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"Case management" or "care management" and "dementia"

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https://www.readbyqxmd.com/read/27896873/identifying-fallacious-arguments-in-a-qualitative-study-of-antipsychotic-prescribing-in-dementia
#1
Parastou Donyai
BACKGROUND: Dementia can result in cognitive, noncognitive and behavioural symptoms which are difficult to manage. Formal guidelines for the care and management of dementia in the UK state that antipsychotics should only be prescribed where fully justified. This is because inappropriate use, particularly problematic in care-home settings, can produce severe side effects including death. The aim of this study was to explore the use of fallacious arguments in professionals' deliberations about antipsychotic prescribing in dementia in care-home settings...
November 29, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27880650/deconstructing-chronic-low-back-pain-in-the-older-adult-step-by-step-evidence-and-expert-based-recommendations-for-evaluation-and-treatment-part-xi-dementia
#2
Rollin Wright, Monica Malec, Joseph W Shega, Eric Rodriguez, Joseph Kulas, Lisa Morrow, Juleen Rodakowski, Todd Semla, Debra K Weiner
: OBJECTIVE : To present the 11th in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of 12 important contributions to pain and disability in older adults with CLBP. This article focuses on dementia. METHODS:  A modified Delphi technique was used to develop an algorithm for an approach to treatment for older adults living with CLBP and dementia...
November 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27852196/appropriate-care-for-older-people-with-cognitive-impairment-in-hospital
#3
Gideon A Caplan, Susan E Kurrle, Anne Cumming
More than half of the patients in adult hospitals are over 65 years of age. Although not a normal part of ageing, many older people will present to hospital with cognitive impairment (dementia or delirium) along with other complex comorbidities. Older people, and particularly those with dementia, are also at increased risk of developing delirium during their hospital stay. Delirium has serious short and long term consequences, such as increased mortality, falls, accelerated functional and cognitive decline, and earlier entry to residential care...
November 21, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27848169/-implementation-and-cost-effectiveness-of-case-management-for-people-with-dementia-and-their-informal-caregivers-results-of-the-compas-study
#4
Lisa D van Mierlo, Janet MacNeil-Vroomen, Franka J M Meiland, Karlijn J Joling, Judith E Bosmans, Rose Marie Dröes, Eric P Moll van Charante, Sophia E J A de Rooij, Hein P J van Hout
BACKGROUND: Different forms of case management for dementia have emerged over the past few years. In the COMPAS study (Collaborative dementia care for patients and caregivers study), two prominent Dutch case management forms were studied: the linkage and the integrated care form. AIM OF STUDY: Evaluation of the (cost)effectiveness of two dementia case management forms compared to usual care as well as factors that facilitated or impeded their implementation. METHODS: A mixed methods design with a) a prospective, observational controlled cohort study with 2 years follow-up among 521 dyads of people with dementia and their primary informal caregiver with and without case management; b) interviews with 22 stakeholders on facilitating and impeding factors of the implementation and continuity of the two case management models...
December 2016: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/27817760/a-process-evaluation-of-a-psychomotor-dance-therapy-intervention-dancin-for-behavior-change-in-dementia-attitudes-and-beliefs-of-participating-residents-and-staff
#5
Azucena Guzmán, Lisa Robinson, Lynn Rochester, Ian A James, Julian C Hughes
BACKGROUND: In a previous paper, we presented results from a 12-week study of a Psychomotor DANCe Therapy INtervention (DANCIN) based on Danzón Latin Ballroom that involves motor, emotional-affective, and cognitive domains, using a multiple-baseline single-case design in three care homes. This paper reports the results of a complementary process evaluation to elicit the attitudes and beliefs of home care staff, participating residents, and family members with the aim of refining the content of DANCIN in dementia care...
November 7, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27806743/causes-of-nursing-home-placement-for-older-people-with-dementia-a-systematic-review-and-meta-analysis
#6
Sandeep Toot, Tom Swinson, Mike Devine, David Challis, Martin Orrell
BACKGROUND: Up to half of people with dementia in high income countries live in nursing homes and more than two-thirds of care home residents have dementia. Fewer than half of these residents report good quality of life and most older people are anxious about the prospect of moving into a nursing home. Robust evidence is needed as to the causes of admission to nursing homes, particularly where these risk factors are modifiable. METHODS: We conducted a systematic literature search to identify controlled comparison studies in which the primary outcome was admission to nursing home of older adults with dementia...
November 3, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27772665/-reconciliating-neurology-and-psychiatry-the-prototypical-case-of-frontotemporal-dementia
#7
J Lagarde, M Sarazin
Frontotemporal degeneration (FTD) in its behavioral variant (bvFTD) is probably one of the conditions that best illustrates the links between psychiatry and neurology. It is indeed admitted that between a third and half of patients with this condition, especially in early-onset forms, receive an initial diagnosis of psychiatric disorder (depression, schizophrenia, bipolar disorder) and are then referred to a psychiatric ward. BvFTD can thus be considered a neurological disorder with a psychiatric presentation...
October 20, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27766471/increased-rates-of-sequelae-post-encephalitis-in-individuals-attending-primary-care-practices-in-the-united-kingdom-a-population-based-retrospective-cohort-study
#8
Julia Granerod, Nicholas W S Davies, Parashar P Ramanuj, Ava Easton, David W G Brown, Sara L Thomas
The true extent of sequelae in encephalitis survivors relative to rates within the general population is not known. This study aimed to quantify increased risks of epilepsy, depressive disorders, anxiety disorders, psychotic disorders, bipolar disorder, cognitive problems, dementia, headache, and alcohol abuse among encephalitis cases. 2460 exposed individuals diagnosed with incident encephalitis in the Clinical Practice Research Datalink and 47,914 unexposed individuals without a history of encephalitis were included...
October 20, 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27726521/use-of-methadone-as-an-adjuvant-medication-to-low-dose-opioids-for-neuropathic-pain-in-the-frail-elderly-a-case-series
#9
Tammy Vu Bach, Jonathan Pan, Anne Kirstein, Cindy Joanne Grief, Daphna Grossman
Palliative care clinicians are increasingly involved in the care of elderly patients suffering from chronic malignant and nonmalignant illnesses, of which neuropathic pain is a prevalent problem. As a person becomes more frail, pain medications such as opioid analgesics and adjuvant pain medications can result in unwanted effects such as sedation, confusion, and increased risk of falls. Treating pain in patients with advanced dementia or neurodegenerative diseases that can affect swallowing is particularly challenging because most adjuvant pain medications used to ameliorate neuropathic pain must be taken orally...
December 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27650756/antipsychotic-prescribing-in-care-homes-before-and-after-launch-of-a-national-dementia-strategy-an-observational-study-in-english-institutions-over-a-4-year-period
#10
Ala Szczepura, Deidre Wild, Amir J Khan, David W Owen, Thomas Palmer, Tariq Muhammad, Michael D Clark, Clive Bowman
OBJECTIVES: To assess associations between the launch of the National Dementia Strategy (NDS) and antipsychotic prescribing in long-term residential care (LTC) in England. SETTING AND PARTICIPANTS: Retrospective analysis of prescribing patterns in 616 LTC institutions (31 619 residents) following launch of the NDS, using information from electronic medicines management system. PRIMARY AND SECONDARY OUTCOME MEASURES: Antipsychotic prescribing point prevalence (PP) for all residents in a cross section of LTC settings over a 4-year period following NDS launch...
2016: BMJ Open
https://www.readbyqxmd.com/read/27567819/identification-of-physician-diagnosed-alzheimer-s-disease-and-related-dementias-in-population-based-administrative-data-a-validation-study-using-family-physicians-electronic-medical-records
#11
R Liisa Jaakkimainen, Susan E Bronskill, Mary C Tierney, Nathan Herrmann, Diane Green, Jacqueline Young, Noah Ivers, Debra Butt, Jessica Widdifield, Karen Tu
BACKGROUND: Population-based surveillance of Alzheimer's and related dementias (AD-RD) incidence and prevalence is important for chronic disease management and health system capacity planning. Algorithms based on health administrative data have been successfully developed for many chronic conditions. The increasing use of electronic medical records (EMRs) by family physicians (FPs) provides a novel reference standard by which to evaluate these algorithms as FPs are the first point of contact and providers of ongoing medical care for persons with AD-RD...
August 10, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27554789/costs-of-formal-and-informal-care-at-home-for-people-with-dementia-expert-panel-opinions-from-staff-and-informal-carers
#12
Clarissa M Giebel, Susan Davies, Paul Clarkson, Caroline Sutcliffe, David Challis
Effective home support in dementia is key in delaying nursing home admission. However, home support is frequently not tailored to the individual needs of people with dementia. Staff allocating home support services may not identify important care needs, which only be recognised by informal carers. The purpose of this study was to explore the balance of informal and formal home support and their associated costs from the perspectives of both informal carers and paid staff. Five case vignettes of people with dementia were designed based on an existing English data set from a European study into transition into long-term care (the RightTimePlaceCare programme), representing 42 per cent of the English sample...
August 22, 2016: Dementia
https://www.readbyqxmd.com/read/27553364/the-assessment-and-management-of-pain-in-patients-with-dementia-in-hospital-settings-a-multi-case-exploratory-study-from-a-decision-making-perspective
#13
Valentina Lichtner, Dawn Dowding, Nick Allcock, John Keady, Elizabeth L Sampson, Michelle Briggs, Anne Corbett, Kirstin James, Reena Lasrado, Caroline Swarbrick, S José Closs
BACKGROUND: Pain is often poorly managed in people who have a dementia. Little is known about how this patient population is managed in hospital, with research to date focused mainly on care homes. This study aimed to investigate how pain is recognised, assessed and managed in patients with dementia in a range of acute hospital wards, to inform the development of a decision support tool to improve pain management for this group. METHODS: A qualitative, multi-site exploratory case study...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27543054/the-use-of-non-pharmacological-interventions-for-dementia-behaviours-in-care-homes-findings-from-four-in-depth-ethnographic-case-studies
#14
Tamara Backhouse, Anne Killett, Bridget Penhale, Richard Gray
BACKGROUND: antipsychotic medications have been used to manage behavioural and psychological symptoms of dementia (BPSD). Due to the potential risks associated with these medications for people with dementia, non-pharmacological interventions (NPIs) have been recommended as safer alternatives. However, it is unknown if, or how, these interventions are used in care homes to help people experiencing BPSD. AIM: to explore the use of NPIs in care homes to manage BPSD...
August 18, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27511056/treatment-of-inappropriate-sexual-behavior-in-dementia
#15
REVIEW
Riccardo De Giorgi, Hugh Series
Inappropriate sexual behavior (ISB) is a relatively common and potentially disruptive form of behavior in people with dementia. It can cause considerable distress and put placements and people at risk. Yet it is poorly researched and understood. In addition to non-pharmacological approaches to management, a wide range of classes of medication has been used in ISB, and the results have been reported as single cases or short series, though none has been the subject of a randomized clinical trial, in part because of the lack of a well-defined method of observing and measuring ISB, as well as the significant ethical considerations...
September 2016: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/27449635/changing-patterns-of-patient-characteristics-in-a-memory-clinic-in-singapore
#16
April Ka Sin Phua, Win King Goh, Serrie Platero Suministrado, Saima Hilal, Mohammad Kamran Ikram, Narayanaswamy Venketasubramanian, Xin Xu, Christopher Li-Hsian Chen
OBJECTIVES: Promoting public awareness about dementia has been part of global initiatives in recent years; however, the impact on patterns of patient visits in memory clinics has not been investigated in Asian countries. Hence, the present study sought to investigate longitudinal patterns of patient characteristics among consecutive referrals to a memory clinic in Singapore from 2009 to 2015. METHODS: Consecutive first-visit patients who attended the National University Hospital memory clinic between 2009 and 2015 through referrals from primary and secondary health care services were included in the study...
September 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27425002/better-self-management-and-meaningful-activities-thanks-to-tablets-development-of-a-person-centered-program-to-support-people-with-mild-dementia-and-their-carers-through-use-of-hand-held-touch-screen-devices
#17
Yvonne J F Kerkhof, Maud J L Graff, Ad Bergsma, Hilde H M de Vocht, Rose-Marie Dröes
BACKGROUND: To offer good support to people with dementia and their carers in an aging and Internet society the deployment of hand-held touch screen devices, better known as tablets, and its applications (apps) can be viable and desirable. However, at the moment it is not clear which apps are usable for supporting people with dementia in daily life. Also, little is known about how people with dementia can be coached to learn to use a tablet and its apps. METHODS: A person-centered program, with tools and training, will be developed that aims to support people with mild dementia and their (in)formal carers in how to use the tablet for self-management and meaningful activities...
July 18, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27423160/cancer-and-dementia-an-exploratory-study-of-the-experience-of-cancer-treatment-in-people-with-dementia
#18
Nick Courtier, Rebecca Milton, Amanda King, Rosie Tope, Susan Morgan, Jane Hopkinson
OBJECTIVE: Patients with comorbid cancer and dementia have poorer outcomes than those without dementia. We observe oncology teams managing patients with dementia and memory loss and explore these patients' needs and experiences of outpatient cancer services. METHODS: A single site investigation of case study design to examine practices in four clinics using multi-methods of data collection: retrospective note review, observation, interviews, and recorded consultations...
September 2016: Psycho-oncology
https://www.readbyqxmd.com/read/27409972/routine-use-of-patient-reported-outcome-measures-proms-for-improving-treatment-of-common-mental-health-disorders-in-adults
#19
REVIEW
Tony Kendrick, Magdy El-Gohary, Beth Stuart, Simon Gilbody, Rachel Churchill, Laura Aiken, Abhishek Bhattacharya, Amy Gimson, Anna L Brütt, Kim de Jong, Michael Moore
BACKGROUND: Routine outcome monitoring of common mental health disorders (CMHDs), using patient reported outcome measures (PROMs), has been promoted across primary care, psychological therapy and multidisciplinary mental health care settings, but is likely to be costly, given the high prevalence of CMHDs. There has been no systematic review of the use of PROMs in routine outcome monitoring of CMHDs across these three settings. OBJECTIVES: To assess the effects of routine measurement and feedback of the results of PROMs during the management of CMHDs in 1) improving the outcome of CMHDs; and 2) in changing the management of CMHDs...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27398361/prevalence-and-management-of-dementia-in-primary-care-practices-with-electronic-medical-records-a-report-from-the-canadian-primary-care-sentinel-surveillance-network
#20
Neil Drummond, Richard Birtwhistle, Tyler Williamson, Shahriar Khan, Stephanie Garies, Frank Molnar
BACKGROUND: The proportion of Canadians living with Alzheimer disease and related dementias is projected to rise, with an increased burden on the primary health care system in particular. Our objective was to describe the prevalence and management of dementia in a community-dwelling sample using electronic medical record (EMR) data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN), which consists of validated, national, point-of-care data from primary care practices...
April 2016: CMAJ Open
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