BookAngela Georgia Catic, editor.
Summary: This book is designed to guide all physicians in long-term care, in-, and outpatient settings who work with elders with co-current dementia and medical comorbidities. Chapters cover a wide range of challenging topics, including epidemiological data, evaluation and management techniques to optimize physical and cognitive function in patients with dementia, safety measures, and nonpharmacologic measures to support cognition. Chapters also discuss the unique aspects of managing the most common chronic diseases and the management of musculoskeletal pain in elders with dementia. Except for the introductory chapter, each chapter will include a case vignette to highlight some of the primary challenges of management of the particular chronic disease/condition in elders with dementia, making this an accessible and highly practical tool for medical professionals of all backgrounds. Written by experts in the field, Dementia and Chronic Disease is an excellent resource for all medical professionals treating patients with dementia, including geriatricians, family medicine physicians, social workers, nurses, hospitalists, and all others.
Contents:
Intro
Contents
Contributors
Chapter 1: Dementia and Chronic Disease in the Elderly
Introduction
Daily Functioning in Dementia
Management of Chronic Medical Conditions in Older Adults with Dementia
Supported Care in Dementia
Caregiving in Older Adults with Dementia
Conclusion
References
Chapter 2: Management of Physical Function in Older Adults with Dementia
Introduction
Motoric Cognitive Risk Syndrome
Physical Impacts of Dementia
Impact of Physical Activity on Functional and Cognitive Decline Practical Advice for Physical Activity in Older Adults with Dementia
Conclusion
References
Chapter 3: Management of Cognitive Function in Older Adults with Dementia
Introduction
Dementia
Epidemiology
Pharmacologic and Nonpharmacologic Treatment
Behavioral and Psychological Symptoms of Dementia
Evaluating Behavioral and Psychological Symptoms of Dementia
Nonpharmacologic Treatment of Behavioral and Psychological Symptoms of Dementia
Pharmacologic Treatment of Behavioral and Psychological Symptoms of Dementia
Sundowning
Delirium
Epidemiology Relationship of Dementia and Delirium
Risk Factors and Diagnosis
Prevention and Treatment
Nonpharmacologic
Pharmacologic
Conclusion
References
Chapter 4: Medication Management in Older Adults with Dementia
Introduction
Polypharmacy and Deprescribing
Deprescribing Antipsychotics
Deprescribing Cholinesterase Inhibitors and Memantine
Barriers to Deprescribing
Improving Medication Adherence in Patients with Dementia
"Low-Tech" Options
"High-Tech Options"
Transitions in Care in Patients with Dementia
Discussion of Clinical Case
Conclusion Medication Management
Adherence to Lifestyle and Treatment Plans
Management of Other Medical Conditions
Heart Failure Management in Specific Living Situations
Conclusion
References
Chapter 6: Type 2 Diabetes Mellitus Management in Older Adults with Dementia
Prevalence and Economic Cost of Diabetes Mellitus in Older Adults
Pathophysiology and Interaction Between Diabetes and Cognitive Dysfunction in Aging
Pancreatic Dysfunction and Insulin Resistance in Aging
The Interplay Between Diabetes and Cognitive Impairment