‘The guy might not even be able to remember why he’s here and what he’s in here for and why he’s locked in’: residents and prison staff experiences of living and working alongside people with dementia who are serving prison sentences for a sexual offence [2018]
Prison staff and residents with sexual convictions, from two UK prisons, were interviewed to explore their understanding and experiences of dementia. The aim was to explore understanding and experiences of dementia in response to Governor-identified needs in the prisons. Semi-structured
“Forgetting familiar faces”: Staff perceptions of dementia in people with intellectual disabilities [2018]
Accessible summary Dementia is an illness of the brain. It can make people forgetful and confused. We talked to staff about what it is like to support people with dementia. They told us that working with dementia is upsetting for
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
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
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
Acceptability and feasibility of wearing activity monitors in community‐dwelling older adults with dementia [2019]
Objectives Measuring physical activity is complicated particularly in people with dementia, where activity levels are low and subjective measures are susceptible to inaccurate recall. Activity monitors are increasingly being used within research; however, it is unclear how people with dementia
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
Ageing in corrective services: from the perspective of prison chaplains [2018]
The number of older inmates in New South Wales prisons has increased over the past ten years but it is unclear whether corrective services can cater for the increase. The current study reports the results of a qualitative study about
Ageing in forensic psychiatric secure settings: the views of members of staff [2018]
Background: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members of staff on how well secure services are meeting
Ageing in forensic psychiatric secure settings: the voice of older patients [2018]
Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a
Ageing in forensic psychiatric secure settings: the voice of older patients [2018]
Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a
Ageing patients in forensic psychiatric settings: A review of the literature [2018]
Objectives The prevalence of ageing patients in forensic psychiatric settings is increasing. However, limited research has reported around this population. The aim of this scoping review is to synthesise the current evidence around ageing forensic psychiatric patients. Methods The literature
Aggressive Behaviors in Alzheimer Disease and Mild Cognitive Impairment: Systematic Review and Meta-Analysis [2019]
Highlights • This is the first quantitative synthesis estimating the risk of aggressive behaviors in dementia and mild cognitive impairment. • Individuals with Alzheimer’s disease have five times higher odds of aggression than healthy controls. • We found no differences
Aging Prisoners’ Views on Healthcare Services in Swiss Prisons [2016]
Objective: Due to the higher morbidity prevalent in the increasing older population, prisons are facing new challenges on a structural, ethical, and financial level. This study’s goal was to explore older prisoners’ views and experiences regarding the quality of medical
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
An intervention programme for caregivers of dementia patients with frontal behavioural changes: an explorative study with controlled effect on sense of competence [2018]
Aim Caregivers of dementia patients experience high levels of burden; this is especially true of caregivers of dementia patients with behavioural problems. As intervention studies for these caregivers are still lacking, we conducted an explorative pilot study into the efficacy
Barriers and enablers in the use of respite interventions by caregivers of people with dementia: an integrative review [2018]
Background Due to the increase in the number of people with dementia, relatives often provide in-home care. This care constitutes a cornerstone of the healthcare system, and maintaining these caregivers’ well-being is therefore of paramount importance. Although respite interventions are
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
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
Caregivers’ perceptions of aggressive behaviour in nursing home residents living with dementia: A meta‐ethnography [2018]
Aim To explore how formal caregivers perceive and interpret aggressive behaviour in nursing home residents living with dementia, by synthesizing knowledge from published qualitative studies. Background Nursing home caregivers are exposed to aggressive behaviour from residents living with dementia. The
Cognitive Impairment, Dementia, and Personality Stability Among Older Adults [2017]
There is contrasting evidence on personality stability in advanced age, and limited knowledge on the impact of cognitive impairment and dementia on trait stability. Group- and individual-level longitudinal analyses of the five major dimensions of personality assessed twice over 4
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
Collaborative Care for Psychiatric Disorders in Older Adults: A Systematic Review [2017]
Objective: To evaluate the mode of implementation, clinical outcomes, cost-effectiveness, and the factors influencing uptake and sustainability of collaborative care for psychiatric disorders in older adults. Design: Systematic review. Setting: Primary care, home health care, seniors’ residence, medical inpatient and
Common Dementia Screening Tests Often Misclassify Patients [2019-01-18]
Brief cognitive tests that take a few minutes to complete can be useful for screening patients for dementia in busy settings. But, new evidence suggests that such brevity may come at the cost of accuracy. In a study published November
Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis [2018]
Objectives: To update previous reviews and provide a more detailed overview of the effectiveness, acceptability and conceptual basis of communication training-interventions for carers of people living with dementia. Method: We searched CINAHL Plus, MEDLINE and PsycINFO using a specific search
Compassion fatigue among nurses working in a long‐term care facility: The Israeli experience [2019]
Nurses working in a long‐term care facility could be at risk of developing compassion fatigue due to the nature of their work. In this descriptive, cross‐sectional survey, we explored the level of compassion fatigue among nurses working in a long‐term
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
Correctional Investigator of Canada and the Chief Commissioner of the Canadian Human Rights Commission Call on Federal Government to Respect the Dignity of Older Persons in Federal Custody [2019-02-28]
Prisons were never intended to be nursing homes, hospices, or long-term care facilities. Yet increasingly in Canada, they are being required to fulfill those functions. The proportion of older individuals in federal custody (those 50 years of age and older)
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
Creating a meaningful everyday life: Perceptions of relatives of people with dementia and healthcare professionals in the context of a Danish dementia village [2018]
Background The world’s aging population contributes to an increase in people living with dementia, which is perceived as one of the main causes of disability and dependency for older people. The first dementia village in Denmark was established in 2015,
Delirium and Antipsychotic Medications at Hospital Intake: Screening to Decrease Likelihood of Aggression in Inpatient Settings Among Unknown Patients With Dementia [2018]
For individuals with dementia, disorientation and both external and internal stimuli may trigger behaviors that are difficult to manage or dangerous to health-care providers. Identification of correlational risk factors to aggressive behavior in patients who are unknown to the hospital
Dementia and the Justice System – Webinar – 2018-06-21
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
Dementia in Canada – Canadian Institute for Health Information
Digital report delivers CIHI’s first comprehensive look at this complex illness and its effects on seniors, caregivers and health systems. Canadian Institute for Health Information https://www.cihi.ca/en/dementia-in-canada
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
Developing dementia: The existential experience of the quality of life with young-onset dementia – A longitudinal case study [2018]
Background Cognition and the ability to take care of daily activities and oneself gradually declines among people with dementia. Studies are scarce, especially regarding how people with young-onset dementia (YOD) (<65 years) experience the quality of their lives with the
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
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
Don’t go there – It’s not a nice place: Older adults’ experiences of delirium [2018]
Delirium is a common neuropsychiatric disorder that causes fluctuations in consciousness and attention, impairments in cognitive functioning and information processing, and changes in how individuals perceive what is going on around them. Delirium is associated with increased mortality, ongoing impairment
Effect of age, time spent in prison and level of education on the perceived health and quality of life of elderly prisoners [2019]
Purpose The purpose of this paper is to assess the level of perceived health and quality of life of elderly prisoners in France, and to see whether there is a link between aging, time spent in prison and level of
Effect of Exercise on Behavioral Symptoms and Pain in Patients With Dementia Living in Nursing Homes [2018]
Objectives: Examine the effects of a 6-month exercise intervention on neuropsychiatric symptoms, pain, and medication consumption in older people with dementia (PWD) living in nursing homes (NH). Methods: Ninety-one older PWD living in NH performed a 6-month structured exercise intervention
Effectiveness of interventions for co‐residing family caregivers of people with dementia: Systematic review and meta‐analysis [2018]
Background/aim Occupational therapists and health practitioners commonly provide interventions to family caregivers of people with dementia with the aim of relieving burden, depression, and disruptions in health and social support. To date, the effects of multicomponent interventions specifically targeting these
Effects of an animal‐assisted intervention on social behaviour, emotions, and behavioural and psychological symptoms in nursing home residents with dementia [2019]
Aim The positive effects of animal‐assisted interventions (AAIs) in people with dementia have been frequently reported in the literature. However, it remains unclear if the positive effects are directly due to the presence of the animal. The aim of this
Effects of dementia knowledge and dementia fear on comfort with people having dementia: Implications for dementia-friendly communities [2019]
Background and objectives Advocates for dementia-friendly communities emphasize the need for the public to know about the dementias and to experience social comfort with people having dementia. This research tested a conceptual model of influences on social comfort, including two
Effects of dog-assisted therapy in adults with dementia: a systematic review and meta-analysis [2019]
Background Dog-assisted therapy (DAT) is a non-pharmacological intervention based on the interaction between patients and dogs, which has been proposed to help adults with dementia. However, evidence to support it is lacking. Thus, we aim to evaluate the effects of
Engagement and social interaction in dementia care settings. A call for occupational and social justice [2018]
As full citizens, people with dementia are entitled to engage in social and occupational activities in residential care settings. Limitation or deprivation of choice and experience of valued occupations has been described elsewhere as occupational injustice. This research frames the
Entangled in uncertainty: The experience of living with dementia from the perspective of family caregivers [2018]
Introduction Too often dementia care is still fragmented and unresponsive to the needs of people living with dementia and their family caregivers. To develop effective health care services, in-depth insight into the experiences of family caregivers is a prerequisite. Methods
Filling the gaps? The role of voluntary organizations in supporting older people with severe mental illnesses [2018]
Older people ageing with severe mental illness (SMI) usually fall in between mental health care and old age care services. The role of informal care in filling this gap is recognized. The role of other welfare providers, such as voluntary
From Social Integration to Social Isolation: The Relationship Between Social Network Types and Perceived Availability of Social Support in a National Sample of Older Canadians [2017]
It is well-documented that social isolation is detrimental to health and well-being. What is less clear is what types of social networks allow older adults to get the social support they need to promote health and well-being. In this study,
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
Geriatrics and the Legal System [2017]
Correctional systems, already struggling to meet the basic and functional requirements of older prisoners, will be further challenged by the increasing medical and psychiatric needs of this population. Mental health and general medical care for older adults requires specific on-site