Search results for ‘Subject term:"cognitive impairment"’ Sort:
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Communication and cognitive impairment
- Author:
- GREEN Danielle
- Journal article citation:
- Nursing and Residential Care, 14(9), September 2012, pp.446-449.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
This competence-based unit assesses the health and social care worker's ability to support and enable individuals with dementia to communicate and interact with others. Communication is an essential part of our lives, but those suffering from a cognitive impairment such as dementia may lose control of their communicative abilities and require the support and encouragement of their care providers to communicate successfully. This article suggests that one size does not fit all, and communication must be person-centred and tailored to the individual needs, desires, preferences and choice of each person.
Why caregivers of people with dementia and memory loss don't use services
- Authors:
- BRODATY Henry, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(6), June 2005, pp.537-546.
- Publisher:
- Wiley
The findings of a literature review were used to develop a typography of caregivers' non-use of services. This typography was applied to a sample of community-based caregivers in Australia. Results found one in three caregivers were using no services and one in four only one service. Despite considerable proportions reporting low levels of life satisfaction and high levels of overload and resentment the main reasons caregivers gave for not using services were that they did not consider they needed the services. Other reasons for service non-use included care recipient reluctance to use services, lack of knowledge of services or being in the process of applying for services. Service availability or affordability were not identified as major impediments to service use. Presence of a physical disability and contact with a social worker were associated with service use. Concludes that better public promotion of services, destigmatising dementia and encouraging referrals from health professionals could help overcome the barriers to service use.
Facing up to memory loss
- Author:
- -
- Journal article citation:
- Community Care, 26.9.02, 2002, pp.50-51.
- Publisher:
- Reed Business Information
Looks at a case study of a man with Down's syndrome who shows signs of dementia.
The problem of dementia in Australian Aboriginal and Torres Strait Islander communities: an overview
- Author:
- POLLITT P.A.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(2), February 1997, pp.155-163.
- Publisher:
- Wiley
The concept of dementia in old age in Australian Aboriginal and Torres Strait Islander communities is intrinsically paradoxical. Firstly, few indigenous people reach old age. Secondly, from some indigenous points of view, dementia is either not recognised as a condition or a problem, or, in the case of the more disruptive manifestations of cognitive impairment, is perceived as 'madness'. This article examines some of the issues surrounding cognitive decline in old age for Aborigines and Torres Strait Islanders. It looks at the problems involved in assessing and diagnosing cognitive decline and dementia, especially among people who follow more traditional ways of life, and in providing services to sufferers and their carers. In doing so, it considers some of the relative meanings of 'old age', 'abnormal old age', 'mental disorder', 'sickness' and 'dementia.
Elderly people with advanced cognitive impairment in England: resource use and costs
- Authors:
- SCHNEIDER Justine, et al
- Journal article citation:
- Ageing and Society, 13(1), March 1993, pp.27-50.
- Publisher:
- Cambridge University Press
Describes where elderly people with moderate to severe cognitive impairment are living, what resources they use and the costs of these services to different funding agencies. It operationally defines dementia in terms of cognitive impairment and uses the OPCS Disability Surveys to estimate the prevalence of moderate to severe cognitive impairment in England. Supplements costs data with information from PSSRU research.
The effects of dependence and function on costs of care for Alzheimer's disease and mild cognitive impairment in Ireland
- Authors:
- GILLESPIE P., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(3), 2013, pp.256-264.
- Publisher:
- Wiley
Data from the Enhancing Care in Alzheimer’s Disease study was used to estimate the cost of formal and informal care in a cross sectional sample of 100 community-based patients with Alzheimer's disease (AD) and amnestic mild cognitive impairment (MCI) in Ireland over a period of six months. Further analysis explored the effects of patient dependence and function on cost. Formal care included general practice visits, hospitalisations, outpatient clinic consultations, accident and emergency visits, respite care, meals on wheels services and other health and social care professional consultations. Informal care included time input provided by caregivers. Resource unit costs valued formal care and the opportunity cost method informal care. Patient dependence was measured using the Dependence Scale and functional capacity using the Disability Assessment for Dementia scale. The result indicate that both dependence and function were independently and significantly associated with total formal and informal care cost: a one point increase in dependence was associated with a €796 increase in total cost and a one point improvement in function with a €417 reduction in total cost over 6 months. Patient function was associated with formal care costs, whereas patient function and dependence were both associated with informal care costs. The authors suggest that interventions that reduce patient dependence and functional decline may be associated with important economic benefits.
Integrated care pilot programme: ensuring people with dementia receive joined up care
- Author:
- JONES Kate
- Journal article citation:
- Nursing Times, 16.3.10, 2010, pp.12-14.
- Publisher:
- Nursing Times
The Department of Health’s integrated care pilots (ICPs), announced in April 2009, aim to transform the way people experience health and social care. A multidisciplinary team in Bournemouth and Poole has set up a nurse led project focusing on memory loss and dementia in older people. This article outlines the aims, elements, challenges and benefits of working as part of a multidisciplinary team, from a nursing perspective.
The early identification of cognitive impairment: a stakeholder evaluation of a ‘Dementia Awareness Service’ in Belfast
- Authors:
- SCOTT David, DONNELLY Michael
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 4(2), May 2005, pp.207-232.
- Publisher:
- Sage
The early and accurate identification of dementia helps to ensure the delivery of appropriate treatment and allows people with dementia and their carers to plan for the future. This article describes a research evaluation of a new screening, assessment and referral service for people with early-stage dementia and their carers who reside in one of Northern Ireland’s integrated health and social services trusts. A total of 435 referrals were made to the service during the first 33 months; most were female (70%) with an average age of 80 (SD = 7.68) and a mild/moderate (71%) cognitive impairment (mean Mini-mental State Examination score of 20.21 (SD = 6.10)). A research interview was conducted with 20 consecutive service users and their carers (n = 21) following their initial assessment by a community psychiatric nurse and again four months later. Users recorded an overall improvement in self-reported quality of life and their use of health and social services remained unchanged. Carers valued highly the information and support provided by the project; their QoL improved and ‘stress and strain’ (as measured by the General Health Questionnaire-30 and Carers’ Checklist) decreased. Generally, stakeholders such as referral agents reported that the new service made an important contribution to dementia care, although some professionals thought that the service needed to be better ‘networked’ in order to avoid duplication of resources. Overall, the findings from this evaluation help to address the lack of available information about ways in which to organize and deliver early-stage dementia care.
Are cognitive impairment and depressive mood associated with increased service utilisation in community-dwelling elderly people?
- Authors:
- ROELANDS Marc, et al
- Journal article citation:
- Health and Social Care in the Community, 11(1), January 2003, pp.1-9.
- Publisher:
- Wiley
The healthcare and social services utilisation of elderly people with mental disorders has not been sufficiently described, although such knowledge could indicate directions for preventive and curative interventions, and suggest unmet service needs. The aim of the present study was to examine cognitive impairment and depressive mood as correlates of specific healthcare and social services utilisation of community-dwelling elderly people. A randomly selected population sample of 1134 community-dwelling individuals aged 65 years and over living in a defined area were interviewed at home. Cognitive impairment and depressive mood were related to the number of home care services used, and to the utilisaton of every specific healthcare and social service. After controlling for confounding variables (i.e. age, sex, education, co-residence and disabilities), service utilisation was still predicted by depressive mood, but not by cognitive impairment. Interventions to prevent and cure depressive mood should be considered to decrease the service needs of community-dwelling elderly people
Memories are made of this
- Author:
- PAYNE David
- Journal article citation:
- Nursing Times, 24.6.98, 1998, p.17.
- Publisher:
- Nursing Times
Reports on how nurses can help memory loss in Alzheimer's patients through the use of memory clinics.