Explores the issues relevant to sexuality and old age, and challenges us to examine our own attitudes. Uses the stories of the experiences of caregivers, families and people affected by dementia to illustrate the difficulties encountered by sexual partners, as well as constructive ideas for dealing with older people's feelings, desires and behaviour, and explodes the myths surrounding what
Explores the issues relevant to sexuality and old age, and challenges us to examine our own attitudes. Uses the stories of the experiences of caregivers, families and people affected by dementia to illustrate the difficulties encountered by sexual partners, as well as constructive ideas for dealing with older people's feelings, desires and behaviour, and explodes the myths surrounding what is a normal part of life.
Subject terms:
older people, partners, sexuality, carers, care homes, dementia;
Looks at the use of medication in dementia care. Gives guidance on the drug treatments which are currently available, detailing how they can be used, and assessing their effectiveness. Considers the clinical value of the new cognitive enhancing drugs such as donezepil. Also looks at the use of older drugs, describing the situation in the United States where controversy over the misuse
Looks at the use of medication in dementia care. Gives guidance on the drug treatments which are currently available, detailing how they can be used, and assessing their effectiveness. Considers the clinical value of the new cognitive enhancing drugs such as donezepil. Also looks at the use of older drugs, describing the situation in the United States where controversy over the misuse of treatments such as antipsychotic medication in nursing homes has led to legally enforced controls. Highlights the need for evidence based practice and advocates the prescription of medication as just one part in a complete care plan reflecting the specific situation and needs of each individual.
Subject terms:
medication, needs, older people, planning, service users, treatment, therapy and treatment, care management, dementia;
...disorders among African-Caribbean general practice attenders in Brixton, London; ethnicity and alcohol misuse; child psychiatry; cross cultural approaches to dementia and depression in older adults; suicide; postnatal depression in Japanese women who have given birth in England; forensic psychiatry; joint working; user views of mental health services; NHS services for black patients; alternatives
Sets the scene for identifying and meeting the mental health needs of black and minority ethnic people. Includes chapters on: ethnicity; a national perspective on mental illness; cultural aspects of mental disorder in primary care; pathways into care; epidemiological factors in research with ethnic minorities; risk factors for psychosis in the UK African-Caribbean population; common mental disorders among African-Caribbean general practice attenders in Brixton, London; ethnicity and alcohol misuse; child psychiatry; cross cultural approaches to dementia and depression in older adults; suicide; postnatal depression in Japanese women who have given birth in England; forensic psychiatry; joint working; user views of mental health services; NHS services for black patients; alternatives to institutional psychiatry; and the role of general practitioners.
Subject terms:
Japanese people, mental health problems, mental health services, older people, postnatal depression, risk, suicide, user views, alcohol misuse, black and minority ethnic people, dementia, ethnicity, forensic psychiatry, general practitioners;
Like the rest of the population, people with learning difficulties are living longer and are also increasingly joining the growing numbers of people who have dementia. This trend throws up a range of issues for policy-makers and practitioners. Little attention has been paid to how choice and empowerment, fundamental to the community care reforms, can be made meaningful for individuals...
Like the rest of the population, people with learning difficulties are living longer and are also increasingly joining the growing numbers of people who have dementia. This trend throws up a range of issues for policy-makers and practitioners. Little attention has been paid to how choice and empowerment, fundamental to the community care reforms, can be made meaningful for individuals with learning difficulties and dementia. This research examined how far 20 people with these dual impairments, living in a range of settings, were involved in making choices and decisions about their own lives, and identified what facilitated or hindered that process.
Presents a concise guide to running a training programme for dementia care workers. Outlines the key factors to consider in the design, delivery and implementation of a programme. Stresses the importance of getting to know the care settings in which the trainees will practise to ensure that the training has direct relevance to participants.
Presents a concise guide to running a training programme for dementia care workers. Outlines the key factors to consider in the design, delivery and implementation of a programme. Stresses the importance of getting to know the care settings in which the trainees will practise to ensure that the training has direct relevance to participants.
Subject terms:
older people, social care provision, staff, staff development, training, training materials, dementia;
Examines the role of staff education and training for carers working with people with dementia in the context of the business of running a care home. Demonstrates how effective education programmes can significantly enhance the quality of care provided for residents and, by adding to the quality of the overall care package delivered, can also contribute to good business practice. Based
Examines the role of staff education and training for carers working with people with dementia in the context of the business of running a care home. Demonstrates how effective education programmes can significantly enhance the quality of care provided for residents and, by adding to the quality of the overall care package delivered, can also contribute to good business practice. Based on practical work conducted in care homes, provides guidelines for the implementation of life long learning strategies which will be of benefit to staff, residents and employers.
Subject terms:
life long learning, older people, quality assurance, staff development, training, care homes, dementia;
Evidence based briefings (EBBs) are summarised collections of synthesised evidence in a given topic area. This document on dementia attempts to encapsulate the best available evidence into a format which is quick and easy to use. Sources include research, guidelines and national guidance. Includes full references to source documents and details of further information resources. Includes data...
Evidence based briefings (EBBs) are summarised collections of synthesised evidence in a given topic area. This document on dementia attempts to encapsulate the best available evidence into a format which is quick and easy to use. Sources include research, guidelines and national guidance. Includes full references to source documents and details of further information resources. Includes data on: dementia assessment; history and presentation; the assessment process; diagnostic issues; quality of life (including screening and prevention and carers and families); clinical management; psychosocial interventions; medication; and organisation of care.
Extended abstract:
PALMER Claire Evidence-base briefing: dementia; a compilation of secondary research evidence, guidelines and consensus statements.
Summary
Evidence-base briefings (EBBs) are summarised collections of synthesised 'evidence' in a given topic area. This document on dementia attempts to encapsulate the best available evidence into a format which is quick and easy to use. Its main aim is to provide a check-list of appraised evidence from which a clinician can easily obtain original documents. These documents can then be appraised (using the tool provided) and interpreted for the clinician's own practice. The evidence sources on which the EBB is based include research, guidelines and national guidance. The EBB includes full references to its source documents and details on further information resources to support evidence-based practice.
Context
This evidence-base briefing (EBB) on dementia is an attempt to assimilate synthesised evidence into a format that is easy and quick to use. It is basically a list of key evidence which has been accumulated from searching centres. It does not include randomised control trials and is not meant to be exhaustive. It does not therefore purport to be a list of all category one evidence. Its main purpose is as a quick check-list of appraised evidence from which readers can then obtain the original documents and appraise and interpret them for their own practice.
Method
The EBB is broken down into accessible sections. These sections show the area of work, a very brief summary of the evidence, the year of publication and a ranking of strength of that particular piece of evidence. The reviewer of this EBB uses a three star system to show the quality of the evidence; three being the highest. This reflects their opinion only, but is aimed at allowing readers to look at the evidence in some form of order. There are several caveats around the use of this briefing. The evidence summary is just that - the original documents need to be read. Also, good evidence is often reviewed by many groups and so ends up listed more than once. Frequency of entry is not a reflection of importance and users of the EBB must be careful in their interpretation of the statements provided. This work, as stated, is a briefing. Its aim is to point people at the evidence in order for them to appraise it and the services they offer based on it. It provides direction, not answers, and should only be used as such. This is the first edition of this document, the intention is to undertake a major update every two years and increase the number of sections to include other areas as more evidence appears.
Contents
Section one contains details what an evidence-base briefing is, its uses and how EBBs are produced. This EBB has been divided into five chapters; introduction; preparing to use this EBB; the evidence; critical appraisal tools; sources of information. The second section explains the type of evidence utilised and how it is graded. The third section has been organised to reflect clinical practice to some extent. It begins, therefore, with assessment and then progresses through quality of life, issues related to carers and families, clinical management, psychosocial and medication interventions and then particular issues related to people with learning disabilities who have dementia. The section ends with a full list of references. The fourth section provides two critical appraisal tools; critical appraisal form for an overview: this form is utilised to appraise systematic reviews, meta-analyses and other overviews; and a critical appraisal form for clinical guidelines: this form is utilised to appraise clinical practice guidelines. Both of these forms may be photocopied freely. A list of organisations which can provide additional resources to support critical appraisals, systematic searching and developing structured questions completes this section. The final section provides information about the providers of the information used in this EBB, along with their contact details.
Conclusion
"Uses of EBBS: to generate discussion at clinical meetings; to provide a basis for continuing professional development and education sessions; to inform clinical audit standards; to provide an information resource for individual practitioners or for groups; to provide a reference/reminder resource; to provide a basis for developing local guidelines; to provide a basis for developing information for service users, carers and the public."
72 references (in evidence section) 6 references (in critical appraisal tools section) 37 contact details
Subject terms:
joint working, medication, older people, primary care, psychology, social care provision, assessment, dementia, diagnosis, evidence, evidence-based practice, health care;
Poses questions concerning depression, dementia, psychosis, sleep disturbances, anxiety, use of anti dementia drugs, antidepressants and neurolpesy in old age...
Gives an historical overview of studies of the association between certain mental health problems and particular periods of life, finding that attempts to delineate categories of mental disorder unique to old age have failed over the decades and that the debate continues. Goes on to look at the difference between early onset and late onset disorders and whether there are any atypical features. Poses questions concerning depression, dementia, psychosis, sleep disturbances, anxiety, use of anti dementia drugs, antidepressants and neurolpesy in old age.
Subject terms:
medication, mental health problems, older people, schizophrenia, severe mental health problems, anxiety, dementia, depression, young onset dementia, sleep problems;
Examines the needs of young (ie under 65) people with dementia and their carers. Attempts to determine the prevalence of early onset dementia in Leeds, to identify the needs of patients and their carers, to examine services available to them and identify gaps and make recommendations for future provision.
Examines the needs of young (ie under 65) people with dementia and their carers. Attempts to determine the prevalence of early onset dementia in Leeds, to identify the needs of patients and their carers, to examine services available to them and identify gaps and make recommendations for future provision.
Subject terms:
needs, older people, social care provision, surveys, unmet need, adults, Alzheimers disease, carers, dementia, young onset dementia;
Quality of life issues are particularly important for those who have the least control over their environment. Since quality of life consists of both affective and cognitive components, individuals with significant cognitive deficits, such as dementia patients, in turn experience decreased levels of well-being. These individuals are unable to verbalize their psychological discomfort
Quality of life issues are particularly important for those who have the least control over their environment. Since quality of life consists of both affective and cognitive components, individuals with significant cognitive deficits, such as dementia patients, in turn experience decreased levels of well-being. These individuals are unable to verbalize their psychological discomfort, their frustrations are often displayed as agitation and other problem behaviors.
Subject terms:
intervention, older people, quality of life, self-determination, severe learning disabilities, therapies, therapy and treatment, Alzheimers disease, challenging behaviour, dementia;