The compendium of chapters, written by researchers, practitioners, and policy analysts from multiple disciplines provides a deep exploration of the current state of dementia care for Latinxs in the U.S. and around the globe. The volume is designed to increase and strengthen the collective scientific and sociocultural understanding of the epidemiological and biopsychosocial factors, as well as the overlapping systemic challenges that impact diagnosis and symptom management of Latinxs with dementia. The authors introduce policy options to reduce risk factors for dementia and present culturally-responsive interventions that meet the needs of Latinx patients and their caregivers. Highlighted topics featured in the book include: Contextual, cultural, and socio-political issues of Latinxs with dementia. New meta-analysis of dementia rates in the Americas and Caribbean. Dementia-related behavioral issues and placement considerations. Educational, diagnostic, and supportive psychosocial interventions. Pharmacological, non-pharmacological, and ethnocultural healthcare interventions. Intersectionality as a practice of dementia care for sexual and gender minoritized Latinxs. Prescriptions for policy and programs to empower older Latinxs and their families. Caring for Latinxs with Dementia in a Globalized World: Behavioral and Psychosocial Treatments is a resource that accentuates and contextualizes the heterogeneity in nationality, immigration, race, sexual orientation, gender, and political realities. It is a key reference for a wide range of fields inclusive of demography, geriatrics, gerontology, medicine, mental health, neurology, neuropsychology, nursing, occupational therapy, pharmacology, psychiatry, psychology, rehabilitation, social work, sociology, and statistics all of which, collectively, bear on the problem and the solutions for better care for Latinxs affected by dementia.
The rising prevalence of dementia in the population continues to pose a serious public health challenge in both the developed and the developing world. Previous editions of Dementia have become acknowledged as a key 'gold standard' work in this field, and have had a genuinely international approach. The third edition has been fully revised and upda