just as I was preparing for lessons yesterday, I queried the 2018 British NICE's summary of cognitive impairment and gave some advice on this question.
I will move
1.4.1Offer a range of activities to promote wellbeing that are tailored to the person's preferences.
provides a range of activities tailored to patients' preferences to improve their happiness. Don't deprive a patient of his basic rights as a person and his ability to enjoy small things in life. For example, a person who was an engineer before his illness also liked music, which could be done by giving him Lego toys, or drawing drawings, or musical instruments.
1.4.2Offer grouptherapy to people living with mild to moderate dementia.
provide cognitive stimulation therapy for patients with mild to moderate cognitive therapy. (Cognitive stimulation therapy, is the doctoral project of Professor Aimee Spector of UCL. After that, Chinese localization was first started in Hong Kong. It happened to be done by my current small boss. After that, Peking University also did the localization of the mainland, and interested friends can search for it themselves. This is the only project recommended by NICE, and it has to be in the form of a group to be useful. Although CST now also has a home version, that is, family members can do for patients, or online version, but the current evidence is not sufficient.
1.4.3Consider group reminiscence therapy for people living with mild to moderate dementia.
for mild to moderate patients,(please refer to Dr. Chen's answer upstairs). Why consider this treatment rather than completely recommend it, because not all studies have found it to be effective.
1.4.4Consideror occupational therapy to support functional ability in people living with mild to moderate dementia.
for mild to moderate patients, cognitive rehabilitation therapy or functional therapy should be considered to assist the ability of daily living. To a large extent, this will determine whether the patient can take care of himself, and it is much easier to take care of a patient who will go to the bathroom and take a bath on his own, so this ability should be maintained as far as possible.
1.4.5Do not offer acupuncture to treat dementia.
do not use acupuncture for medical treatment. It can cure physical illness or something, but there is no evidence that it is useful for cognitive impairment.
1.4.6Do not offer ginseng, vitamin E supplements, or herbal formulations to treat dementia.
do not use ginseng, vitamin E, or other herbal formulations. Similarly, maybe it's no harm to eat it, but it just can't cure it.
1.4.7Do not offerto treat mild to moderate Alzheimer's disease.
do not provide cognitive training for mild to moderate patients. The biggest difference between cognitive training and cognitive stimulation is that the former is lab training, such as training you to remember a set of numbers 808742146, while the latter is a game in life, such as giving you 100 yuan to buy vegetables, 10 yuan for cabbage, and how much else is there? Because the former is repeatedly training with no practical meaning in life, practicing too much may produce side effects such as frustration or boredom, etc.
1.4.8Do not offery to treat the cognitive symptoms of mild to moderate Alzheimer' S disease.
do not give interpersonal psychotherapy to mild to moderate patients. I am not very familiar with the literature in this area. I am interested to consult it myself. To put it simply, cognitive therapy is cerebral degeneration, not mental illness, so psychotherapy is useless. Of course, if you are depressed because of a diagnosis of cognitive therapy, and if you are in the early stages of cognitive decline and can communicate, you can treat depression through psychotherapy.
1.4.9Do not offer non-invasive brain stimulation (including transcranial magnetic stimulation) to treat mild to moderate Alzheimer's disease, except as part of a randomised controlled trial.
do not provide non-invasive brain stimulation (including cranial magnetic stimulation) for the treatment of mild to moderate Alzheimer's disease unless it is to study the comparison group. (hmm,) I need to see more of the literature on why RCT can use this, but it should be useless, so I use it as a control group. )
finally, in fact,this word is used when I type lazily, and the literal translation is"a person with cognitive impairment". From Alzheimer's to dementia, our words, especially on public platforms, can affect social attitudes towards a disease and even a person's own tendency to seek medical treatment if he or she is suspected of getting sick.
so, basically, remember that no matter what diagnosis, as caregivers, we have to deal with a person.
the gatekeeper of universal health insurance in the UK-NICE