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Chapter 12 - Dementia

More Than Just Memory

from Part III - Common Clinical Conditions: The Relevance and Usefulness of a Values-Based Approach

Published online by Cambridge University Press:  24 June 2025

Robert B. Dudas
Affiliation:
Cambridgeshire and Peterborough NHS Foundation Trust
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Summary

Dementia has certain features relevant to values-based medicine. It is a progressive condition, so that a person’s choices and preferences may change over time, and they may require increasing input from others over time. Furthermore, our perceptions of diseases like Alzheimer’s, which cause dementia, are changing over time, along with the philosophy of care. Although memory impairment is the commonest presenting feature of dementia, it is by no means the only issue that arises during the course of the condition. This chapter examines four broad themes in the dementia pathway: early dementia; changes in behaviour; legal and ethical issues; and advanced dementia and care. Vignettes are used to discuss some of the typical issues that arise in clinical situations and how these can be addressed through the application of both evidence- and values-based practice.

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Chapter
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Values in Psychiatry
Managing Complexity and Advancing Solutions
, pp. 174 - 196
Publisher: Cambridge University Press
Print publication year: 2025

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