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Symptoms of psychological distress among older adults in Canadian long-term care centres
- Authors:
- VOYER P., et al
- Journal article citation:
- Aging and Mental Health, 9(6), November 2005, pp.542-554.
- Publisher:
- Taylor and Francis
Psychological distress can lead to negative consequences affecting the quality of life of older adults living in long-term care centres. This study aimed to determine the prevalence of symptoms of psychological distress and their associated factors among these residents. A cross-sectional descriptive study was conducted among 1999 long-term care residents aged 65 and over. Nine hundred and eleven persons (45.6%) displayed at least one symptom of psychological distress either at one time or more in the week preceding data collection, and 22.4% were identified as psychologically distressed. Multivariate analysis indicated that psychological distress was associated with disruptive behaviours and benzodiazepine use among women residents, and with insomnia in men residents. The authors conclude that when clinicians screen for mental health disorders, they should take into consideration that symptoms of insomnia or disruptive behaviours may mask psychological distress.
Minimising the use of restraint in care homes for older people: creative approaches
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
Exploring the case of an unsettled new care home resident, this video shows how finding out more about a person’s life story provides clues to new approaches to care. There is an interview with the care home manager who describes what happened in this particular case and how, by providing relevant activities for the resident, it was possible to take him off antipsychotic drug treatment. The National Director of the National Association of Providers of Activities for Older People (NAPA) also encourages care home managers to support their staff in examining routine care practices. Staff can be empowered to look at what is going on and to make creative changes to the care they provide. Other interviews include the Director of Dementia Care for BUPA and the new Clinical Director for Older People.
Effect of music care on depression and behavioral problems in elderly people with dementia in Taiwan: a quasi-experimental, longitudinal study
- Authors:
- WANG Su-Chin, YU Ching-Len, CHANG Su-Hsien
- Journal article citation:
- Aging and Mental Health, 21(2), 2017, pp.156-162.
- Publisher:
- Taylor and Francis
Objectives: The purpose was to examine the effectiveness of music care on cognitive function, depression, and behavioural problems among elderly people with dementia in long-term care facilities in Taiwan. Methods: The study had a quasi-experimental, longitudinal research design and used two groups of subjects. Subjects were not randomly assigned to experimental group (n = 90) or comparison group (n = 56). Based on Bandura's social cognition theory, subjects in the experimental group received Kagayashiki music care (KMC) twice per week for 24 weeks. Subjects in the comparison group were provided with activities as usual. Results: Results found, using the control score of the Clifton Assessment Procedures for the Elderly Behavior Rating Scale (baseline) and time of attending KMC activities as a covariate, the two groups of subjects had statistically significant differences in the mini-mental state examination (MMSE). Results also showed that, using the control score of the Cornell Scale for Depression in Dementia (baseline) and MMSE (baseline) as a covariate, the two groups of subjects had statistically significant differences in the Clifton Assessment Procedures for the Elderly Behavior Rating Scale. Conclusion: These findings provide information for staff caregivers in long-term care facilities to develop a non-invasive care model for elderly people with dementia to deal with depression, anxiety, and behavioural problems. (Edited publisher abstract)
The social positioning of older people living with Alzheimer’s disease who scream in long-term care homes
- Authors:
- BOURBONNAIS Anne, DUCHARME Francine
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 14(6), 2015, pp.751-768.
- Publisher:
- Sage
This article describes the social positioning of older people living with Alzheimer’s disease who scream in a long-term care home. Few studies have focused on the social positions taken by older people, their family and formal caregivers during interaction and their effects on screams. A secondary data analysis was conducted using Harré and Van Langenhove’s positioning theory. The results show that older people are capable of positioning and repositioning themselves in relational patterns. Family and formal caregivers position older people who scream according to their beliefs about their lived experience. They also react emotionally to older people and try to influence their behaviours. Understanding the social positioning of older people with Alzheimer’s disease brought out their capacities and their caregivers’ concerns for their well-being. Interventions should focus on these strengths and on promoting healthy relations in the triads to enhance quality of care in long-term care homes. (Publisher abstract)
A discharge protocol: can it make a difference?
- Authors:
- SHIPPEN Jeanette, YOUNG Julie, WOODS Tony
- Journal article citation:
- Journal of Dementia Care, 19(6), November 2011, pp.26-29.
- Publisher:
- Hawker
This article outlines a practice development initiative undertaken by the staff on Druridge Ward, a 24 patient unit for people with dementia who present with complex challenging behaviour, part of the Northumberland Tyne and Wear NHS foundation trust. The discharge protocol aims to ensure that all patients discharged from a ward to a care home are discharged in a safe and timely manner that meets the needs of themselves and their families. The staff were committed to developing a discharge protocol capable of achieving the best possible outcomes for patients. During the planning stage, the staff sought the views of various care home managers as to the level of support that was required to best support an individual’s discharge into a care home, alongside the views of family carers. The article presents how the process was evaluated, and describes the benefits of the discharge protocol that has been created.
Easing agitation in residents with 'sundowning' behaviour
- Authors:
- FORBES Rebecca, GRESHAM M. D.
- Journal article citation:
- Nursing and Residential Care, 13(7), July 2011, pp.345-347.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
People with dementia tend to come more agitated and confused from late afternoon to evening, a phenomenon known as 'sundowning'. This article provides insights into possible underlying causes, together with practical strategies for supporting residents and helping to reduce these behaviours.
Concept mapping: a process to promote staff learning and problem-solving in residential dementia care
- Authors:
- ABERDEEN Suzanne M., LEGAT Sandra G., BARRACLOUGH Simon
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 9(1), February 2010, pp.129-151.
- Publisher:
- Sage
A person-centred assessment and problem-solving approach is widely recommended as the preferred method for managing the behavioural and psychological symptoms of care home residents with dementia (BPSD). However the authors suggest that this is not well implemented in residential dementia care and Australia is not alone in this. The paper argues for the use of concept mapping to aid problem solving BPSD and to facilitate team learning about dementia. The process, which includes an element of brain storming (although the ideas must be evidence based) is said to have the potential to improve the quality of care by providing an efficient framework for problem-solving. It facilitates data analysis; suggested to be a missing link in problem-solving BPSD. It may also reduce the burden on individual staff, improve the skills and knowledge of all levels of staff and foster learning organisations. Potential challenges to the implementation and success of the process, which include staff shortages, the need for effective leadership and organisational support, are considered.
Safe to wander? principles and guidance on good practice when considering the use of wandering technologies for people with dementia and related disorders
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission is occasionally asked for advice on the use of technology in caring for people with dementia, learning disabilities and related disorders. The response is generally that the Commission believes that technology can be a valuable tool which has the potential to help people to maintain their independence and enhance their freedom and that, where new technology can provide assistance without unduly restricting or increasing the risks that an individual may face, its use is to be welcomed. This publication provides specific guidance for those considering the use of new technologies, particularly in support of individuals with dementia who are resident in care homes or hospitals. Although the focus is on dementia and residential care, the principles of this guidance may also prove helpful for people working to provide care and treatment for other mental disorders in a range of settings, especially as the use of emerging technologies evolves to provide home based alternatives residential care.
Strategies that helped Betty feel busy and useful again
- Authors:
- WOOD-MITCHELL Amy, MILBURN Margaret
- Journal article citation:
- Journal of Dementia Care, 16(3), May 2008, pp.24-27.
- Publisher:
- Hawker
The Newcastle Challenging Behaviour Service model is an evidence-based approach used to guide a person-centred therapy for people with challenging behaviour. The authors explain how the team worked with staff to better understand the needs of a woman routinely trying to be 'let out' of a care home.
The Challenging Behaviour Scale (CBS): development of a scale for staff caring for older people in residential and nursing homes
- Authors:
- MONIZ-COOK Esme, et al
- Journal article citation:
- British Journal of Clinical Psychology, 40(3), September 2001, pp.309-322.
- Publisher:
- Wiley
A review of behaviourial rating scales identified the need for a measure of resident behaviours that staff in care for older people find difficult to manage. A 25-item, broad-based rating scale, the Challenging Behaviour Scale (CBS), was developed to meet this need and its psychometric properties were examined. Results found the scale was able to record staff reports of the incidence, frequency and 'management difficulty' of resident behaviour and also identify 'challenging residents through a computed score. Concludes that the CBS is quick to complete and may have potential for evaluation of psychosocial interventions in care settings. Suggestions for improvements in criterion and content validity are outlined.