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Cognitive rehabilitation in dementia

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https://www.readbyqxmd.com/read/28304312/cognitive-rehabilitation-in-alzheimer-s-disease-a-controlled-intervention-trial
#1
Katharina Brueggen, Elisabeth Kasper, Sina Ochmann, Henrike Pfaff, Steffi Webel, Wolfgang Schneider, Stefan Teipel
BACKGROUND: Cognitive Rehabilitation for Alzheimer's disease (AD) is an integrative multimodal intervention. It aims to maintain autonomy and quality of life by enhancing the patients' abilities to compensate for decreased cognitive functioning. OBJECTIVE: We evaluated the feasibility of a group-based Cognitive Rehabilitation approach in mild AD dementia and assessed its effect on activities of daily living (ADL). METHODS: We included 16 patients with AD dementia in a controlled partial-randomized design...
March 18, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28267744/rehabilitation-for-people-living-with-dementia-a-practical-framework-of-positive-support
#2
Linda Clare
In a Perspective, Linda Clare proposes using a cognitive rehabilitation approach for people living with dementia.
March 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28260613/sexual-harassment-in-care-work-dilemmas-and-consequences-a-qualitative-investigation
#3
Maj Britt D Nielsen, Susie Kjær, Per T Aldrich, Ida E H Madsen, Maria K Friborg, Reiner Rugulies, Anna P Folker
BACKGROUND: Care workers are often exposed to sexual harassment from patients. Research shows that such exposure may have detrimental effects on mental health of the care workers. Inappropriate sexual behaviour from patients is a particular challenge for formal and informal care workers alike. There is a scarceness of studies investigating the experience and the handling of sexual harassment from patients. OBJECTIVES: To investigate the experience and handling of sexual harassment from patients in care work...
February 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28186825/balancing-safety-and-harm-for-older-adults-with-dementia-in-rural-emergency-departments-healthcare-professionals-perspectives
#4
Kathleen F Hunter, Belinda Parke, Maureen Babb, Dorothy Forbes, Laurel Strain
INTRODUCTION: The emergency department (ED) is a potentially harmful environment for older adults with dementia, and rural EDs face unique challenges in providing care to this population. The purpose of this study was to understand safety and harm in rural ED transitional care for community dwelling older adults with dementia from the perspective of healthcare professionals (HCPs). METHODS: An interpretive, descriptive exploratory design from a social ecological perspective was used...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28182895/validity-test-retest-reliability-sensitivity-to-change-and-feasibility-of-motor-cognitive-dual-task-assessments-in-patients-with-dementia
#5
Nele C Lemke, Stefanie Wiloth, Christian Werner, Klaus Hauer
OBJECTIVE: To investigate validity, test-retest reliability, sensitivity to change, and feasibility of dual task (DT) assessments in patients with dementia. DESIGN: Validation study. SETTING: Post ward-rehabilitation. PARTICIPANTS: Geriatric patients (n=105) with dementia (age 82.7±5.9, MMSE score 21.9). MAIN OUTCOME MEASURES: Psychometric quality of DT performance of different DT-tests. Analyses were performed for motor and cognitive performance, and relative DT costs (DTCs)...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28174455/factors-affecting-the-quality-of-life-of-homebound-elderly-hemiparetic-stroke-patients-with-cognitive-impairment
#6
Seiichi Takemasa, Ryoma Nakagoshi, Masayuki Uesugi, Yuri Inoue, Makoto Gotou, Hideki Koeda, Susumu Naruse
[Purpose] This study examined the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment and the factors affecting their quality of life. [Subjects and Methods] The subjects of the study were 17 home-based elderly hemiparetic stroke patients with cognitive impairment (8 males and 9 females, average age: 76.3 ± 10.5 years old). Their physical and psychological conditions, quality of life and other items were investigated. Nishimura's Mental State Scale for the Elderly was used for the cognitive impairment assessment...
December 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28152436/an-individualized-coaching-program-for-patients-with-acute-ischemic-stroke-feasibility-study
#7
P Vanacker, D Standaert, N Libbrecht, I Vansteenkiste, D Bernard, L Yperzeele, G Vanhooren
OBJECTIVES: An individualized stroke care program was developed to match patients' education with their needs regarding stroke knowledge, secondary prevention and rehabilitation. Our purpose was to assess feasibility of in-hospital and post-discharge, personalized stroke coaching service. METHODS: Acute ischemic stroke patients enrolled in ASTRAL-B stroke registry (Sint-Lucashospital, Bruges Belgium) with: (a) hospitalization between 12/2014-12/2015, (b) hospital-to-home discharge, and (c) without cognitive decline, were selected...
March 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28034509/maxcog-maximizing-cognition-a-randomized-controlled-trial-of-the-efficacy-of-goal-oriented-cognitive-rehabilitation-for-people-with-mild-cognitive-impairment-and-early-alzheimer-disease
#8
Bridget Regan, Yvonne Wells, Maree Farrow, Paul O'Halloran, Barbara Workman
OBJECTIVES: To review the efficacy of a home-based four-session individualized face-to-face cognitive rehabilitation (MAXCOG) intervention for clients with mild cognitive impairment (MCI) or early dementia and their close supporters. DESIGN: Randomized controlled trial comparing the intervention group (MAXCOG) with treatment as usual (control). PARTICIPANTS: A total of 55 client-supporter dyads were enrolled in the study and 40 completed; 25 client-supporter dyads completed MAXCOG and 15 completed treatment as usual...
November 16, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27893569/development-and-validation-of-a-novel-motor-cognitive-assessment-strategy-of-compensatory-sit-to-stand-maneuvers-in-people-with-dementia
#9
Christian Werner, Stefanie Wiloth, Nele Christin Lemke, Florian Kronbach, Klaus Hauer
BACKGROUND AND PURPOSE: People with dementia show disease-specific sit-to-stand (STS) movement disorders, which relate to deficits of integrating cognitive aspects of motor processes into motor action organization. During STS training in rehabilitation therapy, compensatory STS movement maneuvers are taught aiming to improve patients' STS ability. Previous clinical STS measures do not address these maneuvers or assess cognitive aspects of their motor action organization. The purpose of this study was to develop and validate a motor-cognitive STS assessment instrument for people with dementia (Assessment of Compensatory Sit-to-Stand Maneuvers in People With Dementia, ACSID)...
November 23, 2016: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27874842/efficacy-of-video-music-therapy-on-quality-of-life-improvement-in-a-group-of-patients-with-alzheimer-s-disease-a-pre-post-study
#10
Ivan Rubbi, Daniela Magnani, Giada Naldoni, Rosaria Di Lorenzo, Valeria Cremonini, Patrizia Capucci, Giovanna Artioli, Paola Ferri
BACKGROUND AND AIM OF THE STUDY: Alzheimer's disease is the most common degenerative dementia with a predominantly senile onset. The difficult management of altered behaviour related to this disorder, poorly responsive to pharmacological treatments, has stimulated growth in non-pharmacological interventions, such as music therapy, whose effectiveness has not been supported by the literature up to now. The aim of this study was to evaluate the efficacy of video-music therapy on quality of life improvement in Patients affected by Alzheimer's Disease (AD)...
November 22, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27829648/cuba-s-strategy-for-alzheimer-disease-and-dementia-syndromes
#11
Rodolfo I Bosch-Bayard, Juan J Llibre-Rodríguez, Alberto Fernández-Seco, Carmen Borrego-Calzadilla, Mayra R Carrasco-García, Tania Zayas-Llerena, Carmen R Moreno-Carbonell, Ana G Reymond-Vasconcelos
Dementia is a great challenge to public health in Cuba due to its impact on society and families. Cuba's National Intervention Strategy for Alzheimer Disease and Dementia Syndromes is designed to address this challenge. The Strategy includes working guidelines for primary and secondary care, education about rights of people with cognitive impairment, professional development, research, and health promotion and dementia prevention. An associated action plan, focused on primary care, includes proposals for creation of memory clinics, day centers and comprehensive rehabilitation services for cognitive stimulation...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27687870/neuro-visual-rehabilitation
#12
REVIEW
Noa Raz, Netta Levin
Despite the fact that almost one-third of patients suffer from visual deficits following brain damage; neuro-visual rehabilitation to compensate for visual field deficits is relatively neglected in the clinical setting. This is in contrast to physio and speech therapies, which are the bread and butter of rehabilitative programs. Likewise, programs that address coping with dementia usually concentrate on language, memory and cognitive skills, but often fail to address the deficits experienced by the subset of patients suffering from progressive cortico-visual dysfunction...
September 29, 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27684651/triangulated-proxy-reporting-a-technique-for-improving-how-communication-partners-come-to-know-people-with-severe-cognitive-impairment
#13
Gordon Lyons, Tania De Bortoli, Michael Arthur-Kelly
PURPOSE: This paper explains and demonstrates the pilot application of Triangulated Proxy Reporting (TPR); a practical technique for enhancing communication around people who have severe cognitive impairment (SCI). METHODS AND RESULTS: An introduction explains SCI and how this impacts on communication; and consequently on quality of care and quality of life. This is followed by an explanation of TPR and its origins in triangulation research techniques. An illustrative vignette explicates its utility and value in a group home for a resident with profound multiple disabilities...
August 16, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27677046/gait-analysis-under-dual-task-conditions-for-identifying-motor-phenotypes-in-elderly-patients-with-gait-disorders
#14
Bernard Auvinet, Claude Touzard, Vincent Goëb
OBJECTIVE: Gait disorders are associated with increased fall risk, dementia and loss of autonomy. Gait analysis has previously been validated in the identification of motor phenotypes in mild cognitive impairment [1]. We hypothesized that gait analysis under dual-task conditions in elderly patients with gait disorders might allow the identification of motor phenotypes linked to specific brain abnormalities. MATERIAL/PATIENTS AND METHODS: An observational study was instructed for elderly patients with gait disorders or memory impairment...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27633582/association-of-cognition-with-functional-trajectories-in-patients-admitted-to-geriatric-wards-a-retrospective-observational-study
#15
Peter Hartley, Kerry Alexander, Jennifer Adamson, Carol Cunningham, Georgina Embleton, Roman Romero-Ortuno
AIM: Impaired cognition is common among older patients admitted to acute hospitals, but its association with functional trajectories has not been well studied. METHODS: A retrospective observational study was carried out in an English tertiary university hospital. We analyzed all first episodes of county residents aged ≥75 years admitted to the Department of Medicine for the Elderly wards between December 2014 and May 2015. A history of dementia or a cognitive concern in the absence of a known diagnosis of dementia were recorded on admission...
September 16, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27612310/comparison-between-group-and-personal-rehabilitation-for-dementia-in-a-geriatric-health-service-facility-single-blinded-randomized-controlled-study
#16
Shigeya Tanaka, Shin Honda, Hajime Nakano, Yuko Sato, Kazufumi Araya, Haruyasu Yamaguchi
AIM: The aim of this study was to compare the effects of rehabilitation involving group and personal sessions on demented participants. METHODS: This single-blinded randomized controlled trial included 60 elderly participants with dementia in a geriatric health service facility, or R oken. Staff members, who did not participate in the intervention, examined cognitive function, mood, communication ability, severity of dementia, objective quality of life, vitality, and daily behaviour...
September 9, 2016: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/27580756/eye-care-services-for-older-institutionalised-individuals-affected-by-cognitive-and-visual-deficits-a-systematic-review
#17
REVIEW
Lorraine Thibault, Hélène Kergoat
PURPOSE: The prevalence of dementia and ocular pathology increases with age and many older individuals affected by such diseases are being institutionalised. The objectives of this systematic review are to describe the level of eye care services being offered to older institutionalised individuals, present the prevalence of visual impairment in those with dementia, and describe the interventions offered to visually impaired residents with dementia. METHODS: A literature review was performed in four relevant databases, limited to peer-reviewed journals published in English and French, between the years 1984 and 2014...
September 2016: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/27569987/benefits-of-cognitive-treatments-administered-to-patients-affected-by-mild-cognitive-impairment-mild-neurocognitive-disorder
#18
Marco Cavallo, Arianna Signorino, Maria Luisa Perucchini
Preclinical Research Mild Cognitive Impairment (MCI) now termed Mild Neurocognitive Disorder (MCD) in DSM-5, is widely used to define the disorder in individuals who have subjective cognitive deficits, objective memory impairments, or other cognitive deficits, without impairments in daily activities. Cognitive enhancers such as the acetylcholinesterase inhibitors, commonly used with some benefit in overt dementia, have recently started to be used in MCI/MCD. Treatment of disorders associated with cognitive dysfunction represents an expanding area of neurological rehabilitation and continues to be of paramount importance from political, social and ethical perspectives...
December 2016: Drug Development Research
https://www.readbyqxmd.com/read/27548008/intervention-modalities-for-targeting-cognitive-motor-interference-in-individuals-with-neurodegenerative-disease-a-systematic-review
#19
Douglas A Wajda, Anat Mirelman, Jeffrey M Hausdorff, Jacob J Sosnoff
Individuals with neurodegenerative disease (NDD) commonly have elevated cognitive-motor interference, change in either cognitive or motor performance (or both) when tasks are performed simultaneously, compared to healthy controls. Given that cognitive-motor interference is related to reduced community ambulation and elevated fall risk, it is a target of rehabilitation interventions. Areas covered: This review details the collective findings of previous dual task interventions in individuals with NDD. A total of 21 investigations focusing on 4 different neurodegenerative diseases and one NDD precursor (Parkinson's disease, multiple sclerosis, Alzheimer's disease (AD), dementia other than AD, and mild cognitive impairment) consisting of 721 participants were reviewed...
March 2017: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/27532469/interventions-incorporating-physical-and-cognitive-elements-to-reduce-falls-risk-in-cognitively-impaired-older-adults-a-systematic-review
#20
Vicky Booth, Victoria Hood, Fiona Kearney
BACKGROUND: Cognitive impairment is a risk factor for falls. Older adults with cognitive impairment (such as dementia) have an increased risk of falling compared with age-matched individuals without a cognitive impairment. To reduce falls in this population, interventions could theoretically target and train both physical and cognitive abilities. Combining and addressing cognitive components in falls rehabilitation is a novel and emerging area of healthcare. OBJECTIVES: The objective of this review was to identify the effectiveness of combined cognitive and physical interventions on the risk of falls in cognitively impaired older adults...
May 2016: JBI Database of Systematic Reviews and Implementation Reports
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