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

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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

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A systematic evaluation of impulsive–aggressive behavior in psychogeriatric inpatients using the staff observation aggression scale-revision (SOAS-R) – 2018

Impulsive–aggressive behavior is a significant challenge in geriatric psychiatry and requires professional evaluation and management. SOAS-R scales (Staff Observation Aggression Scale-Revision) completed by medical staff on three secure psychiatric wards were analyzed during a period of 12 months. Patients were subdivided into the following two diagnostic subgroups: dementia and other

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Adverse Events in Home Care: Identifying and Responding with interRAI Scales and Clinical Assessment Protocols – 2018-01-08

Outcomes of adverse events in home care are varied and multifactorial. This study tested a framework combining two health measures to identify home care recipients at higher risk of long-term care placement or death within one year. Both measures come from the Resident Assessment Instrument-Home Care (RAI-HC), a standardized comprehensive

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Aligning age-friendly and dementia-friendly communities in the UK – 2018

Purpose The purpose of this paper is to set out the history and origins of dementia-friendly communities (DFCs) and age-friendly communities (AFCs) in the UK, the differing frameworks and how they compare, and set out some key messages about how they might learn from each other. Design/methodology/approach This paper is

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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

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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

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Cognitive impairment, self-perceived health and quality of life of older prisoners – 2017

Background There is a wealth of studies of somatic and mental illness among prisoners, but little on older prisoners and their cognitive aging. Aims Our study examines the cognitive performance of older male prisoners and its effect on their perceived health and quality of life. Methods A total of 138

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Consensus statement of the International Summit on Intellectual Disability and Dementia on valuing the perspectives of persons with intellectual disability – 2018-01-17

The International Summit on Intellectual Disability and Dementia covered a range of issues related to dementia and intellectual disability, including the dearth of personal reflections of persons with intellectual disability affected by dementia. This article reflects on this deficiency and explores some of the personal perspectives gleaned from the literature,

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Creating a Collaborative Approach to Seniors Issues in Rural Communities – 2015-11-18

Many communities are seeing an increase in senior related calls for service. This is true for police, hospitals, community health care providers and families. The issues surrounding seniors are multifaceted. In Durham region, we have recognized that a community partnership approach is fundamental in successfully addressing complex issues. We will discuss advances we

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Dementia and the Justice System

This webinar examines the complex issue of dementia in relation to the criminal justice system. It provides an overview of the ways in which people with dementia come into contact with the law and the issues they may face in navigating the system. Presenters:  Katelynn Viau – Behavioural Supports Ontario

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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

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Developing Ontario’s Dementia Strategy: Discussion Paper – 2017

The Ministry of Health and Long-Term Care has developed a discussion paper to engage Ontarians in a conversation about how we can improve access to quality care for people living with dementia and support those who care for them. https://www.ontario.ca/page/developing-ontarios-dementia-strategy-discussion-paper

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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

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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

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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

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Longitudinal Effects of Activities, Social Environment, and Psychotropic Medication Use on Behavioral Symptoms of Individuals With Alzheimer’s Disease in Nursing Homes [2018]

A secondary data analysis of 25,560 minutes of structured clinical observations from a longitudinal study examined the impact of time-varying background factors, social environment, and psychotropic medication use on behavioral symptoms of nursing home residents with Alzheimer’s disease (AD). Data were collected at baseline (N = 177), 12 months (N

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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

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Mental health interventions among older adults: A systematic review – 2018

Background: The aim of the present study was to conduct a systematic review to identify documented mental health promotion interventions developed and tested among population-based older adults. Methods: A systematic review based on PRISMA guidelines. The literature was searched in PsycINFO and PubMed between June and September 2016. The Effective

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Neurodegenerative Dementias After Traumatic Brain Injury – 2017

Traumatic brain injury (TBI) is often considered to be a risk factor for the later development of neurodegenerative conditions, but some findings do not support a link. Differences in research methods, clinical samples, and limitations encountered when assessing and documenting TBI details likely contribute to the mixed reports in the

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Nurses’ Intentions to Initiate an Antipsychotic or Behavioral Intervention with Nursing Home Residents: The Role of Norms and Being Evaluated – 2018

Objectives: To examine whether exposure to a message to avoid antipsychotic medications and a salient sense of managerial oversight influenced nurses’ treatment intentions. Methods: 158 nurses from 28 long-term care facilities were randomized to one of four conditions within a 2 × 2 between-participants design. The nurses responded to a

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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

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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

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Older Former Prisoners’ Pathways to Sobriety – 2017-08-17

This study explores how older age shapes processes of substance abuse cessation among male substance users recently released from prison. Semistructured in-depth interviews and brief surveys were conducted with 15 men age 49+, released from prison in a large, eastern U.S. city. A follow-up interview was conducted with each participant

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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

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