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Taking a positive spin: preserved initiative and performance of everyday activities across mild Alzheimer's, vascular and mixed dementia
- Authors:
- GIEBEL Clarissa M., BURNS Alistair, CHALLIS David
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(9), 2017, pp.959-967.
- Publisher:
- Wiley
Objectives: The literature commonly evaluates those daily activities which are impaired in dementia. However, in the mild stages, people with dementia (PwD) are still able to initiate and perform many of those tasks. With a lack of research exploring variations between different dementia diagnoses, this study sought to investigate those daily activities with modest impairments in the mild stages and how these compare between Alzheimer's disease (AD), vascular dementia (VaD) and mixed dementia. Methods: Staff from memory assessment services from nine National Health Service trusts across England identified and approached informal carers of people with mild dementia. Carers completed the newly revised Interview for Deteriorations in Daily Living Activities in Dementia 2 assessing the PwD's initiative and performance of instrumental activities of daily living (IADLs). Data were analysed using analysis of variance and Chi-square tests to compare the maintenance of IADL functioning across AD, VaD, and mixed dementia. Results: A total of 160 carers returned the Interview for Deteriorations in Daily Living Activities in Dementia 2, of which 109, 21, and 30 cared for someone with AD, VaD, and mixed dementia, respectively. There were significant variations across subtypes, with AD showing better preserved initiative and performance than VaD for several IADLs. Overall, PwD showed greater preservation of performance than initiative, with tasks such as preparing a hot drink and dressing being best maintained. Conclusion: Findings can help classify dementia better into subtypes in order to receive bespoke support. It suggests that interventions should primarily address initiative to improve overall functioning. (Publisher abstract)
Mental health in older people: in practice
- Authors:
- BURNS Alistair, PURANDORE Nitin, CRAIG Sarah
- Publisher:
- Royal Society of Medicine Press
- Publication year:
- 2002
- Pagination:
- 61p.,bibliog.
- Place of publication:
- London
As the percentage of the total population that is ages over 65 years continues to increase, so will the number of cases of dementia, depression and other mental health complaints. These illnesses can be found in people of all ages but are particularly prevalent in the elderly. This book provides information on the diagnosis and management of various mental health disorders, the members of the multidisciplinary team who help those who are suffering, and the legal and ethical issues surrounding this subject. The book also includes many of the psychiatric assessments and rating scales that are used by clinicians as diagnostic tools.
Rating scales in old age psychiatry
- Authors:
- BURNS Alistair, LAWLOR Brian, CRAIG Sarah
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.161-167.
- Publisher:
- Cambridge University Press
There is a vast array of scales available to assess all aspects of mental and physical health in older people which may be of relevance to the work of old age psychiatrists. This article summarises some of the scales that may be commonly used in clinical and research practice and to give the reader guidelines as to where further information can be obtained.