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BOOK REVIEW: Dementia and You
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Untitled      老年痴呆是中老年群体中的一种常见病症,朋友圈里寻找走失老人的帖子也时常出现,我们身边邻居、朋友家中甚至也都有这样的老人。记忆力减退、变懒、越来越孤僻,找不到回家的路,短暂性忘记自己正在干什么,要去哪里等等症状都是老年痴呆的一些征兆。全球老年痴呆症患者已接近4700万人,截至2015年,我国的患者约950万人,且平均每年有30万新发病例,是世界上老年痴呆症患者最多的国家。据预计,2040年我国患者将达到2200万,是所有发达国家老年痴呆症患者数的总和。

      随着社会老龄化加速,预防老年痴呆和老年痴呆的治疗就显得非常迫切了。作为天津 重点高校之一的天津大学,也在这一领域做出了卓越贡献。由天津大学出版社出版,且由天津大学外籍专家罗斯•可胡恩著,陈思、黄月婵、简慧芳、马阳阳 、王凯等译的《痴呆症与你——护理与应对》在人口老龄化的大背景下,多方面分析了痴呆症给个人、家庭和社会带来的一些问题,并探讨了相应的解决办法,以期为临床实践和日常照料提供行之有效的支持和指导。

      罗斯•可胡恩曾获得科学专业本科优等生学位、应用科学和神经科学硕士学位、医疗保健科学博士学位。可胡恩博士将严谨的科学研究和他自己那些暖心的实践经历融合了起来,其著作从基本医疗问题到社会心理学、法律和家庭伦理等方面都有所涵盖。全书共分为十四章,主要内容有如:为什么我们现在面临患痴呆症的危险;谁来照顾我们呢;积极的经历很重要,痴呆症的征兆和症状;谈论并正视痴呆症;家人能做些什么呢;保健专业人士的作用;当我们无法解决问题时,应寻求援助并寻找新策略;生活质量与痴呆症患者的生活以及相关法律问题;对痴呆症的早期预防、诊断及评估等方面作了详细的解答,解决了痴呆症患者和亲人们面临的诸多困惑和难题,并且介绍了新的治疗和护理措施,旨在使人们在面对痴呆症时心中有数,懂得怎样做才能为自己和亲人们赢得好的结果,也使护理者避免变得精疲力竭和易怒。

      家中有老人的朋友,不妨读一读罗斯•可胡恩博士的著作,从中寻求专业的指导和帮助。


TJU Press announced the launching of a new book titled "Dementia and You: Care and Management" at the Tianjin Book Fair held at Tianjin International Exhibition Centre on Saturday, April 22nd. The book was authored by a Foreign Expert teacher at TJU, Dr Ross Colquhoun and had been translated into Chinese by TJU students and faculty. The English book had been originally published as "Dementia and You: Care, Protection and Reducing Risk". Over the past 3 years Dr Colquhoun has researched and rewritten the book for Chinese readers.


Director of TJU Press Yao Weidong said: "This book is of great significance for the Chinese community and I hope it is read by as many people as possible. I also hope that Chinese policy-makers take note of the care and management strategies which it outlines. The book is timely as China has a rapidly aging population causing various social and economic issues for care and management of this problem for both the family as also the state. This book addresses many of those issues".


Dr Colquhoun, in his presentation at the launch of the book said: "China is experiencing dramatic changes in physical and social environment brought about by economic development and social policies. Urbanization, industrialization, an increasingly mobile population, one-child policy and most recently, globalization, are causing changes in family structures and intergenerational support of the elderly. A World Bank report noted that informal support systems are breaking down in China".


He pointed out that caregiver issues are of major concern in China as dementia brings with it dependency and impaired functioning. As a result people and the government are concerned about the provision of care for the growing number and proportion of the elderly. The challenge for public policy is to assess the viability of family support systems and to devise programs that will be supportive or complementary.


This book aims to overview the need for people, families and the nation to prepare for the rising incidence of dementia. This condition will soon be the major cause of disability and death, outstripping cancer, heart disease and stroke, thus imposing a massive burden on families, health systems and economies worldwide. However, like many other chronic diseases, new evidence indicates that it can be prevented. The scientific opinion now leans toward the idea that the cause of dementia is related to cardio-vascular disease causing decreased blood flow and circulation of nutrients and oxygen to the brain. When this system fails, brain cells are damaged and they die and this causes the disease to progress unchecked.


China also has a strong tradition of exercise for health and preventive medicine and what has become evident is that the choices people make are very important in the prevention of dementia. Latest research indicates that smoking, social isolation, not enough exercise and poor diet can all increase the chances of getting dementia. It seems that the Chinese can do a lot to minimise the risk. Pollution, changes in diet and high rates of alcohol and nicotine use are obvious targets.


The book also aims to explain what to expect and what can be done at the family level. Early diagnosis provides many benefits: symptoms, like memory loss may not be dementia but maybe normal or treatable; interventions can delay onset or slow progress and new medications are just around the corner. Early diagnosis protects people's rights and gives them a say in their care before it is too late. The book also discusses prevention. We know that the risk of dementia is associated with lifestyle choices. In China, there is a strong tradition of care for the elderly by the family. However, with changing demographics and attitude of young people toward the elderly China will have to develop new ways to deal with the rising problem. The book is also about policy responses to an aging population and the rising incidence of dementia in China. It looks at models of care in Australia and Japan as well as new ideas that may be applicable to China and the need to respond as outlined in the 2013 amendments to the law relating to the Care of the Elderly.


Many elderly people do not have family support and new solutions will need to be found. In future this will only become more concerning. The need for trained carers, medical facilities and infrastructure will cause severe pressure. Prevention and in-home care are key strategies going ahead.

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