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https://www.readbyqxmd.com/read/29568856/approach-to-the-forgetful-patient
#1
Peng Soon Yoon, Chun How Ooi, Choon How How
Singapore has an ageing population with a projected 53,000 people aged ≥ 60 years living with dementia by 2020. Primary care doctors have the opportunity to initiate early work-up for reversible causes of cognitive dysfunction, allowing identification of comorbidities and discussion of medical therapy options. Early diagnosis confers the sick role on the patient, which allays frustration and explains events and behaviour that may have strained relationships with family and friends. The patient can be encouraged to plan for future health and personal care options with a Lasting Power of Attorney and/or Advance Care Planning...
March 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29527643/an-international-approach-to-enhancing-a-national-guideline-on-driving-and-dementia
#2
REVIEW
Mark J Rapoport, Justin N Chee, David B Carr, Frank Molnar, Gary Naglie, Jamie Dow, Richard Marottoli, Sara Mitchell, Mark Tant, Nathan Herrmann, Krista L Lanctôt, John-Paul Taylor, Paul C Donaghy, Sherrilene Classen, Desmond O'Neill
PURPOSE OF REVIEW: The purpose of this study was to update a national guideline on assessing drivers with dementia, addressing limitations of previous versions which included a lack of developmental rigor and stakeholder involvement. METHODS: An international multidisciplinary team reviewed 104 different recommendations from 12 previous guidelines on assessing drivers with dementia in light of a recent review of the literature. Revised guideline recommendations were drafted by consensus...
March 12, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29527046/kilpauk-mental-hospital-the-bethlem-of-south-asia-a-recall-of-its-history-prior-to-1970
#3
O Somasundaram, Ponnudurai Ratnaraj
Period of Custodial Care Only: The magnificent "Institute of Mental Health" has its history almost from 1795 when the East India company appointed Surgeon Valentine Conolly to be in charge of a "House for accommodating persons of unsound mind." After a few transitions, backed by a government order for the construction of a lunatic asylum in a 66 1/2 acre site, the asylum started functioning from 1871. The period of about six decades from its inception could be referred to as "the period of custodial care...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29523090/health-economic-evaluations-of-non-pharmacological-interventions-for-persons-with-dementia-and-their-informal-caregivers-a-systematic-review
#4
Franziska Nickel, Janina Barth, Peter L Kolominsky-Rabas
BACKGROUND: This systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive impairment and their respective caregivers. METHODS: A systematic literature research was conducted for the timeframe from 2010 to 2016 in the following databases: Centre for Reviews and Dissemination, EconLit, Embase, Cochrane Library, PsycINFO and PubMed...
March 9, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29490537/meaningful-engagement-and-person-centered-residential-dementia-care-a-critical-interpretive-synthesis
#5
Sanetta H J Du Toit, Xizi Shen, Margaret McGrath
BACKGROUND: People with moderate to advanced dementia living in residential care are at risk of occupational deprivation. Person-centered care has been adopted as a guiding principle in the provision of residential care for older adults with dementia. In this context, there has been shift in occupational therapy practice from addressing occupational performance towards focusing on meaningful engagement. While both meaningful engagement and person-centered care have been well researched the relationship between the two concepts is poorly understood...
February 28, 2018: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29405016/-an-occupational-therapy-intervention-for-people-with-dementia
#6
Hung-Hsun Ke
The percentage of individuals with dementia worldwide is increasing with the continued trend toward global trend overall. As options for the medical treatment of dementia remain limited, combined, non-pharmacological interventions are necessary to maintain and slow the degeneration of functional capabilities. Additionally, there is a need to help caregivers develop better patterns of care and methods to reduce the burden of care. Therefore, occupational therapists play an important role in the dementia care team...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29218401/using-multimedia-information-and-communication-technology-ict-to-provide-added-value-to-reminiscence-therapy-for-people-with-dementia-lessons-learned-from-three-field-studies
#7
REVIEW
Alexander Bejan, Ramazan Gündogdu, Katherina Butz, Nadine Müller, Christophe Kunze, Peter König
BACKGROUND: In the care of people with dementia (PwD), occupational therapies and activities aiming at maintaining the quality of life of PwD, such as reminiscence therapy (RT), are taking on a more and more important role. Information and communication technology (ICT) has the potential to improve and to facilitate RT by facilitating access to and selection of biographical information and related contents or by providing novel multimodal interaction forms to trigger memories; however, interactive multimedia technology is barely used in practice...
January 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29209201/do-lifestyle-activities-protect-against-cognitive-decline-in-aging-a-review
#8
Gregory J Christie, Tara Hamilton, Bradley D Manor, Norman A S Farb, Faranak Farzan, Andrew Sixsmith, Jean-Jacques Temprado, Sylvain Moreno
The number of patients suffering from dementia is expected to more than triple by the year 2040, and this represents a major challenge to publicly-funded healthcare systems throughout the world. One of the most effective prevention mechanisms against dementia lies in increasing brain- and cognitive-reserve capacity, which has been found to reduce the behavioral severity of dementia symptoms as neurological degeneration progresses. To date though, most of the factors known to enhance this reserve stem from largely immutable history factors, such as level of education and occupational attainment...
2017: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/29170592/enablers-and-challenges-to-occupational-therapists-research-engagement-a-qualitative-study
#9
Laura Di Bona, Jennifer Wenborn, Becky Field, Sinéad M Hynes, Ritchard Ledgerd, Gail Mountain, Tom Swinson
Introduction: To develop occupational therapy's evidence base and improve its clinical outcomes, occupational therapists must increase their research involvement. Barriers to research consumption and leadership are well documented, but those relating to delivering research interventions, less so. Yet, interventions need to be researched within practice to demonstrate their clinical effectiveness. This study aims to improve understanding of challenges and enablers experienced by occupational therapists who deliver interventions within research programmes...
November 2017: British Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29132018/the-provision-of-accredited-higher-education-on-dementia-in-six-european-countries-an-exploratory-study
#10
Simona Hvalič-Touzery, Brigita Skela-Savič, Rhoda Macrae, Anna Jack-Waugh, Debbie Tolson, Amanda Hellström, Wilson de Abreu, Katja Pesjak
BACKGROUND: The World Health Organization has identified developing the knowledge and skills of healthcare professionals who are involved in dementia care as a priority. Most healthcare professionals lack the necessary knowledge, skills and understanding to provide high quality dementia care. While dementia education amongst most UK university health and social care programmes is inconsistent, we know little about the provision of dementia education in European universities. OBJECTIVES: To examine the provision of accredited higher education on dementia in European countries, to illustrate that it is highly variable despite universities being the major provider of education for healthcare professionals internationally...
January 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29097979/a-qualitative-study-to-explore-ways-to-observe-results-of-engaging-activities-in-clients-with-dementia
#11
Masahiro Ogawa, Seiji Nishida, Haruna Shirai
Background: Many occupational therapists face the challenge of helping clients with dementia to select and perform meaningful occupations, which may be difficult due to cognitive impairment. Understanding tacit knowledge of well-experienced occupational therapists could positively affect occupational therapy practice for clients with dementia. Objectives of Study: To explore the observations of experienced occupational therapists when evaluating the effects of activities in clients with dementia...
2017: Occupational Therapy International
https://www.readbyqxmd.com/read/29034719/the-tailored-activity-program-tap-to-address-behavioral-disturbances-in-frontotemporal-dementia-a-feasibility-and-pilot-study
#12
Claire M O'Connor, Lindy Clemson, Henry Brodaty, Lee-Fay Low, Yun-Hee Jeon, Laura N Gitlin, Olivier Piguet, Eneida Mioshi
PURPOSE: To explore the feasibility of implementing the Tailored Activity Program with a cohort of people with frontotemporal dementia and their carers (dyads). METHODS: The Tailored Activity Program is an occupational therapy based intervention that involves working collaboratively with family carers and prescribes personalized activities for behavioral management in people with dementia. Twenty dyads randomized into the study (Tailored Activity Program: n = 9; Control: n = 11) were assessed at baseline and 4-months...
October 15, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28994304/an-exploration-of-the-experience-of-using-calendar-reminders-for-people-with-dementia-and-family-carers
#13
Nina Evans, Lesley Collier
People with dementia and family carers often use calendars to support time orientation to maintain routine. However, little is known about the use of calendars as a compensatory strategy. This study examines the experience and practicalities of using calendar reminders from the perspective of people with dementia and family carers. Six dyads were recruited and interviewed at home. Interpretative Phenomenological Analysis was used to develop a narrative interpreted from an occupational therapy perspective. The themes were reflected on during two subsequent focus groups...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28964453/a-systematic-review-of-the-economic-evidence-for-home-support-interventions-in-dementia
#14
REVIEW
Paul Clarkson, Linda Davies, Rowan Jasper, Niklas Loynes, David Challis
BACKGROUND: Recent evidence signals the need for effective forms of home support to people with dementia and their carers. The cost-effectiveness evidence of different approaches to support is scant. OBJECTIVES: To appraise economic evidence on the cost-effectiveness of home support interventions for dementia to inform future evaluation. METHODS: A systematic literature review of full and partial economic evaluations was performed using the British National Health Service Economic Evaluation Database supplemented by additional references...
September 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28949318/psychogeriatric-diagnoses-in-old-people-s-homes-and-negative-health-behavior
#15
Spomenka Tomek-Roksandić, Ivana Popek, Nada Tomasović Mrčela, Zvonimir Šostar, Branko Kolarić, Nina Smolej Narančić, Ana Stavljenić Rukavina, Mate Ljubičić
BACKGROUND: The study was designed as a gerontologic-public health analysis of the relationship between the leading and accompanying psychogeriatric diagnoses and negative health behaviors recorded in the old people's home users, with the aim to evaluate and redefine gerontologic-public health priorities and geroprophylactic measures, with special reference to persons suffering from Alzheimer's disease and other dementias. SUBJECT AND METHODS: Gerontologic-public health indicators obtained by monitoring health care needs of the elderly in specific institutional primary health care at 10 old people's homes (N=1185) in Croatia in 2013 were analyzed using the professional methodology developed at Department of Health Gerontology, Andrija Štampar Teaching Institute of Public Health (Registry List 1 that refers to monitoring specific primary health care needs of elderly at old people's homes)...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28923160/applying-the-neurodynamics-of-emotional-circular-causalities-in-psychosocial-and-cognitive-therapy-using-multi-sensory-environments-an-orbde-case-study-analysis
#16
Janice Ryan
This exploratory, evidence-based practice research study focuses on presenting a plausible mesoscopic brain dynamics hypothesis for the benefits of treating clients with psychosocial and cognitive challenges using a mindful therapeutic approach and multi-sensory environments. After an extensive neuroscientific review of the therapeutic benefits of mindfulness, a multi-sensory environment is presented as a window of therapeutic opportunity to more quickly and efficiently facilitate the neurobiological experience of becoming more mindful or conscious of self and environment...
October 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28878462/effect-of-task-oriented-activities-on-hand-functions-cognitive-functions-and-self-expression-of-elderly-patients-with-dementia
#17
Bo-Young Son, Yo-Soon Bang, Min-Ji Hwang, Eun-Ju Oh
[Purpose] This study investigates the effects of task-oriented activities on hand function, cognitive function, and self-expression of the elderly with dementia, and then identify the influencing factors on self-expression in sub-factors of dependent variables. [Subjects and Methods] Forty elderly persons were divided into two groups: intervention group (n=20) and control group (n=20). The interventions were applied to the subjects 3 times a week, 50 minutes per each time, for a total of five weeks. We measured the jamar hand dynamometer test for grip strength, the jamar hydraulic pinch gauge test for prehension test, nine-hole pegboard test for coordination test, and Loewenstein Occupational Therapy Cognitive Assessment-Geriatric Population for cognitive function, and self-expression rating scale for self-expression test...
August 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28809656/animal-assisted-therapies-and-dementia-a-systematic-mapping-review-using-the-lived-environment-life-quality-lelq-model
#18
REVIEW
Wendy Wood, Beth Fields, Michelle Rose, Merinda McLure
OBJECTIVE: The authors mapped the literature on animal-assisted therapies (AATs) and institutionalized adults with dementia onto the Lived Environment Life Quality (LELQ) Model as a guide for future services and research. METHOD: Refereed literature addressing AATs and institutionalized people with dementia was comprehensively gathered, described, categorized, and synthesized in this systematic mapping review. RESULTS: From 1,342 screened records, the authors included 10 research articles that incorporated dogs in therapy for institutionalized adults with dementia...
September 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28575566/-adaptation-to-intermittent-hypoxia-hyperoxia-improves-cognitive-performance-and-exercise-tolerance-in-elderly
#19
U Bayer, O S Glazachev, R Likar, M Burtscher, W Kofler, G Pinter, H Stettner, S Demschar, B Trummer, S Neuwersch
For improvements in exercise tolerance and cognitive function in geriatric patients Multimodal training programs (MTP) are used as combination of physiotherapy, occupational therapy and cardiovascular training. Intermittent Hypoxic-Hyperoxic Training (IHHT), a modified type of intermittent hypoxic training (IHT) is proposed to be included in MTP to elicit more pronounced beneficial effects in exercise tolerance and cognitive functions of geriatric patients likely by an additional pathway than a single MTP. Thirty four patients of the Geriatric Day Clinic aged between 64 and 92 years participated in the placebo controlled clinical trial...
2017: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/28558714/feasibility-and-efficacy-of-a-multi-factorial-intervention-to-prevent-falls-in-older-adults-with-cognitive-impairment-living-in-residential-care-prof-cog-a-feasibility-and-pilot-cluster-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Julie Whitney, Stephen H D Jackson, Finbarr C Martin
BACKGROUND: Falls are common in people with dementia living in residential care. The ProF-Cog intervention was developed to address fall risk factors specific to this population. The aim of this study was to evaluate the safety, acceptability, and feasibility of the intervention and provide an estimate of its efficacy. METHODS: This was a cluster randomised controlled pilot study undertaken in care homes in London, UK. All permanent residents living in participating homes who were not terminally ill were invited to participate...
May 30, 2017: BMC Geriatrics
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