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Dementia Resistiveness to Care

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https://www.readbyqxmd.com/read/29437306/clinical-predictors-of-ceftriaxone-resistance-in-microorganisms-causing-febrile-urinary-tract-infections-in-men
#1
Javier Ramos Lázaro, Alex Smithson, Neus Jovè Vidal, María Teresa Batida Vila
OBJECTIVES: Because of high rates of resistance to fluoroquinolones, ceftriaxone has become one of the main options for treating febrile urinary tract infection (FUTI). This study aimed to identify predictors of ceftriaxone resistance in community-acquired FUTIs in men. MATERIAL AND METHODS: Cross-sectional ambispective study enrolling men with FUTIs treated in the emergency department of a local area hospital in Spain. RESULTS: A total of 552 FUTI episodes were studied; 103 (18...
February 2018: Emergencias: revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29424447/behavioural-intervention-to-reduce-resistance-in-those-attending-adult-day-care-centers-procendias-study-protocol-for-a-randomized-clinical-trial
#2
Emiliano Rodriguez-Sánchez, Olaya Tamayo-Morales, Jesús González-Sanchez, Sara Mora-Simón, Andrés Losada-Baltar, Jaime Unzueta-Arce, María C Patino-Alonso, Elena De Dios-Rodríguez, Manuel A Gómez-Marcos, Luis García-Ortiz
AIM: This study evaluates the effectiveness of a behavioural intervention program aimed at reducing the reluctance of dependent people to attend Adult Day Care Centres. We hope that reducing resistance will have a positive influence on the mental health of caregivers. BACKGROUND: Care centres offer important relief and rest services for family caregivers. Some caregivers report being affected by behavioural and psychological symptoms of dementia when they prepare dependents for the Care Centres, especially when these have dementia...
February 9, 2018: Journal of Advanced Nursing
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
#3
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/29214555/how-to-respond-to-resistiveness-towards-assistive-technologies-among-persons-with-dementia
#4
Anders Nordgren
It is a common experience among care professionals that persons with dementia often say 'no' to conventional caring measures such as taking medication, eating or having a shower. This tendency to say 'no' may also concern the use of assistive technologies such as fall detectors, mobile safety alarms, Internet for social contact and robots. This paper provides practical recommendations for care professionals in home health care and social care about how to respond to such resistiveness towards assistive technologies...
December 6, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29194465/rehabilitation-in-dementia-care
#5
Monica Cations, Kate E Laver, Maria Crotty, Ian D Cameron
Multidisciplinary rehabilitation is increasingly accepted as valuable in the management of chronic disease. Whereas traditional rehabilitation models focussed on recovery, maintaining independence and delaying functional decline are now considered worthwhile aims even where full recovery is not feasible. Despite this, rehabilitation is notably absent from dementia care literature and practice. People with dementia report frustration with the lack of availability of structured post-diagnosis pathways like those offered for other conditions...
November 29, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29191763/reliability-and-validity-of-the-care-plan-checklist-for-evidence-of-person-centered-approaches-for-behavioral-and-psychological-symptoms-associated-with-dementia
#6
Barbara Resnick, Elizabeth Galik, Ann Kolanowski, Kimberly Van Haitsma, Jeanette Ellis, Liza Behrens, Nina M Flanagan, Caroline McDermott
PURPOSE: The purpose of this study was to test the reliability and validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated with Dementia (BPSD). METHODS: This study used baseline data from the first cohort of a larger randomized clinical trial testing the implementation of the Evidence of Integration Triangle for BPSD. Fourteen settings volunteered to participate, 8 from Maryland and 6 from Pennsylvania, and a total of 137 residents were recruited...
November 28, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29156941/supporting-family-dementia-caregivers-testing-the-efficacy-of-dementia-care-management-on-multifaceted-caregivers-burden
#7
I Zwingmann, W Hoffmann, B Michalowsky, A Dreier-Wolfgramm, J Hertel, D Wucherer, T Eichler, I Kilimann, F Thiel, S Teipel, J R Thyrian
OBJECTIVES: Current research suggests that dementia care management (DCM) can decrease burden and associated health impairments of caregivers. The objective of this secondary analysis is to investigate the impact of DCM on multifaceted caregivers' burden dimensions by differentiating between objective and subjective burden. METHODS: A sample of n = 317 dyads of caregivers and community-dwelling people with dementia (PwD) participated in a general practitioner-based, cluster-randomized intervention trial (Identifier:NCT01401582) with two arms and comprehensive data assessment at baseline and 12-month follow-up...
November 20, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29133329/involvement-of-people-with-dementia-in-making-decisions-about-their-lives-a-qualitative-study-that-appraises-shared-decision-making-concerning-daycare
#8
Leontine Groen-van de Ven, Carolien Smits, Fuusje de Graaff, Marijke Span, Jan Eefsting, Jan Jukema, Myrra Vernooij-Dassen
OBJECTIVE: To explore how people with dementia, their informal caregivers and their professionals participate in decision making about daycare and to develop a typology of participation trajectories. DESIGN: A qualitative study with a prospective, multiperspective design, based on 244 semistructured interviews, conducted during three interview rounds over the course of a year. Analysis was by means of content analysis and typology construction. SETTING: Community settings and nursing homes in the Netherlands...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28914991/resistiveness-to-care-as-experienced-by-family-caregivers-providing-care-for-someone-with-dementia
#9
Pamela C Spigelmyer, Judith E Hupcey, Carol A Smith, Susan J Loeb, Lisa Kitko
PURPOSE: This research explored family caregivers' lived experiences of resistiveness to care when they provided care for people with dementia. The goal was to identify a general meaning of family caregivers' lived experiences to target potential areas for future nursing interventions to help family caregivers manage their caregiving role and provide a base for future research surrounding resistiveness to care. DESIGN: Descriptive phenomenology was used to provide descriptions of eight family caregivers who provided care for someone with dementia and experienced resistiveness to care...
September 15, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28866353/frail-questionnaire-screening-tool-and-short-term-outcomes-in-geriatric-fracture-patients
#10
Lauren Jan Gleason, Emily A Benton, M Loreto Alvarez-Nebreda, Michael J Weaver, Mitchel B Harris, Houman Javedan
OBJECTIVES: There are limited screening tools to predict adverse postoperative outcomes for the geriatric surgical fracture population. Frailty is increasingly recognized as a risk assessment to capture complexity. The goal of this study was to use a short screening tool, the FRAIL scale, to categorize the level of frailty of older adults admitted with a fracture to determine the association of each frailty category with postoperative and 30-day outcomes. DESIGN: Retrospective cohort study...
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28556867/voicing-ageism-in-nursing-home-dementia-care
#11
Kristine Williams, Clarissa Shaw, Alexandria Lee, Sohyun Kim, Emma Dinneen, Margaret Turk, Ying-Ling Jao, Wen Liu
Elderspeak (i.e., infantilizing communication) is a common form of ageism that has been linked to resistiveness to care in nursing home residents with dementia. Nursing home staff use elderspeak by modifying speech with older residents based on negative stereotypes, which results in patronizing communication that provides a message of incompetence. The purpose of the current secondary analysis was to describe communication practices used by nursing home staff that reflect ageism. Transcripts of 80 video recordings of staff-resident communication collected during nursing home care activities were re-analyzed to identify specific elderspeak patterns, including diminutives, collective pronouns, tag questions, and reflectives...
September 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28503675/costs-of-a-staff-communication-intervention-to-reduce-dementia-behaviors-in-nursing-home-care
#12
Kristine N Williams, Padmaja Ayyagari, Yelena Perkhounkova, Marjorie J Bott, Ruth Herman, Ann Bossen
CONTEXT: Persons with Alzheimer's disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistivenes to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC)...
2017: Journal of Nursing Home Research Sciences
https://www.readbyqxmd.com/read/28387447/withdrawn-interventions-for-fatigue-and-weight-loss-in-adults-with-advanced-progressive-illness
#13
REVIEW
Cathy Payne, Philip J Wiffen, Suzanne Martin
BACKGROUND: Fatigue and unintentional weight loss are two of the commonest symptoms experienced by people with advanced progressive illness. Appropriate interventions may bring considerable improvements in function and quality of life to seriously ill people and their families, reducing physical, psychological and spiritual distress. OBJECTIVES: To conduct an overview of the evidence available on the efficacy of interventions used in the management of fatigue and/or unintentional weight loss in adults with advanced progressive illness by reviewing the evidence contained within Cochrane reviews...
April 7, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28351450/-there-isn-t-an-easy-way-of-finding-the-help-that-s-available-barriers-and-facilitators-of-service-use-among-dementia-family-caregivers-a-qualitative-study
#14
Ashley Macleod, Gemma Tatangelo, Marita McCabe, Emily You
BACKGROUND: Family caregivers of people with dementia have significant unmet needs in regard to their caregiving role. Despite this, they are reluctant to utilize services to reduce their burden. The aim of this study was to examine the barriers and facilitators of service use among family caregivers of people with dementia. METHOD: Semi-structured interviews were conducted with 24 family caregivers of community-dwelling people with dementia. Of these, 12 were partner caregivers (4 men, 8 women) and 12 were offspring caregivers (2 men, 10 women)...
May 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28238573/the-first-case-report-of-emphysematous-pyelonephritis-and-bacteremia-due-to-oligella-urethralis
#15
Hirotaka Yamaguchi, Yukihiro Yamaguchi, Yoshiro Hadano, Kenichi Hayashi, Chie Nagahara, Tetsuro Muratani, Kiyofumi Ohkusu
Oligella urethralis (O. urethralis) is an organism that rarely causes infections in humans. We report the case of a 90-year-old bedridden woman with progressive dementia who was placed in a long-term-care facility. She was admitted to our hospital due to fever and unconsciousness with pyuria. The abdominal computed tomography showed left pneumatosis and urinary stone. Fluoroquinolones-resistant O. urethralis, which was identified by the Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) and the 16S rRNA gene sequencing, was isolated form the blood and urine cultures at admission...
April 2017: International Journal of Medical Microbiology: IJMM
https://www.readbyqxmd.com/read/28103705/exploring-the-impact-of-dementia-friendly-ward-environments-on-the-provision-of-care-a-qualitative-thematic-analysis
#16
Joanne Brooke, Joanna Semlyen
Dementia-friendly wards are recent developments to improve care for patients with dementia in acute hospitals. This qualitative study used focus groups to understand the impact of dementia friendly ward environments on nurses experiences of caring for acutely unwell patients with dementia. Qualified nurses and health care assistants working in an acute NHS Trust in England discussed their perceptions and experiences of working in a dementia-friendly ward environment. Four themes developed from the thematic analysis: (1) 'It doesn't look like a hospital': A changed environment, (2) 'More options to provide person-centred care': No one size fits all, (3) 'Before you could not see the patients': A constant nurse presence and (4) 'The ward remains the same': Resistance to change...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/27776986/reliability-and-validity-of-the-resistiveness-to-care-scale-among-cognitively-impaired-older-adults
#17
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...
January 2017: 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
#18
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
#19
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
#20
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
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