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Clinical Gerontologist

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https://www.readbyqxmd.com/read/29338663/cultural-competency-in-dementia-care-an-african-american-case-study
#1
Jennie Leeder Clark, Sarah Phoenix, Ann Choryan Bilbrey, Terese McManis, Kristel Anne Escal, Rohini Arulanantham, Tiana Sisay, Rita Ghatak
Age is the greatest risk factor for Alzheimer's disease, the most common cause of dementia. The older population in the United States is growing, and within this demographic ethnic and racial diversity is also on the rise. This article introduces Stanford Health Care's Memory Support Program (MSP) as a model for culturally competent dementia care that spans inpatient and outpatient settings. The case study of an African American patient and family dealing with an Alzheimer's disease diagnosis and comorbid conditions is presented and explored to illustrate the MSP model...
December 26, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29324180/who-cares-about-sleep-in-older-adults
#2
Joseph M Dzierzewski, Natalie D Dautovich
No abstract text is available yet for this article.
December 26, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29257931/erratum
#3
(no author information available yet)
No abstract text is available yet for this article.
December 19, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29308992/goal-setting-to-promote-a-healthier-lifestyle-in-later-life-qualitative-evaluation-of-the-agewell-trial
#4
Sharon M Nelis, Jeanette M Thom, Ian Rees Jones, John V Hindle, Linda Clare
OBJECTIVE: We report a mixed method evaluation of the feasibility and implementation of the AgeWell goal-setting intervention to promote healthy ageing later life. METHOD: Researcher field notes, goal-setting interview content, and semi-structured interviews with participants were content analysed to review trial implementation and participants' perspective on the goal-setting and mentoring intervention. RESULTS: 75 people were recruited: 21 in the goal-setting and 22 in the goal-setting with mentoring arms of the intervention...
December 15, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29293074/facilitating-family-life-review-during-a-relocation-to-assisted-living-exploring-contextual-impact-on-family-adjustment
#5
Kendra A O'Hora, Karen A Roberto
OBJECTIVES: The purpose of this study was to explore how contextual aspects of participants' lives before and throughout relocation to assisted living (ALF) informed family experience of family life review (FLR). METHOD: Fourteen families participated in a single FLR session within 6 months of the older adults' relocation. Semi-structured interviews, conducted one-month following the FLR session, were analyzed using the constant comparative method. Demographic and relational variables provided context for assessing how individual and family dynamics influenced the family relocation process...
December 14, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29272210/sleep-disturbance-activities-of-daily-living-and-depressive-symptoms-among-older-adults
#6
Christopher A Webb, Ruifeng Cui, Caitlin Titus, Amy Fiske, Michael R Nadorff
OBJECTIVE: Research suggests sleep disturbance plays a role in depression and risk for suicidal behavior (i.e., ideation, attempts, death by suicide). How sleep disturbance affects suicide risk is unclear and one's ability to perform activities of daily living (ADLs) may help explain this relation. This study examined associations between sleep problems, ADLs, and either depressive symptoms or suicide risk among older adults. We hypothesized that ADLs would mediate relations between sleep problems and depressive symptoms and suicide risk...
December 11, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29283797/measuring-sleep-in-vulnerable-older-adults-a-comparison-of-subjective-and-objective-sleep-measures
#7
Jaime M Hughes, Yeonsu Song, Constance H Fung, Joseph M Dzierzewski, Michael N Mitchell, Stella Jouldjian, Karen R Josephson, Cathy A Alessi, Jennifer L Martin
OBJECTIVES: This study compared subjective (questionnaire) and objective (actigraphy) sleep assessments, and examined agreement between these methods, in vulnerable older adults participating in a Veterans Administration Adult Day Health Care (ADHC) program. METHODS: 59 ADHC participants (95% male, mean age = 78 years) completed sleep questionnaires and 72 continuous hours of wrist actigraphy. Linear regression was used to examine agreement between methods and explore discrepancies in subjective/objective measures...
December 8, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29279038/development-of-a-bereavement-group-in-a-geriatric-mental-health-clinic-for-veterans
#8
Elizabeth A Mulligan, Michele J Karel
OBJECTIVES: This article describes the development and program evaluation of an 8-session outpatient geriatric mental health clinic bereavement group for United States military veterans who experienced the death of a loved one. METHODS: Group materials were developed based on a review of literature, with a focus on the dual process model of coping with bereavement and complicated grief treatment. Data are presented from 19 veterans who attended at least 4 of the 8 sessions across the five offerings of this group between 2013 and 2015...
December 8, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29279022/personality-and-its-relationship-to-depression-and-cognition-in-older-adults-implications-for-practice
#9
Nasreen A Sadeq, Victor Molinari
OBJECTIVES: Personality is an important contributor to an individual's mental health and is consistently linked to the two most prevalent mental health conditions among older adults: dementia and depression. This review summarizes the current findings on personality and its association with cognitive decline and depression, as well as treatment outcomes and possible intervention strategies. METHODS: Literature searches were conducted in Web of Science, PubMed, and PsycINFO...
December 8, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29220626/introductory-to-issue-41-1-navigating-thorny-aspects-of-dementia-care-sex-money-cars-and-more
#10
Jennifer Moye
No abstract text is available yet for this article.
December 8, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29252112/program-evaluation-of-group-based-cognitive-behavioral-therapy-for-insomnia-a-focus-on-treatment-adherence-and-outcomes-in-older-adults-with-co-morbidities
#11
Brian M Ludwin, Patricia Bamonti, Elizabeth A Mulligan
OBJECTIVE: To describe a program evaluation of the interrelationship of adherence and treatment outcomes in a sample of veteran older adults with co-morbidities who participated in group-based cognitive behavioral therapy for insomnia. METHODS: Retrospective data extraction was performed for 14 older adults. Adherence measures and sleep outcomes were measured with sleep diaries and Insomnia Severity Index. Demographic and clinical information was extracted through chart review...
November 21, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29240536/dementia-awareness-campaign-in-the-latino-community-a-novel-community-engagement-pilot-training-program-with-promotoras
#12
Nusha Askari, Ann Choryan Bilbrey, Iliana Garcia Ruiz, Marika Blair Humber, Dolores Gallagher-Thompson
OBJECTIVES: To create a curriculum about Alzheimer's disease and dementia, and to train Promotoras affiliated with a local community education and health advocacy organization, in order to raise awareness and knowledge of what dementia is, and how it can be recognized, in persons of Hispanic/Latino descent. METHODS: Community based participatory research (CPBR) model was used to create materials, implement training, and engage/empower Promotoras to educate the local community...
November 21, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29257939/bringing-creative-writing-instruction-into-reminiscence-group-treatment
#13
Katherine D King
OBJECTIVES: This article describes the program evaluation of a group intervention combining reminiscence with literary creative writing instruction. METHOD: This 10-week, 1-hour group was completed seven times in an outpatient geriatric mental health clinic. Each session introduced a different reminiscence theme and creative writing practice. Feasibility and acceptability were assessed through group monitoring and qualitative feedback. Effectiveness was assessed with pre- and post-test depression screening (PHQ-9) and qualitative feedback...
November 17, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29240534/non-pharmacological-approaches-to-pain-management-in-residential-aged-care-a-pre-post-test-study
#14
Julie M Ellis, Yvonne Wells, June Su Ming Ong
OBJECTIVES: The project aimed to evaluate a pain management program (PMP) using non-pharmacological approaches at five residential aged care facilities (RACFs) in Australia. METHODS: The PMP involved a physiotherapist implementing four sessions per week of treatments (massage therapy, TENS, exercises and stretching, or combinations of these). Ninety-five participants were recruited (average age, 83 years; SD = 7.6; 38% men, 62% women; 56% with dementia). Sessions lasted approximately 10 minutes, and residents' levels of pain were recorded using a 5-point scale before and after each treatment...
November 17, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29252121/what-behavioral-and-psychological-symptoms-of-dementia-affect-caregiver-burnout
#15
Kazuko Hiyoshi-Taniguchi, Carl B Becker, Ayae Kinoshita
OBJECTIVES: Patients' irritability and aggression have been linked to caregiver depression, but the behaviors that most burden caregivers are not yet definitively identified. This study examines the connection between behavioral and psychological symptoms of dementia (BPSD) and the burnout of caregivers caring for home-dwelling elders with dementia symptoms in Japan. METHODS: 80 Japanese rural and urban family caregivers completed detailed questionnaires about their experiences in caring for demented family members...
November 16, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29240549/interpreter-mediated-cognitive-assessments-who-wins-and-who-loses
#16
Betty Haralambous, Jean Tinney, Dina LoGiudice, Sook Meng Lee, Xiaoping Lin
OBJECTIVES: The number of people with dementia from culturally and linguistically diverse (CALD) backgrounds is increasing dramatically in Australia. Accurate cognitive assessments of people from CALD backgrounds can be achieved with the use of skilled interpreters. This study aimed to explore the experience of interpreter-mediated assessments from the perspectives of clinicians, interpreters and carers. METHODS: Consultations with interpreters, clinicians and carers were conducted through individual interviews and focus groups...
November 16, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29240531/enhancing-dignity-for-older-inpatients-the-photograph-next-to-the-bed-study
#17
Ruth E Hubbard, Melissa Bak, Jacqueline Watts, David Shum, Angelica Lynch, Nancye M Peel
OBJECTIVES: Older inpatients compromised by illness and cognitive decline may be stripped of physical and cultural identifiers, making them vulnerable to erosion of dignity. This study explored the experiences of patients, carers and clinical staff in response to a simple intervention that could enhance the dignity of care for older inpatients. METHODS: All patients in a rehabilitation ward were encouraged to have a photograph of themselves next to their bed. Of those who participated, focus groups were recruited for patients, family members and staff to explore their reflections...
November 16, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29220623/the-aging-well-through-interaction-and-scientific-education-agewise-program
#18
Maureen K O'Connor, Malissa L Kraft, Ryan Daley, Michael A Sugarman, Erika L Clark, Arielle A J Scoglio, Steven D Shirk
OBJECTIVE: We conducted a randomized controlled trial of the Aging Well through Interaction and Scientific Education (AgeWISE) program, a 12-week manualized cognitive rehabilitation program designed to provide psychoeducation to older adults about the aging brain, lifestyle factors associated with successful brain aging, and strategies to compensate for age related cognitive decline. METHODS: Forty-nine cognitively intact participants ≥ 60 years old were randomly assigned to the AgeWISE program (n = 25) or a no-treatment control group (n = 24)...
November 2, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29227742/the-evaluation-of-a-compassion-focused-therapy-group-for-couples-experiencing-a-dementia-diagnosis
#19
Rebecca N Collins, Liam J Gilligan, Rebecca Poz
OBJECTIVES: This study evaluated the effectiveness of a Compassion-Focused Therapy (CFT) group on reducing anxiety, depression, and respiratory rate (RR) in people with dementia (PwD) and their spouses, and improving quality of life (QoL) of PwD. METHOD: Sixty-four participants completed six weekly CFT sessions. Baseline and post-intervention assessments were analyzed using t-tests and Reliability Change Index. RESULTS: Mean baseline and post-assessment anxiety and depression scores fell in the 'normal range'; although a significant reduction in depression with moderate effect was observed for PwD...
October 31, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29206574/the-role-of-cultural-and-family-values-on-social-connectedness-and-loneliness-among-ethnic-minority-elders
#20
Laura Garcia Diaz, Marie Y Savundranayagam, Marita Kloseck, Deborah Fitzsimmons
OBJECTIVES: Ethnic minority elders have high levels of social isolation and loneliness. Assumptions about the family providing enough social support exist in the literature, contradicting ethnic minority elders' reported levels of isolation and loneliness. While structural barriers influence feelings of isolation and loneliness, limited information exists about the role of cultural factors such as acculturation and family values. Accordingly, this study investigated the roles of acculturation and family values on loneliness and social isolation among ethnic minority elders...
October 31, 2017: Clinical Gerontologist
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