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behavioural psychosocial dementia

Anette Lolk, Kjeld Andersen
Behavioural and psychological symptoms in dementia are common. The symptoms include anxiety, depression, and psychosis, thus mimicking delirium. A thorough somatic examination, including current medication, is therefore very important before initiating any treatment. If behavioural and psychological symptoms of dementia is established, first-line treatment is non-pharmacological addressing possible needs and psychosocial problems. Only if this treatment is insufficient, pharmacological treatment can be considered...
March 20, 2017: Ugeskrift for Laeger
Bianca Alexandra Lautarescu, Anthony John Holland, Shahid H Zaman
Adults with Down syndrome (DS) are at a very high risk of developing early onset Alzheimer's disease (AD) due to trisomy of chromosome 21. AD is preceded by a prolonged prodromal "pre-clinical" phase presenting with clinical features that do not fulfil the diagnostic criteria for AD. It is important to clinically characterise this prodromal stage to help early detection of the disease as neuropathology of AD is almost universal by the fifth decade in DS. There is a lack of knowledge of the trajectory of decline associated with the onset of dementia in this population and early signs may be overlooked or misdiagnosed, negatively affecting the quality of life of those affected and the use of early pharmacological or psychosocial interventions...
March 2017: Neuropsychology Review
Miharu Nakanishi, Kayo Hirooka, Yuko Morimoto, Atsushi Nishida
OBJECTIVE: Palliative care for dementia includes psychosocial interventions as first-line treatment for challenging behaviour. However, the national dementia plan in Japan contradicts recommendations for palliative care for dementia. This study aimed to examine the association between care quality for patients with dementia and professional caregivers' perspectives regarding palliative care for dementia in Japanese community care settings. METHODS: In total, 2116 professional caregivers from 329 agencies (217 in-home long-term care support providers; 29 small-scale, multiple home-care providers; and 83 group homes) in Tokyo prefecture, Japan, completed cross-sectional, paper-based questionnaires about 3603 people diagnosed with dementia, in May 2016...
November 17, 2016: International Journal of Geriatric Psychiatry
J H Spreadbury, C M Kipps
BACKGROUND: Research is beginning to demonstrate the unique psychosocial effects of young onset dementia. Theorising remains at an early stage and there has been little discussion about measurement and methodological issues. Our aim was to conduct a comprehensive literature search of the young onset dementia psychosocial research, and to identify the domains of experience measured with patients and caregivers. METHOD: We conducted a search of five electronic databases (Medline, CINAHL, PsycINFO, Embase, the Cochrane Library) using equivalent database controlled vocabulary terms...
August 10, 2016: Dementia
Jan R Oyebode, Sahdia Parveen
An influential review in 2010 concluded that non-pharmacological multi-component interventions have positive effects on cognitive functioning, activities of daily living, behaviour and mood of people with dementia. Our aim here is to provide an up-to-date overview of research into psychosocial interventions and their impact on psychosocial outcomes. We focused on randomised controlled trials, controlled studies and reviews published between October 2008 and August 2015, since the earlier review. The search of PsychInfo, Medline and the Cochrane database of systematic reviews yielded 61 relevant articles, organised into four themes echoing key phases of the care pathway: Living at home with dementia (five reviews, eight studies), carer interventions (three reviews, four studies), interventions in residential care (16 reviews, 12 studies) and end-of-life care (three reviews, two studies), along with an additional group spanning community and institutional settings (six reviews, two studies)...
July 4, 2016: Dementia
Claire A Surr, Rebecca E A Walwyn, Amanda Lilley-Kelly, Robert Cicero, David Meads, Clive Ballard, Kayleigh Burton, Lynn Chenoweth, Anne Corbett, Byron Creese, Murna Downs, Amanda J Farrin, Jane Fossey, Lucy Garrod, Elizabeth H Graham, Alys Griffiths, Ivana Holloway, Sharon Jones, Baber Malik, Najma Siddiqi, Louise Robinson, Graham Stokes, Daphne Wallace
BACKGROUND: Up to 90 % of people living with dementia in care homes experience one or more behaviours that staff may describe as challenging to support (BSC). Of these agitation is the most common and difficult to manage. The presence of agitation is associated with fewer visits from relatives, poorer quality of life and social isolation. It is recommended that agitation is treated through psychosocial interventions. Dementia Care Mapping™ (DCM™) is an established, widely used observational tool and practice development cycle, for ensuring a systematic approach to providing person-centred care...
2016: Trials
Henriëtte Ettema
Problem behaviours in one form or another are very common in nursing home residents with dementia. In order to manage these challenging behaviours pharmacological and psychosocial interventions are necessary. Psychosocial interventions have gained a more central role due to negative affects of pharmacological treatment. This case study describes the multidisciplinary approach of problem behaviour in an 85 year old nursing home patient with dementia. Those involved in caring for this patient initiated changes that led to a more adequate treatment and ultimately a decrease in the problematic behaviour...
June 2016: Tijdschrift Voor Gerontologie en Geriatrie
Bridget Johnston, Melanie Narayanasamy
BACKGROUND: Epidemiological predictions suggest that dementia will continue to rise and that this will have social and economic ramifications. Effective interventions, beyond pharmacological management are needed. Psychosocial interventions have largely been investigated in relation to carers of people with dementia, or with regards to their ability to manage dementia symptoms, improve cognition, and reduce challenging behaviour. However, since dementia is a life-limiting illness and people with dementia are at risk of having their personhood compromised, psychosocial interventions should seek to enhance personhood, and offer the potential for the person to leave a legacy...
April 5, 2016: BMC Geriatrics
Nicola White, Baptiste Leurent, Kathryn Lord, Sharon Scott, Louise Jones, Elizabeth L Sampson
BACKGROUND: The acute hospital is a challenging place for a person with dementia. Behavioural and psychological symptoms of dementia (BPSD) are common and may be exacerbated by the hospital environment. Concerns have been raised about how BPSD are managed in this setting and about over reliance on neuroleptic medication. This study aimed to investigate how BPSD are managed in UK acute hospitals. METHOD(S): A longitudinal cohort of 230 patients with dementia admitted to two acute NHS hospitals...
March 2017: International Journal of Geriatric Psychiatry
John V Hindle, Tamlyn J Watermeyer, Julie Roberts, Anthony Martyr, Huw Lloyd-Williams, Andrew Brand, Petra Gutting, Zoe Hoare, Rhiannon Tudor Edwards, Linda Clare
BACKGROUND: There is growing interest in developing non-pharmacological treatments to address the cognitive deficits apparent in Parkinson's disease dementia and dementia with Lewy bodies. Cognitive rehabilitation is a goal-oriented behavioural intervention which focuses on improving everyday functioning through management of cognitive difficulties; it has been shown to be effective in Alzheimer's disease. To date, no studies have assessed its potential efficacy for addressing the impact of cognitive impairment in people with Parkinson's disease or dementia with Lewy bodies...
March 22, 2016: Trials
Alexandra Feast, Martin Orrell, Georgina Charlesworth, Nina Melunsky, Fiona Poland, Esme Moniz-Cook
BACKGROUND: Tailored psychosocial interventions can help families to manage behavioural and psychological symptoms in dementia (BPSD), but carer responses to their relative's behaviours contribute to the success of support programmes. AIMS: To understand why some family carers have difficulty in dealing with BPSD, in order to improve the quality of personalised care that is offered. METHOD: A systematic review and meta-ethnographic synthesis was conducted of high-quality quantitative and qualitative studies between 1980 and 2012...
May 2016: British Journal of Psychiatry: the Journal of Mental Science
Deborah Koder
Psychosocial approaches to the management of behavioural and psychological symptoms of dementia have received much support in the scientific literature. The following paper focuses on cognitive behaviour therapy as a valid framework in assessing and treating people with behavioural and psychological symptoms of dementia. The importance of identifying symptoms of depression and anxiety is emphasized, as cognitive behaviour therapy has been shown to be an effective intervention for these conditions in older adults...
March 15, 2016: Dementia
Alexandra Feast, Martin Orrell, Ian Russell, Georgina Charlesworth, Esme Moniz-Cook
OBJECTIVE: The objective of the study is to examine caregiver factors as predictors of BPSD-related distress and their potential mechanisms. METHOD: Informal caregivers of people with dementia (n = 157) recruited from 28 community mental health teams in six NHS Trusts across England completed questionnaires regarding psychosocial factors (relationship quality, competence, guilt, health-related quality of life in the caregiver and person with dementia, reactivity to behavioural and psychological symptoms in dementia [BPSD] and burden) and frequency of BPSD...
January 2017: International Journal of Geriatric Psychiatry
Laura Mune, Hugo Pisa
The psychological and behavioural symptoms of dementia are one of the most important causesof institutionalization. They can, otherwise, go against it: some institutions refuse to accept patients or their staying there. Lattely, this creates difficult situations to deal with that can destabilize the medical team. A psychosocial approach is based in a wide variety of interventions that are designed in the patient himself, to relief the stress that generates dealing people with dementia. The aim of this paper is to analize theoretical issues and to revalue the role of psychosocial approach based on psychosocial interventions...
March 2015: Vertex: Revista Argentina de Psiquiatriá
Simon Forstmeier, Andreas Maercker, Egemen Savaskan, Tanja Roth
BACKGROUND: About 90 % of all persons with mild Alzheimer's disease experience neuropsychiatric symptoms, most frequently apathy, depression, anxiety and irritability. These symptoms are associated with greater morbidity, a reduced quality of life for the patient, an increased burden and depression for the caregiver, and higher costs of care and nursing home placement. Psychosocial interventions based on behaviour therapy represent the most efficacious treatment of neuropsychiatric symptoms...
November 17, 2015: Trials
Ana Vitlic, Janet M Lord, Angela E Taylor, Wiebke Arlt, David B Bartlett, Alessandra Rossi, Niharika Arora-Duggal, Alice Welham, Mary Heald, Chris Oliver, Douglas Carroll, Anna C Phillips
OBJECTIVE: The present study examined the effects of caregiving stress and ageing on neutrophil function in young and older individuals. DESIGN: As a model of caregiving, young parents (aged 38.3 ± 4.78) of children with developmental disabilities were recruited and compared to older caregivers (aged 70 ± 6.03), full time carers of a spouse with dementia. Age- and gender-matched controls were also assessed. METHODS: Participants completed a questionnaire pack assessing health behaviours, psychosocial status and caregiving characteristics, and provided a blood sample for assay of neutrophil function (phagocytosis of Escherichia coli and generation of reactive oxygen species to E...
February 2016: British Journal of Health Psychology
Wendy Moyle, Elizabeth Beattie, Brian Draper, David Shum, Lukman Thalib, Cindy Jones, Siobhan O'Dwyer, Cindy Mervin
INTRODUCTION: Apathy, agitated behaviours, loneliness and depression are common consequences of dementia. This trial aims to evaluate the effect of a robotic animal on behavioural and psychological symptoms of dementia in people with dementia living in long-term aged care. METHODS AND ANALYSIS: A cluster-randomised controlled trial with three treatment groups: PARO (robotic animal), Plush-Toy (non-robotic PARO) or Usual Care (Control). The nursing home sites are Australian Government approved and accredited facilities of 60 or more beds...
2015: BMJ Open
Caoimhe Hannigan, Robert F Coen, Brian A Lawlor, Ian H Robertson, Sabina Brennan
BACKGROUND: Population ageing is a global phenomenon that has characterised demographic trends during the 20th and 21st century. The rapid growth in the proportion of older adults in the population, and resultant increase in the incidence of age-related cognitive decline, dementia and Alzheimer's disease, brings significant social, economic and healthcare challenges. Decline in cognitive abilities represents the most profound threat to active and healthy ageing. Current evidence suggests that a significant proportion of cases of age-related cognitive decline and dementia may be preventable through the modification of risk factors including education, depressive symptomology, physical activity, social engagement and participation in cognitively stimulating activities...
2015: BMC Psychology
Kajal Gokal, Fehmidah Munir, Deborah Wallis, Samreen Ahmed, Ion Boiangiu, Kiran Kancherla
BACKGROUND: Evidence suggests chemotherapy treatment for breast cancer is associated with side effects such as cognitive impairment in domains of memory, attention, concentration and executive function. Cognitive impairments reported by patients have been associated with higher levels of emotional distress. To date, intervention studies to alleviate cognitive impairment associated with chemotherapy have focused on psycho-educational techniques or cognitive training. Studies have not yet considered physical activity as a potential for alleviating cognitive problems...
April 23, 2015: BMC Public Health
Louisa Jackman, Aileen Beatty
National guidance for working with people whose behaviour challenges in dementia care suggests that a psychosocial approach should be the first-line intervention. However, there is little guidance for nurses about how to assess and manage behaviour that challenges in people with dementia. Nurses across specialties who work with older people might be asked to contribute to an assessment or provide advice to care home staff or families. This article presents one psychosocial model--the Newcastle Model--that provides a framework and process in which to understand behaviour that challenges in terms of needs which are unmet, and suggests a structure in which to develop effective interventions that keep people with dementia central to their care...
March 2015: Nursing Older People
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