Search results for ‘Subject term:"alzheimers disease"’ Sort:
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Alzheimer talk, text and context: enhancing communication
- Editors:
- DAVIS Boyd H., (ed.)
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2005
- Pagination:
- 254p.
- Place of publication:
- Basingstoke
The contributors to this volume reference a shared, longitudinal corpus of spontaneous conversation elicited in natural settings from speakers with moderate to late moderate Alzheimer's Disease, utilizing other collections as appropriate, to analyze conversation, discourse and written text by and about Alzheimer's speech. Cross-disciplinary contributions from the USA, Canada, New Zealand and Germany, representing linguistics, gerontology, geriatric nursing, computer science, and communications disorders report on empirically-based investigations of social and pragmatic language competencies and strategies retained by AD patients which could ground communication enhancements or interventions.
Defining severe dementia with the Minimum Data Set
- Authors:
- VAN DER STEEN Jenny T., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(11), November 2006, pp.1099-1106.
- Publisher:
- Wiley
Accurately defining severe dementia is important for care and prognosis, but is not explicitly included in the Minimum Data Set (MDS). The objective was to define severe dementia using the MDS. The authors used data for nursing home residents with moderate to severe dementia. Two cross-sectional studies enrolled 175 residents; 89 residents from one US Veterans Affairs nursing home, and 86 residents from nine Dutch nursing homes. Measurements included the Cognitive Performance Scale (CPS; range: 0-6), activities of daily living (ADL) dependency, and the Bedford Alzheimer Nursing Severity-Scale (BANS-S; range: 7-28), a staging instrument specific for severe dementia. Half of the residents received CPS scores of 5, and their BANS-S scores varied widely. There was fair agreement (kappa = 0.36) between severe cognitive impairment as defined by the CPS (scores 5 and 6) and the BANS-S (score 17 or higher). Addition of an ADL dependency requirement to the CPS definition improved agreement (kappa = 0.75). The observed patterns were similar but more obvious for US residents than for Dutch residents. Cognitively impaired residents comprise a heterogeneous group with a wide variety of function. Restriction with respect to ADL dependency allows for distinction between moderate and severe dementia. We propose the following MDS-based definition of severe dementia: a CPS score of 5 or 6 with a minimum score of at least 10 points on the MDS ADL-Short Form.
Living with Alzheimer's
- Author:
- MEREDITH Huw
- Journal article citation:
- Nursing Times, 9.12.98, 1998, pp.30-31.
- Publisher:
- Nursing Times
Describes the role of Admiral nurses who have mental health skills and explains how they can help carers achieve a reasonable quality of life.
The dementias: diagnosis, management and research
- Editor:
- WEINER Myron F.
- Publisher:
- American Psychiatric Press
- Publication year:
- 1996
- Pagination:
- 514p.,bibliog.
- Place of publication:
- Washington, DC
Presents a broad overview of dementia, gives practical suggestions for clinicians, and provides a view of recent research. Places emphasis on understanding patients with dementia and offers practical techniques for management of dementia related behaviour.
Art therapy with older adults: a sourcebook
- Editors:
- MAGNIANT Rebecca C. Perry, (ed.)
- Publisher:
- Charles C. Thomas
- Publication year:
- 2004
- Pagination:
- 244p.
- Place of publication:
- Springfield, IL
This book constitutes an important step in demonstrating that art therapy is a unique offering for persons aged sixty-five years and older, giving the potential for enrichment and healing in those lives. Describing the various ways in which art therapy can be used in the treatment of mental and emotional problems of older adults, the editor encourages the reader to use the suggestions and concepts within or tailor them to suit one’s own specific working environment or population. Divided into three sections, this book proposes creative art therapies interventions, directives, and ideas along with model programs and examples of work in different settings. Section I discusses art therapy interventions and ideas for treatment, including working with ceramics, sandtray, memory books, and directives. Section II deals with working with specific populations of older adults, caregivers of older adults, and older adults in long-term care and residential settings. In addition, working with older adults with Alzheimer’s disease is addressed in this section. Section III focuses on working with individual older adult clients, home-based art therapy, grandmothers raising troubled teenagers, hospice patients, and mentally ill geriatrics. Readers will find this book to be a sourcebook of information. It will have great appeal to human service practitioners, health and mental health practitioners, and educators in social work, psychology, nursing, and counselling.
Development and implementation of nonpharmacologic protocols for the management of patients with Alzheimer's disease and their families in a multiracial primary care setting.
- Authors:
- AUSTROM Mary Guerriero, et al
- Journal article citation:
- Gerontologist, 44(4), August 2004, pp.548-553.
- Publisher:
- Oxford University Press
Most patients and families with dementia are cared for in primary care clinics. These clinics are seldom designed to provide the necessary comprehensive care. The purpose of this article is to describe nonpharmacologic protocols for the management of patients with Alzheimer's disease and their families that are administered as part of a multifaceted care-management intervention program in a multiracial primary care clinic. The nonpharmacologic component for the integrated program of collaborative care was developed based on a literature review and previous clinical experience. The care is coordinated by a geriatric nurse practitioner who meets with patients, families, and the primary care physicians. The nonpharmacologic protocols included general educational guidelines about Alzheimer's disease. Specific protocols to treat the common behavioral disturbances associated with Alzheimer's disease also were developed. A major component of the intervention is a monthly psychoeducational support group for caregivers. The intervention has been well accepted by patients, families, and physicians. Approximately one-half of the treatment group has participated in the support group regularly. The integration of behavioural interventions and team care within the primary care environment has been successful.
Keeping wandering nursing home residents at the table: improving food intake using a behavioral communication intervention
- Authors:
- BEATTIE E. R. A., ALGASE D. L., SONG J.
- Journal article citation:
- Aging and Mental Health, 8(2), March 2004, pp.109-116.
- Publisher:
- Taylor and Francis
The purpose of this multiple case design study (n¼3) with an embedded experiment was to determine the effect of the systematic use of a behavioral nursing intervention on the mealtime behavior of nursing home residents with probable Alzheimer’s disease. It was hypothesized that the systematic behavioural intervention would increase time spent seated during the meal and proportion of food consumed while decreasing the frequency of table-leaving events during mealtime. The intervention was designed to impact the proximal factors of physiological need and social interaction from the Need-Driven Behaviour Model. Results demonstrate that all cases were able to sit at the table longer and eat more food during the intervention, while body weight for all cases remained stable throughout the study. Two of the three cases left the table fewer times during the intervention. There were no statistically significant changes in proportion of fluids consumed in any case.
Caregiving and institutionalisation of cognitively impaired older people: utilising dynamic predictors of change
- Authors:
- GAUGLER Joseph E., et al
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.219-229.
- Publisher:
- Oxford University Press
The purpose of this study was to identify reliable predictors of nursing home entry over a 3-year period in a sample of 3,944 persons with dementia who resided in a home setting at baseline. Strengths of the analysis include a multiregional recruitment strategy, incorporation of salient caregiver characteristics, and a 3-year prospective design that allows for the modeling of change in important variables (e.g., care recipient functional status or caregiving indicators) when time to institutionalization is predicted. Data were derived from the control sample of the Medicare Alzheimer's Disease Demonstration Evaluation (MADDE). A Cox proportional hazards model was used to predict time to institutionalization among individuals with dementia (baseline was enrollment into MADDE). Predictors included care recipient demographics, caregiver demographics, and time-varying measurements of care recipient functional status, caregiving indicators, and service utilization. Indicators of change were also incorporated to capitalize on the prospective data available. Although several results were consistent with prior findings, caregiving indicators (i.e., burden and self-rated health) and community-based service use were significant predictors of earlier placement. Change in caregiver instrumental activities of daily living and care recipient activities of daily living were also related to expedited institutionalization. The findings emphasize the importance of incorporating both care recipient and caregiver function and service use patterns when targeting programs designed to prevent or delay institutionalization for people with dementia.
Is free nursing care 'unfair and unworkable'?
- Author:
- ALZHEIMER'S SOCIETY
- Publisher:
- Alzheimer's Society
- Publication year:
- 2002
- Pagination:
- 16p.
- Place of publication:
- London
Three-quarters of people needing long term care will have Alzheimer’s disease or another form of dementia. The Alzheimer’s Society believes that the government's decision to limit the NHS contribution to funding long term care to the cost of 'registered nurse time spent providing, delegating or supervising care' is too narrow and will discriminate against people with dementia.
A life worth living
- Author:
- LEGGE Adam
- Journal article citation:
- Nursing Times, 9.7.02, 2002, pp.24-25.
- Publisher:
- Nursing Times
Reports on how creatively adjusting minor details can make a big difference to the lives of people with Alzheimer's disease.