Eating Behaviors and Dietary Changes in Patients With Dementia
Conclusion: Individuals with dementia frequently develop serious feeding difficulties and changes in eating and dietary habits. The changes may be secondary to cognitive impairment or apraxia, or the result of insufficient caregiving, or the consequence of metabolic or neurochemical abnormalities occurring as part of the dementing process. (Source: American Journal of Alzheimer's Disease and Other Dementias)
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Cipriani, G., Carlesi, C., Lucetti, C., Danti, S., Nuti, A. Tags: Reviews Source Type: research

Younger Onset Dementia: A Review of the Literature to Inform Service Development
This literature review focused on the experience, care, and service requirements of people with younger onset dementia. Systematic searches of 10 relevant bibliographic databases and a rigorous examination of the literature from nonacademic sources were undertaken. Searches identified 304 articles assessed for relevance and level of evidence, of which 74% were academic literature. The review identified the need for (1) more timely and accurate diagnosis and increased support immediately following diagnosis; (2) more individually tailored services addressing life cycle issues; (3) examination of the service needs of those l...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Sansoni, J., Duncan, C., Grootemaat, P., Capell, J., Samsa, P., Westera, A. Tags: Reviews Source Type: research

Does Nursing Facility Use of Habilitation Therapy Improve Performance on Quality Measures?
The purpose of the project, Centers for Medicare & Medicaid Services (CMS) Innovation study, was to evaluate the impact on 12 quality measures including 10 Minimum Data Set (MDS) publicly reported measures and 2 nursing home process measures using habilitation therapy techniques and a behavior team to manage dementia-related behaviors. A prospective design was used to assess the changes in the measures. A total of 30 Massachusetts nursing homes participated in the project over a 12-month period. Project participation required the creation of an interdisciplinary behavior team, habilitation therapy training, facility vi...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Fitzler, S., Raia, P., Buckley, F. O., Wang, M. Tags: Current Topics in Care Source Type: research

Risk of Cognitive Decline Associated With Paroxetine Use in Elderly Nursing Home Patients With Depression
Conclusions: There was no differential effect of paroxetine on cognition when compared to other SSRIs. (Source: American Journal of Alzheimer's Disease and Other Dementias)
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Bali, V., Chatterjee, S., Johnson, M. L., Chen, H., Carnahan, R. M., Aparasu, R. R. Tags: Current Topics in Research Source Type: research

An Education Intervention to Enhance Staff Self-Efficacy to Provide Dementia Care in an Acute Care Hospital in Canada: A Nonrandomized Controlled Study
Education is needed for enhanced capacity of acute hospitals to provide dementia care. A nonrandomized controlled, repeated-measures design was used to evaluate a dementia education program delivered to an intervention group (IG, n = 468), compared to a wait-listed group (n = 277), representing separate sites of a multisite hospital. Participants completed self-efficacy for dementia and satisfaction measures and provided written descriptions of dementia care collected at baseline, postintervention (IG only), and at 8-week follow-up. Oral narratives were gathered from IG participants 8 weeks postintervention. The IG demonst...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Schindel Martin, L., Gillies, L., Coker, E., Pizzacalla, A., Montemuro, M., Suva, G., McLelland, V. Tags: Current Topics in Research Source Type: research

Evaluating Recall and Recognition Memory Using the Montreal Cognitive Assessment: Applicability for Alzheimers and Huntingtons Diseases
This study included 80 participants with HD, 64 participants with AD, and 183 community-dwelling control participants. Random-effects hierarchical logistic regressions were performed to assess the relative performance of the normal control (NC), participants with HD, and participants with AD on verbal free recall, cued recall, and multiple-choice recognition on the MoCA. The NC participants performed significantly better than participants with AD at all the 3 levels of assessment. No difference existed between participants with HD and NC for cued recall, but NC participants performed significantly better than participants ...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Van Liew, C., Santoro, M. S., Goldstein, J., Gluhm, S., Gilbert, P. E., Corey-Bloom, J. Tags: Current Topics in Research Source Type: research

Optimal Cutoff Scores for Alzheimers Disease Using the Chinese Version of Mini-Mental State Examination Among Chinese Population Living in Rural Areas
To explore the optimal cutoff score for initial detection of Alzheimer’s Disease (AD) through the Chinese version of Mini-Mental State Examination (CMMSE) in rural areas in China, we conducted a cross-sectional study within the Linxian General Population Nutritional Follow-up study. 16,488 eligible cohort members participated in the survey and 881 completed the CMMSE. Among 881 participants, the median age (Interquartile range) was 69.00 (10.00), 634 (71.92%) were female, 657 (74.57%) were illiterate, 35 (3.97%) had 6 years of education or higher, and 295 (33.48%) were diagnosed with AD. By reducing the CMMSE criteri...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Yang, Z., Holt, H. K., Fan, J.-H., Ma, L., Liu, Y., Chen, W., Como, P., Zhang, L., Qiao, Y.-L. Tags: Current Topics in Research Source Type: research

Predictors of Cognitive Decline in a Rural and Remote Saskatchewan Population With Alzheimers Disease
To determine the predictors of cognitive decline in a rural and remote population with Alzheimer’s disease (AD), we examined the association between cognitive change and sociodemographic, clinical, and functional data at the initial day of diagnosis. Simple linear regression analysis and multiple regression analysis were used to determine the predictors of cognitive decline as measured by the difference in the Mini-Mental State Examination over 1 year. Our sample included 72 patients with AD. Age at the clinic day appointment was 75.3 (standard deviation [SD] = 7.44). History of hypertension and decreased ability to ...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Hager, D., Kirk, A., Morgan, D. G., Karunanayake, C., OConnell, M. E. Tags: Current Topics in Research Source Type: research

Finding Meaning in Written Emotional Expression by Family Caregivers of Persons With Dementia
This study tested the effect of written emotional expression on the ability to find meaning in caregiving and the effects of finding meaning on emotional state and psychological burden in 91 dementia family caregivers. In a pretest–posttest design, participants were randomly assigned to either an experimental or a comparison group. Experimental caregivers (n = 57) wrote about their deepest thoughts and feelings about caring for a family member with dementia, whereas those in the comparison group (n = 34) wrote about nonemotional topics. Results showed enhanced meaning-making abilities in experimental participants rel...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Butcher, H. K., Gordon, J. K., Ko, J. W., Perkhounkova, Y., Cho, J. Y., Rinner, A., Lutgendorf, S. Tags: Current Topics in Research Source Type: research

Neural Underpinnings of the Decline of Topographical Memory in Mild Cognitive Impairment
Spatial navigation is one of the cognitive functions known to decline in both normal and pathological aging. In the present study, we aimed to assess the neural correlates of the decline of topographical memory in patients with amnestic mild cognitive impairment (aMCI). Patients with aMCI and age-matched controls were engaged in an intensive learning paradigm, lasting for 5 days, during which they had to encode 1 path from an egocentric perspective and 1 path from an allocentric perspective. After the learning period, they were asked to retrieve each of these paths using an allocentric or egocentric frame of reference whil...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Boccia, M., Silveri, M. C., Sabatini, U., Guariglia, C., Nemmi, F. Tags: Current Topics in Research Source Type: research

A Quasi-Randomized Controlled Trial of Brain-Activating Rehabilitation in an Acute Hospital
We aimed to confirm the effectiveness of brain-activating rehabilitation (BAR) performed in the day care setting at an acute hospital. Brain-activating rehabilitation is based on 5 principles: developing a pleasant atmosphere, promoting communication, praising patients, giving patients a social role, and providing supportive care. A total of 48 patients with dementia or cognitive impairment were selected and randomly divided into the intervention and control groups. The BAR-based intervention was conducted for 1 hour, 3 times a week. The patients’ score of the Multidimensional Observation Scale for Elderly Subjects (...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: Tsuchiya, K., Yamaguchi, T., Fujita, T., Taguchi, M., Honda, A., Satou, Y., Sekiguchi, H., Kimura, N., Osawa, T., Terauchi, M. Tags: Current Topics in Research Source Type: research

Interrater Reliability and Concurrent Validity of a New Rating Scale to Assess the Performance of Everyday Life Tasks in Dementia: The Core Elements Method
Errorless learning (EL) is an instructional procedure involving error reduction during learning. Errorless learning is mostly examined by counting correctly executed task steps or by rating them using a Task Performance Scale (TPS). Here, we explore the validity and reliability of a new assessment procedure, the core elements method (CEM), which rates essential building blocks of activities rather than individual steps. Task performance was assessed in 35 patients with Alzheimer’s dementia recruited from the Relearning methods on Daily Living task performance of persons with Dementia (REDALI-DEM) study using TPS and ...
Source: American Journal of Alzheimer's Disease and Other Dementias - November 6, 2016 Category: Geriatrics Authors: de Werd, M. M. E., Hoelzenbein, A. C., Boelen, D. H. E., Rikkert, M. G. M. O., Hüell, M., Kessels, R. P. C., Voigt-Radloff, S. Tags: Current Topics in Research Source Type: research

Clinical Epidemiology, Evaluation, and Management of Dementia in Parkinson Disease
The prevalence of neurodegenerative diseases such as Parkinson disease (PD) will increase substantially, due to the aging of the population and improved treatments leading to better disease-related outcomes. Dementia is the most common nonmotor symptom in PD, and most patients with PD will have cognitive dysfunction and cognitive decline in the course of their disease. The development of cognitive dysfunction in PD greatly limits the ability to participate in activities of daily living and can be a tipping point for nursing home placement or major caregiver stress. Understanding the different causes of dementia and how to ...
Source: American Journal of Alzheimer's Disease and Other Dementias - October 10, 2016 Category: Geriatrics Authors: Safarpour, D., Willis, A. W. Tags: Review Source Type: research

Effects of Acetylcholinesterase Inhibitors on Balance and Gait Functions and Orthostatic Hypotension in Elderly Patients With Alzheimer Disease
Conclusion: Curative effects of AchEIs, which are used in the treatment of AD, on cognitive performance are reflected also in balance functions. Moreover, it was observed that these drugs do not increase the prevalence of OH. (Source: American Journal of Alzheimer's Disease and Other Dementias)
Source: American Journal of Alzheimer's Disease and Other Dementias - October 10, 2016 Category: Geriatrics Authors: Isik, A. T., Soysal, P., Usarel, C. Tags: Current Topics in Management Source Type: research

Pilot Testing of the EIT-4-BPSD Intervention
Behavioral and psychological symptoms of dementia are common in nursing home residents, and the Centers for Medicare and Medicaid Services now require that nonpharmacological interventions be used as a first-line treatment. Few staff know how to implement these interventions. The purpose of this study was to pilot test an implementation strategy, Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD), which was developed to help staff integrate behavioral interventions into routine care. The EIT-4-BPSD was implemented in 2 nursing homes, and 21 residents were recruited. A research ...
Source: American Journal of Alzheimer's Disease and Other Dementias - October 10, 2016 Category: Geriatrics Authors: Resnick, B., Kolanowski, A., Van Haitsma, K., Boltz, M., Galik, E., Bonner, A., Vigne, E., Holtzman, L., Mulhall, P. M. Tags: Current Topics in Research Source Type: research