The Voices of Persons Living With Dementia.
The Voices of Persons Living With Dementia. Am J Geriatr Psychiatry. 2019 Nov 15;: Authors: Reuben DB PMID: 31806425 [PubMed - as supplied by publisher]
PMID: 31977419 [PubMed - in process]
Abstract Life review (LR) therapy has received considerable support as an effective treatment for depression among older adults. Researchers believe that providing LR does not require extensive training and can be done by family members who are not psychiatric professionals. If so, then training family caregivers to provide LR is a potential strategy for alleviating the shortage of resources for treating depression among the growing population of older adults experiencing depression. A pilot study that explored the feasibility of that strategy had mixed results. Seventeen (89%) of 19 caregiver-care recipient dyads...
Abstract Despite multiple national initiatives to improve quality of life in nursing home (NH) residents with dementia, inefficiencies still exist regarding inappropriate psychotropic medication use to manage communication of distress. The goals of the current article are to: (a) create a person-centered care plan/process for NH community staff to manage challenging dementia behaviors; (b) provide guidelines for geriatric practitioners (GPs) to decrease psychotropic medication use in residents with dementia; (c) discuss organizational culture and its relationship to the management of non-cognitive neuropsychiatric...
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ConclusionAbout two third of the patients had poor treatment outcome. Educational status and mean length of hospital stays were independent predictors of poor treatment out-comes. An emergency care setup capable of early patient evaluation, identification and management of stroke complications is crucial to overcome early stroke related mortality.
CONCLUSIONS: Higher CAC scores were associated with higher odds of lacunar infarction, DSWMH, and ICAS. The presence and degree of CAC may be a useful indicator for SCVDs involving small and large vessels. PMID: 31969522 [PubMed - as supplied by publisher]
Forty-five percent of U.S. hospice recipients have either a primary diagnosis of advanced dementia or dementia as a comorbidity. However, largely due to the lack of experience and knowledge of dementia-related symptomatology, hospice clinicians are underprepared to treat patients without hospice-specific dementia training programs.
Treatment-refractory psychosis (TRP) is a controversial term in the setting of the current societal stigma and medical understanding or misunderstanding of mental illness. However, there is recognition that patients with either advanced mental illness (i.e. schizophrenia) in the setting of terminal diseases such as cancer or certain neurologic diseases (i.e. Huntington's disease and Lewy body dementia) can result in psychotic states not amendable to conventional pharmacologic and non-pharmacologic treatments.
Historically, palliative care has primarily served individuals with serious physical illnesses. People with dementia and their families, however, represent a growing population in the United States who are increasingly accessing hospice and palliative care. It is not well understood how and how well the unique needs of this population are being met by the current scope and approaches of palliative care. In this concurrent session, we will discuss this topic in light of our original mixed-methods data collection, reviews of scholarly literature, and participation from attendees.