Search results for ‘Subject term:"older people"’ Sort:
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Healthy alternatives
- Author:
- FRANCIS Joy
- Journal article citation:
- Community Care, 20.7.95, 1995, p.18.
- Publisher:
- Reed Business Information
Reports on a pilot scheme, Health Alternatives Pilot Project For Older People in Ealing, west London which is testing a range of complementary therapies.
Orientation by seasons
- Author:
- BENDER Michael
- Journal article citation:
- Nursing Times, 26.4.95, 1995, pp.64-65.
- Publisher:
- Nursing Times
Describes how the author devised a way for staff to relate to people with advanced dementia through 'unison' groups.
Augmentation strategies in geriatric depression
- Author:
- FLINT Alastair J.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(2), February 1995, pp.137-146.
- Publisher:
- Wiley
Approximately 30-40 per cent of elderly patients with major depression have inadequate response to an initial therapeutic trial of antidepressant medication. In these cases augmentation of the anti depressant has been recommended as one way of improving the rate of response. A review of the Canadian literature on augmentation strategies in treatment-resistant geriatric depression shows that it is difficult to draw conclusions about the efficacy of these strategies in late life, especially since treatment failures seldom get reported. Other factors such as side-effects may also limit the usefulness of some augmentation regimens in old age. Argues for the need to have controlled studies to better determine the clinical utility of augmentation strategies in physically well depressed elderly, as well as those with depression complicating medical illness, dementia and other neurological disorders.
Behavioural complications of dementia - can they be treated?
- Authors:
- HINCHLIFFE A.C., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(10), October 1995, pp.839-847.
- Publisher:
- Wiley
Subjects over 65 with dementia and living in the community (with carers) were recruited. Information was collected on behavioural disturbance in their relatives using the Present Behavioural Examination; the most distressing behaviours were noted. A multidisciplinary team generated an individualised plan aiming to reduce the most distressing behaviours. Couples were then randomised into groups 1 and 2. For group 1, plans were implemented over 16 weeks. They were followed up a further 16 weeks later to see if the benefits of intervention were sustained. Group 2 were assessed after a period as waiting controls. Their plans were then implemented and they were reassessed. There was an improvement in carer mental health and in the behavioural difficulties of the person with dementia for group 1; the two measures of outcome were associated. For group 2, there was no improvement in either outcome measure. The findings are discussed in relation to their relevance for clinical practice.
Elder abuse: an overview of recent and current developments
- Author:
- PENHALE Bridget
- Journal article citation:
- Health and Social Care in the Community, 3(5), September 1995, pp.311-320.
- Publisher:
- Wiley
Gives a brief overview of elder abuse and neglect and considers some of the difficulties in both the detection of, and intervention in, abusive situations.
Break up the pain chain
- Author:
- CHATTEN Cathy
- Journal article citation:
- Journal of Dementia Care, 3(5), September 1995, pp.26-27.
- Publisher:
- Hawker
How can we know someone is in pain if they cannot tell us? People with dementia may suffer severe and disabling pain if we fail to pick up the clues that could lead to assessment and treatment in many cases.
Dealing with and understanding challenging behaviours
- Author:
- PARKER Jonathan
- Journal article citation:
- Elders the Journal of Care and Practice, 4(3), August 1995, pp.5-16.
Presents some of the content of workshops which were run by the author to prepare staff to deal with challenging and difficult behaviours.
A randomized, placebo-controlled trial of thiothixene in agitated, demented nursing home patients
- Authors:
- FINKEL Sandford I., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(2), February 1995, pp.129-136.
- Publisher:
- Wiley
The therapeutic efficacy of thiothixene in the treatment of behaviourally agitated dementia nursing home patients was studied in a double-blind, randomised, placebo-controlled clinical trial. Thiothixene was significantly more effective than placebo in the reduction of agitation at the end of eleven weeks treatment. Symptoms tended to return after discontinuation. The results suggest the efficacy of low doses of thiothixene for well-defined agitation in specifically selected demented nursing home patients.
A therapeutic group in the community for the elderly with functional psychiatric illnesses
- Authors:
- PROCTER Elizabeth Ann, ALWAR Lutchmee
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(1), January 1995, pp.33-36.
- Publisher:
- Wiley
Describes a closed therapeutic group run in a community setting for the elderly with functional psychiatric illnesses. The aim of the group was to promote mental health and self-confidence and to reduce psychiatric morbidity. Suggests that such groups may be an effective means both of improving mental health and of utilizing limited health service resources, and warrant further research.
Ethics and elder mistreatment: uniting protocol with practice
- Author:
- JOHNSON Tanya Fusco
- Journal article citation:
- Journal of Elder Abuse and Neglect, 7(2/3), 1995, pp.1-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Focuses on the meaning of ethics in elder mistreatment. Looks specifically on distinguishing ethical issues from non-ethical issues and ethical dilemmas. Demystifies ethics for elder-serving practitioners and shows how ethics can be a part of the treatment decision-making process. Proposes a method for developing ethical practice at the multidisciplinary level. The multidisciplinary level starts with the multidisciplinary level starts with the client and professional and ends with the community-based multidisciplinary team. The latter include human services professionals who have the important task of transforming ethical protocols into practice.