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Mustafa Atee, Kreshnik Hoti, Jeffery D Hughes
BACKGROUND/AIMS: Pain is common in aged care residents with dementia; yet it often goes undetected. A novel tool, the electronic Pain Assessment Tool (ePAT), was developed to address this challenging problem. We investigated the psychometric properties of the ePAT. METHODS: In a 10-week prospective observational study, the ePAT was evaluated by comparison against the Abbey Pain Scale (APS). Pain assessments were blindly co-performed by the ePAT rater against the nursing staff of two residential aged care facilities...
January 23, 2018: Dementia and Geriatric Cognitive Disorders
Dilip V Jeste
It is a great honor and a privilege to be appointed as the new Editor-in-Chief of the International Psychogeriatrics (IPG), the flagship journal of the premier international geriatric psychiatry organization - the International Psychogeriatric Association (IPA). I am a proud Life Member of the IPA, and have been involved in different activities of the IPA over the past three decades.
January 2018: International Psychogeriatrics
Márcia Radanovic, Florindo Stella, Lis Gomes Silva, Leda L Talib, Orestes V Forlenza
Cognitive impairment includes mild cognitive decline and dementia, such as Alzheimer's disease (AD) and cerebrovascular-related pathologies. Objective: To investigate the profile of AD-related CSF biomarkers in a sample of cognitively impaired and unimpaired older adults with concomitant subcortical cerebrovascular burden. Methods: Seventy-eight older adults attending an outpatient psychogeriatric clinic were enrolled. Diagnoses were based on clinical, neuropsychological, laboratory, and neuroimaging data...
October 2017: Dementia & Neuropsychologia
Simon Jc Davies, Amer M Burhan, Donna Kim, Philip Gerretsen, Ariel Graff-Guerrero, Vincent L Woo, Sanjeev Kumar, Sarah Colman, Bruce G Pollock, Benoit H Mulsant, Tarek K Rajji
INTRODUCTION: Behavioural and psychological symptoms of dementia (BPSD) include agitation and aggression in people with dementia. BPSD is common on inpatient psychogeriatric units and may prevent individuals from living at home or in residential/nursing home settings. Several drugs and non-pharmacological treatments have been shown to be effective in reducing behavioural and psychological symptoms of dementia. Algorithmic treatment may address the challenge of synthesizing this evidence-based knowledge...
January 1, 2018: Journal of Psychopharmacology
Pierre Krolak-Salmon, Laurent Letrilliart, Mathieu Ceccaldi, Sandrine Andrieu, Olivier Guérin, Bruno Dubois, Bruno Brochet, Pierre Vandel, Claude Jeandel, Armelle Leperre-Desplanques, Michel Clanet, Pierre-Louis Druais
Neurocognitive disorders leading to progressive cognitive, functional and behavioural impairment are often undiagnosed or diagnosed lately. But tailored care and therapeutics help in implementing secondary and tertiary prevention dynamics aiming at preserving quality of life and delaying, anticipating or preventing behavioural crisis and severe stages of dementia. Moreover, the diagnosis of numerous diseases induces specific care and therapeutics, as well access to research and clinical trials. For the first time, the representatives of the National College of General Practitioners, the French Federation of Memory Centres, the French Federation of Gerontology and Geriatrics, the French Federation of Neurology, the French Society of Psychogeriatrics and the national plan on neurodegenerative diseases propose a graduated and tailored diagnosis strategy involving primary care and specialists of neurocognitive disorders...
December 26, 2017: La Presse Médicale
Charlemagne Simplice Moukouta, Kossigan Kokou-Kpolou, Daniel Mbassa Menick, Hélène Deligne, Marianne Dailly, Fayek Soltani
Based on an in-depth case study, the authors of this paper highlight the difficulties faced by caregivers in the psychogeriatric care for elderly migrants. They show how both the history of emigration and the migratory experience can make this management complex. They articulate their reflection on the difficulties of diagnosis and therapeutic relationship, on the linguistic barrier around the question of old age in migration context. For the effective management of the elderly migrant, the authors suggest a strengthening of intercultural skills for caregivers...
December 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
Enwu Liu, Suzanne M Dyer, Lisa Kouladjian O'Donnell, Rachel Milte, Clare Bradley, Stephanie L Harrison, Emmanuel Gnanamanickam, Craig Whitehead, Maria Crotty
OBJECTIVE: To examine associations between cardiovascular system medication use with cognition function and diagnosis of dementia in older adults living in nursing homes in Australia. METHODS: As part of a cross-sectional study of 17 Australian nursing homes examining quality of life and resource use, we examined the association between cognitive impairment and cardiovascular medication use (identified using the Anatomical Therapeutic Classification System) using general linear regression and logistic regression models...
June 2017: Journal of Geriatric Cardiology: JGC
Gaston Jamin, Tom Luyten, Rob Delsing, Susy Braun
INTRODUCTION: Interactive art installations might engage nursing home residents with dementia. The main aim of this article was to describe the challenging design process of an interactive artwork for nursing home residents, in co-creation with all stakeholders and to share the used methods and lessons learned. This process is illustrated by the design of the interface of VENSTER as a case. METHODS: Nursing home residents from the psychogeriatric ward, informal caregivers, client representatives, health care professionals and members of the management team were involved in the design process, which consisted of three phases: (1) identify requirements, (2) develop a prototype and (3) conduct usability tests...
October 17, 2017: Disability and Rehabilitation. Assistive Technology
Mimi Mei Cheung Wong, Pui-Fai Pang, Michael Gar Chung Yiu
No abstract text is available yet for this article.
October 2017: BJPsych Bulletin
Michael Lowe, Pasqualina Coffey
Objective The aim of the present study was to describe the elderly population of the Northern Territory (NT), explore the challenges of delivering aged care services to this population and implications for the acute care sector.Methods Data gathered from a variety of sources were used to describe the demographic and health profile of elderly Territorians, the aged care structure and services in the NT, and admission trends of elderly patients in NT hospitals. Information regarding NT community and residential aged care services was sourced from government reports...
October 2, 2017: Australian Health Review: a Publication of the Australian Hospital Association
Jean-Bernard Mabire, Marie-Claire Gay, Pierre Vrignaud, Catherine Garitte, Yun-Hee Jeon, Myrra Vernooij-Dassen
Dementia can interfere with the maintenance of social interactions. The ability to participate in social interactions is one of the elements that enables good social health (Hubert et al., 2011), and having dementia does not automatically eliminates the person's opportunity to have good social health (Vernooij-Dassen and Jeon, 2016). We highlighted in a previous study that people with dementia who did not know each other interacted spontaneously when they were in a stimulating social interaction setting (Mabire et al...
October 2, 2017: International Psychogeriatrics
Megan J Hobbs, Amy E Joubert, Alison E J Mahoney, Gavin Andrews
BACKGROUND: The burden attributable to late-life depression is set to increase with the ageing population. The size of the workforce trained to deliver psychogeriatric medicine is limited. Internet-delivered cognitive behavioral therapy (iCBT) is an efficacious and scalable treatment option for depression. Yet older adults are underrepresented in iCBT research. This study examines the effects of iCBT for depression across the adult lifespan among patients seeking help in routine clinical care (N = 1288)...
September 23, 2017: Journal of Affective Disorders
Han Diesfeldt, Marleen Prins, Gijs Lauret
The Visual Association Test (VAT) is a brief learning task that consists of six line drawings of pairs of interacting objects (association cards). Subjects are asked to name or identify each object and later are presented with one object from the pair (the cue) and asked to name the other (the target). The VAT was administered in a consecutive sample of 174 psychogeriatric day care participants with mild to major neurocognitive disorder. Comparison of test performance with normative data from non-demented subjects revealed that 69% scored within the range of a major deficit (0-8 over two recall trials), 14% a minor, and 17% no deficit (9-10, and ≥10 respectively)...
September 27, 2017: Tijdschrift Voor Gerontologie en Geriatrie
Spomenka Tomek-Roksandić, Ivana Popek, Nada Tomasović Mrčela, Zvonimir Šostar, Branko Kolarić, Nina Smolej Narančić, Ana Stavljenić Rukavina, Mate Ljubičić
BACKGROUND: The study was designed as a gerontologic-public health analysis of the relationship between the leading and accompanying psychogeriatric diagnoses and negative health behaviors recorded in the old people's home users, with the aim to evaluate and redefine gerontologic-public health priorities and geroprophylactic measures, with special reference to persons suffering from Alzheimer's disease and other dementias. SUBJECT AND METHODS: Gerontologic-public health indicators obtained by monitoring health care needs of the elderly in specific institutional primary health care at 10 old people's homes (N=1185) in Croatia in 2013 were analyzed using the professional methodology developed at Department of Health Gerontology, Andrija Štampar Teaching Institute of Public Health (Registry List 1 that refers to monitoring specific primary health care needs of elderly at old people's homes)...
September 2017: Psychiatria Danubina
Megan J Hobbs, Alison E J Mahoney, Gavin Andrews
The burden attributable to late-life Generalized Anxiety Disorder (GAD) is set to increase alongside the ageing population. Yet, the psychogeriatric workforce is limited in size and few studies have focused on the treatment of GAD among older patients. Internet-delivered cognitive behavioral therapy (iCBT) could be integrated into existing infrastructure and scale the psychogeriatric workforce, if shown to be effective across the adult lifespan. This study examined age-related differences in presentation, adherence and effects of iCBT for GAD among patients in routine clinical care (N=942; 18-29years (n=267); 30-39years (n=260); 40-49years (n=180); 50-59years (n=124); and 60+ years (n=111))...
September 11, 2017: Journal of Anxiety Disorders
Myrella Paschali, Daniel Kamp, Claudia Reichmann, Michaela Jaenner, Christian Lange-Asschenfeldt, Tillmann Supprian
BACKGROUND: Impulsive-aggressive behavior is a significant challenge in geriatric psychiatry and requires professional evaluation and management. METHODS: SOAS-R scales (Staff Observation Aggression Scale-Revision) completed by medical staff on three secure psychiatric wards were analyzed during a period of 12 months. Patients were subdivided into the following two diagnostic subgroups: dementia and other diagnoses. RESULTS: A total of 146 aggressive incidents involving 66 patients were reported (8...
August 30, 2017: International Psychogeriatrics
Nicola T Lautenschlager
Since 2014, the year in which International Psychogeriatrics celebrated 25 years of existence, International Psychogeriatrics has featured a "paper of the month" (POM) category. Chosen by the editorial team which ranks available new International Psychogeriatrics manuscripts from the categories "original research articles" and "reviews," a POM is identified representing high scientific quality and clinical relevance. Each POM is accompanied by a short commentary highlighting its findings and relevance...
October 2017: International Psychogeriatrics
Viviënne A L Huppertz, Gert-Jan van der Putten, Ruud J G Halfens, Jos M G A Schols, Lisette C P G M de Groot
INTRODUCTION: According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psychogeriatric wards in Dutch nursing homes. METHODS: Data of the cross-sectional National Prevalence Measurement of Quality of Care study (Landelijke Prevalentiemeting Zorgproblemen study) in the Netherlands were used to evaluate nutritional status and oral health of 3220 residents, aged 65 or older and living in somatic or psychogeriatric wards in Dutch nursing homes...
November 1, 2017: Journal of the American Medical Directors Association
Constance Dimity Pond
In this edition of International Psychogeriatrics, Pertrazzuoli et al. (2017) address attitudes to dementia by primary care physicians (PCPs) across a range of European countries. The article focusses on diagnosis, screening instruments and drug treatment, and finds a wide range of approaches to the PCPs' role in referral for diagnosis and medication prescription. The findings include that PCPs who are allowed to prescribe dementia drugs, engage in higher levels of diagnostic work up, despite all the barriers to identification ably summarized in the paper...
July 13, 2017: International Psychogeriatrics
Natashe Lemos Dekker, Marjolein Gysels, Jenny T van der Steen
OBJECTIVE: There are few studies on how professional caregivers apply the Liverpool Care Pathway (LCP) in nursing home care for people with dementia. Further, despite critiques in the United Kingdom, the LCP continues to be used in the Netherlands, while, to the best of our knowledge, no studies have been conducted since its implementation. The purpose of the present study was to analyze professional caregivers' experiences with the LCP in this context. METHOD: This article draws on an ethnographic study...
July 11, 2017: Palliative & Supportive Care
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