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Nancy A Hodgson
The review by Bird and colleagues (2016), published in this issue of International Psychogeriatrics, is notable for jointly examining the effect of dementia care interventions on both staff and resident quality outcomes. This is an important contribution to improving dementia care because it recognizes the dynamic and dyadic relationship between residents and their caregivers in residential settings. While evidence exists on the dyadic effect of family caregiver intervention on dementia patient outcomes (Gitlin and Hodgson, 2015), less attention has been given to formal caregivers in institutional settings (Dellefield et al...
October 17, 2016: International Psychogeriatrics
Cyril Hazif-Thomas
Consideration of pain in mental health proves fundamental in psychiatry, a fortiori psychogeriatrics. The elderly person is often confronted with a painful existential situation and the experience of physical pain that go unheard. This algic component of somatic origin is still, like moral pain, too trivialized, because of becoming elderly too fast. The culture of the fight against pain needs to be developed further as well as the practical training of doctors and caregivers.
September 2016: Soins. Gérontologie
Katherine Penny, Alex Barron, Ann-Marie Higgins, Susan Gee, Matthew Croucher, Gary Cheung
AIMS: Depression Rating Scale (DRS) is one of the clinical outcome measures of the International Resident Assessment Instrument (interRAI) assessment. The primary aim of this study is to investigate the diagnostic accuracy and concurrent validity of the 3-day assessment window version of the DRS. METHODS: The performance of DRS was compared with a gold standard clinical diagnosis of depression in 92 patients (age ≥65) who had interRAI version 9.1 Home Care assessment completed within 30 days of discharge from psychogeriatric inpatient care or memory clinic assessment...
September 19, 2016: Journal of Geriatric Psychiatry and Neurology
Claudia Ortoleva Bucher, Nicole Dubuc, Armin von Gunten, Lise Trottier, Diane Morin
BACKGROUND: Patients hospitalized on acute psychogeriatric wards are a heterogeneous population. Cluster analysis is a useful statistical method for partitioning a sample of patients into well separated groups of patients who present common characteristics. Several patient profile studies exist, but they are not adapted to acutely hospitalized psychogeriatric patients with cognitive impairment. The present study aims to partition patients hospitalized due to behavioral and psychological symptoms of dementia into profiles based on a global evaluation of mental health using cluster analysis...
2016: BMC Psychiatry
Daniel Rippon, Koen Milisen, Elke Detroyer, Elizabeta Mukaetova-Ladinska, Beth Harrison, Marieke Schuurmans, Claire Pryor, Andrew Teodorczuk
BACKGROUND: Despite awareness of the negative health and financial outcomes of delirium, systems to routinely assess and manage the condition are absent in clinical practice. We report the development and pilot evaluation of a Delirium Early Monitoring System (DEMS), designed to be completed by non-medical staff to influence clinical processes within inpatient settings. Two versions of the DEMS are described based on a modified Confusion Assessment Method (DEMS-CAM) and Delirium Observation Screening Scale (DEMS-DOSS)...
July 22, 2016: International Psychogeriatrics
M A M J Daamen, J P H Hamers, H P Brunner-la Rocca, J M G A Schols
OBJECTIVE: To determine the prevalence of heart failure (HF) in nursing home residents and to gain insight into the clinical characteristics of residents with heart failure. DESIGN: Multi-centre, observational, cross-sectional study. METHOD: 501 nursing home residents aged 65 years and over, in a department for chronic somatic diseases or a psychogeriatric department, participated in this study. The diagnosis of HF and the related characteristics were based on data collected from clinical examinations for heart failure (including history, physical examination, ECG, cardiac markers and echocardiography), patient records and questionnaires...
2016: Nederlands Tijdschrift Voor Geneeskunde
Anne-Sofie Helvik, Kirsten Corazzini, Geir Selbæk, Guro Hanevold Bjørkløf, Jerson Laks, Jūratė Šaltytė Benth, Truls Østbye, Knut Engedal
BACKGROUND: Knowledge about long-term change in health related quality of life (HQoL) among older adults after hospitalization for treatment of depression has clinical relevance. The aim was firstly to describe the change of HQoL one year after admission for treatment of depression, secondly to explore if improved HQoL was associated with remission of depression at follow-up and lastly to study how HQoL in patients with remission from depression were compared to a reference group of older persons without depression...
2016: BMC Geriatrics
B Grandal Leiros, L I Pérez Méndez, M V Zelaya Huerta, L Moreno Eguinoa, F García-Bragado, T Tuñón Álvarez, J J Roldán Larreta
INTRODUCTION: The aim of our study is to describe the types of dementia found in a series of patients and to estimate the level of agreement between the clinical diagnosis and post-mortem diagnosis. MATERIAL AND METHODS: We conducted a descriptive analysis of the prevalence of the types of dementia found in our series and we established the level of concordance between the clinical and the post-mortem diagnoses. The diagnosis was made based on current diagnostic criteria...
June 18, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Willem J R Bossers, Lucas H V van der Woude, Froukje Boersma, Tibor Hortobágyi, Erik J A Scherder, Marieke J G van Heuvelen
OBJECTIVES: To compare the effects of two exercise programs on proxy- and performance-based measures of activities of daily living (ADLs) and to explore potential motor and cognitive mediators underlying ADL improvements in individuals with dementia. DESIGN: A parallel, three-group, single-blind, randomized, controlled trial. SETTING: Psychogeriatric wards. PARTICIPANTS: Individuals with dementia (mean age 85.6 ± 5...
June 2016: Journal of the American Geriatrics Society
Claudia Ortoleva Bucher, Nicole Dubuc, Armin Von Gunten, Diane Morin
The description of the different profiles of somatic, psychiatric and socio-relational comorbidites of psychogeriatric inpatient hospitalized due to behavioral and psychological symptoms of dementia and their associated nursing interventions are poorly documented. This study aimed to describe the observations and interventions given to patients from the four LPCI clinical profiles and to reach a consensus of experts on relevant interventions per profile. A content analysis was conducted on computerized nursing notes of 40 patients...
March 2016: Recherche en Soins Infirmiers
June M Tordoff, Nagham J Ailabouni, Dorothy P Browne, Hesham S Al-Sallami, Andrew R Gray
UNLABELLED: Background Despite warnings of possible serious events, and reports of little benefit, antipsychotic agents are commonly prescribed in residential care for older people with dementia. A residential care provider (RCP) in New Zealand sought to examine and improve prescribing in some of their facilities. Objective To examine changes following a range of interventions implemented by a RCP to improve the prescribing of antipsychotics. Setting Thirteen dementia and psychogeriatric units in New Zealand managed by a RCP...
August 2016: International Journal of Clinical Pharmacy
Lonneke Schuurmans, Marie-Jose Enders-Slegers, Theo Verheggen, Jos Schols
OBJECTIVES: Animal-assisted interventions (AAI) have become more and more popular in nursing homes in the past decade. Various initiatives for using animals in nursing homes have been developed over the years (eg, animal visiting programs, residential companion animals, petting zoos) and, on the whole, the number of nursing homes that refuse animals on their premises has declined. In this survey, we aimed to determine how many Dutch nursing homes offer AAIs, what type of interventions are used, and with what aim...
July 1, 2016: Journal of the American Medical Directors Association
Firoz Kazhungil, Rajmohan Velayudhan, Manoj Kumar, Raghuram Thazhe Mangool
BACKGROUND: Alzheimer's disease (AD) and major depressive disorder are the two most common psychogeriatric disorders. Late-onset depression (LOD) is the most common cause of emotional suffering in the elderly and is associated with a poor quality of life in caregivers. Although the burden on caregivers of individuals suffering from AD has been well studied, there is a paucity of comparative studies on caregiver burden between AD and LOD. The objectives of this study were to compare the caregiver burden in LOD and AD and to identify factors associated with caregiver burden in LOD...
May 2016: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Janina Geib, Monika A Rieger, Stefanie Joos, Gerhard W Eschweiler, Florian G Metzger
BACKGROUND: The number of elderly patients with depression has steadily increased in recent years; therefore, new treatment options and therapy approaches are urgently needed to improve treatment in this patient group. The aim of this project was to evaluate the additional application of auricular acupuncture according to the NADA protocol in patients treated in a daytime ward in terms of acceptability and feasibility. METHODS: A total of 20 psychogeriatric patients from a daytime clinic suffering from major depression (ICD-10: F32-F33) received auricular acupuncture in addition to the standard treatment three times per week over a treatment course of 3 weeks...
May 4, 2016: Zeitschrift Für Gerontologie und Geriatrie
Roger Bemelmans, Gert Jan Gelderblom, Pieter Jonker, Luc de Witte
BACKGROUND: Social robots, with Paro being an example, offer new opportunities for innovative approaches in dementia care. OBJECTIVES: To investigate how interventions, with the socially assistive robot Paro, can be implemented in daily care practice. DESIGN: Paro was used according to individualized interventions, aiming at predefined specific care problems, during a 3-week period. Selected residents were offered Paro once or twice a week...
May 2016: Applied Nursing Research: ANR
Imogen C Rehm, Selma Musić, Anthony Carlsson, Faye Scanlan, Mark Silver, Sunil S Bhar
In anticipation of the growing need for adequate mental health care for older adults in residential aged care facilities, psychologists are challenged to overcome several barriers that impede the uptake and delivery of their services in such settings. Information and communication technologies (ICT) have strong potential to overcome some of these barriers by supporting the delivery of evidence-based psychosocial treatments for common psychogeriatric issues. This paper presents two case studies that illustrate when and how psychologists can use various ICT applications (e...
September 2016: Journal of Clinical Psychology in Medical Settings
Nicola T Lautenschlager, David Ames
In 2014, International Psychogeriatrics (IPG) for the first time introduced a "paper of the month" category as part of the 25th year's milestone celebrations. Papers of the month were chosen through an internal selection process by the IPG editorial team. Each month, the seven editors ranked suitable accepted papers from the categories "original research articles" and "reviews" according to scientific quality and clinical relevance. Each paper of the month was accompanied by a brief commentary written by one of the IPG editors, one of the reviewers for the paper, or an international expert on the specific topic of the paper...
June 2016: International Psychogeriatrics
Claudia Ortoleva Bucher, Nicole Dubuc, Armin von Gunten, Diane Morin
BACKGROUND: The clinical courses of psychogeriatric inpatients presenting behavioral and psychological symptoms of dementia, between their admission and discharge, have been poorly documented. Based upon our previously elaborated profiles of psychogeriatric patients, this study aimed to describe these courses and to explore whether changing clinical profiles could predict living arrangements at discharge. METHODS: Retrospective data were collected on 397 patients with dementia and hospitalized from 2011 to 2014 in French-speaking Switzerland...
July 2016: Archives of Gerontology and Geriatrics
Laura C Hartog, Steven H Hendriks, Mateja Cimzar-Sweelssen, Astrid Knipscheer, Klaas H Groenier, Nanne Kleefstra, Henk J G Bilo, Kornelis J J van Hateren
OBJECTIVE: Hypertension, orthostatic hypotension and orthostatic hypertension (OHT) are highly prevalent in old age. The associations in the very elderly and frail patients between blood pressure, and especially orthostatic changes in blood pressure, and mortality are unclear. We aimed to investigate the relationships between orthostatic changes in blood pressure, blood pressure and mortality in nursing home residents. DESIGN AND METHODS: A prospective observational cohort study...
June 2016: Journal of Hypertension
Nicola T Lautenschlager
This brief editorial is written at the beginning of a new calendar year and it is typical for this time to ponder what changes the new year will bring. One exciting change for International Psychogeriatrics (IPG) is the introduction of a new category of paper, the Brief Report.
April 2016: International Psychogeriatrics
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