...Dementia Supporting people with dementia and their carers in health and social care Issued: November 2006 NICE clinical guideline 42 guidance.nice.org.uk/cg42 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at www.nice.org.uk/accreditation © NICE 2006 Dementia NICE clinical guideline 42 Contents Introduction................................................................................................................................... 4 Person-centred care ..................................................................................................................... 6 Key priorities for implementation .................................................................................................. 8 1 Guidance ................................................................................................................................... 11 1.1 Principles of care for people with dementia ...................................................................................... 11 1.2 Integrated health and social care ..................................................................................................... 17 1.3 Risk factors, prevention and early identification...
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...Alzheimer's disease is the most common cause of dementia. Research advances have enabled detailed understanding of the molecular pathogenesis of the hallmarks of the disease-ie, plaques, composed of amyloid β (Aβ), and tangles, composed of hyperphosphorylated tau. However, as our knowledge increases so does our appreciation for the pathogenic complexity of the disorder. Familial Alzheimer's disease is a very rare autosomal dominant disease with early onset, caused by mutations in the amyloid precursor protein and presenilin genes, both linked to Aβ metabolism. By contrast with familial disease, sporadic Alzheimer's disease is very common with more than 15 million people affected worldwide. The cause of the sporadic form of the disease is unknown, probably because the disease is heterogeneous, caused by ageing in concert with a complex interaction of both genetic and environmental risk factors. This seminar reviews the key aspects of the disease, including epidemiology, genetics, pathogenesis, diagnosis, and treatment, as well as recent developments and controversies. 100 years ago, Alois Alzheimer gave a lecture at a congress in Tubingen, Germany, on the first case of the disease that Kraepelin some years later named Alzheimer's disease.1 In this single case. Alzheimer described typical clinical characteristics with memory disturbances and instrumental signs, and the neuropathological picture with miliary bodies (plaques) and dense bundles of fibrils (tangles), which we today...
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...QUALIFICATION HANDBOOK Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (England) (3978-51/52/53/54/55/56) December 2011 Version 3.1 (February 2012) Qualification at a glance Subject area City & Guilds number Age group approved Entry requirements Assessment Fast track Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (England) 3978 19+ There are no entry requirements Portfolio of Evidence, Practical Demonstration/Assignment. Automatic approval is available for centres offering the 3172 Level 4 NVQ in Health and Social Care – Adults 100/4794/3 and the 3078 Level 4 NVQ in Leadership and Management for Care Services 500/4105/8 Learner logbook and Smartscreen Consult the Walled Garden/Online Catalogue for last dates City & Guilds number 3978-51 Accreditation number 600/0573/7 Support materials Registration and certification Title and level Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Residential Management) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Management) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Children and Young People’s Advanced Practice) Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (Adults’...
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...vulnerable to or at risk of abuse than others. They tend to be individuals with physical or learning difficulties or mental health problems. This can also include elder individuals who maybe suffering from dementia because they are in a confused state. Individuals in this group ten to be more accepting in what happens them, this could be because of their strong medication they may be taking. Individuals with a limited social networks and have low self-esteem as a result they would become dependent on their abusers or potential abusers being abused often see it as their fault and there’s nothing they can do about it, so they keep quiet and just put up with it. An example of an adult at risk of abuse id Sarah, she is 40 years old and has mild learning difficulties, she also lives alone but she has a career that comes to visit her at least 3 times a week. Her career often comes and calls her names and pushes her, Sarah hasn’t told anyone because she thinks it is her fault, because she is being annoying and this is why the career is being horrible to her. Contexts: People who are dependent on other for personal care sometimes live alone and depend on the career can make individuals very isolated and they find that their main contact with the outside world is through their career. Their career could be the person they see the most often in the day. This strong isolation and dependency can increase the vulnerable of the individual who may be confused for frail. Living alone could increase...
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...happening to adults Type of abuse | Definition of abuse | Example of abuse | Indicators of abuse | Physical | This kind of abuse involves contact that is pursued to cause an individual to feel intimidated, be injured or any other kind of suffering or bodily harm via physical contact.` | Some examples of physical abuse may involve: punching, pushing, striking with an object, biting, pulling, strangling, kicking, and rape. | There are many signs that indicate that an individual has been physically abused. Some may be injuries that can be seen visually, such as: bruises, cuts, marks, burns, and fractures.Other indicators may be the misuse of drugs and alcohol, the individual isolating themselves. They may have a self-esteem and low confidence which may lead to them feeling suicidal or self-harming. Feelings of fear and mistrust may be present. | Domestic | This kind of abuse is of an individual that is in a relationship that is intimate or is in the family. Domestic abuse is repetitive and is used to manipulate a person using intimidation. | This abuse can come in many forms, these may be pursued emotionally, physically, physiologically, financially or sexually. Actions such as hitting, biting, shoving, kicking, restraining, threats, and slapping may be used to control the individual. | Indicators that an individual has been abused domestically may involve the individual feeling depressed, anxious, angry, confused, suicidal and shameful. The individual may find it tough to...
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...and social care Understand how national initiatives promote anti-discriminatory practice Know how anti-discriminatory practice is promoted in health and social care settings 21 21 30 34 39 Unit 3 Health, Safety and Security in Health and Social Care Understand potential hazards in health and social care Know how legislation, policies and procedures promote health, safety and security in health and social care settings Be able to implement a risk assessment Understand priorities and responses in dealing with incidents and emergencies 44 45 53 63 66 Unit 4 Development Through the Life Stages Know stages of growth and development through the human lifespan Understand potential effects of life factors and events on the development of the individual Understand physical and psychological changes of ageing 75 76 85 91 BTEC Level 3 National Health and Social Care uncorrected first proofs issued by marketing 2010. This...
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...I. THE COMMON SENSE OF DRIVING Keeping a point off your DMV record is not the only thing that occurs when you successfully complete this Traffic Violator Course. You will increase your knowledge of California's driving laws as well. Why is that important? When your safety is at risk, raising your driving consciousness is always beneficial. The unfortunate truth is many drivers get tickets simply because they are not paying attention or have forgotten some rule of the vehicle code. In other words, what you are about to read can save you money by helping you to avoid breaking the law, receiving a traffic citation, and having to pay the penalty. But more important, what you are about to read can easily save your life… or someone else's. A. THE SERIOUS RESPONSIBILITY OF OPERATING A MOTOR VEHICLE When you get behind the driver seat, you’re not just driving a car. You are driving a 2,000 pound plus piece of machinery. The lives of your passengers and all other drivers and pedestrians around you on the road are at risk. Driving is the most dangerous thing you do on a daily basis. One little mistake at any speed, whether at 65 mph or 35 mph, can be deadly. As a driver, your responsibility is not only to respect the law but also to appreciate the risks when you operate your vehicle, risks both to yourself and to the other drivers with whom you share the road. Yes, the key word here is SHARE. 1. MOTOR VEHICLE IS A WEAPON You don‘t believe that? Any object that weighs...
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