‘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
“We’re certainly not in our comfort zone”: a qualitative study of GPs’ dementia-care educational needs [2017]
BackgroundRising dementia prevalence rates rise combined with the policy objective of enabling people with dementia to remain living at home, means that there will be a growing demand for dementia care in the community setting. However, GPs are challenged by
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 mixed method study of an education intervention to reduce use of restraint and implement person-centered dementia care in nursing homes [2017]
BackgroundPeople living with dementia in nursing homes are most likely to be restrained. The primary aim of this mixed-method education intervention study was to investigate which factors hindered or facilitated staff awareness related to confidence building initiatives based on person-centred
A person‐centred approach to implementation of psychosocial interventions with people who have an intellectual disability and dementia – A participatory action study [2020]
BackgroundNumbers of people with an intellectual disability and dementia present a global health and social challenge with associated need to reduce stress or agitation and improve quality of life in affected individuals. This study aimed to identify effectiveness of psychosocial
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
A systematic integrative review of programmes addressing the social care needs of older prisoners [2019]
BackgroundThe number of older prisoners has risen exponentially over the last two decades, especially in high-income countries. Due to the increased and somewhat inadequately met health and social care needs of this group of prisoners, coupled with their vulnerability arising
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
Aggression, Older People and Care Workers [2017]
Background Older people are significantly over-represented in incident data relating to violence and aggression in acute care. Such behaviour that is sometimes labelled as ‘challenging’ can result in poor outcomes for patients, and significant physical harm to patients and staff
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
Alcohol Use Disorder Among Older Adults [2020]
Alcohol is the most commonly used and misused substance among older adults (Kuerbis et al., 2014). Alcohol Use Disorder (AUD) and risky alcohol consumption is common among older adults, with reported problem drinking rates ranging from 1–22% (Woodruff et al.,
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
Antipsychotic use in older adults: Canadian best practices [2018]
Due to the physiologic changes of aging, managing behavioral issues and antipsychotic use is associated with adverse reactions that are more complex in older adults than in younger adults. Therefore, appropriate prescribing and evaluating the need to continue antipsychotics are
Antipsychotics and dementia in Canada: a retrospective cross-sectional study of four health sectors [2017]
BackgroundAntipsychotic medications are not recommended for the management of symptoms of dementia, particularly among persons with no behavioral or psychological symptoms. We examine patterns of antipsychotic medication use among persons with dementia across health sectors in Canada, with a focus
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
Behaviour assessment tools in long-term care homes in Canada: a survey [2020]
ObjectiveMany people living in long-term care homes (LTCH) experience changes in behaviour termed the behavioural and psychological symptoms of dementia (BPSD). The valid and reliable assessment of BPSD is essential to guide treatment and monitor the effect of interventions. The
Benzodiazepine Use Disorder Among Older Adults [2020]
Benzodiazepine receptor agonists (BZRAs) are sedative-hypnotic drugs that are often used to treat anxiety and panic disorders, sleeping problems (insomnia), seizures and alcohol withdrawal. These medications can lead to dependency and cause side effects including fatigue, impaired balance and falls,
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
Cannabis Use Disorder Among Older Adults [2020]
Evidence is limited with regard to the potential benefits and harms of cannabis use, especially among older adults who often face unique physical and socioeconomic circumstances that may influence their response to cannabis. Physiological changes that impact sleep, mobility, diet,
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
Co-occurring mental illness, drug use, and medical multimorbidity among lesbian, gay, and bisexual middle-aged and older adults in the United States: a nationally representative study [2020]
BackgroundOlder lesbian, gay, and bisexual (LGB) adults are an underserved and understudied population that experience specific health disparities. The intersection of aging and chronic medical disease with a higher risk for substance use and mental illness may place older LGB
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 cognitive disorder identified at a forensic psychiatric examination – a study from Sweden [2017]
BackgroundFew studies have addressed the relationship between dementia and crime. We conducted a study of persons who got a primary or secondary diagnosis of dementia or cognitive disorder in a forensic psychiatric examination. MethodsIn Sweden, annually about 500 forensic psychiatric
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
Dementia-friendly prisons: a mixed-methods evaluation of the application of dementia-friendly community principles to two prisons in England [2019]
Objectives To apply and evaluate dementia-friendly community (DFC) principles in prisons. Design A pilot study and process evaluation using mixed methods, with a 1-year follow-up evaluation period. Setting Two male prisons: a category C sex offender prison (prison A) and
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
