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https://www.readbyqxmd.com/read/29684095/correction-communicating-with-people-living-with-dementia-who-are-nonverbal-the-creation-of-adaptive-interaction
#1
Maggie Ellis, Arlene Astell
[This corrects the article DOI: 10.1371/journal.pone.0180395.].
2018: PloS One
https://www.readbyqxmd.com/read/29679089/general-practitioner-s-attitudes-and-confidence-in-managing-patients-with-dementia-in-singapore
#2
Mythily Subramaniam, Hui Lin Ong, Edimansyah Abdin, Boon Yiang Chua, Saleha Shafie, Fiona Devi Siva Kumar, Sophia Foo, Li Ling Ng, Alvin Lum, Janhavi A Vaingankar, Siow Ann Chong
The number of people living with dementia is increasing globally as a result of an ageing population. General practitioners (GPs), as the front-line care providers in communities, are important stakeholders in the system of care for people with dementia. This commentary describes a study conducted to understand GPs' attitudes and self-perceived competencies when dealing with patients with dementia and their caregivers in Singapore. A set of study information sheet and survey questionnaires were mailed to selected GP clinics in Singapore...
March 2018: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/29676499/responsibility-and-age-related-dementia
#3
Petr Frantik
This article identifies the assumption of responsibility as a basic need of human beings and applies the concept specifically to older people with dementia or Alzheimer's disease. It suggests a two-level concept of responsibility, based on the approach of discourse ethicist Karl-Otto Apel, as a promising approach to recognizing human diversity while at the same time respecting people's equal rights to participate in discourse. This concept can serve as a theoretical starting point for the construction of individually adapted types of responsibility...
May 2018: Bioethics
https://www.readbyqxmd.com/read/29672075/the-telephone-effect-overcoming-initiation-deficits-in-two-settings
#4
Kayci L Vickers, Michael E Keesler, Kelli S Williams, Jeremy Y Charles, Roy H Hamilton
PURPOSE: Disorders of motivation substantially impair an individual's ability to communicate with their families, therapists, and doctors. One method of overcoming initiation deficits is by utilizing the telephone effect, which is the ability for individuals with severe motivation deficits to communicate more readily when speaking on a telephone. However, little is available in the extant literature on how this effect works or how best to integrate this into patient care. This article aims to provide the first report of a proposed mechanism underlying the telephone effect and the first published procedures for eliciting this effect...
April 19, 2018: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29669461/connected-speech-and-language-in-mild-cognitive-impairment-and-alzheimer-s-disease-a-review-of-picture-description-tasks
#5
Kimberly D Mueller, Bruce Hermann, Jonilda Mecollari, Lyn S Turkstra
INTRODUCTION: The neuropsychological profile of people with mild cognitive impairment (MCI) and Alzheimer's disease (AD) dementia includes a history of decline in memory and other cognitive domains, including language. While language impairments have been well described in AD dementia, language features of MCI are less well understood. Connected speech and language analysis is the study of an individual's spoken discourse, usually elicited by a target stimulus, the results of which can facilitate understanding of how language deficits typical of MCI and AD dementia manifest in everyday communication...
April 19, 2018: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/29665095/enteral-nutrition-and-dementia-integrating-ethics
#6
Denise Baird Schwartz
This narrative review highlights topics related to feeding patients with dementia, including the use of ethical principles and legal precedents; specifies guidelines and practice recommendations; provides an option to assist in applying the recommendations, such as comfort feedings instead of enteral nutrition; promotes the use of early advance care planning to achieve medical therapies based on an individual's wishes; and provides 3 case studies to demonstrate the clinical application of the information presented in the article...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29661097/qualitative-evaluation-of-how-a-virtual-dementia-experience-impacts-medical-and-pharmacy-students-self-reported-knowledge-and-attitudes-towards-people-with-dementia
#7
Julia F-M Gilmartin-Thomas, John McNeil, Anne Powell, Daniel T Malone, Ian C Larson, Claire L O'Reilly, Carl M Kirkpatrick, Eva Kipen, Tanya Petrovich, Taliesin E Ryan-Atwood, J Simon Bell
Objectives It is important for healthcare professional students to understand the experience of people with dementia, their family, and their carers. Despite person-centred educational policies, current curriculums may not adequately prepare students to meet the needs of people with dementia. This study qualitatively evaluated the impact of a virtual dementia experience on medical and pharmacy students' self-reported knowledge and attitudes towards people with dementia. Methods Ten focus groups were conducted with 29 medical and 24 pharmacy students in September and October 2016...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29659032/at-with-and-beyond-risk-expectations-of-living-with-the-possibility-of-future-dementia
#8
Richard Milne, Ana Diaz, Shirlene Badger, Eline Bunnik, Karine Fauria, Katie Wells
Biomedical research aimed at the development of therapies for chronic and late-onset conditions increasingly concentrates on the early treatment of symptom-less disease. This broad trend is evidenced in prominent shifts in contemporary dementia research. Revised diagnostic criteria and new approaches to clinical trials propose a focus on earlier stages of disease and prompt concerns about the implications of communicating test results associated with the risk of developing dementia when no effective treatments are available...
April 16, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29658306/-how-do-they-want-to-know-doctors-perspectives-on-making-and-communicating-a-diagnosis-of-dementia
#9
Cate Bailey, Jemima Dooley, Rose McCabe
Recent drives to facilitate earlier identification of dementia have led to increased memory clinic referrals and diagnoses. This study explored the perspectives of memory clinic doctors on making and delivering diagnoses. Four focus groups were conducted with 13 psychiatrists and two geriatricians in the UK. Transcripts were coded line by line using NVIVO. Thematic analysis identified 39 categories, 18 sub-themes and eight overarching themes. Inter-rater reliability on 31% of the data was 0.89. Increased public awareness of dementia was viewed positively in facilitating access to diagnosis and treatment...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29644987/preventing-and-managing-workplace-violence-against-healthcare-workers-in-emergency-departments
#10
Gabriele D'Ettorre, Vincenza Pellicani, Mauro Mazzotta, Annamaria Vullo
BACKGROUND AND AIM: Healthcare workers (HCWs) employed in Emergency Departments (EDs) frequently face with patients becoming violent because of long wait or diseases or under the influence of alcohol or drugs. Globally, workplace violence (WPV) in EDs is a major challenge to safety for HCWs, involving significant consequences to the victims, patients, and healthcare organizations. We reviewed the current literature with the aim to explore the topics focused on and to detect new evidences about approaching the issue of WPV toward HCWs in EDs...
February 21, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29623525/what-are-the-caregivers-needs-on-dementia-care-an-integrated-qualitative-and-quantitative-assessment
#11
Ilaria Cova, N Travi, L Maggiore, V Cucumo, C Mariani, S Pomati
Dementia is one of the main causes of disability later in life. Interventions in support of patients with dementia aim at granting the highest level of independence in activities of daily living and at delivering the required facilities; formal and informal caregivers represent the interface between patients and health services. The aims of our study were to assess caregivers' perceived needs and to relate them to their own socio-cultural features and to patients' clinical characteristics. During three consecutive months, 50 caregivers of patients with dementia were interviewed about their needs in the assistance of subjects with dementia by means of three structured questionnaires (Caregiver Needs Assessment [CNA], Zarit Burden Inventory [ZBI], Neuropsychiatric Inventory-Questionnaire [NPI-Q]) and of two open-ended questions...
April 5, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29620949/associations-between-race-and-dementia-status-and-the-quality-of-end-of-life-care
#12
Elizabeth A Luth, Holly G Prigerson
BACKGROUND: Non-Hispanic black and dementia patients receive more invasive and futile treatment at end of life (EOL) relative to others. Little is known about the relationship between race/ethnicity, dementia, and EOL care quality. OBJECTIVE: Identify the relationship between race/ethnicity, dementia, and proxy reporters' evaluation of EOL care quality in older adults. DESIGN: Latent class analysis (LCA) of national survey data. SETTING: 1588 deceased Medicare beneficiaries age 65 and older from the National Health and Aging Trends Study (2011-2016)...
April 5, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29618389/barriers-and-facilitators-for-guidelines-with-depression-and-anxiety-in-parkinson-s-disease-or-dementia
#13
Zahra Goodarzi, Heather M Hanson, Nathalie Jette, Scott Patten, Tamara Pringsheim, Jayna Holroyd-Leduc
ABSTRACTOur primary objective was to understand the barriers and facilitators associated with the implementation of high-quality clinical practice guidelines (CPGs) for depression and anxiety in patients with dementia or Parkinson's disease (PD). We conducted focus groups or interviews with participants experiencing dementia or PD, their caregivers, and physicians in Calgary, Alberta, and applied the theoretical domains framework and behaviour change wheel to guide data collection and perform a framework analysis...
April 5, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29617933/a-qualitative-study-of-female-caregiving-spouses-experiences-of-intimate-relationships-as-cognition-declines-in-parkinson-s-disease
#14
Sabina Vatter, Kathryn R McDonald, Emma Stanmore, Linda Clare, Sheree A McCormick, Iracema Leroi
Background: the complex and progressive nature of Parkinson's disease (PD) and cognitive impairment may necessitate a care provider, a role which is frequently undertaken by a spouse. Providing and receiving care related to dementia impacts on a couple's partnership and may result in decreased intimacy and relationship satisfaction. Objective: to explore the changes in long-term intimate relationships in Parkinson's-related dementia, as perceived by spouses providing care to their partners...
April 3, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29616607/non-pharmacological-interventions-for-persons-with-dementia-what-are-they-and-how-should-they-be-studied
#15
Jiska Cohen-Mansfield
The publication of four papers concerning non-pharmacological interventions for persons with dementia heralds progress in the science of dementia care. The four papers are very diverse in focus and methodology, and include a study of the impact of a visual arts program on quality of life, communication, and well-being by Windle et al. (2017); an overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia by Dyer et al...
March 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29608380/the-alzheimer-s-disease-home-hospice-knowledge-scale-development-validity-and-reliability
#16
Pnina Sela-Katz, Perla Werner
BACKGROUND: Several instruments are available to assess knowledge about hospice care, but none specifically address knowledge about home hospice for persons with Alzheimer's disease (AD). AIM: To develop and validate the Alzheimer's Disease Home Hospice Knowledge Scale (AD-HHK-S). METHODS: A total of 107 Israeli family caregivers of persons with dementia (mean age=71.2; 73% female) participated in the study. RESULTS: The AD-HHK-S included 28 true/false items assessing 3 areas of knowledge: knowledge about hospice, knowledge about home hospice, and knowledge about home hospice for AD...
March 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29608338/exploring-provider-surrogate-communication-during-polst-discussions-for-individuals-with-advanced-dementia
#17
Hyejin Kim, Christine Bradway, Susan E Hickman, Mary Ersek
OBJECTIVES: This qualitative descriptive study explored provider-surrogate communication during Physician Orders for Life-Sustaining Treatment (POLST) discussions for patients with advanced dementia. METHODS: Data from participant observations and audio-recordings of ten POLST discussions were analyzed using directed content analysis within the context of an existing conceptual model of Communication and Surrogate Decision Making. RESULTS: Surrogates primarily focused on making sense of the clinical information about life-sustaining treatments during POLST conversations...
April 2, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29584807/pain-assessment-in-the-older-population-what-the-literature-says
#18
Pat Schofield, Aza Abdulla
Assessment of pain in the older adult presents a number of challenges, especially related to communication. This commentary summarises the revised evidence-based Guidelines on the Assessment of Pain in Older Adults which have been developed by the British Pain Society and British Geriatrics Society. The guideline summarises the pain assessment tools that have been developed and validated for use in the older population. Recommendations are made for use of specific tools in older people and in those with dementia...
March 23, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29573753/therapeutic-lies-in-dementia-care-should-psychologists-teach-others-to-be-person-centred-liars
#19
Ian A James, Roberta Caiazza
BACKGROUND: Therapeutic lies are frequently used communication strategies, often employed when the person with dementia does not share the same reality as the carer (James and Jackman, 2017; Tuckett 2004; Blum, 1994). Their use is complex and controversial, and a number of protocols have been produced to guide their usage (Mental Health Foundation, 2016). AIMS: The study examined clinicians' perspective on using therapeutic lies in their daily practice and their roles in encouraging the proper use of such a communication strategy...
March 25, 2018: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29573594/looking-but-not-seeing-increased-eye-fixations-in-behavioural-variant-frontotemporal-dementia
#20
Rosalind Hutchings, Romina Palermo, Jason Bruggemann, John R Hodges, Olivier Piguet, Fiona Kumfor
Face processing plays a central role in human communication, with the eye region a particularly important cue for discriminating emotions. Indeed, reduced attention to the eyes has been argued to underlie social deficits in a number of clinical populations. Despite well-established impairments in facial affect recognition in behavioural-variant frontotemporal dementia, whether these patients also have perturbed facial scanning is yet to be investigated. The current study employed eye tracking to record visual scanning of faces in 20 behavioural-variant frontotemporal dementia patients and 21 controls...
February 27, 2018: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
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