Search results for ‘Subject term:"older people"’ Sort:
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The snoezelen room
- Author:
- BURNINGHAM Sally
- Journal article citation:
- Alzheimers Disease Society Newsletter, March 1997, p.4.
- Publisher:
- Alzheimers Disease Society
Looks at pioneering work by the Kings Park Community Hospital in Dorset in using snoezelen for people with severe dementia.
Validation: the Feil method; how to help disoriented old-old
- Author:
- FEIL Naomi
- Publisher:
- Edward Feil Productions
- Publication year:
- 1989
- Pagination:
- 111p.,bibliog.
- Place of publication:
- Cleveland, OH
Explains the thinking behind, and the techniques of validation therapy.
Effective treatments for older adult baby boomers with alcohol-use disorders: a literature review
- Authors:
- QUINN Adam, MOWBRAY Orion
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 18(4), 2018, pp.389-410.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Research on patterns of alcohol use among the older adult baby boomer birth cohort suggests considerable challenges to the health care system in the coming decades. This review contributes to the growing knowledge base by summarizing and categorizing the most effective alcohol-use treatments for use with the baby boomer cohort. Following a manual search of more than 7,000 articles published between 1990 and 2015, a review of 19 relevant articles was performed based on guidelines set by the U.S. Preventive Services Task Force. Five articles were rated as good, 11 were rated as fair, and 3 were rated as poor. The publications were divided into 4 interpretive categories consisting of clinic-based interventions, mail-based interventions, primary care physician feedback, and day treatment. Overall, the results suggest that cognitive behaviour-based treatments for alcohol-use disorders, both clinic-based and mail-based, might be effective in reducing drinking among baby boomers. Implications and future research are discussed. (Edited publisher abstract)
Cost comparison of out-patient and home-based geriatric psychiatry consultations in one service
- Author:
- SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(4), November 1997, pp.372-376.
- Publisher:
- Taylor and Francis
Describes a study comparing the costs of home-based and hospital-based out-patient clinic consultations in an established geriatric psychiatry service. The cost of home-based and out-patient-based consultations were similar for both new and follow-up patients. Although home-based consultations have many advantages over hospital-based out-patient consultations, a prospective randomised study with cost-effectiveness analysis, involving several centres, is proposed.
Single case evaluation of the effects of aromatherapy and massage on disturbed behaviour in severe dementia
- Authors:
- BROOKER Dawn J.R., et al
- Journal article citation:
- British Journal of Clinical Psychology, 36(2), May 1997, pp.287-296.
- Publisher:
- Wiley
Aromatherapy and massage could provide a useful addition to psychological therapeutic interventions with clients suffering from dementia. Evaluates the effects of aromatherapy and massage on disturbed behaviour in four individuals with severe dementia using a single-case research design. Results found that the treatments were mixed. The opinion of the staff providing treatment was that all participants benefited. On close scrutiny, only one of the participants benefited from the aromatherapy and massage to a degree that reached statistical significance. In two of the cases aromatherapy and massage led to an increase in agitated behaviour. The importance of the single case study approach with this client group is discussed.
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.
Existential social work practice with the aged: theory and practice
- Authors:
- BROWN John A., ROMANCHUK Beverly J.
- Journal article citation:
- Journal of Gerontological Social Work, 23(1/2), 1994, pp.49-65.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Paper discusses existential social work practice with the aged with particular reference to logotherapy. Existentialism as a philosophy of life has particular utility for social work practice with the aged as frequently the aged client perceives his/hers life as lacking meaning. Several cases are presented and discussed to illustrate the application of an existential framework in practice with the aged client.
Comparison of the efficacy of gesture‐verbal treatment and doll therapy for managing neuropsychiatric symptoms in older patients with dementia
- Authors:
- BALZOTTI Angela, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(9), 2019, pp.1308-1315.
- Publisher:
- Wiley
Background: The prevalence of neuropsychiatric symptoms (NPS) diminishes the quality of life and increases the care burden in patients with dementia. Despite the clinical importance of dementia‐associated NPS, no protocols for treating NPS are already well established. Attention has turned to the effectiveness of nonpharmacological treatments for NPS since their potential safe alternative to pharmacotherapy. Objective: This study is aimed to compare the effects in older individuals with dementia living in a residential care, of two intervention programs, the gesture‐verbal treatment (GVT), a treatment implemented by us on a previous method for word retrieval in individuals with aphasia, and the better‐known doll therapy (DT). The GVT would act on both receptive and expressive language skills, the DT on attachment and emotional connections. Methods: We evaluated NPS by the neuropsychiatric inventory in a total of 30 patients divided into 3 groups, the GVT, the DT, and control groups, using a pre‐post design. The treatment groups completed 12‐week nonpharmacological interventions in addition to standard rehabilitative therapies, while the control group participated only in standard rehabilitative therapies. Results: The DT group showed significant improvements in agitation, irritability, apathy, depression, and delusions relative to controls. The GVT group showed significant improvements in apathy and depression with respect to controls. The DT intervention ameliorated symptoms of agitation compared to the GVT intervention whereas the GVT intervention improved apathy compared to the DT intervention. Conclusion: Improved understanding of the potential therapeutic benefits of different treatments for neuropsychiatric symptoms is crucial for establishing nonpharmacological interventions in dementia. (Edited publisher abstract)
Effective treatments of late-life depression in long-term care facilities: a systematic reivew
- Authors:
- YOON Seokwon, MOON Sung Seek, PITNER Roland
- Journal article citation:
- Research on Social Work Practice, 28(2), 2018, pp.116-130.
- Publisher:
- Sage
Purpose: The purpose of this study was to identify effective treatment to manage the depression of older residents. Methods: Using Klein and Bloom’s criteria, the authors analysed the number of subjects, designs and methodologies, residential types, intervention types and duration of treatment, standardised measures, and findings. Data searches were conducted to classify empirical studies and to review empirical literature published from 2007 to 2014. A systematic research synthesis of 25 articles was conducted to investigate how various treatments affected depression among older residents. Results: The results show that antidepressant medication treatment appears less efficacious in treating less severe depression. Discussion: These findings reveal that minor depression should be treated initially with a nonpharmacologic intervention to avoid unnecessary medication risks. The findings further suggest the need for more comprehensive analyses of longitudinal research and the need for more studies that examine the combination of medication and psychotherapy for depressed older adults. (Edited publisher abstract)
A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people
- Authors:
- KISHITA Naoko, TAKEI Yuko, STEWART Ian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(12), 2017, pp.1352-1361.
- Publisher:
- Wiley
Objectives: The aim of this study is to review the effectiveness of third wave mindfulness-based cognitive behavioural therapies (CBTs) for depressive or anxiety symptomatology in older adults across a wide range of physical and psychological conditions. Methods: Electronic literature databases were searched for articles, and random-effects meta-analysis was conducted. Results: Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depressive symptoms and seven on anxiety symptoms. Effect-size estimates suggested that mindfulness-based CBT is moderately effective on depressive symptoms in older adults (g = 0.55). The results demonstrated a similar level of overall effect size for anxiety symptoms (g = 0.58). However, there was a large heterogeneity, and publication bias was evident in studies reporting outcomes on anxiety symptoms, and thus, this observed efficacy for late-life anxiety may not be robust. The quality of the included studies varied. Only one study used an active psychological control condition. There were a limited number of studies that used an intent-to-treat (last observation carried forward method) analysis and reported appropriate methods for clinical trials (e.g., treatment-integrity reporting). Conclusions: Third wave mindfulness-based CBT may be robust in particular for depressive symptoms in older adults. The authors recommend that future studies (i) conduct randomised controlled trials with intent-to-treat to compare mindfulness-based CBT with other types of psychotherapy in older people and (ii) improve study quality by using appropriate methods for checking treatment adherence, randomisation, and blinding of assessors. (Edited publisher abstract)