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Promoting Functional Independence in Dementia

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Management of Patients with Dementia

Abstract

Dementia causes loss of functional independence and this worsens through the course of the disease. This loss of independence is distressing for the patient with dementia and their families, with high societal costs. Supporting the person to remain as independent and active as possible are therefore key components of effective dementia care. This may include efforts to maintain the patients’ ability to carry out activities of daily living, to maintain functions important for their identity, to participate in social activities and functions and in society in general. Interventions to promote independence in patients with dementia need to be individually tailored as individuals have different goals of care and interests as well as differing cognitive and health deficits. Potential approaches may include tailored programs, cognitive support tools, support with communication, balance and strength training and other interventions. The chapter will provide a framework for mapping the needs of patients with dementia and approaches to address these. Evidence for these approaches will be presented along with cases.

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Abbreviations

AD:

Alzheimer’s disease

BADLs:

Basic activities of daily living

bvFTD:

Behavioural-variant frontotemporal dementia

CST:

Cognitive stimulation therapy

DLB:

Dementia with Lewy bodies

IADLs:

Instrumental activities of daily living

RCT:

Randomised controlled trial

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Authors and Affiliations

  1. Division of Psychiatry, University College London, London, UK

    Andrew Sommerlad & Penny Rapaport

  2. Camden and Islington NHS Foundation Trust, London, UK

    Andrew Sommerlad

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  1. Andrew Sommerlad
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  2. Penny Rapaport
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Correspondence to Andrew Sommerlad .

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  1. Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

    Kristian Steen Frederiksen

  2. Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

    Gunhild Waldemar

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Sommerlad, A., Rapaport, P. (2021). Promoting Functional Independence in Dementia. In: Frederiksen, K.S., Waldemar, G. (eds) Management of Patients with Dementia. Springer, Cham. https://doi.org/10.1007/978-3-030-77904-7_14

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