International journal of geriatric psychiatry
-
Int J Geriatr Psychiatry · Jul 2012
Relationship between symptoms of depression and agitation in nursing home residents with dementia.
The aim of this study is to analyze modifiable factors related to agitation of nursing home residents with dementia. ⋯ These results indicate that depression may be the most common factor associated with agitation in nursing home residents with dementia.
-
Int J Geriatr Psychiatry · Jul 2012
ReviewA systematic review of the accuracy and clinical utility of the Addenbrooke's Cognitive Examination and the Addenbrooke's Cognitive Examination-Revised in the diagnosis of dementia.
To review the evidence relating to the diagnostic accuracy and clinical utility of the Addenbrooke's Cognitive Examination (ACE) and its updated version, the Addenbrooke's Cognitive Examination-Revised (ACE-R) in relation to the diagnosis of dementia. ⋯ The evidence suggests that the ACE/ACE-R is capable of providing information on a range of cognitive domains and of differentiating well between those with and those without cognitive impairment. Further research examining how the tools distinguish between dementia subtypes and mild cognitive impairment will further benefit the evidence base.
-
Int J Geriatr Psychiatry · Jun 2012
Care at the end of life for people with dementia living in a care home: a qualitative study of staff experience and attitudes.
The aim of this study is to examine barriers and facilitators to care home staff delivering improved end-of-life care for people with dementia. ⋯ The staff require education and support about discussing and implementing plans around care at the end of life in dementia and about cultural issues around death to improve practice. This would enable the staff to implement advance care plans, knowing that they will be supported. Education would encompass communicating the complicated, unpredictable path of dementia near the time of death explicitly but sensitively, including recognising that people often do not hear difficult messages and are unable to take on large quantities of information at once. The staff need to know about the resident's religious and cultural ideas as well as ritual practice.
-
Int J Geriatr Psychiatry · Jun 2012
ReviewSystematic review of services providing information and/or advice to people with dementia and/or their caregivers.
Information is a key part of service provision to people with dementia and their carers, but there is no systematic review of the evidence. This study aimed to determine whether information services confer significant benefit for quality of life, neuropsychiatric symptoms and carer burden. ⋯ There is some support for the value of information services, but studies are needed to determine the specific elements that are effective.
-
Int J Geriatr Psychiatry · Apr 2012
Post-stroke delirium in relation to dementia and long-term mortality.
Delirium is a frequent post-stroke complication that compromises effective rehabilitation and has been associated with poor outcome. We aimed to investigate whether delirium is associated with increased risk of post-stroke dementia and long-term mortality once confounding is taken into account. ⋯ In our well-defined cohort of post-stroke patients, acute stage delirium was diagnosed in one in five patients and associated with dementia at 3 months. Advanced age and stroke severity were related to the higher long-term mortality among patients with post-stroke delirium.