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Dementia Resistiveness to Care

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https://www.readbyqxmd.com/read/27776986/reliability-and-validity-of-the-resistiveness-to-care-scale-among-cognitively-impaired-older-adults
#1
Elizabeth Galik, Barbara Resnick, Erin Vigne, Sarah Dee Holmes, Victoria Nalls
BACKGROUND: Resistiveness to care is behavior that prevents or interferes with caregivers' performing or assisting with activities of daily living and puts residents at risk for inappropriate use of antipsychotic drugs, other restraining interventions, social isolation, and physical abuse. The purpose of this study was to establish the psychometric properties of a previously developed Resistiveness to Care measure. PROCEDURES: This was a descriptive study using baseline data from an ongoing randomized controlled trial testing a Function and Behavior Focused Care (FBFC) intervention...
October 21, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27751631/examining-the-relationship-between-multidrug-resistant-organism-acquisition-and-exposure-to-antimicrobials-in-long-term-care-populations-a-review
#2
REVIEW
Michele L Shaffer, Erika M C D'Agata, Daniel Habtemariam, Susan L Mitchell
PURPOSE: Methodological approaches to examine the association between antimicrobial exposure and multidrug-resistant organism (MDRO) acquisition are complex. This report's objectives are to review approaches used in and findings of prior studies in the long-term care setting, illustrate how these challenges were addressed in a recently completed large prospective study, and discuss strategies for future studies. METHODS: Key design and analytic approaches used in studies conducted since 2000 examining the association between antimicrobial exposure and MDRO acquisition in the long-term care setting were reviewed...
November 2016: Annals of Epidemiology
https://www.readbyqxmd.com/read/27711932/behavioral-symptoms-of-dementia-that-present-management-difficulties-in-nursing-homes-staff-perceptions-and-their-concordance-with-informant-scales
#3
Tanya E Davison, Marita P McCabe, Michael Bird, David Mellor, Sarah MacPherson, David Hallford, Melissa Seedy, Daniel W O'Connor
The current study aimed to profile behaviors associated with dementia that pose management difficulties for staff and determine whether existing rating scales capture these reported behaviors. Staff in 17 nursing homes described the behavioral symptoms of 229 residents with predominantly moderate-severe dementia associated with management difficulties. Behaviors were categorized by an expert clinical panel and compared to items in four dementia behavior rating scales. Staff reported 59 discrete behavioral symptoms, with physically agitated, aggressive verbal, non-aggressive verbal, and aggressive physical behaviors most common, followed by resistance to care and inappropriate social and sexual behaviors...
October 5, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27535304/revising-the-resistiveness-to-care-scale
#4
Rita A Jablonski-Jaudon, Vicki Winstead, Corteza Jones-Townsend, Andres Azuero, Ellen Mahoney, Ann M Kolanowski
BACKGROUND AND PURPOSE: The Resistiveness to Care Scale for Dementia of the Alzheimer's Type was developed to quantify care-resistant behavior. The purpose of this article is to explain how the instrument was modified and tested in two clinical studies that examined interventions to improve the oral hygiene of persons with dementia who resist care. METHODS: After pilot testing, the revised instrument (RTC-r) was used in 7 facilities (N = 83 residents). Systematic training procedures were implemented to preserve reliability...
2016: Journal of Nursing Measurement
https://www.readbyqxmd.com/read/27532659/interventions-to-build-resilience-in-family-caregivers-of-people-living-with-dementia-a-comprehensive-systematic-review
#5
Andrea Petriwskyj, Deborah Parker, Siobhan O'Dwyer, Wendy Moyle, Nikki Nucifora
BACKGROUND: Recent studies have indicated that family caregivers of people with dementia have higher rates of depression, anxiety and hopelessness, as well as higher levels of burden, stress and distress. Not all caregivers, however, succumb to the negative effects of caring. Caregivers who are able to recover from, resist or adapt to the physical and psychological demands of caring can be considered "resilient". OBJECTIVES: The objective of this review was to examine the existing evidence regarding interventions for building resilience in family caregivers of people living with dementia...
June 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27489560/creative-music-therapy-in-an-acute-care-setting-for-older-patients-with-delirium-and-dementia
#6
Chin Yee Cheong, Jane An Qi Tan, Yi-Lin Foong, Hui Mien Koh, Denise Zhen Yue Chen, Jessie Joon Chen Tan, Chong Jin Ng, Philip Yap
BACKGROUND/AIMS: The acute hospital ward can be unfamiliar and stressful for older patients with impaired cognition, rendering them prone to agitation and resistive to care. Extant literature shows that music therapy can enhance engagement and mood, thereby ameliorating agitated behaviours. This pilot study evaluates the impact of a creative music therapy (CMT) programme on mood and engagement in older patients with delirium and/or dementia (PtDD) in an acute care setting. We hypothesize that CMT improves engagement and pleasure in these patients...
May 2016: Dementia and Geriatric Cognitive Disorders Extra
https://www.readbyqxmd.com/read/27438380/family-close-but-friends-closer-exploring-social-support-and-resilience-in-older-spousal-dementia-carers
#7
Warren J Donnellan, Kate M Bennett, Laura K Soulsby
OBJECTIVES: Spousal dementia carers have unique support needs; they are likely to disengage from their existing social networks as they need to devote more time to caring as the disease progresses. Previously we showed that support resources can facilitate resilience in carers, but the relationship is complex and varies by relationship type. The current paper aims to explore social support as a key component of resilience to identify the availability, function and perceived functional aspects of support provided to older spousal dementia carers...
July 20, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27322855/implementation-of-the-veder-contact-method-in-daily-nursing-home-care-for-people-with-dementia-a-process-analysis-according-to-the-re-aim-framework
#8
P Boersma, J C M van Weert, B van Meijel, R M Dröes
AIMS AND OBJECTIVES: To perform a process analysis of the implementation of the Veder contact method for gaining insight into factors that influence successful implementation. BACKGROUND: Research showed that the original Veder method, which is a 'living-room theatre performance' provided by actors, positively influenced mood and quality of life of people with dementia. Training caregivers to execute such 'performances' and accomplish the same effects as actors proved difficult...
June 20, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27259128/improving-management-of-behavioral-and-psychological-symptoms-of-dementia-in-acute-care-evidence-and-lessons-learned-from-across-the-care-spectrum
#9
Eleanor S McConnell, Michele J Karel
As the prevalence of Alzheimer disease and related dementias increases, dementia-related behavioral symptoms present growing threats to care quality and safety of older adults across care settings. Behavioral and psychological symptoms of dementia (BPSD) such as agitation, aggression, and resistance to care occur in nearly all individuals over the course of their illness. In inpatient care settings, if not appropriately treated, BPSD can result in care complications, increased length of stay, dissatisfaction with care, and caregiver stress and injury...
July 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27170589/-gonna-make-yer-gorgeous-everyday-transformation-resistance-and-belonging-in-the-care-based-hair-salon
#10
Richard Ward, Sarah Campbell, John Keady
This paper makes a contribution to an emerging debate on dementia and citizenship through a focus on the everyday experiences of women living with dementia and in receipt of care. In particular, a link is drawn between hairdressing and citizenship in the context of dementia care. Informed by a wider debate over the importance of an emplaced, embodied and performative approach to citizenship, the authors highlight the way that intersecting forms of resistance unfold in the salon. The Hair and Care project, as the name implies, focused upon hair care and styling in the context of a wider consideration of appearance and how it is managed and what it means for people living with dementia...
May 2016: Dementia
https://www.readbyqxmd.com/read/27048705/a-communication-intervention-to-reduce-resistiveness-in-dementia-care-a-cluster-randomized-controlled-trial
#11
Kristine N Williams, Yelena Perkhounkova, Ruth Herman, Ann Bossen
PURPOSE OF THE STUDY: Nursing home (NH) residents with dementia exhibit challenging behaviors or resistiveness to care (RTC) that increase staff time, stress, and NH costs. RTC is linked to elderspeak communication. Communication training (Changing Talk [CHAT]) was provided to staff to reduce their use of elderspeak. We hypothesized that CHAT would improve staff communication and subsequently reduce RTC. METHODS: Thirteen NHs were randomized to intervention and control groups...
April 5, 2016: Gerontologist
https://www.readbyqxmd.com/read/27040950/using-positive-images-to-manage-resistance-to-care-and-combative-behaviors-in-nursing-home-residents-with-dementia-a-pilot-study
#12
Wei-Ying Chou, Christine Waszynski, Jeanne Kessler, Yu-Ching Chiang, P John Clarkson
This pilot study attempted to reduce resistance-to-care (RTC) and combative behaviors in nursing home residents with dementia by eliciting their positive affect. Four female residents with dementia were recruited from a nursing facility. Each resident was involved in one intervention trial and one control trial. The response of the residents was assessed by the Agitated Behavior Scale and the Observational Measurement of Engagement Tool. The distress level of the certified nursing assistants (CNAs) delivering the care was reported through the Distress Thermometer...
May 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27015659/dementia-and-physical-activity-dapa-an-exercise-intervention-to-improve-cognition-in-people-with-mild-to-moderate-dementia-study-protocol-for-a-randomized-controlled-trial
#13
Nicky Atherton, Chris Bridle, Deborah Brown, Helen Collins, Sukhdeep Dosanjh, Frances Griffiths, Susie Hennings, Kamran Khan, Ranjit Lall, Samantha Lyle, Rupert McShane, Dipesh Mistry, Vivien Nichols, Stavros Petrou, Bart Sheehan, Anne-Marie Slowther, Margaret Thorogood, Emma Withers, Peter Zeh, Sarah E Lamb
BACKGROUND: Dementia is more common in older than in younger people, and as a result of the ageing of the population in developed countries, it is becoming more prevalent. Drug treatments for dementia are limited, and the main support offered to people with dementia and their families is generally services to mitigate against loss of function. Physical exercise is a candidate non-pharmacological treatment for dementia. METHODS/DESIGN: DAPA is a randomised controlled trial funded by the National Institute for Health Research Health Technology Assessment programme to estimate the effect of a 4-month, moderate- to hard-intensity exercise training programme and subsequent advice to remain active, on cognition (primary outcome) at 12 months in people with mild to moderate dementia...
2016: Trials
https://www.readbyqxmd.com/read/26983795/improving-physical-activity-ensures-the-long-term-survival-of-pneumonia-patients-in-a-super-aged-society-a-retrospective-study-in-an-acute-care-hospital-in-japan
#14
Kei Sato, Shinji Okada, Ayumi Sugawara, Naoki Tode, Zenta Watanuki, Kumiko Suzuki, Masakazu Ichinose
Pneumonia is the third largest cause of death in Japan. Chest physicians have been struggling to improve the outcome of pneumonia treatment in acute care settings. However, a poor long-term prognosis after pneumonia has not been well recognized. Furthermore, the factors related to the poor prognosis, especially the possible involvement of senescence-related disability, have not been identified. In this study, long-term outcomes after discharge from hospital were retrospectively analyzed to identify factors related to the poor long-term prognosis...
2016: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/26934969/maturation-of-the-mouth-intervention-from-reducing-threat-to-relationship-centered-care
#15
Rita A Jablonski-Jaudon, Ann M Kolanowski, Vicki Winstead, Corteza Jones-Townsend, Andres Azuero
The purpose of the current article is to describe a personalized practice originally conceived as a way to prevent and minimize care-resistant behavior to provide mouth care to older adults with dementia. The original intervention, Managing Oral Hygiene Using Threat Reduction Strategies (MOUTh), matured during the clinical trial study into a relationship-centered intervention, with emphasis on developing strategies that support residents' behavioral health and staff involved in care. Relationships that were initially pragmatic (i...
March 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/26704273/-demographic-change-changes-in-society-and-medicine-and-developmental-trends-in-geriatrics
#16
REVIEW
G F Kolb, L Weißbach
BACKGROUND: Increasing life expectancy means growing numbers of elderly survive the critical age for cardiac and vascular diseases only to later experience cancer and dementia. OBJECTIVES: Of the types of cancer affecting men, prostate cancer continues to be diagnosed early by prostate-specific antigen (PSA) screening. The clinical relevance and quality of life of those affected must be critically judged. Depending on life expectancy, active surveillance (AS) and watchful waiting (WW) will be increasingly used in geriatric patients...
December 2015: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/26693423/diabetes-mellitus-in-elderly
#17
REVIEW
Farida Chentli, Said Azzoug, Souad Mahgoun
Diabetes mellitus (DM) frequency is a growing problem worldwide, because of long life expectancy and life style modifications. In old age (≥60-65 years old), DM is becoming an alarming public health problem in developed and even in developing countries as for some authors one from two old persons are diabetic or prediabetic and for others 8 from 10 old persons have some dysglycemia. DM complications and co-morbidities are more frequent in old diabetics compared to their young counterparts. The most frequent are cardiovascular diseases due to old age and to precocious atherosclerosis specific to DM and the most bothersome are visual and cognitive impairments, especially Alzheimer disease and other kind of dementia...
November 2015: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/26419207/assessment-and-care-of-visuospatial-disorientation-in-a-mixed-dementia-patient-a-case-study-using-objective-measurements
#18
Eri Yamada, Kaoru Yatokoro, Miyae Yamakawa, So Yayama, Kazue Shigenobu, Norio Taniguchi, Kiyoko Makimoto
We present a case of a mixed dementia patient with visuospatial disorientation and a developmental disability. The patient was a 69-year-old man who was hospitalized for resistance to care, wandering, and a sleep disorder. He was in the advanced stages of dementia and had severe visual impairment due to cataracts. We used an integrated circuit monitoring system and Actiwatch to measure the distance moved per day and sleep-rest cycle, respectively. We administered a coloured paper test to assess the colour most easily recognized by the patient, which was red...
September 29, 2015: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/26350891/antimicrobial-therapy-in-long-term-care-controversy-colonization-and-criteria
#19
REVIEW
Danielle Backus
OBJECTIVE: To empower pharmacists to improve the outcomes of residents in long-term care facilities with urinary tract (UTIs) and skin and soft-tissue infections (SSTIs). DATA SOURCES: Relevant articles published since 1990 to date were found via PubMed regarding: long-term care, urinary tract infection, skin and soft-tissue infection, antimicrobials, multi-drug-resistant organisms, antimicrobial resistance, and dementia. Two additional Web sites were included for pharmacists' resources...
September 2015: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/26185155/effectiveness-of-expanded-implementation-of-star-va-for-managing-dementia-related-behaviors-among-veterans
#20
Michele J Karel, Linda Teri, Eleanor McConnell, Stephanie Visnic, Bradley E Karlin
PURPOSE OF THE STUDY: Nonpharmacological, psychosocial approaches are first-line treatments for managing behavioral symptoms in dementia, but they can be challenging to implement in long-term care settings. The Veterans Health Administration implemented STAR-VA, an interdisciplinary behavioral approach for managing challenging dementia-related behaviors in its Community Living Center (CLCs, nursing home care) settings. This study describes how the program was implemented and provides an evaluation of Veteran clinical outcomes and staff feedback on the intervention...
February 2016: Gerontologist
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