Managing Dementia in a Multicultural Society

by Sube Banerjee (Institute of Psychiatry, The David Goldberg Centre, London, UK); Vanessa Lawrence (Institute of Psychiatry, The David Goldberg Centre, London, UK )

• ISBN13: 9780470725481
• ISBN10: 0470725486
• Format: eBook
• Copyright: 2010-04-01
• Publisher: Wiley

Summary

Alzheimer's disease is an ever-more important problem in today's society; however, many services for people with dementia remain inappropriate and inaccessible. With a growing and aging immigrant population, the need to be able to provide appropriate care for ethnic minority patients is increasing.In this exciting handbook, the authors explore the clinical, management and cultural issues faced by clinicians caring for patients with Alzheimer's disease. The book addresses the particular problems that may arise when managing patients within a multiracial society, and emphasizes the practical aspects of treating and caring for patients with Alzheimer's disease.

Table of Contents

Preface

Dementia - a brief overview

What is dementia?

Historical development of terms

Scientific terminology and understandings

Sub-types of dementia

Alzheimer's disease

Vascular dementia

Dementia with Lewy Bodies

Frontotemporal dementia

Clinical presentation of dementia

The current state of dementia care in the UK

Dementia - an emerging priority

The policy framework

The National Dementia Strategy for England

Why a cultural perspective?

Race, ethnicity and culture

Black Caribbean and south Asian populations in the UK

Structure of black Caribbean and south Asian populations in the UK

Epidemiology

Health beliefs, culture and service use

The role of health beliefs and illness behaviour

Social and cultural influences on the pathway to care

Cultural differences in health beliefs

Whose illness is it anyway?

Society - policy in relation to ethnicity and culture

Black and minority ethnic organisations

Use of services

The experience of the person with dementia

The care giver experience

The perspective of the person with dementia

A neglected perspective

Self-identity in dementia

Impact of dementia on the sense of self of the person with dementia

Coping strategies and adaptation

Attitudes towards care

The perspective of the family carers of people with dementia

Patterns of care giving

The impact of care giving

The stress process

Ethnicity and culture and the stress process

Appropriateness of services

Understanding of dementia across ethnic groups

Cultural knowledge, attitudes and beliefs about formal support

Qualitative enquiry in the experiences of people with dementia and their family carers

New research

Data collection

Data analysis

Results

One research project, two theories

Biographical disruption: a common theme

An anthropological perspective

Implications for practice and policy

People with dementia

Increased public awareness of dementia

Increased public awareness of services and support

Supporting people with dementia and carers in accessing services

Discussing the diagnosis

Discussing the future

Promoting valued elements of life of the person with dementia

Repositioning the care giver role

One size fails all - dementia, age discrimination and specialist older people's mental health services

What does good look like?

Age discrimination in service commissioning

Why consider older adults separately from adults of working age?

Policy development for older people with mental disorders

Liaison services in general hospitals

In-patient care for older people with mental disorders

References

Index

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