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dementia AND communication

Rachel Braley, Rochelle Fritz, Catherine R Van Son, Maureen Schmitter-Edgecombe
Background and Objectives: Smart home auto-prompting has the potential to increase the functional independence of persons with dementia (PWDs) and decrease caregiver burden as instrumental activities of daily living (IADLs) are completed at home. To improve prompting technologies, we sought to inductively understand how PWDs responded to auto-prompting while performing IADL tasks. Research Design and Methods: Fifteen PWDs completed eight IADLs in a smart home testbed and received a hierarchy of verbal auto-prompts (indirect, direct, multimodal) as needed for task completion...
June 12, 2018: Gerontologist
Antoine Piau, Fati Nourhashemi, Adélaïde De Mauléon, Achille Tchalla, Claude Vautier, Bruno Vellas, Maryline Duboue, Nadège Costa, Pierre Rumeau, Benoit Lepage, Maria Soto Martin
INTRODUCTION: Neuropsychiatric symptoms (NPSs) in elderly patients with dementia are frequent in long-term care facilities (LTCFs) and are associated with adverse events. Telemedicine is an emerging way to provide consultation and care to dependent LTCF residents who may not have easy access to specialty services. Several studies have evaluated telemedicine for dementia care but to date, no study has evaluated its impact in the management of NPS in patients with dementia living in LTCF...
June 12, 2018: BMJ Open
Rose Miranda, Yolanda W H Penders, Tinne Smets, Luc Deliens, Guido Miccinesi, Tomás Vega Alonso, Sarah Moreels, Lieve Van den Block
Background: measuring the quality of primary palliative care for older people with dementia in different countries is important to identify areas where improvements can be made. Objective: using quality indicators (QIs), we systematically investigated the overall quality of primary palliative care for older people with dementia in three different countries. Design/setting: a mortality follow-back survey through nation- and region-wide representative Sentinel Networks of General Practitioners (GPs) in Belgium, Italy and Spain...
June 8, 2018: Age and Ageing
Rebecca O'Brien, Sarah E Goldberg, Alison Pilnick, Suzanne Beeke, Justine Schneider, Kate Sartain, Louise Thomson, Megan Murray, Bryn Baxendale, Rowan H Harwood
BACKGROUND: A quarter of acute hospital beds are occupied by persons living with dementia, many of whom have communication problems. Healthcare professionals lack confidence in dementia communication skills, but there are no evidence-based communication skills training approaches appropriate for professionals working in this context. We aimed to develop and pilot a dementia communication skills training course that was acceptable and useful to healthcare professionals, hospital patients and their relatives...
2018: PloS One
Péter Osváth, Attila Kovács, Adrienn Boda-Jörg, Tamás Tényi, Sándor Fekete, Viktor Vörös
Modern information and communication tools have increasingly become an indispensable part of our everyday life. Research data demonstrate that it can be used effectively to preserve and restore health, not just among young people but also among the elderly, as for nowadays the use of the internet is widespread among the elderly, but healthcare applications are less well-known. This supports the significance of our project since it is important to develop and introduce disease-specific healthcare applications...
June 2018: Orvosi Hetilap
Courtney A Polenick, Laura M Struble, Barbara Stanislawski, Molly Turnwald, Brianna Broderick, Laura N Gitlin, Helen C Kales
Background and objectives Behavioral and psychological symptoms of dementia are highly prevalent, stressful, and challenging to manage. Caregivers' approaches for handling these behaviors have implications for both care partners' well-being. Yet the specific strategies that caregivers use in their daily management of behavioral and psychological symptoms of dementia are relatively unknown. This study used in-depth focus group data to examine family caregivers' strategies for managing behavioral and psychological symptoms of dementia...
January 1, 2018: Dementia
Lesley Baillie, Nicola Thomas
Person-centred care is internationally recognised as best practice for the care of people with dementia. Personal information documents for people with dementia are proposed as a way to support person-centred care in healthcare settings. However, there is little research about how they are used in practice. The aim of this study was to analyse healthcare staff 's perceptions and experiences of using personal information documents, mainly Alzheimer's Society's 'This is me', for people with dementia in healthcare settings...
January 1, 2018: Dementia
Jung Kwak, Keith Anderson, Katharine O'Connell Valuch
Music & Memory (M&M) is a passive music intervention that uses personalized music playlists delivered on digital music players. This program has been increasingly adopted in nursing homes across the United States to facilitate communication, engagement, and socialization among persons with dementia (PWDs); however, few studies have evaluated the program's effect on PWDs' outcomes. In the present study, a randomized controlled crossover design was used to examine the impact of the M&M program on 59 PWDs in 10 nursing homes over a 14-week period...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Susan L Mitchell, Michele L Shaffer, Simon Cohen, Laura C Hanson, Daniel Habtemariam, Angelo E Volandes
Importance: Better advance care planning (ACP) can help promote goal-directed care in patients with advanced dementia. Objectives: To test whether an ACP video (vs usual care) has an effect on documented advance directives, level of care preferences, goals-of-care discussions, and burdensome treatments among nursing home residents with advanced dementia. Design, Setting, and Participants: The Educational Video to Improve Nursing home Care in End-stage dementia (EVINCE) trial was a cluster randomized clinical trial conducted between February 2013 and July 2017, at 64 Boston-area nursing homes (32 facilities per arm)...
June 4, 2018: JAMA Internal Medicine
Sarah Sanford, Gary Naglie, Duncan H Cameron, Mark J Rapoport
OBJECTIVES: To review qualitative research on the specific challenges and strategies that relate to driving cessation for older adults with dementia, from the perspectives of key informant groups. METHOD: A meta-synthesis of qualitative studies was conducted. Structured inclusion criteria were applied to screen 616 titles and abstracts, and 9 qualitative studies were included, published from 2002 to 2016. Descriptive themes were identified using content analysis and synthesized to generate analytic themes...
June 4, 2018: Clinical Gerontologist
Kotoka Murashima, Yukie Majima, Seiko Masuda, Yumiko Nakamura, Kaori Fukayama
In this study, we aimed to teach elementary school students how to practically deal with elderly people with dementia and developed and evaluated teaching materials using a communication robot called Pepper. The teaching material used the robot to model representative symptoms seen in elderly people with dementia in a realistic context. We applied the two principles of Merrill's first principle and the ARCS model to achieve learning objectives and sustain learning motivation. Furthermore, to verify the effectiveness of the teaching materials, we conducted a questionnaire survey on five experts in community welfare...
2018: Studies in Health Technology and Informatics
Michael Mileski, Joseph Baar Topinka, Matthew Brooks, Corie Lonidier, Kelly Linker, Kelsey Vander Veen
Objective: The primary objective of this study was to identify and further examine the facilitators and barriers of utilizing sensory and memory stimulation as a means to care for individuals with dementia who live in long-term care settings. Materials and methods: The authors conducted a literature review of 30 academic articles found using the databases such as CINAHL, PubMed, and Academic Search Ultimate from the past 15 years. Facilitator and barrier themes were found within each article and analyzed for their relevance to sensory and memory stimulation therapies and their effects on individuals with dementia...
2018: Clinical Interventions in Aging
Venexia M Walker, Neil M Davies, Patrick G Kehoe, Richard M Martin
BACKGROUND: Drugs for dementia have been available in England since 1997. Since their launch, there have been several changes to national guidelines and initiatives that may have influenced prescribing. These include changes in National Institute for Health and Care Excellence (NICE) guidance, several government dementia strategies, the addition of dementia to the Quality and Outcomes Framework (QOF), and the expiry of drug patents. Despite this, there has been little research into the effect of these events on prescribing...
May 29, 2018: Alzheimer's Research & Therapy
Urszula Witkowska-Płusa
Dementia and depressive disorders in the elderly have a significant influence on their behavior, including 10% to 65 years of age and as much as 40% after the age of 90. In turn, depressive disorders are diagnosed in about 2% of patients, with the frequency of changes increasing with age. In addition, symptoms of depression are more often observed in women, the disabled and chronic diseases. Differentiation of dementia and depression in the elderly is very difficult to perform, especially in open treatment...
May 25, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Javad Masoumi, Morteza Abbasloui, Reza Parvan, Daryoush Mohammadnejad, Graciela Pavon-Djavid, Abolfazl Barzegari, Jalal Abdolalizadeh
Alzheimer's disease (AD) is a progressive neurodegenerative disease with high outbreak rates. It is estimated that about 35 million individuals around the world suffered from dementia in 2010. AD is expected to increase twofold every 20 years and, by 2030, approximately 65 million people could suffer from this illness. AD is determined clinically by a cognitive impairment and pathologically by the production of amyloid beta (Aβ), neurofibrillary tangles, toxic free radicals and inflammatory mediators in the brain...
May 23, 2018: Neuropeptides
Jane Tan, Shiou-Liang Wee, Pei Shi Yeo, Juliet Choo, Michele Ritholz, Philip Yap
ABSTRACTObjectives:To develop and validate a new scale to assess music therapy engagement in persons with dementia (PWDs). DESIGN: A draft scale was derived from literature review and >2 years of qualitative recording of PWDs during music therapy. Content validity was attained through iterative consultations, trial sessions, and revisions. The final five-item Music Therapy Engagement scale for Dementia (MTED) assessed music and non-music related elements. Internal consistency and inter-rater reliability were assessed over 120 music therapy sessions...
May 25, 2018: International Psychogeriatrics
Charlotte Mallon, Janet Krska, Shivaun Gammie
AIM: To determine the views of care home (CH) staff in relation to experiencing and managing behaviour that challenges (BtC) in dementia and their experiences of training. METHOD: Cross-sectional survey using a self-report questionnaire, distributed to staff employed in a 20% sample of all registered dementia-specialist CHs in England, either by postal or direct distribution. RESULTS: Questionnaires were returned from 352 care staff (25%), representing 5% of all dementia-specialist CHs, half were CH without nursing...
May 25, 2018: Aging & Mental Health
Masateru Matsushita, Yusuke Yatabe, Asuka Koyama, Akiko Katsuya, Daisuke Ijichi, Yusuke Miyagawa, Hiroto Ikezaki, Noboru Furukawa, Manabu Ikeda, Mamoru Hashimoto
INTRODUCTION: To keep up appearances, people with dementia sometimes pretend to know the correct answer, as seen during administration of neuropsychological tests such as the Mini-Mental State Examination (MMSE). These saving appearance responses (SARs) of people with dementia often lead to caregivers and/or medical staff underestimating the severity of dementia and impede proper early initiation of treatment. However, most descriptions of SARs are based on empirical knowledge of clinicians...
2018: PloS One
Sally Hunter, Nadja Smailagic, Carol Brayne
Alzheimer's disease (AD) is a clinicopathologically defined syndrome leading to cognitive impairment. Following the recent failures of amyloid-based randomized controlled trials to change the course of AD, there are growing calls for a re-evaluation of basic AD research. Epidemiology offers one approach to integrating the available evidence. Here we examine relationships between evidence from population-based, clinicopathological studies of brain aging and a range of hypotheses from all areas of AD research...
May 16, 2018: Journal of Alzheimer's Disease: JAD
Anne A Fetherston, Grace Rowley, Charlotte L Allan
Dementia is a chronic, progressive disease that is now much more widely recognised and treated. Patients with dementia may require palliative care when they reach the end stage of their illness, or they may have mild-moderate cognitive symptoms comorbid with a life-limiting illness. The variety of presentations necessitates a highly individual approach to care planning, and patients should be encouraged to set their own goals and contribute to advanced care planning where possible. Assessment and management of distressing symptoms at the end of life can be greatly helped by a detailed knowledge of the individuals' prior wishes, interdisciplinary communication and recognition of changes in presentation that may result from new symptoms, for example, onset of pain, nutritional deficits and infection...
May 18, 2018: Evidence-based Mental Health
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