Search results for ‘Subject term:"alzheimers disease"’ Sort:
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Prevalence and correlates of Capgras syndrome in Alzheimer's Disease
- Authors:
- HARWOOD Dylan G., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(6), June 1999, pp.415-420.
- Publisher:
- Wiley
The American study examines the prevalence and clinical correlates of Capgras Syndrome (CS) in Alzheimer's Disease, where patients believe that others, their husband, children and doctors, have been replaced by imposters. Results found that CS was prevalent in approximately ten percent of the community-dwelling AD sample. This syndrome was more common at the later stages of the illness and showed relations with increased functional impairment and other psychotic symptomatology.
American Journal of Alzheimer's Disease and other Dementias
- Publisher:
- Sage
American Journal of Alzheimer's Disease and other Dementias is an international, open access, peer reviewed journal that focuses on all aspects of Alzheimer's disease. AJADD publishes original research, case studies and media reviews on all aspects of Alzheimer's and dementia. Coverage on Social Care Online from this journal is limited to relevant systematic reviews and service evaluations only. (Edited publisher abstract)
Humour, irony and sarcasm in severe Alzheimer's dementia - a corrective to retrogenesis?
- Author:
- MOOS Inger
- Journal article citation:
- Ageing and Society, 31(2), February 2011, pp.328-346.
- Publisher:
- Cambridge University Press
Retrogenesis is claimed to be the process by which degenerating mechanisms in the brain, as found in Alzheimer's disease, reverse the order of acquisition of functions in normal child development, including language. The aim of this study was to analyse the communicative competence of people with moderately severe Alzheimer's disease according to FAST (Functional Assessment Staging of Alzheimer's disease) as to the occurrence of humour, irony and sarcasm in conversations with their professional caregivers. The study used data from an earlier study analysing audio recordings of everyday conversations between nursing home residents in Denmark with Alzheimer's disease and their professional caregivers, and focused on 3 participants. The article reports on analysis of the findings from the interviews, with examples. The author concludes that the comprehension and production of humour, irony and sarcasm of the 3 participants in the study are correctives to retrogenesis concerning speech and language abilities in severe Alzheimer's disease.
Alzheimer’s and Dementia
- Publisher:
- Elsevier
This is the journal of the Alzheimer's Association in the United States. It publishes the results of studies in: behaviour, biochemistry, genetics, molecular biology, pharmacology, physiology, protein chemistry, neurology, neuropathology, psychiatry, geriatrics, neuropsychology, epidemiology, sociology, health services research, health economics, political science and public policy. Content emphasizes interdisciplinary investigations, integrative/translational articles, related to: etiology, risk factors, early detection, disease modifying interventions, prevention of dementia and applications of new technologies in health services. Coverage on Social Care Online from this journal is limited to relevant systematic reviews only.
Practical approaches to minimising restraint
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 8 minutes 20 seconds
- Place of publication:
- London
This film uses two examples to illustrate how restraint can be minimised. The first example describes the experience of Peter, who is living in a care home and has a urinary tract infection. A common side effect of such infections is confusion, which is made worse by Peter's Alzheimer's disease. The second story is about Florence, a lady in her 80's who had developed a chest infection and had been admitted to hospital suffering delirium. Key messages for practice are: sometimes it is necessary to apply restraint in the person's best interests; the need for restraint has to be reassessed on each and every occasion as people's needs and capacity change; using a person-centred approach and understanding a person's life story is vital; and talking with colleagues, carers families and people who use services can help to minimise restraint. (Edited publisher abstract)
Awareness in severe Alzheimer’s disease: a systematic review
- Authors:
- O'SHAUGHNESSY N. J., et al
- Journal article citation:
- Aging and Mental Health, 25(4), 2021, pp.602-612.
- Publisher:
- Taylor and Francis
Objective: There is limited understanding about how people in the severe stages of Alzheimer’s disease (AD) experience and demonstrate awareness. We synthesised all available evidence with the aim of understanding how awareness is preserved or impaired in severe AD and what evidence there is for different levels of awareness according to the levels of awareness framework. Method: A systematic search of the following databases: Embase, PsycINFO, MEDLINE and Web of Science was carried out. A narrative synthesis and analysis was conducted of all included studies. All studies were assessed for quality using the AXIS and CASP tools. Results: Our findings suggest that lower level sensory awareness is relatively maintained in severe AD. Findings for higher level awareness are variable and this may be related to the diversity of methods that have been used to explore awareness in these circumstances. Conclusion: Awareness is complex, heterogeneous and varies significantly between individuals. Environmental and contextual factors have a significant impact on whether awareness is observed in people with severe AD. Adaptation of the environment has the potential to facilitate the expression of awareness while education of caregivers may increase understanding of people with severe AD and potentially improve the quality of care that is received. (Edited publisher abstract)
End-of-life care among nursing home residents with dementia varies by nursing home and market characteristics
- Authors:
- ORTH Jessica, et al
- Journal article citation:
- Journal of the American Medical Directors Association, 22(2), 2021, pp.320-328.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Objectives: Nursing homes (NHs) are critical end-of-life (EOL) care settings for 70% of Americans dying with Alzheimer's disease/related dementias (ADRD). Whether EOL care/outcomes vary by NH/market characteristics for this population is unknown but essential information for improving NH EOL care/outcomes. Our objectives were to examine variations in EOL care/outcomes among decedents with ADRD and identify associations with NH/market characteristics. Design: Cross-sectional. Outcomes: Place-of-death (hospital/NH), presence of pressure ulcers, potentially avoidable hospitalizations (PAHs), and hospice use at EOL. Key covariates were ownership, staffing, presence of Alzheimer's units, and market competition. Setting and Participants: Long-stay NH residents with ADRD, age 65 + years of age, who died in 2017 (N = 191,435; 14,618 NHs) in NHs or hospitals shortly after NH discharge. Methods: National Medicare claims, Minimum Data Set, public datasets. Descriptive analyses and multivariable logistic regressions. Results: As ADRD severity increased, adjusted rates of in-hospital deaths and PAHs decreased (17.0% to 6.3%; 11.2% to 7.0%); adjusted rates of dying with pressure ulcers and hospice use increased (8.2% to 13.5%; 24.5% to 40.7%). Decedents with moderate and severe ADRD had 16% and 13% higher likelihoods of in-hospital deaths in for-profit NHs. In NHs with Alzheimer's units, likelihoods of in-hospital deaths, dying with pressure ulcers, and PAHs were significantly lower. As ADRD severity increased, higher licensed nurse staffing was associated with 14%‒27% lower likelihoods of PAHs. Increased NH market competition was associated with higher likelihood of hospice use, and lower likelihood of in-hospital deaths among decedents with moderate ADRD. Conclusions and Implications: Decedents with ADRD in NHs that were nonprofit, had Alzheimer's units, higher licensed nurse staffing, and in more competitive markets, had better EOL care/outcomes. Modifications to state Medicaid NH payments may promote better EOL care/outcomes for this population. Future research to understand NH care practices associated with presence of Alzheimer's units is warranted to identify mechanisms possibly promoting higher-quality EOL care. (Edited publisher abstract)
A Structured Cognitive Intervention Pathway as a decision-support tool for non-pharmacological interventions within a dementia care service (innovative practice)
- Authors:
- CARTER Mark, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(1), 2021, pp.398-409.
- Publisher:
- Sage
Individual cognitive interventions for Alzheimer’s disease have been shown to be beneficial and cost effective when evaluated as sole interventions. However, there is a need for a systematic, person-centric, structured approach to guide non-pharmacological intervention selection based on disease stage, symptoms, outcome assessment, and individual requirements. Our Structured Cognitive Intervention Pathway aims to facilitate the selection of first-line, or subsequent, non-pharmacological management for people with Alzheimer’s disease living at home and in elderly care facilities. We discuss the Pathway’s conceptual basis and evaluation of implementation as a decision-support tool within a dementia care service in China. (Edited publisher abstract)
Quality of life in patients with mild Alzheimer disease: the mediator role of mindfulness and spirituality
- Authors:
- LIMA Sara, et al
- Journal article citation:
- Aging and Mental Health, 24(12), 2020, pp.2103-2110.
- Publisher:
- Taylor and Francis
Objectives: This study examined the mediator role of mindfulness and spirituality in the relationship between psychological morbidity, awareness of the disease, functionality, social support, family satisfaction, and quality of life (QoL) in patients with mild AD. Method: The sample consisted of 128 patients who answered the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R), the Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), the Hospital Anxiety and Depression Scales (HADS), the Satisfaction with Social Support Scale (SSSS), the Family Satisfaction Scale (FSS), the Spiritual and Religious Attitudes in Dealing with Illness (SpREUK), the Index of Barthel, and the Quality of Life-Alzheimer's Disease (QoL-AD). Results: Mindfulness and spirituality mediated the relationship between functionality, awareness of the disease, family satisfaction and QoL. Psychological morbidity had a direct negative impact on QoL and was negatively associated with awareness of the disease, family satisfaction and social support. Mindfulness was negatively associated with spirituality and the latter was negatively associated with QoL. More social support was associated with greater awareness of the disease and family satisfaction. More functionality, awareness of the disease and family satisfaction contributed to more QoL and this relationship was mediated by mindfulness and spirituality. Conclusion: Interventions directed at the promotion of the QoL of patients with mild AD should focus on the promotion of mindfulness skills in AD patients, in addition to the reduction of psychological morbidity and the promotion of functionality, awareness of the disease, family relationships and social support. (Edited publisher abstract)