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Nursing home AND dementia

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https://www.readbyqxmd.com/read/29470096/the-psychometric-properties-sensitivity-and-specificity-of-the-geriatric-anxiety-inventory-hospital-anxiety-and-depression-scale-and-rating-anxiety-in-dementia-scale-in-aged-care-residents
#1
Alexandra S Creighton, Tanya E Davison, David W Kissane
OBJECTIVES: Limited research has been conducted into the identification of a valid and reliable screening measure for anxiety in aged care settings, despite it being one of the most common psychological conditions. This study aimed to determine an appropriate anxiety screening tool for aged care by comparing the reliability and validity of three commonly used measures and identifying specific cut-offs for the identification of generalized anxiety disorder (GAD). METHOD: One-hundred and eighty nursing home residents (M age = 85...
February 22, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29468898/paratonia-in-flemish-nursing-homes-current-state-of-practice
#2
Bieke Van Deun, Nele Van den Noortgate, Saucedo Cinthia, Anke Van Bladel, Cambier Dirk
BACKGROUND: Paratonia is a major underlying motor problem impeding functionality and locomotion in dementia. Despite its undeniable impact on patient's quality of life and daily care, there is a lack of evidence-based therapy on patients with this condition. METHODS: We surveyed physiotherapists working in nursing homes in Flanders (Belgium) concerning the use and perceived effect of therapeutic strategies and positioning methods/aids. RESULTS: Positioning and soft passive mobilization were the most applied and positively appraised therapeutic interventions...
January 1, 2018: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/29454305/psychotropic-and-anti-dementia-treatment-in-elderly-persons-with-clinical-signs-of-dementia-with-lewy-bodies-a-cross-sectional-study-in-40-nursing-homes-in-sweden
#3
Iris Zahirovic, Gustav Torisson, Carina Wattmo, Elisabet Londos
BACKGROUND: Elderly persons with a dementia diagnosis often suffer from different neuropsychiatric symptoms (NPS) such as delusions, hallucinations, depression, anxiety, irritability and agitation. Currently, the medical treatment for NPS consists mostly of psychotropic medication such as hypnotics/sedatives, anxiolytics and antipsychotics. In elderly persons with dementia, usage of antipsychotics is less appropriate because of the risk of side effects such as parkinsonism, rapid cognitive decline, cerebrovascular events and finally mortality...
February 17, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29451843/caregiver-reactions-to-dementia-symptoms-effects-on-coping-repertoire-and-mental-health
#4
Jaclene A Zauszniewski, Nirmala Lekhak, Carol M Musil
Currently, 15 million informal caregivers, most of whom are women, provide care for older adults with dementia (Alzheimer's Disease Association, 2016). Caregiving for these individuals often creates distress and may adversely affect female caregivers' psychosocial and spiritual well-being. Approximately 35% of dementia caregivers complain of health deterioration after initiating caregiving responsibilities as compared to 19% of caregivers of older adults who do not have dementia (Alzheimer's Disease Association, 2016)...
February 16, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29444736/recognition-of-the-complexity-facing-residential-care-homes-a-practitioner-inquiry
#5
Jenny Dudman, Julienne Meyer, Cheryl Holman, Wendy Moyle
Aim To explore the experiences and challenges for residential care home staff when managing the healthcare needs of their residents, in particular those living with dementia. BACKGROUND: Increasing number of older people, with complex health and social care needs are living in residential care homes. Yet there is limited appreciation of why staff sometimes struggle to manage residents' healthcare needs, or understanding of their working relationship with district nurses (DNs), whose responsibility it is to provide nursing support...
February 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29444688/twenty-years-of-home-based-palliative-care-in-malappuram-kerala-india-a-descriptive-study-of-patients-and-their-care-givers
#6
Rekha Rachel Philip, Sairu Philip, Jaya Prasad Tripathy, Abdulla Manima, Emilie Venables
BACKGROUND: The well lauded community-based palliative care programme of Kerala, India provides medical and social support, through home-based care, for patients with terminal illness and diseases requiring long-term support. There is, however, limited information on patient characteristics, caregivers and programme performance. This study was carried out to describe: i) the patients enrolled in the programme from 1996 to 2016 and their diagnosis, and ii) the care-giver characteristics and palliative care support from nurses and doctors in a cohort of patients registered during 2013-2015...
February 14, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29433497/a-painful-experience-of-limited-understanding-healthcare-professionals-experiences-with-palliative-care-of-people-with-severe-dementia-in-norwegian-nursing-homes
#7
May Helen Midtbust, Rigmor Einang Alnes, Eva Gjengedal, Else Lykkeslet
BACKGROUND: People dying with dementia have significant healthcare needs, and palliative care, with its focus on comfort and quality of life, should be made available to these patients. The aim of this study was to explore and increase knowledge of healthcare professionals' experiences with palliative care to people with severe dementia in nursing homes. METHODS: To describe the phenomenon under investigation, we used a phenomenological research approach grounded in the philosophy of Husserl...
February 13, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29432518/the-effect-of-biannual-medication-reviews-on-the-appropriateness-of-psychotropic-drug-use-for-neuropsychiatric-symptoms-in-patients-with-dementia-a-randomised-controlled-trial
#8
Klaas van der Spek, Raymond T C M Koopmans, Martin Smalbrugge, Marjorie H J M G Nelissen-Vrancken, Roland B Wetzels, Claudia H W Smeets, Erica de Vries, Steven Teerenstra, Sytse U Zuidema, Debby L Gerritsen
Objective: We studied the efficacy of biannual structured medication reviews to improve the appropriateness of psychotropic drug (PD) prescriptions for neuropsychiatric symptoms (NPS) in nursing home patients with dementia. Study Design and Setting: In this randomised controlled trial, the intervention encompassed a structured multidisciplinary medication review by physician, pharmacist and nurse. During this 18-month study, the patient's medical files were assessed every 6 months...
February 8, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29424552/differences-in-neuropsychiatric-symptoms-between-nursing-home-residents-with-young-onset-dementia-and-late-onset-dementia
#9
Britt Appelhof, Christian Bakker, Jeannette C L Van Duinen-van Den IJssel, Sandra A Zwijsen, Martin Smalbrugge, Frans R J Verhey, Marjolein E de Vugt, Sytse U Zuidema, Raymond T C M Koopmans
OBJECTIVE: The aims of the current study are (1) to explore the differences in neuropsychiatric symptoms (NPS) between young-onset dementia (YOD) and late-onset dementia (LOD), and (2) to investigate whether the possible differences can be attributed to differences in dementia subtype, gender, psychotropic drug use (PDU), or dementia severity. METHOD: Three hundred and eighty-six nursing home (NH) residents with YOD and 350 with LOD were included. Multilevel modeling was used to compare NPS between the groups ...
February 9, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29422166/certified-nursing-assistants-perspectives-of-the-cares%C3%A2-activities-of-daily-living-dementia-care-program
#10
Debra Dobbs, John Hobday, Rosalyn Roker, Merrie J Kaas, Victor Molinari
BACKGROUND: There has been a proliferation of online training programs for nursing home direct care staff related to dementia care, yet little is known about the effectiveness of the training. Some evidence exists that online training is effective in addressing problem behaviors of nursing home residents with dementia by enhancing self-efficacy, improving attitudes, and increasing knowledge of nursing home staff. STUDY AIM: The current study aim was to evaluate the implementation of an online training program consisting of ten, one-hour modules which applies the CARES® concepts and learning framework to activities of daily living (ADL) care for persons with dementia...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29412696/involuntary-care%C3%A2-%C3%A2-capturing-the-experience-of-people-with-dementia-in-nursing-homes-a-concept-mapping-study
#11
Marike E de Boer, Marja F I A Depla, Brenda J M Frederiks, Annemarieke A Negenman, Jolanda M Habraken, Carlijn H van Randeraad-van der Zee, Petri J C M Embregts, Cees M P M Hertogh
OBJECTIVE: To avoid restraints and involuntary care caregivers should be aware if and how a patient resists care. This article focuses on behavioural expressions of people with severe dementia in nursing homes that are interpreted by their formal and informal caregivers as possible expressions of their experience of involuntary care. METHOD: Concept mapping was used, following five steps: (1) brainstorming, (2) rating, (3) sorting, (4) statistical analysis & visual representation and (5) interpretation...
February 7, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29409682/high-feeding-dependence-prevalence-in-residents-living-in-italian-nursing-homes-requires-new-policies-findings-from-a-regionally-based-cross-sectional-study
#12
Alvisa Palese, Luca Grassetti, Davide Bandera, Ranieri Zuttion, Barbara Ferrario, Sandra Ponta, Mark Hayter, Roger Watson
OBJECTIVES: An increased amount of functional dependence has been reported among residents living in nursing homes. Among others, feeding dependence is one of the most complex needs to satisfy: behind the attempt to personalise meals with individual preferences and clinical regimens, all residents require help at the same moment and for long periods of time, three or more times a day. With the intent of debating policy implications, the aims of this study were to advance the knowledge in the field of feeding dependence prevalence and predictors in Italy, a country where life expectancy is among the highest in the World...
February 2, 2018: Health Policy
https://www.readbyqxmd.com/read/29409166/development-of-the-japanese-version-of-the-quality-of-life-in-late-stage-dementia-scale
#13
Yuma Nagata, Hiroyuki Tanaka, Daiki Ishimaru, Masayasu Uematsu, Yasuo Naito, Takashi Nishikawa
AIM: Until now, there has been no instrument to measure the quality of life (QoL) of patients with severe dementia in Japan. The purpose of this study was to translate the Quality of Life in Late-stage Dementia Scale and to evaluate the reliability and validity of the Japanese version (QUALID-J). METHODS: We translated the Quality of Life in Late-stage Dementia into Japanese with permission from the original authors. We assessed a total of 70 dementia patients (14 men, 56 women; mean age: 87...
February 6, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/29409164/reliability-and-structural-validity-of-the-chinese-version-of-the-neuropsychiatric-inventory-nursing-home-version
#14
Suhong Chen, Kai Lin, Hanxiao Wang, Miyae Yamakawa, Kiyoko Makimoto, Xiaoyan Liao
BACKGROUND: With the increasing number of dementia patients in China, there is a pressing need for a reliable and valid Chinese instrument that can measure neuropsychiatric symptoms in institutionalized dementia patients. This study examined the reliability and structural validity of the Chinese version of the Neuropsychiatric Inventory, Nursing Home version (NPI-NH), in a sample of institutionalized dementia patients in China. METHODS: A total of 112 residents with dementia (Clinical Dementia Rating = 1: 10...
February 6, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/29408901/impact-of-person-centred-care-training-and-person-centred-activities-on-quality-of-life-agitation-and-antipsychotic-use-in-people-with-dementia-living-in-nursing-homes-a-cluster-randomised-controlled-trial
#15
Clive Ballard, Anne Corbett, Martin Orrell, Gareth Williams, Esme Moniz-Cook, Renee Romeo, Bob Woods, Lucy Garrod, Ingelin Testad, Barbara Woodward-Carlton, Jennifer Wenborn, Martin Knapp, Jane Fossey
BACKGROUND: Agitation is a common, challenging symptom affecting large numbers of people with dementia and impacting on quality of life (QoL). There is an urgent need for evidence-based, cost-effective psychosocial interventions to improve these outcomes, particularly in the absence of safe, effective pharmacological therapies. This study aimed to evaluate the efficacy of a person-centred care and psychosocial intervention incorporating an antipsychotic review, WHELD, on QoL, agitation, and antipsychotic use in people with dementia living in nursing homes, and to determine its cost...
February 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29406394/using-an-interactive-video-simulator-to-improve-certified-nursing-assistants-dressing-assistance-and-nursing-home-residents-dressing-performance-a-pilot-study
#16
Pao-Feng Tsai, Stephanie Kitch, Cornelia Beck, Thomas Jakobs, Mallikarjuna Rettiganti, Kerry Jordan, Erik Jakobs, Shawn Adair
This pilot study examined the initial effects and estimated effect size of a computer-based simulation education program on certified nursing assistants' level of assistance when dressing nursing home residents with dementia and on residents' dressing performance. Nine dyads, assigned to either the experimental or control group, completed the study. Both groups received a traditional 1-hour education module delivered by a research assistant. The experimental group was then instructed to undertake an additional 2-hour intervention using a video simulator that enabled nursing assistants to practice level of assistance skills...
February 5, 2018: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29405344/life-stories-support-staff-and-relatives-to-see-hear-and-understand-people-with-dementia-living-in-a-nursing-home-as-a-whole-person
#17
Alana Hewitt, Sally Day
No abstract text is available yet for this article.
February 2018: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29396186/receptive-music-therapy-is-more-effective-than-interactive-music-therapy-to-relieve-behavioral-and-psychological-symptoms-of-dementia-a-systematic-review-and-meta-analysis
#18
REVIEW
Kelvin K F Tsoi, Joyce Y C Chan, Yiu-Ming Ng, Mia M Y Lee, Timothy C Y Kwok, Samuel Y S Wong
BACKGROUND: Music therapy is demonstrated to be effective to relieve the agitation among people with dementia, but the comparative effectiveness of methods of music engagement for people with dementia is uncertain. OBJECTIVE: To evaluate the effects on cognitive functions and behavioral symptoms between interactive and receptive music therapies for people with dementia. METHODS: Prospective studies evaluating interactive and receptive music therapies were identified from the OVID databases, included MEDLINE, EMBASE, PsycINFO, and CINAHL...
January 25, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29394886/clinical-characteristics-associated-with-the-onset-of-delirium-among-long-term-nursing-home-residents
#19
Evelyn Ning Man Cheung, Sophiya Benjamin, George Heckman, Joanne Man-Wai Ho, Linda Lee, Samir K Sinha, Andrew P Costa
BACKGROUND: Nursing home residents are frail, have multiple medical comorbidities, and are at high risk for delirium. Most of the existing evidence base on delirium is derived from studies in the acute in-patient population. We examine the association between clinical characteristics and medication use with the incidence of delirium during the nursing home stay. METHODS: This is a retrospective cohort study of 1571 residents from 12 nursing homes operated by a single care provider in Ontario, Canada...
February 2, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29380660/validity-of-brief-cognitive-assessment-tool-modifications-for-older-adults-with-visual-and-motor-limitations
#20
Ryan A Mace, William E Mansbach
INTRODUCTION: The prevalence of cognitive, sensory, and physical impairments is expected to grow alongside increasing life expectancy. These chronic conditions pose challenges for geriatric assessment. We examined whether Brief Cognitive Assessment Tool (BCAT) modifications to accommodate visual and motor limitations would retain strong validity for identifying mild cognitive impairment (MCI) and dementia. METHOD: Psychometric analyses were performed on archival data (N = 458) from community-dwelling older adults and residents of assisted living facilities and nursing homes in Maryland, USA (age ≥ 50 years)...
January 30, 2018: Journal of Clinical and Experimental Neuropsychology
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