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Slow down and listen to their voice
- Author:
- GOLDSMITHS Malcolm
- Journal article citation:
- Journal of Dementia Care, 4(4), July 1996, pp.24-25.
- Publisher:
- Hawker
Some of the barriers to communication with people with dementia arise from their illness; many others result from our attitudes and approach. The author's research has shown clearly both obstacles and opportunities on the path ahead.
The assessment of pain in older people
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is under-recognised and under-treated in older people, and the assessment of pain is particularly challenging in the presence of severe cognitive impairments, communication difficulties or language and cultural barriers. This guidance sets out the key components of assessing pain in older people, together with a range of practical scales that can be used with different groups, including those with cognitive or communication impairment. It aims to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. It describes the background and methodology used, key components of an assessment of pain, and types of scale used to assess pain. It also provides a summary of recommendations in the full guidelines covering: pain awareness, pain enquiry, pain description, pain location and intensity, communication, assessment in people with impaired cognition/communication, cause of pain, and re-evaluation. It notes that the basic guidelines should be a routine part of the training and care provision of all healthcare professionals. The appendices include the guideline development process, an algorithm for the assessment of pain in older people, a pain map, and examples of pain scales.
A bright spark of an idea for creative expression
- Author:
- MOODY Victoria
- Journal article citation:
- Journal of Dementia Care, 13(5), September 2005, pp.26-27.
- Publisher:
- Hawker
Ignition is a magazine for older people with mental health needs published by Essex County Council. This article describes its development, launch and future plans.
Meeting the needs of Asian elders
- Author:
- BENBOW Susan
- Journal article citation:
- Journal of Dementia Care, 14(3), May 2006, p.14, 16.
- Publisher:
- Hawker
This article describes some initiatives for Asian elders with mental health needs in south east Wolverhampton, based at the Blakenhall Resource Centre. These include: incorporating cultural awareness within all activities of the centre; providing a basic Punjabi course run for health and social care staff; staff-work exchanges with a centre for Asian elders; an Asian carers support group; and the development of materials in Pujabi developed by a specialist community psychiatric nurse.
Oral versus written administration of the Geriatric Depression Scale
- Authors:
- CANNON B. J., THALER T., ROOS S.
- Journal article citation:
- Aging and Mental Health, 6(4), November 2002, pp.418-422.
- Publisher:
- Taylor and Francis
Forty-four female nursing home residents completed the Geriatric Depression Scale (GDS) twice, using both oral and written administration formats. Test-retest reliability analysis revealed a significant correlation between oral and written administrations for higher cognitive functioning participants, but no correlation for impaired participants. Therefore, the use of the GDS in a cognitively impaired elderly population is questioned.
Aromatherapy's benefits
- Authors:
- KIRKPATRICK James, WOOD June
- Journal article citation:
- Journal of Dementia Care, 6(3), May 1998, p.9.
- Publisher:
- Hawker
Describes the physical and mental benefits of aromatherapy for patients in an elderly mentally ill unit.
Strategies to help keep people moving
- Author:
- ODDY Rosemary
- Journal article citation:
- Journal of Dementia Care, 4(4), July 1996, pp.22-24.
- Publisher:
- Hawker
The author explains how when someone who has dementia needs encouragement to remain mobile, specific verbal and non-verbal strategies can help.
Under the radar
- Author:
- McINTOSH Kaye
- Journal article citation:
- Health Service Journal, 7.8.08, 2008, pp.20-21.
- Publisher:
- Emap Healthcare
Language barriers and stereotyping mean the mental health needs of black and minority ethnic older people are going unseen by commissioners. This article discusses the lack of mental health services for black and minority ethnic older people. The article includes two short examples of good practice: the Caribbean Dementia Cafe run by Leeds Black Elders Association and the Asian Health and Social Care Centre day centre.
Emotional and behavioural responses to music in people with dementia: an observational study
- Authors:
- SHERRATT, K., THORTON A., HATTON C.
- Journal article citation:
- Aging and Mental Health, 8(3), May 2004, pp.233-241.
- Publisher:
- Taylor and Francis
Using continuous time sampling and direct observation methodology, this study examined the impact of social interaction in music listening on behavioural responses of people with moderate-to-severe dementia (n = 24). Using Kitwood's theory of personhood as a framework, it was hypothesized that levels of well-being and engagement would be greatest during a live music condition compared with recorded and no music conditions and that levels of challenging behaviour would decrease most in the live music conditions compared with the other music conditions. The relationship between severity of cognitive impairment and well-being, engagement and challenging behaviours across conditions was also examined. The findings suggest that live music was significantly more effective in increasing levels of engagement and well-being regardless of level of cognitive impairment. No significant differences across conditions were found for challenging behaviours, but the correlation between these and cognitive impairment revealed mixed results. Clinical implications regarding the use of live music in dementia care settings are highlighted and recommendations for future research of interventions aimed at reducing challenging behaviours are discussed.
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.