Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 5 of 5
Creative reminiscence as an early intervention for depression: results of a pilot project
- Authors:
- BOHLMEIJER E., et al
- Journal article citation:
- Aging and Mental Health, 9(4), July 2005, pp.302-304.
- Publisher:
- Taylor and Francis
Reminiscence may help in resolving conflicts from the past and making up the balance of one's life. Life-review may be further enhanced by the creative expression of memories in stories, poems or drawings. In this way people are encouraged to create and discover metaphors, images and stories that symbolically represent the subjective and inner meaning of their lives. In this article, a new intervention, which combines reminiscence and creative expression aimed at early treatment of depression, is described. A pilot project showed that the intervention Searching for the meaning in life may generate small-sized effects in reducing depression. Additionally, it appears to generate effects of medium size in enhancing mastery. Several possible ways to improve the effectiveness of the intervention are described.
Evaluation of a virtual reality-based memory training programme for Hong Kong Chinese older adults with questionable dementia: a pilot study
- Authors:
- MAN David W. K., CHUNG Jenny C. C., LEE Grace Y. Y.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(5), May 2012, pp.513-520.
- Publisher:
- Wiley
Early intervention is considered important in older adults with questionable dementia who are at risk of progressing to dementia. The authors hypothesised that a memory training programme using virtual reality would lessen cognitive decline by providing cognitive support in the encoding and retrieval processes of memory. Community dwelling cognitively impaired older adults were recruited by convenience sampling from community and self-help groups. Participants were randomly assigned to a VR-based (n=20) and a therapist-led memory training group (n=24). A pre-test and post-test design was used. Primary outcome measures included the Multifactorial Memory Questionnaire and Fuld Object Memory Evaluation. Both groups demonstrated positive training effects, with the VR group showing greater improvement in objective memory performance and the non-VR group showing better subjective memory subtest results in the Multifactorial Memory Questionnaire. The authors conclude that the use of VR seems to be acceptable for older adults with questionable dementia. The suggest further study is needed to assess the effect of educational background and memory training modality (visual, auditory).
Predictors of rapid cognitive decline among demented subjects aged 75 or more: (Sujet Agé Fragile - Evaluation et Suivi Cohort - SAFES)
- Authors:
- VIATONOU Saturnin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(7), July 2009, pp.709-715.
- Publisher:
- Wiley
This study aimed to identify factors predictive of rapid cognitive decline (RCD) among elderly subjects aged 75 or over suffering from dementia. The analysis concerned 250 patients drawn from the Sujet Agé Fragile - Evaluation et Suivi (SAFES) cohort, presenting a dementia syndrome at inclusion and followed-up for at least 1 year. RCD was defined as the loss of at least 3 points on the Mini-Mental State Examination (MMSE) in the follow-up period of 12 months. All patients underwent a standardised geriatric evaluation. Logistic regression was used to identify factors predictive of RCD. In the study sample, 84 patients (33.6%) presented RCD. The factors identified in multivariate analysis as predictive of RCD were: high level of education, risk of depression, and the initial MMSE score. Among subjects with a main caregiver (n = 177), the predictive factors were malnutrition or risk thereof, risk of a fall, caregiver burden and initial MMSE score. The authors conclude that as soon as dementia is diagnosed in elderly subjects, information should be collected about the subject's socioeconomic status, nutritional status, risk of falling, mood state, and caregiver burden. This would enable the provision of appropriate therapeutic care, and make it possible to adapt follow-up in case of a risk of accelerated cognitive deterioration.
Memory assessment service for the early identification and care of people with dementia: commissioning guide
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2007
- Pagination:
- 28p.
- Place of publication:
- London
Memory assessment services offer a responsive service to aid the early identification of dementia, and include a full range of assessment, diagnostic, therapeutic and rehabilitation services. Memory assessment services ensure an integrated approach to the care of people with dementia and the support of their carers, in partnership with local healthcare, social care and voluntary organisations, and have been shown to significantly improve the quality of life of carers and people with dementia. This commissioning guide provides support for the local implementation of NICE clinical guidelines through commissioning, and is a resource to help health professionals in England to commission an effective memory assessment service for the early identification and care of people with dementia. The clinical guideline covers clinical and cost effectiveness in detail and underpins the content of this guide.
Cognitive rehabilitation as a component of early intervention in Alzheimer's disease: a single case study
- Authors:
- CLARE L., et al
- Journal article citation:
- Aging and Mental Health, 7(1), January 2003, pp.15-21.
- Publisher:
- Taylor and Francis
Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memory problems. The likely relevance of cognitive rehabilitation in early-stage AD is supported by neuropsychological and experimental learning studies, but further work is required to develop clinically relevant interventions, which can be applied in the real-life setting.