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September 2014: Hospital Peer Review
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July 2014: Journal of Gerontological Nursing
Vanina P M Dal Bello-Haas, Allison Cammer, Debra Morgan, Norma Stewart, Julie Kosteniuk
INTRODUCTION: Rural and remote settings pose particular healthcare and service delivery challenges. Providing appropriate care and support for individuals with dementia and their families living in these communities is especially difficult, and can only be accomplished when the needs of care providers and the context and complexity of care provision are understood. This paper describes formal and informal caregivers' perceptions of the challenges and needs in providing care and support for individuals with dementia living in rural and remote areas of Saskatchewan, Canada...
2014: Rural and Remote Health
Fiona Poland, Sarah Mapes, Hilary Pinnock, Cornelius Katona, Susanne Sorensen, Chris Fox, Ian D Maidment
BACKGROUND: The need for carers to manage medication-related problems for people with dementia living in the community raises dilemmas, which can be identified by carers and people with dementia as key issues for developing carer-relevant research projects. A research planning Public Patient Involvement (PPI) workshop using adapted focus group methodology was held at the Alzheimer's Society's national office, involving carers of people with dementia who were current members of the Alzheimer's Society Research Network (ASRN) in dialogue with health professionals aimed to identify key issues in relation to medication management in dementia from the carer viewpoint...
2014: BMC Research Notes
Barbara Steffen-Bürgi
No abstract text is available yet for this article.
2014: Krankenpflege. Soins Infirmiers
Akl C Fahed, Barbara McDonough, Cynthia M Gouvion, Kathy L Newell, Leon S Dure, Martina Bebin, Alexander G Bick, J G Seidman, Donald H Harter, Christine E Seidman
We report a 5-generation family with phenotypically diverse neurodegenerative disease including relentlessly progressive choreoathetoid movements, dysarthria, dysphagia, spastic paralysis, and behavioral dementia in descendants of a 67-year-old woman with amyotrophic lateral sclerosis. Disease onset varied with gender, occurring in male children and adult women. Exome sequence analyses revealed a novel mutation (c.1490C>T, p.P497L) in the ubiquilin-2 gene (UBQLN2) with X-linked inheritance in all studied affected individuals...
May 2014: Annals of Neurology
Jeanne M Donaldson, Maranda A Trahan, SungWoo Kahng
The prevalence of hoarding (collection of and refusal to discard unneeded items) is higher in older adults than the general population and has been correlated with dementia. Treatments to increase cooperation with discarding hoarded items have not been systematically evaluated. This study evaluated two procedures for increasing cooperation with handing over hoarded items in an older adult with dementia. The antecedent-based intervention effectively increased cooperation.
2014: Journal of Applied Behavior Analysis
Paige B Raetz, Linda A LeBlanc, Jonathan C Baker, Laura C Hilton
Paired-stimulus preference assessments have been used effectively with individuals with dementia to identify stimuli to increase engagement and to minimize negative affect and problem behavior.We evaluated whether a multiple-stimulus without replacement preference assessment could be used with older adults with dementia and whether preferences remained stable over time. Seven participants completed preference assessments and confirmatory engagement analyses every few weeks for 3 to 5 months; 1 participant failed to complete any preference assessments...
December 2013: Journal of Applied Behavior Analysis
Lars-Christer Hydén
How people with dementia collaborate with other people is an area in need of more research and conceptualizations. Collaboration introduces a number of new possibilities and demands concerning cognitive and linguistic abilities and it is suggested that a theoretical framework that emphasize that cognitive resources are not exclusively individual, but are part of cognitive and communicative context. In this article focus is on joint activities and their collaborative organization is analyzed using an example involving persons with dementia working together with staff preparing a meal...
April 2014: Journal of Aging Studies
Patrick Loriquet, Philippe Le Nagard
Keeping a resident with psychiatric disorders in a nursing home is a major challenge for geriatric and psychiatric disciplines. In order to create a satisfactory organisation, the teams must come together and understand their mutual difficulties and priorities in order to construct a liaison psychogeriatrics project for the benefit of the resident.
January 2014: Soins. Psychiatrie
Wim J Riedel
Alzheimer's disease (AD) is a chronic neurodegenerative disease leading to cognitive decline, dementia, and ultimately death. Despite extensive R&D efforts, there are no diseases modifying treatments for AD available. The stage in which patients receive a clinical diagnosis of probable AD may be too late for disease modifying pharmacotherapy. Prevention strategies may be required to successfully tackle AD. Preclinical AD applies to over half of all healthy elderly subjects and manifests by signs of amyloid deposition and/or neuronal injury in the brain, preceding the stage in which symptoms of dementia, cognitive and functional impairment become observable...
February 2014: Current Opinion in Pharmacology
Christophe Büla
Physical activity appears once again as the single most effective preventative intervention in older persons to delaying functional decline, avoiding falls, and mitigating the odds of developing dementia. Integrated care that promotes interdisciplinary collaboration among healthcare professionals is a major avenue to improve care coordination in polymorbid older patients. A study depicts the large gap between physicians and nurses' views about their respective skills and role in such a collaboration. On the cognitive side, while several studies show that new cohorts of older persons appear to age in better cognitive shape, results of trials of semagestat, a gamma-secretase inhibitor, and post-menopausal estrogenic therapy were disappointing...
January 15, 2014: Revue Médicale Suisse
Juan Carlos Arango-Lasprilla, Ivan Panyavin, Edna Johanna Herrera Merchán, Paul B Perrin, Eva M Arroyo-Anlló, Daniel J Snipes, Jaqueline Arabia
Research has identified unique cultural factors contributing to dementia caregiving in Latin America but very few caregiver interventions have been systematically piloted and evaluated in this region. The purpose of this study was to examine the effectiveness of a group cognitive-behavioral intervention in improving the mental health of dementia caregivers from Cali, Colombia. Sixty-nine caregivers of individuals with dementia were randomly assigned to the cognitive-behavioral intervention or an educational control condition, both spanning 8 weeks...
September 2014: American Journal of Alzheimer's Disease and Other Dementias
Martin Nikolaus Dichter, Christian G G Schwab, Gabriele Meyer, Sabine Bartholomeyczik, Olga Dortmann, Margareta Halek
BACKGROUND: Quality of life (Qol) is an increasingly used outcome measure in dementia research. The QUALIDEM is a dementia-specific and proxy-rated Qol instrument. We aimed to determine the inter-rater and intra-rater reliability in residents with dementia in German nursing homes. METHODS: The QUALIDEM consists of nine subscales that were applied to a sample of 108 people with mild to severe dementia and six consecutive subscales that were applied to a sample of 53 people with very severe dementia...
May 2014: International Psychogeriatrics
Sharon Kaasalainen, Noori Akhtar-Danesh, Thomas Hadjistavropoulos, Sandra Zwakhalen, Rene Verreault
The purpose of this study was twofold: (1) to evaluate four pain assessment tools for use with long-term care (LTC) residents who were both able and not able to verbally report their pain; and (2) to assess whether pain behaviors displayed by LTC residents vary as a function of ability to self-report pain. We examined the differences between these two groups of residents in terms of specific pain behaviors assessed through the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) and Pain Assessment in the Communicatively Impaired (PACI)...
December 2013: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Sarah Amador, Claire Goodman, Derek King, Yi Ting Ng, Natasha Elmore, Elspeth Mathie, Ina Machen, Martin Knapp
OBJECTIVE: The goals of this study are to describe end-of-life care costs of older people with dementia (OPWD) residents in care homes (CHs) with no on-site nursing and evaluate the economic case for an intervention designed to improve end-of-life care for OPWD in CHs. METHODS: Phase 1 tracked for a year, from March 2009, health services received by 133 OPWD in six residential CHs in the East of England. CH and resident characteristics were obtained through standardised assessment tools, interviews with CH managers and publicly available information from the independent regulator of social care services in England...
July 2014: International Journal of Geriatric Psychiatry
Juan Rodríguez-Mansilla, María Victoria González-López-Arza, Enrique Varela-Donoso, Jesús Montanero-Fernández, María Jiménez-Palomares, Elisa Maria Garrido-Ardila
OBJECTIVE: To assess the impact of massage versus ear acupuncture on behavior and participation in occupational therapy of dementia patients. METHODS: We performed a controlled, randomized longitudinal trial approved by the Bioethics Commission of the University of Extremadura. One hundred twenty elderly subjects with dementia institutionalized in residential homes in Extremadura (Spain) received treatment based on massage and ear acupuncture over three months. Behavior alterations, sleep disturbance, and participation in rehabilitation and eating were assessed every month during the three months of intervention, and at one and two months of follow-up after the end of treatment...
August 2013: Journal of Traditional Chinese Medicine, Chung i Tsa Chih Ying Wen Pan
H Convert, C Védie
INTRODUCTION: Porphyrias are rare inherited disorders due to specific enzyme abnormalities of heme biosynthesis. We can classify them as hepatic or erythropoïetic, the type depends on the organ in which the enzyme is deficient. Among the hepatic forms, three of them are clinically characterised by acute abdominal pain and neuropathy, sometimes associated with psychiatric disorders. CASE REPORT: This 58-year-old woman has been hospitalized frequently since 1995 with depression, apathy, or for suicide attempts...
September 2014: L'Encéphale
A Maubert, C Hanon, J-P Metton
INTRODUCTION: Niemann-Pick type C disease (NPC) is a rare hereditary disease, which psychiatrists do not face often in France. Indeed, only a couple of articles specifically describing the psychiatric-disorders in the adult form have been published. And for the most part, they were not written by psychiatrists. This comprehensive international literature review aims at providing knowledge on this disease to French psychiatrists. METHODS: To achieve this literature review, we used the "PubMed" search engine, looking for the following keywords: Niemann-Pick type C AND (schizophrenia OR psychosis)...
October 2013: L'Encéphale
Emma Darling, Mario A Parra
AIM: To present the actions taken by the Scottish Dementia Clinical Research Network (SDCRN) to comply with Scotland's National Dementia Strategy (SNDS) on patient and public involvement (PPI). BACKGROUND: Tackling priorities in dementia research is paramount to success in planning and delivering effective health services. Identifying such priorities is a task that should involve patients with dementia and their carers. Aware of the potential importance that the public has in shaping the future of dementia research, the Scottish Government has launched an initiative that places PPI at its core...
July 2013: Nurse Researcher
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