Dementia In Nursing Homes

Author by : Sandra Schüssler
Languange : en
Publisher by : Springer
Format Available : PDF, ePub, Mobi
Total Read : 19
Total Download : 844
File Size : 54,7 Mb
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Description : Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.


Dementia In Nursing Homes

Author by : Sandra Schüssler
Languange : en
Publisher by : Springer
Format Available : PDF, ePub, Mobi
Total Read : 38
Total Download : 634
File Size : 47,8 Mb
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Description : Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.


Dying Well With Dementia In Nursing Homes In Flanders Belgium

Author by : An Vandervoort
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 61
Total Download : 563
File Size : 53,7 Mb
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Description : Using the Dying Well with Dementia Study, this dissertation provides insight into the quality of dying, the use of palliative care, life-prolonging treatments and advance care planning of nursing home residents with dementia in Flanders, Belgium.--back cover.


Physical And Social Influences On People With Senile Dementia In Residential Care

Author by : Ann Netten
Languange : en
Publisher by : Routledge
Format Available : PDF, ePub, Mobi
Total Read : 99
Total Download : 572
File Size : 44,8 Mb
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Description : Published in 1993. The Increasing numbers of very elderly people in the population and the decreased use of long-stay hospitals are leading to pressure for services in the community for people with dementia. Residential care plays an important role in the care of such people, and developing new, innovative services and monitoring the quality of care in existing institutions are important policy issues. The book describes an investigation into the relationship between the residential care environment and the welfare of residents with senile dementia. Unlike many studies of residential care, the study included aspects of both the physical and social environment and examined the impact on residents over time. The study used some innovative approaches to assessing the impact of the environment of residents and the book describes a model using quantitative techniques to analyse outcomes for residents. The policy issues and provide pointers for specifying standards for the care of residents with senile dementia. The potential for innovative schemes building on the results of the study is discussed, and the concept of ‘informal care homes’ is introduced.


Comparison Of Characteristics Of Nursing Homes And Other Residential Long Term Care Settings For People With Dementia

Author by : U. S. Department of Health and Human Services
Languange : en
Publisher by : Createspace Independent Pub
Format Available : PDF, ePub, Mobi
Total Read : 26
Total Download : 523
File Size : 41,5 Mb
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Description : Dementia is a group of neurological conditions that lead to gradual decline in mental function. It is the most common reason for entry into long-term care settings such as nursing homes and residential care/assisted living. The majority of care for people with dementia is provided in the community by family members; however, increasing care needs in later stages of the illness often lead to placement in a long-term care setting. Because long-term care settings are highly varied, people with dementia and their families would benefit from evidence-based guidance on what to choose from the available options. Dementia is a syndrome with multiple causes characterized by a decline in mental function, marked most commonly by memory impairment and a reduction in at least one other area of cognitive function, such as reasoning, judgment, abstract thought, comprehension, learning, task execution, and use of language. The most common type of dementia is Alzheimer's disease; other types include vascular dementia, mixed dementia, dementia with Lewy bodies, and frontotemporal dementia. Dementia causes significant morbidity and mortality and creates a substantial burden on the people affected, as well as on caregivers, health systems, and society. Dementia gradually erodes the individual's ability to make decisions; manage personal affairs; and eventually do even simple tasks. Late stages of dementia are characterized by weight loss, limited mobility, and frequent infections so that, unless some other illness is fatal sooner, dementia will lead to death. The course of dementia from diagnosis to death is variable but typically 8 to 12 years. Costs of dementia care, including both medical care and informal caregiver time, are estimated at more than $148 billion in the U.S annually. One relevant question to ask is whether one type of long-term care setting is superior to another for dementia overall or for certain subgroups of people with dementia. Considering the central role of family caregivers in deciding which NH or other residential long-term care setting to choose when home care is no longer feasible, information on which components of these settings relate to better outcomes would be very helpful. Different long-term care settings offer different care and services, and no comprehensive evidence-based guidance exists that identifies which characteristics or settings are best for which type of person based on age, symptom severity, or other characteristics. The objective of this review is to provide information that would help families who are trying to decide where to place a family member who has dementia and who can no longer be cared for at home. This review sought to address the following Key Questions: KQ 1. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving health outcomes for people with dementia? KQ 2. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving psychosocial outcomes for people with dementia? KQ 3. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving health outcomes for informal caregivers of people with dementia? KQ 4. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving psychosocial outcomes for informal caregivers of people with dementia? KQ 5. Does the effect of organizational characteristics, structures, or processes of care on health and psychosocial outcomes vary by the characteristics of the person with dementia (e.g., severity of dementia, functional status) or of the informal caregiver (e.g., age, relationship, health status)?


Care Giving In Dementia V3

Author by : Gemma M. M. Jones
Languange : en
Publisher by : Routledge
Format Available : PDF, ePub, Mobi
Total Read : 29
Total Download : 861
File Size : 44,9 Mb
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Description : The first two volumes of Care-Giving in Dementia integrated up-to-date neurobiological information about dementia with specific developments in care-giving. Taking the same multidisciplinary approach, and drawing contributions from leading practitioners, this third volume will prove invaluable to health and mental health professionals caring for people with dementia. Key themes in Volume 3 include: personal construct psychology and person-centred care; living in lifestyle groups in nursing homes; music therapy for people with dementia; support programmes for caregivers of people with dementia; coping in early dementia; stress and burden on care-givers; the Alzheimer Café concept and new support groups for people with dementia; ethical issues in the care of elderly people with dementia in nursing homes.


Late Stage Dementia Care

Author by : Christine R. Kovach
Languange : en
Publisher by : Taylor & Francis
Format Available : PDF, ePub, Mobi
Total Read : 12
Total Download : 844
File Size : 45,8 Mb
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Description : Nursing homes are often not equipped to deal with palliative needs of late-stage dementia care. This book addresses those needs. Information is included on the foundations and options for programme development; treatment approaches for common needs;


Practical Dementia Care

Author by : Peter V. Rabins
Languange : en
Publisher by : Oxford University Press
Format Available : PDF, ePub, Mobi
Total Read : 76
Total Download : 483
File Size : 50,8 Mb
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Description : This is a comprehensive yet practical guide to the care and management of patients with dementia from the time of diagnosis to the end of life. It is intended for the increasing number of physicians, nurses, psychologists, social workers, rehabilitation therapists, and long-term care givers responsible for the care of individuals with dementia. For the Second Edition, the authors have added a chapter on mild cognitive impairment. The sections that received the most extensive revision or expansion include those on drug therapy; the pathophysiology of several causes of dementia; psychiatric symptoms of dementia and their treatment (especially drug treatment); and dementia in special environments (especially assisted living and nursing homes).


Handbook Of Dementia Care

Author by : Jean M. Stehman
Languange : en
Publisher by : JHU Press
Format Available : PDF, ePub, Mobi
Total Read : 20
Total Download : 543
File Size : 44,6 Mb
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Description : Even in the earliest stages of progressive dementia, patients have difficulty evaluating their own needs and engaging in appropriate activities. A therapeutic program of care, including constructive activities and behavior management, is necessary for maximizing patients' functioning and quality of life. The Handbook of Dementia Care and its companion Training Manual and Video for Dementia Care Specialists offer a complete training system for teachers and students providing dementia care in a variety of settings. Developed at the well-known George G. Glenner Alzheimer's Family Centers, the program's instructor's manual and student handbook are organized into six teaching modules: basic information on dementia, positive interaction techniques, supportive physical environment, therapeutic activities, group activities, and family support. Each module is accompanied by a videotaped lecture and demonstration presentation to further illustrate the topic being discussed. This exciting project is a comprehensive instructional tool for dementia care professionals working in adult day centers, long-term care and residential settings, hospitals, nursing homes, and home health care agencies.


Involving Families In Care Homes

Author by : Robert T. Woods
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 88
Total Download : 345
File Size : 49,6 Mb
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Description : Outlines ways in which care homes can help families to become partners in the caring process.


Dementia Care Practice

Author by : Alzheimer's Association
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 68
Total Download : 951
File Size : 50,6 Mb
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Description :


Dementia Care

Author by : James Grealy
Languange : en
Publisher by : John Wiley & Sons
Format Available : PDF, ePub, Mobi
Total Read : 51
Total Download : 721
File Size : 42,9 Mb
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Description : Dementia care: a practical photographic guide is a unique illustrated guide to caring for people with dementia in care homes. It presents practical prevention and management techniques for resistance to care in common activities of daily living, explores cognitive loss, physical loss and sensory loss in dementia, and examines means of improving communication with those with dementia to enhance their understanding of their environment and improve their compliance in care.


Dementia Across Cultural Borders

Author by : Mahin Kiwi
Languange : en
Publisher by : Linköping University Electronic Press
Format Available : PDF, ePub, Mobi
Total Read : 11
Total Download : 604
File Size : 49,6 Mb
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Description : Introduction: Today’s multicultural society has resulted in major changes, with healthcare undergoing significant modifications. Healthcare workers and patients are increasingly confronted with “cultural” backgrounds other than their own. The world’s population is ageing, and the number of people with dementia is growing, resulting in a growing number of older people with a foreign background whose care needs have increased at different rates. Migration does not only mean moving from one place to another; it also involves the transition of an individual’s lifestyle, life views, social and economic adjustments that may lead to certain changes. These transitions from the “old” to the “new” way of life and from a life without dementia to a life with dementia involve making sense of life’s changes. Aim: The aim of study I was to explore the experiences and perceptions of dementia among Iranian staff working in a culturally profiled nursing home (CPNH). The aim of studies II and III was to explore relatives’ decisions to end caregiving at home, and Iranian families’ and relatives’ attitudes towards CPNHs in Sweden. The aim of study (IV) was to explore how the residents with dementia at the CPNH expressed the feeling of “home”. Method: This thesis is based on more than one year’s fieldwork. The empirical material is based on interviews and observations. Three groups of participants were interviewed and observed: 10 people with dementia (IV), 20 family caregivers and relatives (II and III, respectively) and 34 staff members (I). The interviews were conducted in Persian/Farsi, Azerbaijani, English and Swedish. The choice of language was always up to the participants. All the interviews were audio-recorded, transcribed verbatim in the respective languages and then translated later into Swedish. The analysis of the material was based on content analysis blended with ethnography. Results: Study I shows that people from different culturally and linguistically diverse backgrounds could have different perceptions of what dementia entails. A lack of knowledge concerning dementia affects how staff approach these people. Study II shows that the CPNH is crucial when deciding to cease caregiving at home. It is important to ensure that relatives with dementia are cared for by someone who speaks the same mother tongue. The results indicate that positive feelings of relief or comfort are dominant responses among the participants, some of whom even feel pride in the high standard of care provided by the home. In Study III, most participants based their views on a comparison between the CPNH and Iranian nursing homes after the Islamic Revolution. Negative views of the nursing home were evaluated alongside what the respondents considered to be typically Iranian. In Study IV, the results show that people with dementia’s personal experiences of home played a great role, and although none of the participants felt at home, all of them stated that the CPNH was a place to live in. Conclusion: Perceptions of dementia can be based on cultural and traditional understanding, although this can shift through transition and knowledge accumulation. A lack of knowledge concerning dementia and residents’ sociocultural background, generational differences and incoherence, aligned with staff members’ different sociocultural backgrounds, created many challenges. The staff wanted to learn more about dementia, to be able to manage daily communication with the residents. On another point, the staff admitted that only being able to speak a person’s native language was not enough to claim that they were actually communicating. Family caregivers’ decisions to end caregiving at home involve mutuality, capability and management, but decision-making sometimes has nothing to do with violating a person’s autonomy and is more about protecting the person. The family caregivers do care for frail elderly family members. What has changed due to a transition is the structure and construction of family caregiving. The consequences of communication difficulties between staff and the residents have led to a small degree of social involvement, which in turn affects residents’ daily social state. Overall, many family members stated that the CPNH resembled Iran too much, which disturbed them. The residents thought of home as a geographical location, but also connected it with both positive and negative feelings. Furthermore, the CPNH reminded some of the residents of the nicer side of life back home in Iran, while for others it brought back sad experiences and memories from the past. Nevertheless, the nursing home, due to memories and experiences of life in Iran, “home”, was a place to be and to live.


Dementia Care Training Manual For Staff Working In Nursing And Residential Settings

Author by : Danny Walsh
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 50
Total Download : 845
File Size : 42,6 Mb
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Description : This interactive resource book encourages front-line staff working with dementia sufferers to examine their working practice and modify it to meet best practice guidelines. Packed with photocopiable exercises, discussion points and questions, this training manual provides a framework for care work in line with statutory requirements and standards.


Evaluation In Dementia Care

Author by : Anthea Innes
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 65
Total Download : 214
File Size : 46,7 Mb
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Description : This volume sets out the critical role and application of evaluation in identifying and developing good practice in a range of dementia care settings. It discusses the evaluation of care at different levels, covering evaluation methods, ethics, use of technology and the user's role in the evaluation process itself.


End Stage Dementia Care

Author by : C. R. Kovach
Languange : en
Publisher by : Taylor & Francis
Format Available : PDF, ePub, Mobi
Total Read : 31
Total Download : 516
File Size : 55,7 Mb
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Description : People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia end-stage in particular. Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues; programme evaluation; and future opportunities.


Practical Dementia Care

Author by : Peter V. Rabins
Languange : en
Publisher by : Oxford University Press
Format Available : PDF, ePub, Mobi
Total Read : 51
Total Download : 881
File Size : 41,6 Mb
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Description : This is a comprehensive yet practical guide to the care and management of patients with dementia from the time of diagnosis to the end of life. It is intended for the increasing number of physicians, nurses, psychologists, social workers, rehabilitation therapists, and long-term care givers responsible for the care of individuals with dementia. For the Second Edition, the authors have added a chapter on mild cognitive impairment. The sections that received the most extensive revision or expansion include those on drug therapy; the pathophysiology of several causes of dementia; psychiatric symptoms of dementia and their treatment (especially drug treatment); and dementia in special environments (especially assisted living and nursing homes).


Dementia Care Training Manual For Staff Working In Nursing And Residential Settings

Author by : Danny Walsh
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 96
Total Download : 544
File Size : 55,6 Mb
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Description : This accessible, interactive resource book encourages front-line staff working with dementia sufferers in nursing and residential settings to examine their working practice and modify it to where appropriate to meet best practice guidelines. Packed with photocopiable training exercises, discussion points and questions to prompt care workers to reflect on their style of work, this practical training manual also provides a framework for care work in line with statutory requirements and national training standards. It can be used as a self-training guide by carers, who can work through it at their own pace or under the supervision of a colleague, or by trainers running structured courses on good practice in dementia care. It is also suitable for use as a quick reference in daily practice. This comprehensive resource will provide useful guidance for all staff working face-to-face with people with dementia, whether in nursing, day-care or residential settings.


Geriatric Aspects Of Frail Nursing Home Residents

Author by : Björn Westerlind
Languange : en
Publisher by : Linköping University Electronic Press
Format Available : PDF, ePub, Mobi
Total Read : 30
Total Download : 644
File Size : 51,8 Mb
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Description : Background: The number and proportion of older people are increasing in Sweden as well as throughout the western world. Older people with increasing assistance needs that can no longer be met in their own home need institutional long-term care in nursing homes. A successive reduction of nursing home beds in combination with a future demographic development with a rapidly increasing number of older people will lead to higher demands on future medical care in nursing homes. Consequently, increased knowledge about the medical needs of nursing home residents is of great value. Objectives: This thesis explores some important geriatric aspects of frail nursing home residents. The specific aims was to characterise the population of nursing home residents, to explore the prevalence of anaemia, paying particular attention to risk factors and mortality, to investigate associations between falls and use of possible fall risk drug classes and to estimate the prevalence of diagnostic failure of cognitive impairment and to investigate whether diagnostic failure was associated with impaired medical care. Methods: All data originate from SHADES (the Study of Health and Drugs in Elderly nursing home residents in Sweden), a prospective cohort study that included nursing home residents at 12 nursing homes situated in three municipalities in southern Sweden between 2008 and 2011. The subjects were followed every six months with data collection from medical records concerning medications, diagnoses, hospital referrals and mortality, examinations including blood sample analyses, assessments with validated rating scales for cognitive evaluation, depression, risk of pressure ulcers, malnutrition or falls, and the need for care was rated through a questionnaire. Results: SHADES included a total of 428 subjects with a mean age of 85 years, of whom 71% were women. They demonstrated comorbidity with a mean of three registered medical diagnoses, and polypharmacy with a mean of seven regularly used drugs. More than half of the sample (60%) were at risk of malnutrition and one third were at risk of developing pressure ulcers. A set of single items from the performed risk assessments was found to be important in understanding frailty and need for care. One third of the women and half of the men had anaemia. For the men, anaemia was associated with significantly higher mortality. Haemoglobin decline was also associated with higher mortality. Almost everyone (93%) had an increased fall risk and 62% had fallen during the last year. There was an association between falls during the last year and regular use of non-benzodiazepine hypnotics. In the older age group there was also an association between these drugs and serious falls the next 6 months. Dementia was previously diagnosed in 42%. However, among subjects without a dementia diagnosis, 72% were cognitively impaired (Mini Mental State Examination <24). These subjects were significantly older, did not get anti-dementia treatment and had higher levels of brain natriuretic peptide compared to the diagnosed dementia group, possibly indicating heart failure. Their risks of malnutrition and pressure ulcers were similar to the dementia group. Conclusions: Nursing home residents are generally frail. Anaemia is associated with higher mortality among men. The fall risk is generally high and use of non-benzodiazepine hypnotics is associated with a higher occurrence of falls. Cognitive impairment is undiagnosed in half of the cases and may indicate underlying heart failure. Consequently, regular medical follow-ups in this population are proposed to include blood count, drug review, and cognitive evaluation. In the case of cognitive impairment, exclusion of underlying disease such as heart failure should be considered.


Handbook Of Environmental Psychology

Author by : Robert B. Bechtel
Languange : en
Publisher by : John Wiley & Sons
Format Available : PDF, ePub, Mobi
Total Read : 71
Total Download : 731
File Size : 47,6 Mb
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Description : An international team of leading scholars explores the latest theories, research, and applications critical to environmental psychology Featuring the latest research and concepts in the field straight from the world's leading scholars and practitioners, Handbook of Environmental Psychology provides a balanced and comprehensive overview of this rapidly growing field. Bringing together contributions from an international team of top researchers representing a myriad of disciplines, this groundbreaking resource provides you with a pluralistic approach to the field as an interdisciplinary effort with links to other disciplines. Addressing a variety of issues and practice settings, Handbook of Environmental Psychology is divided into five organized and accessible parts to provide a thorough overview of the theories, research, and applications at the forefront of environmental psychology today. Part I deals with sharpening theories; Part II links the subject to other disciplines; Part III focuses on methods; Part IV highlights applications; and Part V examines the future of the field. Defining the ongoing revolution in thinking about how the environment and psychology interact, Handbook of Environmental Psychology is must reading for anyone coping directly with the attitudes, beliefs, and behaviors that are destroying our environment and putting our lives in jeopardy. Topics include: * Healthy design * Restorative environments * Links to urban planning * Contaminated environments * Women's issues * Environments for aging * Climate, weather, and crime * The history and future of disaster research * Children's environments * Personal space in a digital age * Community planning