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Sundowning: is it a syndrome
- Author:
- -
- Journal article citation:
- Journal of Dementia Care, 8(6), November 2000, pp.33-36.
- Publisher:
- Hawker
'Sundowning' or Sundown Syndrome' a -commonly observed tendency for people with dementia to become more confused and agitated around late afternoon to nightfall - has been widely discussed, but with little consensus as to whether it really is a syndrome. Reviews the literature.
Behavioural and psychological signs and symptoms of dementia: a consensus statement on current knowledge and implications for research and treatment
- Authors:
- FINKEL S., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(11), November 1997, pp.1060-1061.
- Publisher:
- Wiley
Provides a definition of the behavioural and psychological stress and symptoms of dementia. Concludes with a summary of current thinking on approaches to this problem.
A comparison of the snoezelen environment and a music relaxation group on the mood and behaviour of patients with senile dementia
- Author:
- PINKLEY Lesley
- Journal article citation:
- British Journal of Occupational Therapy, 60(5), May 1997, pp.209-212.
- Publisher:
- Sage
Relaxation for elderly people is one of the more complicated activities to achieve with a client group who have limited cognitive abilities, particularly those with senile dementia. The deterioration in cognitive function and orientation may lead to agitation and frustration with their perceived situation. Consequently, this makes directed relaxation a difficult activity to facilitate. This article looks at study carried out at Kings Park Community Hospital, Bournemouth, to compare the effectiveness of the snoezelen environment and the use of music manipulating mood and behaviour for moderately demented patients.
Cost-effectiveness of exercise as a therapy for behavioural and psychological symptoms of dementia within the EVIDEM-E randomised controlled trial
- Authors:
- D' AMICO Francesco, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(6), 2016, p.656–665.
- Publisher:
- Wiley
Objective: Although available evidence is modest, exercise could be beneficial in reducing behavioural and psychological symptoms of dementia. The authors aim to evaluate the cost-effectiveness of a dyadic exercise regimen for individuals with dementia and their main carer as therapy for behavioural and psychological symptoms of dementia. Methods: Cost-effectiveness analysis within a two-arm, pragmatic, randomised, controlled, single-blind, parallel-group trial of a dyadic exercise regimen (individually tailored, for 20–30 min at least five times per week). The study randomised 131 community-dwelling individuals with dementia and clinically significant behavioural and psychological symptoms with a carer willing and able to participate in the exercise regimen; 52 dyads provided sufficient cost data for analyses. Results: Mean intervention cost was £284 per dyad. For the subsample of 52 dyads, the intervention group had significantly higher mean cost from a societal perspective (mean difference £2728.60, p = 0.05), but costs were not significantly different from a health and social care perspective. The exercise intervention was more cost-effective than treatment as usual from both societal and health and social care perspectives for the measure of behavioural and psychological symptoms (Neuropsychiatric Inventory). It does not appear cost-effective in terms of cost per quality-adjusted life year gain. Conclusions: The exercise intervention has the potential to be seen as cost-effective when considering behavioural and psychological symptoms but did not appear cost-effective when considering quality-adjusted life year gains. (Edited publisher abstract)
Motivational interviewing with the older adult
- Authors:
- SERDAREVIC Mirsad, LEMKE Sonne
- Journal article citation:
- International Journal of Mental Health Promotion, 15(4), 2013, pp.240-249.
- Publisher:
- Taylor and Francis
Motivational interviewing (MI) is an evidence-based psychotherapeutic approach to health behaviour change and has great potential to improve medical regimen adherence among the older population. This article provides a concise summary of MI as it can be applied to geriatric patient populations. The goal is to provide readers with an overview of MI, its clinical applications within psychological and medical settings and its adaptation for use with older individuals dealing with both mental health and general medical conditions. The article also discusses how varied systemic and therapeutic contexts (e.g., biomedical vs. psychological) may affect the meaning and implementation of MI. Although published randomised controlled studies on the effects of MI in the older population are limited, the majority of such studies indicates that MI is effective in influencing change in health behaviors. As a proven, cost-efficient treatment, MI should be considered for clinical use in geriatric and primary care clinics providing care to older adults. (Edited publisher abstract)
Sensory stimulation in dementia :an effective option for managing behavioural problems
- Authors:
- BURNS Alistair, et al
- Journal article citation:
- British Medical Journal, 7.12.02, 2002, pp.1312-1313.
- Publisher:
- British Medical Association
People with dementia are among the most vulnerable in our society. Symptoms often need to be treated expediently, and drugs, although moderately effective, can be hazardous. Aromatherapy and bright light treatment seem to be safe and effective and may have an important role in managing behavioural problems in people with dementia.
Lavender oil as a treatment for agitated behaviour in severe dementia: a placebo controlled study
- Authors:
- HOLMES Clive, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(4), April 2002, pp.305-308.
- Publisher:
- Wiley
Reports on the results of a small scale study to determine the effectiveness of lavender oil in the treatment of agitated behaviour in patients with severe dementia in a long-stay psychogeriatric. Results found that lavender oil administered in an aroma stream showed modest efficacy in the treatment of agitated behaviour in patients with severe dementia.
Aggressive behaviour and environmental characteristics in Australian nursing homes
- Authors:
- SHAH A., CHIU E., AMES D.
- Journal article citation:
- Aging and Mental Health, 4(1), February 2000, pp.43-47.
- Publisher:
- Taylor and Francis
Aggressive behaviour is commonly observed in nursing homes for the elderly. It causes distress to carers, and leads to hospitalisation, over-medication and physical restraint. Environmental factors can influence aggressive behaviour. A 6-month prospective study was undertaken examining the relationship between aggressive behaviour and environmental characteristics of nursing homes in Melbourne. There is no significant relationship between aggressive behaviour and environmental characteristics of the nursing homes. Methodological issues may explain this lack of association. Avenues of future research are discussed.
Cross-cultural differences in demented geropsychiatric inpatients with behavioral disturbances
- Authors:
- AKPAFFIONG Macjohn, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(10), October 1999, pp.845-850.
- Publisher:
- Wiley
Cross-cultural differences in treatment and diagnosis exist in several psychiatric disorders. This American study examines the phenomenological and treatment differences between Caucasian and African-American patients presenting to a geropsychiatric unit for treatment of behavioural disturbances associated with dementia. Results found both groups of patients responded similarly to like treatment on an inpatient geropsychiatric unit. Concludes that the similarity may be explained by the multi-ethnic make-up of the interdisciplinary treatment team and by the use of standardised scales to measure symptomatology and response.
Typology of disruptive vocalizations in older persons suffering from dementia
- Authors:
- COHEN-MANSFIELD Jiska, WERNER Perla
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(11), November 1997, pp.1079-1091.
- Publisher:
- Wiley
Verbal and vocal disruptive behaviours (VDB) are important clinical features in dementia because they frequently signal discomfort experienced by an elderly person and because they are disturbing to caregivers; thereby affecting the care of elderly persons manifesting them. This article describes a typology of VDB, the Typology of Vocalisations - TOV. The article reports interrater reliability of the typology and validates it against Ryan's classification of verbal and vocal disruptive behaviours. Critical dimensions of the typology are examined and used for its refinement. Finally, use of the TOV for matching individuals to the most effective intervention is demonstrated.