5. Services for People with Mild Dementia

  1. Hugo de Waal MD, FRCPsych, FHEA2,
  2. Constantine Lyketsos MD, MHS3,
  3. David Ames BA, MD, FRCPsych, FRANZCP4 and
  4. John O'Brien BA, BM BCh, MA, FRCPsych, MD5
  1. Roy W. Jones

Published Online: 7 JUL 2013

DOI: 10.1002/9781118378663.ch5

Designing and Delivering Dementia Services

Designing and Delivering Dementia Services

How to Cite

Jones, R. W. (2013) Services for People with Mild Dementia, in Designing and Delivering Dementia Services (eds H. de Waal, C. Lyketsos, D. Ames and J. O'Brien), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118378663.ch5

Editor Information

  1. 2

    Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK

  2. 3

    Associate Postgraduate Dean, East of England Deanery, Cambridge, UK

  3. 4

    Elizabeth Plank Althouse Professor, Director of the Johns Hopkins Memory and Alzheimer's Treatment Center, Johns Hopkins Medicine, Maryland, USA

  4. 5

    Director, National Ageing Research Institute, University of Melbourne Professor of Ageing and Health, Victoria, Australia

Author Information

  1. The RICE Centre, Royal United Hospital, UK

Publication History

  1. Published Online: 7 JUL 2013

ISBN Information

Print ISBN: 9781119953494

Online ISBN: 9781118378663

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Keywords:

  • mild dementia;
  • early diagnosis;
  • advanced planning;
  • memory clinics;
  • cognitive therapy;
  • anti-dementia medication;
  • service integration

Summary

An overview of services and approaches focussed on people who have developed symptoms of dementia, but are still able to function reasonably well. This includes a description of ‘memory clinics’ or ‘memory centres’, how these are configured and thought to cope with ever increasing demand, how patients and relatives are informed, supported (incl interventions to make home life safer) and guided, and how advance planning is viewed and organised. Attention is given to planning in legal and financial matters, end-of-life advance planning, etc. The chapter provides an overview of pharmacological and non-pharmacological approaches, including various forms of cognitive therapy.

Current views are discussed on which sectors or practitioners (primary care, specialists, non-medical staff and so on) should be involved in diagnosis, with particular reference to the divergent views in eg the UK, where the National Institute for Health and Clinical Excellence demands specialists to diagnose, whilst a growing number of experts see a specific role for primary care practitioners.