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Awareness of memory functioning in early Alzheimer's disease: lessons from a comparison with healthy older people and young adults
- Authors:
- OYEBODE J. R., et al
- Journal article citation:
- Aging and Mental Health, 11(6), November 2007, pp.761-767.
- Publisher:
- Taylor and Francis
To compare awareness of memory in people with early Alzheimer's disease (AD) with older and younger control groups in order to clarify the contributions of disease and ageing. Twenty-one individuals with early AD, 32 older people (OP) and 32 younger people (YP) estimated their performance before and following each of four tests of memory. Those with AD significantly overestimated performance prior to testing, confirming the presence of unawareness for prediction. Their estimates were adjusted for age in a similar way to those of OP, who predicted their performance accurately. Younger people significantly underestimated their performance. Following memory tests, YP and those with AD significantly adjusted their ratings towards greater accuracy but on average those with AD still overestimated. There were variations in post-test ratings from over to under prediction in all three groups. Heightened awareness post-performance may open possibilities of cognitive rehabilitation to consolidate momentary into more long-term awareness, whilst the operation of possible psychosocial influences suggests that emotion oriented interventions to increase acceptance and decrease shame might be helpful.
Design and management features of everyday technology that challenge older adults
- Authors:
- PATOMELLA Ann-Helen, KOTTORP Anders, NYGARD Louise
- Journal article citation:
- British Journal of Occupational Therapy, 76(9), 2013, pp.390-398.
- Publisher:
- Sage
The management of everyday technologies could present too difficult a challenge for older adults with cognitive impairments, leading to their exclusion from participation. This study aims to identify and describe features that make everyday technologies more or less difficult for older adults, whether with or without cognitive difficulties. (Edited publisher abstract)
Special acute care unit for older adults with Alzheimer's disease
- Authors:
- SOTO Maria E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(2), February 2008, pp.215-219.
- Publisher:
- Wiley
The article describes the cognitive, functional, and nutritional features of patients admitted to a Special Acute Care Unit (SACU) for elderly patients with Alzheimer's disease (AD). One-year observational study of patients with AD and other related disorders hospitalized in the SACU, Department of Geriatrics, Toulouse university Hospital during 2005. A comprehensive neurocognitive and non-cognitive geriatric assessment was performed. Data on full clinical evaluation, nutritional status, activities of daily living (ADL), gait and balance disturbance, behavioural and psychological symptoms (BPSD), and sociodemographics were recorded. Four-hundred and ninety-two patients were assessed. Their mean age was 81.1 ± 7.7, the mean length of stay was 10.7 ± 6.3 days, 62% were female, 63.9% were admitted from their own home and 30.4% from a nursing home. Eighty percent of patients had probable Alzheimer's disease or mixed dementia, less than 20% had other causes of dementia. Results of their comprehensive assessment showed a mean mini-mental state examination of 14.5 ± 7.4; a mean total ADL score of 3.7 ± 1.7. Seventy-seven percent had gait or balance disturbances; 90% of patients presented an unsatisfactory nutritional status. The most common reason for admission was BPSD. AD complications are responsible for many acute admissions. Elderly patients suffering from dementia represent a population with unique clinical characteristics. Further randomised clinical trials are needed to evaluate the effectiveness of Special Acute Care Units for patients with AD and other related disorders.
Serious illness in the over 50s
- Author:
- BEACH Brian
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2015
- Pagination:
- 10
- Place of publication:
- London
Using data from the English Longitudinal Study of Ageing (ELSA), this briefing examines the prevalence of serious illness among people aged 50+ in the UK, focusing on Alzheimer's disease and other dementia, Parkinson's disease, cancer, heart attack, and stroke. The research suggests that whilst the number of older people with a serious illness will increase, improvements in health may actually result in a fall in the proportion of older people suffering one of the five conditions explored. ELSA data suggests that the prevalence of serious illness among those aged 50+ has been slightly decreasing over time, from 15.8 per cent in 2002 to 13.6 per cent in 2012. However, it also indicates that the overall prevalence of older people living with cancer shows a notable upward trend from 2002 to 2012 and that the prevalence of serious illness increased among those aged 80+, while declining dramatically for those in their 60s and 70s. (Edited publisher abstract)
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.
From pillar to post: early onset dementia in Leeds; prevalence, experience and service needs
- Authors:
- WILLIAMS Tim, et al
- Publisher:
- Leeds Health Authority
- Publication year:
- 1999
- Pagination:
- 132p.,tables,bibliog.
- Place of publication:
- Leeds
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.
Dementia disorders: advances and prospects
- Editor:
- KATONA C.L.E.
- Publisher:
- Chapman and Hall
- Publication year:
- 1989
- Pagination:
- 249p., tables, illus., bibliogs.
- Place of publication:
- London
A multi-disciplinary review of recent progress in, and future directions of, research in dementia. Discusses various medical, social and psychological approaches that can be of help to individuals and their families.
Understanding ambiguous loss in the context of dementia care: adult children's perspectives
- Author:
- DUPUIS L. Sherry
- Journal article citation:
- Journal of Gerontological Social Work, 37(2), 2002, pp.93-115.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines the experience of ambiguous loss for family members caring for a person with dementia living in a long-term care facility. Data for this study came from in-depth, active interviews conducted with 38 adult daughters and 23 adult sons caring for a parent with dementia living in a long-term care facility. The stories shared by the adult children revealed that ambiguous loss in the dementia context involves a long, on-going process of several phases including anticipatory loss, progressive loss, and acknowledged loss. The nature of the ambiguity shifts and the experience changes for families as they journey through the ambiguous loss process. Acceptance and avoidance were the two most common coping strategies used in dealing with acknowledged loss.
State of the art in dementia care
- Editor:
- MARSHALL Mary
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 1997
- Pagination:
- 260p.,bibliogs.
- Place of publication:
- London
Collection of papers. Part 1 looks at listening to people with dementia and their carers and includes chapters on: collaboration and interdependence; remembering the relationship in family caregiving for people with dementia; the impact of dementia on young carers; hearing the voices of people with dementia; the experience of writing with people with dementia; and the uniqueness of people with dementia. Part 2 is on policies and services, including: the European Alzheimer Clearing House; taking dementia services in Victoria into the 21st century; public policy in dementia care; staff issues in hospital and in the community; old age psychiatry and older people with dementia; home based respite care; personal finances; elder abuse; and advocacy. Part 3 looks at working together, including: team approaches to risk management; joint working; workforce recruitment and development; and community dementia team development in Coventry. Part 4 deals with interventions, Part 5 with buildings, fixtures and fittings, Part 6 with staff training; Part 7 with younger people with dementia; Part 8 with the media; Part 9 is on evaluation and critique and Part 10 examines death, sexuality and spirituality.