Search results for ‘Subject term:"older people"’ Sort:
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Older people with chronic schizophrenia
- Authors:
- KARIM S., OVERSHOTT R., BURNS A.
- Journal article citation:
- Aging and Mental Health, 9(4), July 2005, pp.315-324.
- Publisher:
- Taylor and Francis
Older people with chronic schizophrenia are a numerically small but important group with complex clinical and service needs. Along with a reduction in positive schizophrenic symptoms with increasing age, a majority suffer from negative symptoms, cognitive deficits, depression, side effects due to long-term use of antipsychotics and co-morbid medical problems. They may have social disabilities making them vulnerable to poverty, isolation and poor quality of life. Evidence suggests that judicious use of antipsychotics combined with psychotherapy and psychosocial interventions are effective. There are shortcomings in the standard of both hospital and community care, and the cost implications of providing adequate services are high.
You're not alone: dementia awareness in Scotland
- Author:
- ALZHEIMER SCOTLAND-ACTION ON DEMENTIA
- Publisher:
- Alzheimer Scotland
- Publication year:
- 2002
- Pagination:
- 28p.
- Place of publication:
- Edinburgh
This report examines the findings of the first public opinion poll to be conducted in Scotland on the extent of public knowledge about dementia. A thousand adults, were interviewed. The survey covered: attitudes towards people with dementia; personal worries about developing the illness; views on what help is available; and the level of confidence in health and community care services for people with dementia.
Planning care for people with dementia
- Author:
- MORIARTY Jo
- Journal article citation:
- Working with Older People, 5(1), January 2001, pp.16-20.
- Publisher:
- Emerald
A study by the National Institute for Social Work suggests that estimates can be made about the length of time that a person with dementia will need community and long term care services. This can be done based on an assessment of the severity of dementia at the time of the community care assessment. The author highlights the need for an appraisal of local old age psychiatry services and eligibility criteria, and the importance of monitoring carers' ability and willingness to provide care.
Challenging paternalism and promoting the user participation of older people with dementia in multi disciplinary assessment
- Author:
- MALYNOWSKYJ. Pawlina
- Publisher:
- Social Care Association
- Publication year:
- 1999
- Pagination:
- 44p.,bibliog.
- Place of publication:
- Surbiton
Dissertation demonstrating why the medical model on its own in inappropriate for an understanding of people with dementia and offering an alternative approach from an anti discriminatory perspective, which can inform the multidisciplinary assessment of people with dementia in line with community care principles.
The role of home carers: findings from a study of alcohol and older people
- Authors:
- HERRING Rachel, THOM Betsy
- Journal article citation:
- Health Care in Later Life, 3(3), 1998, pp.199-211.
Assesses the current and potential role of home carers in the identification and response to problems associated with alcohol use and misuse in older people. The study was carried out in three local authority areas in London. The findings suggest that home carers are well placed both to identify and to respond to problematic alcohol use by clients, but they face a number of 'barriers' to developing this aspect of their work, such as the lack of clear practice guidelines, the lack of training and inadequate support structures. Suggestions are made concerning how alcohol issues could be incorporated into current practice guidelines and training.
Assessment and management pathways of older adults with mild cognitive impairment: descriptive review and critical interpretive synthesis
- Authors:
- CHAMBERS Duncan, et al
- Journal article citation:
- Health and Social Care Delivery Research, 10(10), 2022, p.180. Online only
- Publisher:
- National Institute for Health Research
- Place of publication:
- London
Background: Mild cognitive impairment in older adults is a risk factor for dementia. Mild cognitive impairment is a result of a diverse range of underlying causes and may progress to dementia, remain stable or improve over time. Objectives: We aimed to assess the evidence base around the assessment and management pathway of older adults with mild cognitive impairment in community/primary care, hospital and residential settings. Data sources: In January 2021, we searched MEDLINE, EMBASE, PsycInfo, Scopus, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library (i.e. Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials), Science Citation Index and Social Science Citation Index. The search was limited to studies published in English between 2010 and 2020. Grey literature and citation searches were also performed. Methods: We performed two separate evidence reviews: (1) a descriptive review with narrative synthesis focusing on diagnosis, service provision and patient experience; and (2) a critical interpretive synthesis of evidence on the advantages and disadvantages of 'mild cognitive impairment' as a diagnostic label. Results: A total of 122 studies were included in the descriptive review, of which 29 were also included in the critical interpretive synthesis. Study participants were most commonly recruited from populations of community-living older adults or those who had sought medical help from their general practitioner for memory problems. Follow-up searching identified a further 11 studies for the critical interpretive synthesis. The descriptive review identified multiple barriers to efficient diagnosis, starting with patient reluctance to seek help. General practitioners have a variety of cognitive tests available, but substantial numbers of patients meeting criteria for dementia do not have a diagnosis recorded. Patients may be referred to a memory clinic, but these clinics are mainly intended to identify and support people with dementia, and people with mild cognitive impairment may be discharged back to their general practitioner until symptoms worsen. Availability of scanning and biomarker tests is patchy. Qualitative studies show that patients with mild cognitive impairment and their carers find the process of investigation and diagnosis difficult and frustrating to negotiate. The key finding from the critical interpretive synthesis was that the need for a 'timely' diagnosis outweighs the ongoing debate about the value, or otherwise, of early investigation and labelling of memory problems. Determining what is a timely diagnosis involves balancing the perspectives of the patient, the health system and the clinician. Conclusions: The two reviews reported here have applied different 'lenses' to the same body of evidence. Taken together, the reviews highlight the importance of a timely diagnosis for memory problems and identify barriers to obtaining such a diagnosis, from reluctance to seek help through to patchy availability of advanced diagnostic tests. Limitations: The review was primarily descriptive, reflecting the prespecified review questions. Study selection was complicated by lack of a consistent definition of mild cognitive impairment and its overlap with other memory disorders. It was not possible to employ double study selection, data extraction or quality assessment, although processes of checking and verification were used throughout the review. Future work: Priorities include evaluating remote methods of memory assessment and preparing for the likely future availability of disease-modifying treatments for early dementia. Research is needed on the investigation of memory problems in hospital and social care settings. (Edited publisher abstract)
Dementia 2014: a North East perspective
- Authors:
- SMITH Debbie J, OTTER Peter
- Publisher:
- Northern Rock Foundation
- Publication year:
- 2014
- Pagination:
- 286
- Place of publication:
- Newcastle upon Tyne
A report on the state of dementia care in the North East of England, as of July 2014. It provides a summary of demographic trends, work that is being undertaken to support people with dementia and their carers by statutory, voluntary and academic sectors. It highlights progress made and gaps in service development and provision; setting this work against the English policy context and the views and experiences of people with dementia and their carers. The report examines on a broad range of areas, including: research, awareness and understanding, identification, referral and timely diagnosis, post-diagnosis information and support, personalisation, care in the community, housing and assistive technology, intermediate care and reablement, care homes, general hospitals, liaison services, specialist mental health services, end of life care, dementia friendly communities, workforce, engaging and empowering people with dementia and their carers, minority communities, antipsychotic medication, and safeguarding. (Edited publisher abstract)
Being there
- Authors:
- PARKINSON'S DISEASE SOCIETY, (Producer)
- Publisher:
- Parkinson's Disease Society
- Publication year:
- 2007
- Pagination:
- DVD, booklet
- Place of publication:
- London
The Parkinson's Disease Society has produced a DVD, Being There, which aims to answer the questions and concerns of people newly diagnosed with the condition. Being There provides an insight into symptoms, treatments and life with Parkinson's in general, and includes interviews with people with Parkinson's, carers, and expert healthcare professionals The DVD is divided into four chapters: introduction to Parkinson's disease; treating Parkinson's; living with Parkinson's; and about the Parkinson's Disease Society.
A guide to early onset dementia
- Authors:
- COX Sylvia, MCLENNAN Jane
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1994
- Pagination:
- 51p.,bibliog.
- Place of publication:
- Stirling
This report both reviews the literature and covers a range of issues including planning and community care. Contents include: diagnosis of early onset; planning services; needs of the person with dementia; needs of the carer; implications of the community care legislation for people with early onset of dementia; a framework for service provision and intervention.
Forget me not 2002: developing mental health services for older people in England; Audit Commission update, February 2002
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 49p.
- Place of publication:
- London
'Forget me not', published in January 200, set out the Audit Commission's analysis of mental health services for older people in England and Wales. Since then auditors appointed by the Commission have been carrying out local audits of these services. This report summarises the main findings from audits in England. It highlights for managers and practitioners where they should concentrate their efforts.