Search results for ‘Subject term:"older people"’ Sort:
Results 31 - 40 of 3352
COVID 19 and dementia: experience from six European countries
- Authors:
- BURNS Alistair, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, early cite 18 January 2021,
- Publisher:
- Wiley
The effects of Covid‐19 have been well documented across the world with an appreciation that older people and in particular those with dementia have been disproportionately and negatively affected by the pandemic. This is both in terms of their health outcomes (mortality and morbidity), care decisions made by health systems and the longer‐term effects such as neurological damage. The International Dementia Alliance (IDEAL) is a group of dementia specialists from six European countries and this paper is a summary of our experience of the effects of COVID‐19 on our populations. Experience from England, France, Germany, the Netherlands, Spain and Switzerland highlight the differential response from health and social care systems and the measures taken to maximise support for older people and those with dementia. The common themes include recognition of the atypical presentation of COVID‐19 in older people (and those with dementia) the need to pay particular attention to the care of people with dementia in care homes; the recognition of the toll that isolation can bring on older people and the complexity of the response by health and social services to minimise the negative impact of the pandemic. Potential new ways of working identified during the pandemic could serve as a positive legacy from the crisis. (Edited publisher abstract)
Use of dementia care mapping in the care for older people with intellectual disabilities: a mixed‐method study
- Authors:
- SCHAAP Feija D., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 34(1), 2021, pp.149-163.
- Publisher:
- Wiley
Background: The ageing of people with intellectual disabilities, with associated morbidity like dementia, calls for new types of care. Person‐centred methods may support care staff in providing this, an example being Dementia Care Mapping (DCM). DCM has been shown to be feasible in ID‐care. We examined the experiences of ID‐professionals in using DCM. Methods: We performed a mixed‐methods study, using quantitative data from care staff (N = 136) and qualitative data (focus‐groups, individual interviews) from care staff, group home managers and DCM‐in‐intellectual disabilities mappers (N = 53). Results: DCM provided new insights into the behaviours of clients, enabled professional reflection and gave new knowledge and skills regarding dementia and person‐centred care. Appreciation of DCM further increased after the second cycle of application. Conclusion: DCM is perceived as valuable in ID‐care. Further assessment is needed of its effectiveness in ID‐care with respect to quality of care, staff‐client interactions and job performance. (Edited publisher abstract)
Learning experiences of older volunteers in a community-based social program for people with dementia
- Authors:
- HAN Areum, BROWN Diane
- Journal article citation:
- Journal of Social Service Research, 46(2), 2020, pp.225-235.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative study aimed to explore older adults’ perspectives on volunteering in an activity-based social program for community-dwelling people with dementia called Stepping Stones. Semi-structured interviews were individually conducted with eight older adults who had volunteered in Stepping Stones. Interpretative phenomenological analysis was used to analyze interview data. Four themes related to learning experiences of older volunteers in Stepping Stones emerged. These themes include (a) self-growth and confidence in working with people with dementia; (b) understanding dementia, people with dementia, and needed support for people with dementia and their families; (c) desire not to develop dementia, while recognizing that anything can happen in old age; and (d) exercising person-centered approaches and taking on advocacy roles. Findings suggest that older volunteers gain feelings of personal growth and confidence in working with people with dementia, better understanding, and enhanced attitudes toward people with dementia through volunteering in an activity-based social program for people with dementia. Older adults will be able to fill the needs of community programs for people with dementia, while experiencing benefits from volunteering and learning in later life. Further research is needed to examine to what extent having previous dementia experiences make their experiences and learning different. (Publisher abstract)
Dementia across local districts in England 2014 to 2015
- Authors:
- TAMPUBOLON Gindo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 33(8), 2018, pp.1127-1131.
- Publisher:
- Wiley
Background: The number of older people needing dementia care is projected to rise rapidly, and local districts are now charged with responding to this need. But evidence on local area factors of dementia is scarce. The authors studied the odds of dementia prevalence and its individual risk factors enriched with area factors. Materials and methods: This study analysed objectively assigned dementia prevalence in people aged 60 and over living in community in England, drawing data from the English Longitudinal Study of Ageing 2014 to 2015 and local districts statistics using multilevel logistic models. Dementia status is ascertained using a modified version of the Telephone Interview for Cognitive Status. A number of individual risk factors were considered including social determinants, internet use, social connections, and health behaviours; 2 contextual factors were included: the index of multiple deprivation and land use mix. Results: The prevalence of dementia by this method is 8.8% (95% confidence interval 7.7%‐9.2%) in older adults in England. Maps of dementia prevalence across districts showed prevalent areas. In the full model, no area characteristics were significant in predicting dementia prevalence. Education, social connections, internet use, and moderate to vigorous physical activity showed protective associations. Conclusion: Dementia in older adults in England is largely predicted by individual characteristics, although some districts have a large share of their population with dementia. Given the health and social care costs associated with dementia, differential interventions and support to districts and to groups of individuals defined by these characteristics seem warranted. (Edited publisher abstract)
Scottish dementia strategy - progress still needed
- Author:
- PEARSON Jim
- Journal article citation:
- Journal of Dementia Care, 25(6), 2017, pp.27-29.
- Publisher:
- Hawker
A third national dementia strategy has just been published by the Scottish government, but the author questions how it will differ from the other two. The article describes the historical background, how it was developed, the aims and commitments of the strategy and what the author considers to be its shortcomings. (Original abstract)
Mentalization in dementia care: an autoethnographic account of a project worker’s experiences
- Authors:
- LUXMOORE Bethany, McEVOY Phil
- Journal article citation:
- Working with Older People, 21(3), 2017, pp.147-156.
- Publisher:
- Emerald
Purpose: Mentalization is a psychodynamic concept that can help us to understand our emotional responses to others. The purpose of this paper to illustrate how the concept of mentalization may be applied in dementia care. Design/methodology/approach: An autoethnographic account of the author’s experiences (first author), working as a project manager in which the author used the concept of mentalization to pay close attention to how the author’s emotional responses to people with dementia influenced thier communicative interactions. Findings: This paper outlines how the author processed the author’s own internal experiences in both mentalizing and non-mentalizing modes, as the author wrestled with feelings of conscious incompetence. In the non-mentalizing mode, the author was pre-occupied with the author’s own anxieties. The author struggled to relate to or make sense of the experiences of the individuals with advanced dementia that the author engaged with. Moving towards a mentalizing stance helped the author to attune to the embodied experiences of the people with dementia and recognise the reciprocal nature of our communicative interactions. Originality/value: This paper illustrates the role that mentalization may play in developing natural and authentic strategies to support communicative engagement in dementia care. These strategies may be of potential value to family carers. Family carers who can maintain a mentalizing stance may be more able to respond in empathic, person- centred ways to people who are living with dementia. On the other hand, non-mentalizing responses may be a root cause of mis-understanding and emotional disengagement. (Publisher abstract)
New approaches to understanding dementia
- Author:
- GINESI Laura
- Journal article citation:
- Nursing Times, 112(25), 2016, pp.16-19.
- Publisher:
- Nursing Times
Improving understanding of brain disorders is likely to be one of the core aims of physiological research in the 21st century. This article, the second in a four-part series, looks at the main types of dementia and explores emerging theories about how the condition develops. These theories are improving understanding of the neuro-degeneration that characterises the most common forms of dementia, and will help improve care for those living with dementia. (Publisher abstract)
Critical reflections from the millennials on the global action against dementia legacy events
- Authors:
- NEWMAN Kristine, BOOI Laura
- Journal article citation:
- Quality in Ageing and Older Adults, 16(3), 2015, pp.177-182.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to share information regarding the Global Action Against Dementia Legacy, to critically reflect on the views of the Canadian Young Leaders of Dementia and to strengthen the impact of their voices in the global discussion surrounding dementia. Design/methodology/approach: This offers a critical reflection and review of the innovative intergenerational discussions and solutions offered by younger Canadians – specifically, the Millennial Generation. Findings: The paper provides insights about how change and solutions in dementia actions may be established through intergenerational collaboration. Research limitations/implications: Researchers are encouraged to make room for the voices of younger, less established generations in both discussions and research related to dementia. The younger generations will provide future direction to the Global Action Against Dementia Legacy so it is time to hear their voice too. Originality/value: This paper draws on developments in the Canadian context to highlight the potential of encouraging a less-usual, intergenerational approach to developing engagement, research and solutions in dementia. (Edited publisher abstract)
How to identify dementia: a guide for care assistants working in social care
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2015
- Pagination:
- 2
- Place of publication:
- Leeds
A brief introduction to the signs and symptoms of dementia, highlighting the reasons why it is important that people with dementia receive a diagnosis and explaining what to do if suspecting that someone may have dementia. (Edited publisher abstract)
A review of conceptualisation of expressed emotion in caregivers of older adults with dementia
- Authors:
- LI Chao-Yin, MURRAY MaryAnne
- Journal article citation:
- Journal of Clinical Nursing, 24(3-4), 2015, pp.332-343.
- Publisher:
- John Wiley and Sons
Aims and Objectives: To clarify the concept of ‘expressed emotion’ and its application to caregivers of older adults with dementia. Background: Expressed emotion has been a useful construct for understanding the quality of family relationships affecting patients with mental illness and their caregivers. However, this concept has been developed without precisely defining ‘expressed emotion’ as it pertains to dementia patients. Clarity regarding expressed emotion will enable nurses to apply knowledge of expressed emotion and provide important information for the development of new clinical interventions for this specific population. Design: Integrative review. Methods: A review of literature on expressed emotion by caregivers of older adults with dementia. The inclusion criteria were: (1) published in English or Chinese during 1970–2012; (2) included both research and theoretical review articles on expressed emotion in nursing and other disciplines such as psychology, psychiatry and sociology. Initially, 236 articles were screened, and finally, 32 articles were evaluated for this review. Results: Emotional expression and expressed emotion were discussed to clarify the distinctions and address overlap between these two similar terms. In addition, expressed emotion was examined further from three different aspects: trait or state, social control and cross-cultural. Finally, the results of reviewed papers for expressed emotion on dementia patients were explored and synthesised. Conclusion: A conceptual definition and a theoretical framework for the concept of expressed emotion are urgently needed to further our understanding of this critical phenomenon. With increasing attention to caregiving for patients with dementia, including the concept of expressed emotion in the research of this field may accelerate understanding of the importance of the family dynamics in advanced ageing caregiving. Relevance to clinical practice: The expressed emotion concept could guide much of current clinical practice and help professional nurses understand the family's experience and perspective on mental illness, especially regarding dementia within the family. (Publisher abstract)