The guideline on dementia is the first of its kind to fully
integrate the health and social aspects of care for people with
dementia into a single volume. It has been jointly developed by
NICE (the National Institute for Health and Clinical Excellence)
and SCIE (the Social Care Institute for Excellence).
There are an estimated 700,000 people with dementia in the UK and
approximately 1 million people caring for them. The guideline sets
out clear recommendations, based on the best available evidence,
for health and social care staff on how to work with people with
dementia and their carers to significantly improve their treatment
and care.
This publication brings together all of the evidence that led to
the recommendations in the guideline. It provides an overview of
the condition and covers detection, diagnosis and assessment, and
the full range of treatment and care approaches for people with
dementia including promoting independence, psychological and
psychosocial interventions, pharmacological treatments and
palliative care. Importantly, it also addresses support and
interventions for carers of people with dementia.
Please note an amendment to this guideline was made in March 2011 -
download the
amendment.
NICE Mental Health Guidelines
These guidelines from the National Institute for
Health and Clinical Excellence (NICE) set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines that cannot be obtained
in print anywhere else. It brings together all of the evidence that
led to the recommendations made, detailed explanations of the
methodology behind their preparation, plus an overview of the
condition covering detection, diagnosis and assessment, and the
full range of treatment and care approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Full Contents
Guideline Development Group membership
1. EXECUTIVE SUMMARY
1.1 Principles of care for people
with dementia
1.2 Integrated health and social
care
1.3 Risk factors, prevention and
early identification
1.4 Diagnosis and assessment of
dementia
1.5 Promoting and maintaining
independence of people with dementia
1.6 Interventions for cognitive
symptoms and maintenance of function for people with dementia
1.7 Interventions for
non-cognitive symptoms and behaviour that challenges in people with
dementia
1.8 Interventions for comorbid
emotional disorders in people with dementia
1.9 Inpatient dementia
services
1.10 Palliative care, pain relief
and care at the end of life for people with dementia
1.11 Support and interventions for
the carers of people with dementia
1.12 Research recommendations
2. INTRODUCTION
2.1 National guidelines
2.2 The national dementia
guideline
3. METHODS USED TO DEVELOP THIS
GUIDELINE
3.1 Overview
3.2 The scope
3.3 The Guideline Development
Group
3.4 Key questions
3.5 Systematic literature
review
3.6 Qualitative evidence
review
3.7 Health economics review
3.8 Stakeholder contributions
3.9 Validation of this
guideline
4. DEMENTIA
4.1 Introduction
4.2 Social model of dementia
4.3 Examples of experiences of
care
4.4 Incidence and prevalence
4.5 Aetiology
4.6 Detection and assessment
4.7 Risk, abuse and neglect
4.8 Disclosure/stigma
4.9 Basic legal and ethical
concepts in connection with dementia care
4.10 Treatment and care of people
with dementia in England and Wales
4.11 Palliative care, pain relief
and care at the end of life for people with dementia
4.12 The economic cost of
dementia
4.13 Health and social care
recommendations
5. HEALTH AND SOCIAL CARE SERVICES FOR
PEOPLE WITH DEMENTIA AND THEIR CARERS
5.1 Introduction
5.2 The organisation and planning
of services
5.3 Design of living and care
environments
5.4 Health and social care
recommendations
6. PREVENTION, EARLY IDENTIFICATION,
ASSESSMENT AND DIAGNOSIS OF DEMENTIA
6.1 Introduction
6.2 Prevention
6.3 Early identification
6.4 Diagnosis and assessment
6.5 Experience of assessment
process
6.6 Health and social care
recommendations
7. THERAPEUTIC INTERVENTIONS FOR
PEOPLE WITH DEMENTIA — COGNITIVE SYMPTOMS AND MAINTENANCE OF
FUNCTIONING
7.1 Introduction
7.2 Strategies for promoting
independence
7.3 Maintenance of cognitive
function: psychological interventions
7.4 Acetylcholinesterase
inhibitors or memantine for the treatment of cognitive symptoms of
non-Alzheimer dementia
7.5 Medicines other than
acetylcholinesterase inhibitors/ memantine for the treatment of
cognitive symptoms of dementia
7.6 Medicines that control risk
factors for vascular dementia for the treatment of cognitive
symptoms of dementia
7.7 Qualitative evidence on the
experiences of people with dementia and their carers of medication
for the treatment of dementia
7.8 Research recommendations
7.9 Health and social care
recommendations
8. THERAPEUTIC INTERVENTIONS FOR
PEOPLE WITH DEMENTIA — NON-COGNITIVE SYMPTOMS AND BEHAVIOUR THAT
CHALLENGES
8.1 Introduction
8.2 Non-pharmacological
interventions for behaviour that challenges
8.3 Psychological interventions
for people with dementia with depression or anxiety
8.4 Pharmacological interventions
for non-cognitive symptoms of dementia and comorbid emotional
disorders
8.5 Research recommendations
8.6 Health and social care
recommendations
9. EDUCATION FOR PEOPLE WITH DEMENTIA,
DEMENTIA CARE MAPPING, STAFF TRAINING AND INTERVENTIONS FOR CARERS
OF PEOPLE WITH DEMENTIA
9.1 Introduction
9.2 Educational interventions for
people with dementia
9.3 Dementia care mapping
9.4 Models of training
9.5 Interventions for carers of
people with dementia
9.6 Research recommendations
9.7 Clinical and social care
recommendations
10. Appendices
11. References
12. Glossary
13. Abbreviations