International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Jan 2015
Randomized Controlled Trial Multicenter StudyMemantine improves attention and episodic memory in Parkinson's disease dementia and dementia with Lewy bodies.
In both dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD), attentional dysfunction is a core clinical feature together with disrupted episodic memory. This study evaluated the cognitive effects of memantine in DLB and PDD using automated tests of attention and episodic memory. ⋯ These are the first substantial improvements on cognitive tests of attention and episodic recognition memory identified with memantine in either DLB or PDD.
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Int J Geriatr Psychiatry · Jan 2015
ReviewAssisted dying in dementia: a systematic review of the international literature on the attitudes of health professionals, patients, carers and the public, and the factors associated with these.
Assisted death and dementia is a controversial topic that, in recent years, has been subject to considerable clinical, ethical and political debate. ⋯ Sociodemographic factors can influence attitudes towards assisted dying. The impact of these, however, may also differ according to the population surveyed. The findings from this review can contribute to current debates and inform clinical practice and future research in this area.
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Int J Geriatr Psychiatry · Jan 2015
Pain in care home residents with dementia: an exploration of frequency, prescribing and relatives' perspectives.
This study aims to determine pain frequency amongst care home residents with dementia, to investigate variables associated with pain, to explore analgesic use among residents and to seek residents' relatives' views on provision of care and management of pain by the care home. ⋯ This study has reinforced the challenge of assessing and managing pain in this resident population and highlighted issues to be addressed by long-term care providers and clinicians. Participation of people with dementia, and their families, in healthcare research needs to be improved.