Management of dementia

There is no cure for dementia—the best that can be offered to the patient is tender loving care. Education, support and advice should be given to both patient and family. Multidisciplinar^ evaluation and assistance are needed. Regular home visits by caring sympathetic people are important. Such people include relatives, friends, general practitioners, district nurses, home help, members of a dementia self-help group, religious ministers and meals on wheels. The sufferers tend to manage much better in the familiar surroundings of their own home and this assists in preventing behaviour disturbance.

Special attention should be paid to organising memory aids such as lists, routines and medication, and to hygiene, diet and warmth. Adequate nutrition, including vitamin supplements if necessary, has been shown to help.

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