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Joint winner of the first prize on the New Non-Clinical Medical Book category - Royal Society of Medicine and Society of Authors Medical Book Awards 2008
Living and dying with dementia
Dialogues about palliative care
Neil Small, Katherine Froggatt, and Murna Downs
264 pages
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12 black and white photographs
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234x156mm
978-0-19-856687-8
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Paperback
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06 September 2007
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- Provides a critical, conceptual look at dementia (as opposed to a practical guide), taking an unusual narrative approach
- Introduces personal accounts, either from patients or those caring for them, that offer a different perspective to that of the professional
- Includes examples of care initiatives
- Seeks to build an ethics of care
- Explores the interaction of individual experience and social context
- Considers what a good death with dementia might look like
- Contains numerous photographs of people living with dementia
Improvements in health care in the 21st century mean people are living longer, but with the paradox that chronic illness is increasingly prevalent. Dementia, a term used to describe various different brain disorders that involve a loss of brain function that is usually progressive and eventually severe, is a condition associated with an ageing population and is becoming increasingly common. Worldwide there are approximately 24 million people with dementia, expected to rise to 81 million by 2040. Inevitably, people living with dementia will die, but their needs at the end of life are not well known. This book describes what might be achieved if
the values and best practice of both dementia care and palliative care are brought together, to achieve quality end of life care for this specific group of patients. It explores what is known about the experience of dying with dementia, using a narrative approach, and develops a model that draws together a 'person-centred' approach to care. The book examines the possibilities and the challenges faced when trying to improve quality of life for people with dementia, and presents examples of good practice from across the world.Readership: The book will be valuable to palliative care practitioners, general practitioners and Macmillan nurses, particularly those who are involved in community nursing and nursing homes,
and other health care professionals such as social and care workers who come into contact with dying patients in residential settings. It should also appeal to geriatricians and policy makers. Directors/administrators of residential and nursing homes will also find it a useful source of information. The narrative approach, using literature and photographs, also makes this book accessible to those without a clinical background in dementia.
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Neil Small, Professor of Health Research, University of Bradford, UK, Katherine Froggatt, Senior Lecturer, Institute for Health Research, Lancaster University, UK, and Murna Downs, Professor of Dementia Studies, University of Bradford, UK Murna Downs is Head of the Bradford Dementia Group at the University of Bradford. For more information about their work, please visit
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"This is a work that will be a major influence in dementia and the authors are to be congratulated for illuminating the way forward." - Physical Therapy Reviews "The authors consider many strands of living with or caring for people with dementia. The philosophical arguments concerning 'quality of life' are riveting and present a compelling discussion of what an individual's life is worth. The book should be read by everyone." - Medical Book Awards "I, for one, often feel inadequate when confronted with a patient with significant dementia, because so much of what I am used to doing relies on two-way communication. This book explores what is known about the experience of dying with dementia, including
accounts from patients and carers...a useful resource for those who deal with patients with dementia and for palliative care workers whose practice brings them into contact with these patients." - Roger Woodruff
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1: Introduction
2: The life-world: journeys with dementia
3: Developments in service provision
4: Self and autonomy
5: Quality of care and quality of life
6: The 'good death' and dementia
7: Looking forward
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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