Stories of resident-to-resident aggression: Fears and experiences in long-term residential care [2018]

This thesis explores family caregiver concerns and experiences around resident-to-resident aggression (RRA) in long-term residential care (LTRC). Canadian media reports spanning a ten-year period (2007-2017) about RRA (n= 64) were analyzed with a critical discourse lens to examine the representation of family members. Also, family caregivers of residents in LTRC

Detecting agitation and aggression in people with dementia using sensors: A systematic review – 2018

Agitation and aggression are among the most challenging symptoms of dementia. Agitated persons with dementia can harm themselves, their caregivers, or other patients in a care facility. Automatic detection of agitation would be useful to alert caregivers so that appropriate interventions can be performed. The building blocks in the automatic

Views and experiences of care home staff on managing behaviours that challenge in dementia: a national survey in England – 2018

Aim: To determine the views of care home (CH) staff in relation to experiencing and managing behaviour that challenges (BtC) in dementia and their experiences of training. Method: Cross-sectional survey using a self-report questionnaire, distributed to staff employed in a 20% sample of all registered dementia-specialist CHs in England, either

Older adults in secure mental health care: health, social wellbeing and security needs measured with HoNOS-secure across different age groups – 2018

The number of older offenders is rapidly increasing in the United Kingdom and some older adults with mental health issues are referred to secure care services. It is therefore important to understand their unique characteristics in order to develop services based on their individual needs rather than chronological age. This

Measuring quality of life of people with predementia and dementia and their caregivers: a systematic review protocol – 2018

Introduction Dementia is the fastest growing major cause of disability globally and may have a profound impact on the health-related quality of life (HRQoL) of both the patient with dementia and those who care for them. This review aims to systematically identify and synthesise the measurements of HRQoL for people

Geographic Clustering of Admissions to Inpatient Psychiatry among Adults with Cognitive Disorders in Ontario, Canada: Does Distance to Hospital Matter? – 2018

Objective: This study examined relationships among hospital accessibility, socio-economic context, and geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders in Ontario, Canada. Method: A retrospective cross-sectional analysis was conducted using admissions data from 71 hospitals with inpatient psychiatry beds in Ontario, Canada between 2011 and 2014. Data

Canada’s first ‘dementia village’ is set to open its doors in Langley, B.C. next year – National Post – 2018-02-28

Canada’s first community designed specifically for people with dementia is opening next year in Langley. It’s called The Village. Comprised of six, single-storey cottage-style homes and a community centre, The Village will be home to 78 people with dementia, an umbrella term that includes people suffering from Alzheimer’s and other

Caregiver Reactions to Aggressive Behaviors in Persons With Dementia in a Diverse, Community-Dwelling Sample – 2018

Purpose: To describe caregiver challenges with and confidence managing three aggressive behavior types in persons with dementia: verbal aggression, destroying property, and threatening to hurt others. Design and Method: Secondary analysis of baseline data from the 2001-2004 Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II) initiative. Results: One or

1st International Experts’ Meeting on Agitation: Conclusions Regarding the Current and Ideal Management Paradigm of Agitation – 2018

Agitation is a heterogeneous concept without a uniformly accepted definition, however, it is generally considered as a state of cognitive and motor hyperactivity characterized by excessive or inappropriate motor or verbal activity with marked emotional arousal. Not only the definition but also other aspects of agitated patients’ care are still

Sensitizing Inpatient Mental Health Staff to the Challenges of Aging – 2018-01

Although the aging inpatient population in state psychiatric hospitals is growing significantly, there are few examples of available training to improve staff knowledge and practice. The current article describes a 10-week training series developed through a university and psychiatric hospital collaboration. Training was attended by 135 direct care nursing and

Older adults in jail: high rates and early onset of geriatric conditions – 2018-02

Background The number of older adults in the criminal justice system is rapidly increasing. While this population is thought to experience an early onset of aging-related health conditions (“accelerated aging”), studies have not directly compared rates of geriatric conditions in this population to those found in the general population. The

Does restructuring theory and clinical courses better prepare nursing students to manage residents with challenging behaviors in long-term care settings? – 2018-01

Bachelor of Nursing students (BN) placed in long-term care encounter residents who exhibit challenging behaviors. Students are often inadequately prepared to manage these behaviors, and this is a source of distress for students. This study explored whether enhancing and restructuring theoretical and clinical courses resulted in student nurses feeling better

Proactive approaches to identifying dementia and dementia risk; a qualitative study of public attitudes and preferences – 2018

Objectives The aim of this study was to critically explore the views of the public about the acceptability and feasibility of proactive approaches to earlier dementia diagnosis and also identification of people at high risk of dementia. Design Qualitative study using task group methodology and thematic data analysis. Setting Task

Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial – 2018-02-06

Background Agitation is a common, challenging symptom affecting large numbers of people with dementia and impacting on quality of life (QoL). There is an urgent need for evidence-based, cost-effective psychosocial interventions to improve these outcomes, particularly in the absence of safe, effective pharmacological therapies. This study aimed to evaluate the

A review of measures used in the screening, assessment and diagnosis of dementia in people with an intellectual disability – 2018

Background The increasing number of individuals with an intellectual disability who are at risk of developing dementia highlights the need to use measures with strong psychometric properties as part of the screening, assessment and diagnostic process. Method Searches were made of clinical and good practice guidelines and English language journal