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Creating successful dementia care settings: volume one; understanding the environment through aging senses
- Authors:
- BRILLER Sherylyn, et al
- Publisher:
- Health Professions Press
- Publication year:
- 2001
- Pagination:
- 63p.,bibliog.
- Place of publication:
- Baltimore, MD
This work examines the critical features of formal care settings that either support people with dementia or create unmanageable barriers to their ability to function successfully. The present volume describes how Alzheimer's disease exaggerates or confounds already compromised sensory perceptions. It also contains practical suggestions to compensate for losses and improve communication, orientation, and enjoyment
Rey verbal learning test is a useful tool for differential diagnosis in the preclinical phase of Alzheimer's disease: comparison with mild cognitive impairment and normal aging
- Authors:
- ESTEVEZ-GONZALEZ Armardo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.1021-1028.
- Publisher:
- Wiley
The purpose o this research was to confirm that performance in verbal learning and memory test (Rey's Auditory Verbal Learning Test-RAVLT) is a helpful early neuropsychological marker of dementia of Alzheimer's type (DAT). RAVLT was administered as part of a more extensive neuropsychological battery at baseline evaluation in 116 unselected patients referred by subjective memory complaints (SMC). Patients were followed longitudinally for 2 years (average interval of 27.7±4 months). Seventy patients were included in the study: 27 developed probable DAT; 17 were diagnosed as cognitively normal persons and 26 were diagnosed with Mild Cognitive Impairment (MCI). Remaining patients abandoned or they did not meet the criteria for DAT, MCI or control. Performance on RAVLT at the baseline evaluation was compared between groups. Patients diagnosed two years later with probable DAT showed lower results, more frequently performed a score of zero at the delayed recall test (Trial 6) and had a percentage of forgetting (difference between Trials 5 and 6) higher than 75%. Score at delayed recall test and percentage of forgetting correlated with functional scales such as MMSE, Geriatric Depression Screening, Informant Questionnaire and Blessed's Dementia Rating. RAVLT could help to identify those patients with SMC who would progress to DAT over a few years, and also to differentiate between the preclinical phase of Alzheimer's disease, mild cognitive impairment and normal aging. A score of zero at the delayed recall test or a percentage of forgetting 75% in patients with SMC is suggestive of probable DAT in the future.
Including older people with dementia in research: challenges and strategies
- Authors:
- HUBBARD G., DOWNS M. G., TESTER S.
- Journal article citation:
- Aging and Mental Health, 7(5), September 2003, pp.351-362.
- Publisher:
- Taylor and Francis
This paper examines key challenges and strategies for including older people with dementia in an ethnographic study of quality of life in institutional care settings. The methods of interview and observation are described in relation to meeting four research challenges: verbal communication impairment, memory loss, decision-making capacity, and emotional disposition. A range of strategies for privileging the voice of the person with dementia is recommended which include: using different methods bespoke to each person with dementia; greater flexibility and time; preliminary meetings with the person with dementia; discussions with formal and informal carers; and research training. The researchers also conclude that the use of observation and interview are 'meaning-making occasions' which are qualitatively different but equally valuable for understanding quality of life in care settings.
Creating successful dementia care settings: volume three; minimising disruptive behaviours
- Authors:
- PEREZ Kristin, PROFFITT Mark, CALKINS Margaret
- Publisher:
- Health Professions Press
- Publication year:
- 2001
- Pagination:
- 147p.,bibliog.
- Place of publication:
- Baltimore, MD
This work examines the critical features of formal care settings that either support people with dementia or create unmanageable barriers to their ability to function successfully. This volume reveals that many difficulties stem from the care environment itself and can be resolved by developing individualised solutions and adaptations which can improve the quality of life of patients and staff alike.
Creating successful dementia care settings volume 2: maximising cognitive and functional abilities
- Authors:
- BRILLER Sherylyn, et al
- Publisher:
- Health Professions Press
- Publication year:
- 2001
- Pagination:
- 201p.,bibliog.
- Place of publication:
- Baltimore, MD
Examines the critical features of formal care settings that either support people with dementia or create unmanageable barriers to their ability to function successfully. This volume demonstrates how to avoid unnecessary helplessness. Simple changes to the facility environment can help to support remaining skills. Step by step processes are identified.
Care-giving in dementia: research and applications: volume 2
- Editors:
- MIESEN Bere M.L., JONES Gemma M.M.
- Publisher:
- Routledge
- Publication year:
- 1997
- Pagination:
- 391p.,diags.,bibliogs.
- Place of publication:
- London
Part 1 looks at models and theories and contains chapters on: the concept of personhood and its relevance for a new culture of dementia care; the dementias in a psychodynamic perspective; culture and dementia; memory, emotion and dementia; and awareness in dementia patients and family grieving - a practical perspective. Part 2 is on interventions and contains papers on: institutional perspectives on practical management of frontal lobe dementia; psychomotor group therapy for demented patients in the nursing home; communicating with severely demented patients using Snoezelen; and psychosocial treatment for demented patients. Part 3 is on interventions in the community and includes papers on: the homeostatis model and dementia; supporting informal caregivers of demented people; and activation of care-giver coping processes through professional support. Part 4 looks at interventions for the family and includes chapters on: attachment, loss and coping in caring for a dementing spouse; understanding the social context of a family caring for a dementing person; the burden on family carers; and cultural dimensions of care-giving. Part 5 examines environment, education and ethics and contains chapters on: five experiments in the institutional organisation of care for demented people; education about normal forgetfulness and dementia; ethical issues; and care-giving in dementia and the challenge of attachment.