By Serge Gauthier
The second one variation of administration of Dementia combines a balanced evaluate of the most recent wisdom and learn during this region with useful information in accordance with the authors' huge own event of dementia care. it truly is directed at execs operating within the quarter who are looking to perform evidence-based drugs with no wasting sight of the sufferer and who are looking to verify of meting out the main acceptable pharmacology whereas additionally utilizing different non-pharmacological remedies to their optimal impact. Concise and simple to learn, the thoroughly revised Management of Dementia offers readers either with an entire wisdom of the evolution of recent dementia care and likewise with the foundation for knowing new advancements as they happen.
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Additional resources for Management of Dementia
Speck CE, Kukull WA, Brenner DE, et al (1995). History of depression as a risk factor for Alzheimer’s disease. Epidemiology 6, 366–9. Starkstein SE, Chemerinski E, Sabe L, et al (1997). Prospective longitudinal study of depression and anosognosia in Alzheimer’s disease. Br J Psychiatry 171, 47–52. Starkstein SE, Migliorelli R, Tes´on A, et al (1995). Prevalence and clinical correlates of pathological affective display in Alzheimer’s disease. J Neurol Neurosurg Psychiatry 59, 55–60. Steffens DC, Plassman BL, Helms MJ, Welsh-Bohmer KA, Saunders AM, Breitner JCS (1997).
Although unsatisfactory in many ways, carers can catch up with sleep during the day when the patient attends a day centre. For some patients and their carers, however, persistent and severe sleep disturbance is the main reason for entry into long-term care. Summary r Sleep disturbance is an early and common symptom in AD. r Early in the disease process light (stage 1) r r r r sleep displaces deep (stage 3 and 4) sleep; later in the disease process REM (dream) sleep is lost. While the cause of sleep loss in AD is not fully understood, increasing evidence point to loss of cholinergic neurons and loss of control of circadian rhythms.
In younger adults, stage 2 occupies approximately half of total sleep time (stages 3 and 4 together occupy 20% and stage 5 or REM sleep occupies 25%). This pattern changes with age, and stage 1 sleep periods increase at the expense of stages 3 and 4. In the very elderly, stage 5 or REM sleep is also decreased. The causes of the changes in sleep pattern with ageing are not fully known. The amount of sleep needed is almost certainly related 40 Sleep disturbances to extrinsic factors such as the amount of activity undertaken but also to intrinsic cerebral factors.