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Management of challenging behaviour in dementia

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https://www.readbyqxmd.com/read/27899689/herbal-medicine-for-management-of-the-behavioural-and-psychological-symptoms-of-dementia-bpsd-a-systematic-review-and-meta-analysis
#1
REVIEW
Anna J Hyde, Brian H May, Lin Dong, Mei Feng, Shaonan Liu, Xinfeng Guo, Anthony Lin Zhang, Chuanjian Lu, Charlie Changli Xue
Management of the behavioural and psychological symptoms of dementia remains a challenge worldwide. Herbal medicines may play a role in the development of new interventions. To determine effects of herbal medicines for management of the behavioural and psychological symptoms of dementia, meta-analysis was conducted of 31 controlled trials (3613 participants). Frequently tested herbal medicines were the Ginkgo biloba leaf extract EGb 761 (seven studies) and the multi-ingredient formula Yokukansan (eight studies)...
November 29, 2016: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/27412879/intimacy-between-care-home-residents-with-dementia-findings-from-a-review-of-the-literature
#2
Esther Wiskerke, Jill Manthorpe
BACKGROUND: There is limited research on what family members and frontline care home staff consider to be the best responses to the sexual expression of a person with dementia, whilst at the same time respecting relatives' feelings, managing their possible distress and conflict, and how good practice should be reflected in care home policy and practice guidance. METHODS: This literature review explored what is known of the views of relatives and care workers of new relationships or sexual intimacy between care home residents with dementia, whilst still married to another person...
July 13, 2016: Dementia
https://www.readbyqxmd.com/read/27406242/time-targeted-interdisciplinary-model-for-evaluation-and-treatment-of-neuropsychiatric-symptoms-protocol-for-an-effectiveness-implementation-cluster-randomized-hybrid-trial
#3
Bjørn Lichtwarck, Geir Selbaek, Øyvind Kirkevold, Anne Marie Mork Rokstad, Jūratė Šaltytė Benth, Janne Myhre, Solvor Nybakken, Sverre Bergh
BACKGROUND: Nearly all persons with dementia will experience neuropsychiatric symptoms (NPS) during the course of their disease. Clinicians and researchers emphasize the need for an evidence-informed standardized approach to managing NPS that integrates pharmacological and nonpharmacological treatments for real-world implementation. The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) represents such an approach and is a multicomponent intervention based on the theoretical framework of cognitive behavioural therapy...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27405890/young-onset-dementia
#4
B Draper, A Withall
Young onset dementia (YOD), where symptoms of dementia have an onset before the age of 65, has become more prominent due to the population increase from the Baby Boomer generation. This clinical perspective examines key issues in the assessment, diagnosis and management of YOD. Challenges in the assessment and diagnosis of YOD are partly due to the diverse range of types of YOD, where degenerative dementias are less common and secondary dementias more common than in late onset dementia. Early symptoms are broad and include depression, behavioural change, neurological disorders, systemic disorders and mild cognitive impairment (MCI)...
July 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27374988/nursing-staff-stress-from-challenging-behaviour-of-residents-with-dementia-a-concept-analysis
#5
REVIEW
T J G M Hazelhof, L Schoonhoven, B G I van Gaal, R T C M Koopmans, D L Gerritsen
AIM: Provide insight into the concept of stress in the context of challenging behaviour of nursing home residents with dementia and its causes and consequences. BACKGROUND: Challenging behaviour is frequent in residents with dementia, but consequences for nursing staff are unclear. INTRODUCTION: Challenging behaviour of residents can be enervating for nurses and may lead to stress. Although stress in general is associated with negative outcomes, an overview of stress in this context would be a welcome addition to the field...
September 2016: International Nursing Review
https://www.readbyqxmd.com/read/27341812/evaluating-the-effectiveness-and-cost-effectiveness-of-dementia-care-mapping%C3%A2-to-enable-person-centred-care-for-people-with-dementia-and-their-carers-dcm-epic-in-care-homes-study-protocol-for-a-randomised-controlled-trial
#6
Claire A Surr, Rebecca E A Walwyn, Amanda Lilley-Kelly, Robert Cicero, David Meads, Clive Ballard, Kayleigh Burton, Lynn Chenoweth, Anne Corbett, Byron Creese, Murna Downs, Amanda J Farrin, Jane Fossey, Lucy Garrod, Elizabeth H Graham, Alys Griffiths, Ivana Holloway, Sharon Jones, Baber Malik, Najma Siddiqi, Louise Robinson, Graham Stokes, Daphne Wallace
BACKGROUND: Up to 90 % of people living with dementia in care homes experience one or more behaviours that staff may describe as challenging to support (BSC). Of these agitation is the most common and difficult to manage. The presence of agitation is associated with fewer visits from relatives, poorer quality of life and social isolation. It is recommended that agitation is treated through psychosocial interventions. Dementia Care Mapping™ (DCM™) is an established, widely used observational tool and practice development cycle, for ensuring a systematic approach to providing person-centred care...
2016: Trials
https://www.readbyqxmd.com/read/27161855/the-impact-of-staff-training-on-staff-outcomes-in-dementia-care-a-systematic-review
#7
Aimee Spector, Catherine Revolta, Martin Orrell
OBJECTIVE: Caring for people with dementia can be emotionally challenging and is often linked to low job satisfaction and burnout in care staff. Staff training within care settings is potentially valuable in improving well-being and quality of care. This review aimed to (i) establish the impact of training on staff outcomes; (ii) compare the impact of different training approaches; (iii) explore the influence of training intensity; and (iv) explore potential barriers to success. METHOD: A database search of staff training interventions revealed 207 papers, 188 of which were excluded based on prespecified criteria...
May 9, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27098423/-a-multidisciplinary-approach-for-the-optimal-treatment-of-problem-behaviour-in-dementia
#8
Henriëtte Ettema
Problem behaviours in one form or another are very common in nursing home residents with dementia. In order to manage these challenging behaviours pharmacological and psychosocial interventions are necessary. Psychosocial interventions have gained a more central role due to negative affects of pharmacological treatment. This case study describes the multidisciplinary approach of problem behaviour in an 85 year old nursing home patient with dementia. Those involved in caring for this patient initiated changes that led to a more adequate treatment and ultimately a decrease in the problematic behaviour...
June 2016: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/27044417/exploring-psychosocial-interventions-for-people-with-dementia-that-enhance-personhood-and-relate-to-legacy-an-integrative-review
#9
Bridget Johnston, Melanie Narayanasamy
BACKGROUND: Epidemiological predictions suggest that dementia will continue to rise and that this will have social and economic ramifications. Effective interventions, beyond pharmacological management are needed. Psychosocial interventions have largely been investigated in relation to carers of people with dementia, or with regards to their ability to manage dementia symptoms, improve cognition, and reduce challenging behaviour. However, since dementia is a life-limiting illness and people with dementia are at risk of having their personhood compromised, psychosocial interventions should seek to enhance personhood, and offer the potential for the person to leave a legacy...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27019375/the-management-of-behavioural-and-psychological-symptoms-of-dementia-in-the-acute-general-medical-hospital-a-longitudinal-cohort-study
#10
Nicola White, Baptiste Leurent, Kathryn Lord, Sharon Scott, Louise Jones, Elizabeth L Sampson
BACKGROUND: The acute hospital is a challenging place for a person with dementia. Behavioural and psychological symptoms of dementia (BPSD) are common and may be exacerbated by the hospital environment. Concerns have been raised about how BPSD are managed in this setting and about over reliance on neuroleptic medication. This study aimed to investigate how BPSD are managed in UK acute hospitals. METHOD(S): A longitudinal cohort of 230 patients with dementia admitted to two acute NHS hospitals...
March 27, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27009145/improving-the-management-of-behaviour-that-challenges-associated-with-dementia-in-care-homes-protocol-for-pharmacy-health-psychology-intervention-feasibility-study
#11
Ian D Maidment, Rachel L Shaw, Kirsty Killick, Sarah Damery, Andrea Hilton, Jane Wilcock, Nigel Barnes, Graeme Brown, Sarah Gillespie, Chris Fox, Garry Barton, Steve Iliffe, Nichola Seare
INTRODUCTION: The inappropriate use of antipsychotics in people with dementia for behaviour that challenges is associated with an estimated 1800 deaths annually. However, solely focusing on antipsychotics may transfer prescribing to other equally dangerous psychotropics. Little is known about the role of pharmacists in the management of psychotropics used to treat behaviours that challenge. This research aims to determine whether it is feasible to implement and measure the effectiveness of a combined pharmacy-health psychology intervention incorporating a medication review and staff training package to limit the prescription of psychotropics to manage behaviour that challenges in care home residents with dementia...
2016: BMJ Open
https://www.readbyqxmd.com/read/26989095/behavioural-and-psychological-symptoms-in-dementia-and-the-challenges-for-family-carers-systematic-review
#12
REVIEW
Alexandra Feast, Martin Orrell, Georgina Charlesworth, Nina Melunsky, Fiona Poland, Esme Moniz-Cook
BACKGROUND: Tailored psychosocial interventions can help families to manage behavioural and psychological symptoms in dementia (BPSD), but carer responses to their relative's behaviours contribute to the success of support programmes. AIMS: To understand why some family carers have difficulty in dealing with BPSD, in order to improve the quality of personalised care that is offered. METHOD: A systematic review and meta-ethnographic synthesis was conducted of high-quality quantitative and qualitative studies between 1980 and 2012...
May 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/26987909/the-frontotemporal-dementia-motor-neuron-disease-continuum
#13
REVIEW
James R Burrell, Glenda M Halliday, Jillian J Kril, Lars M Ittner, Jürgen Götz, Matthew C Kiernan, John R Hodges
Early reports of cognitive and behavioural deficits in motor neuron disease might have been overlooked initially, but the concept of a frontotemporal dementia-motor neuron disease continuum has emerged during the past decade. Frontotemporal dementia-motor neuron disease is now recognised as an important dementia syndrome, which presents substantial challenges for diagnosis and management. Frontotemporal dementia, motor neuron disease, and frontotemporal dementia-motor neuron disease are characterised by overlapping patterns of TAR DNA binding protein (TDP-43) pathology, while the chromosome 9 open reading frame 72 (C9orf72) repeat expansion is common across the disease spectrum...
August 27, 2016: Lancet
https://www.readbyqxmd.com/read/26976618/professional-carers-experiences-of-caring-for-individuals-with-intellectual-disability-and-dementia-a-review-of-the-literature
#14
Josephine Cleary, Owen Doody
The number of people with intellectual disability living into old age and developing dementia continues to increase. Dementia presents a wide range of challenges for staff due to progressive deterioration. This article presents the findings from a narrative literature review of professional caregivers' experiences of caring for individuals with intellectual disability and dementia. Seven electronic databases were searched using Boolean operators and truncation to identify relevant literature. Search results were combined and narrowed to articles relevant to staff working with individuals with intellectual disability and dementia, and 14 articles met the criteria for review...
March 14, 2016: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/26920347/appreciative-inquiry-an-alternative-to-behaviour-management
#15
Bernard McCarthy
Appreciative Inquiry is an approach to organisational change that has been effective and popular around the world for the past two decades. What could it have to offer us as an alternative to traditional 'behaviour management'? Traditionally, in modern dementia care, we take a psychiatric approach to the range of actions that people engage in when stressed or traumatised by the cognitive, social and psychological losses associated with dementia. We call them symptoms of an illness - Behavioural and Psychological Symptoms of Dementia...
February 25, 2016: Dementia
https://www.readbyqxmd.com/read/26764263/the-behaviours-that-dementia-care-home-staff-in-south-africa-find-challenging-an-exploratory-study
#16
Adele van Wyk, Jill Manthorpe, Charlotte Clark
BACKGROUND: Behavioural and psychological symptoms of dementia are often the reasons for moving to a care home. Care staff, often with limited dementia training, may have to support residents with distressed behaviour on a daily basis. Evidence about the support of residents with distressed or challenging behaviour in the South African context is lacking. This exploratory study aimed to gain an understanding of what care home staff perceived to be distressed behaviour, their coping strategies and how they learned to work with residents with behavioural symptoms of dementia...
January 12, 2016: Dementia
https://www.readbyqxmd.com/read/26687774/an-alternate-technique-of-care-using-silver-fluoride-followed-by-stannous-fluoride-in-the-management-of-root-caries-in-aged-care
#17
Alan Deutsch
An alternate technique of care to prevent, arrest and manage root caries using aqueous silver fluoride followed by stannous fluoride (AgF+SnF2) in aged care is demonstrated by three case studies. With increasing age, the inability to maintain ones own oral care from dementia, illness or frailty and polypharmacy induced salivary gland hypofunction will result in dental caries becoming a progessively greater burden for the elderly. Future generations of elders will live longer and need to maintain many more teeth longer than earlier generations...
March 2016: Special Care in Dentistry
https://www.readbyqxmd.com/read/26644155/current-treatment-options-for-alzheimer-s-disease-and-parkinson-s-disease-dementia
#18
Jennifer Y Y Szeto, Simon J G Lewis
Alzheimer's disease (AD) and Parkinson's disease (PD) are the two most common neurodegenerative disorders encountered in clinical practice. Whilst dementia has long been synonymous with AD, it is becoming more widely accepted as part of the clinical spectrum in PD (PDD). Neuropsychiatric complications, including psychosis, mood and anxiety disorders, and sleep disorders also frequently co-exist with cognitive dysfunctions in AD and PDD patients. The incidence of such symptoms is often a significant source of disability, and may aggravate pre-existing cognitive deficits...
2016: Current Neuropharmacology
https://www.readbyqxmd.com/read/26553275/the-experience-of-caring-for-patients-with-dementia-within-a-general-hospital-setting-a-meta-synthesis-of-the-qualitative-literature
#19
Alex Turner, Fiona J R Eccles, Ruth Elvish, Jane Simpson, John Keady
OBJECTIVES: The optimal care of people with dementia in general hospitals has become a policy and practice imperative over recent years. However, despite this emphasis, the everyday experience of staff caring for this patient group is poorly understood. This review aimed to synthesise the findings from recent qualitative studies in this topic published prior to January 2014 to develop knowledge and provide a framework to help inform future training needs. METHOD: A systematic search of the literature was conducted across five academic databases and inclusion/exclusion criteria applied to the retrieved papers...
November 9, 2015: Aging & Mental Health
https://www.readbyqxmd.com/read/26363705/using-sense-making-theory-to-aid-understanding-of-the-recognition-assessment-and-management-of-pain-in-patients-with-dementia-in-acute-hospital-settings
#20
Dawn Dowding, Valentina Lichtner, Nick Allcock, Michelle Briggs, Kirstin James, John Keady, Reena Lasrado, Elizabeth L Sampson, Caroline Swarbrick, S José Closs
BACKGROUND: The recognition, assessment and management of pain in hospital settings is suboptimal, and is a particular challenge in patients with dementia. The existing process guiding pain assessment and management in clinical settings is based on the assumption that nurses follow a sequential linear approach to decision making. In this paper we re-evaluate this theoretical assumption drawing on findings from a study of pain recognition, assessment and management in patients with dementia...
January 2016: International Journal of Nursing Studies
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