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Editorial: End of life care in dementia: Building bridges for effective multidisciplinary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Sampson, E. L., Robinson, L. Tags: Article Source Type: journals

Palliative and end of life care of dementia at home is feasible and rewarding: Results from the `Hope for Home' studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Even though palliative care of dementia and care at home are key NHS priorities, services that set out specifically to support palliative care of dementia at home are virtually non-existent. We studied a novel service that has supported many people with advanced dementia at home through till death. Key factors for success include the right equipment, expertise around relevant medication, food, and social care needs, as well as understanding and support for funding care commissioning and informal care. The study revealed blockages to accessing support as a result of poor understanding of the needs of advanced dementia care ...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Treloar, A., Crugel, M., Adamis, D. Tags: Article Source Type: journals

The Dementia End of Life Care Project (DeLCaP): Supporting families caring for people with late stage dementia at homeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the development of a locally based project funded by the BigLottery for 5 years from May 2008 to support five families at any one time caring for a relative with late stage dementia at home. The outcomes centre on improving the well-being of both the person with dementia and their caregivers. The assumption is that the principles of palliative care that have so sensitized the end of life care for people with cancer can be applied to improve the lot of people with dementia and their caregivers. Development of the project therefore entailed bringing together staff across dementia care, palliative care ...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Ghiotti, C. Tags: Article Source Type: journals

Improving end of life care for the person with dementia: A practical approach from general practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Drawing on the experience of looking after 50 patients with dementia, this paper describes a practical approach by one GP to making a difference for people with dementia in care homes especially at the end of life. Included is the use of advance care plans and enhanced annual reviews drawing on GSF prognostic indicator guidance. Using case studies, the following topics are discussed: pain assessment, end of life care, emergency situations, hospital admission avoidance, swallowing difficulties, acute agitation and cardiopulmonary arrest. The forms and protocols which have been developed to support decision making in these s...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Evans, G. Tags: Article Source Type: journals

Improving the care of people with dementia at the end of life: The role of hospice and the US experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The number of persons diagnosed with and dying from dementia continues to climb. Research corroborate that persons dying from dementia receive poor end of life care including the use of procedures or tests with little or no benefit, un- or undertreated physical and psychological symptoms, and futile care. This is in contrast to the patient's perspective on quality end of life care — adequate pain and symptom management, avoidance of prolongation of dying, achieve a sense of control, relieve burden, and strengthening relationships with loved ones. Hospice, initially developed to improve the end of life care for person...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Shega, J., Tozer, C. Tags: Article Source Type: journals

Let someone else decide?: Development of an advance care planning service for nursing home residents with advanced dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper outlines the development of an advance care planning service, in partnership with general practitioners, specialists and facility staff that supports Nursing Home (NH) residents with dementia and their families. The aim of the service is to put a process in place whereby treatment options for residents, who have lost decision-making ability, can be considered in advance of any further episodes of illness. A 10 step plan was developed to implement Advance Care Planning within high level residential aged care facilities. Issues that arose during the course of the project are also discussed. The legal context for s...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Meller, A. E., Caplan, G. A. Tags: Article Source Type: journals

Relief of Suffering with Dementia Units: Innovations in care -- the Israeli PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper proposes a new, alternative approach and setting for end-stage dementia patients with Aminoff Suffering Syndrome (ASS) that could pertain to the Israeli setting and could possibly also be acceptable in other countries. Short hospitalization periods of approximately 1 month and treatment in Relief of Suffering End-of-Life with Dementia Units may be a new palliative approach and present a possible solution for coping with the horrendous burden of the suffering of dementia patients, their families, and the medical and nursing staff. Aminoff Suffering Syndrome (ASS) in advanced dementia is the proposed symptomatolog...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Aminoff, B. Z. Tags: Article Source Type: journals

Editorial: End of life care in dementia: Research needed urgently to determine the acceptability and effectiveness of innovative approachesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although two thirds of people with dementia live in the community, a recent report from the Alzheimer's Society concluded that current health and social care systems are failing to support people with dementia and their families to continue to live at home, despite the fact that family carers of people with dementia save the UK over £10 million a year (Alzheimer's Society, 2007). If there are few examples of innovative care packages within dementia care, research evaluating such new approaches is even more limited (Robinson et al., 2005; Sampson et al., 2006). This section of the Dementia journal contains some exampl...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Robinson, L., Sampson, E. L. Tags: Article Source Type: journals

Advance Care Planning: An opportunity for person-centred care for people living with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many people want to be able to plan ahead, so that if in the future they cannot make decisions or do things, their wishes will be known. This is called Advance Care Planning (ACP). Although it is part of official NHS policy (NHS End of Life Care Planning), ACP is hardly ever done, and it may become more difficult once a person has memory problems. In the UK, there is very little research into ACP. By the time someone has signs of dementia, families often become involved. We are uncertain how this affects ACP and the views of the person with dementia, particularly with the new Mental Capacity Act which allow families to com...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Exley, C., Bamford, C., Hughes, J., Robinson, L. Tags: Article Source Type: journals

Changing practice in dementia care for people in care homes towards the end of lifeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports on the background and design of an innovative study seeking to develop and test a dementia specific approach to palliative care for older people in care homes, entitled Evidence-based interventions in dementia towards the end of life (EVIDEM EoL). The study uses a two-phase prospective design. Phase I intends to explore and document characteristics and support needs for people with dementia in care homes towards the end of life. Data from phase I informs phase II, the development and testing of a dementia specific education and support tool for palliative care in care homes. This paper reports on the stu...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Evans, C., Goodman, C. Tags: Article Source Type: journals

Specialist community-based End of Life Dementia Care NurseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Dutton, R. Tags: Article Source Type: journals

The first 50 patients: A brief report on the initial findings from the Palliative Care in Dementia ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The St. Christopher's Hospice Palliative Care in Dementia Project, funded for 3 years by the King's Fund, aims to investigate the palliative care needs of patients with advanced dementia and their families; to clarify the role of specialist palliative care for this patient group; and to examine the usefulness of one model of working. This interim report outlines findings from the first 50 patients taken on by the project. Early results indicate that both patients and their carers have a high level of unmet need. The model of care chosen for this project appears to meet many of these needs, and appears to be both cost effic...
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Scott, S., Pace, V. Tags: Article Source Type: journals

Book review: Speaking of Dying: A Practical Guide to Using Counselling Skills in Palliative Care, by Louis Heyse-Moore. London: Jessica Kingsley, 2009. 191 pp., ISBN: 978 1 84310 678 4. {pound}17.99 (pbk)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - June 29, 2009 Category: Geriatrics Authors: Kukkastenvehma, R. Tags: Article Source Type: journals

Existential phenomenology and the quality of life of carers and care recipients: A case studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Sabat, S. R. Tags: Article Source Type: journals

The evaluation of spiritual care in a dementia care settingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Spiritual care has become an integral part of the care package offered to older people who move to residential care. However, spirituality is a word that can mean everything or nothing and as such becomes difficult to define. Assessment of `spiritual care' becomes a real challenge, because it raises important questions. These are as follows: the nature of spiritual care; how it is offered; and who takes responsibility for it. This is especially true in dementia care homes where residents cannot normally take part in evaluation. This paper offers a model of evaluation of spiritual care by using reflection, relationship and ...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Goodall, M. A. Tags: Article Source Type: journals

Guiding design of dementia friendly environments in residential care settings: Considering the living experiencesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article argues that the experience of the person with dementia should frame the perspective brought to built design and the philosophy of care — in essence, `looking out from the inside'. Shifting the emphasis from condition to experience encourages the culture change needed to create environments that allow the person with dementia to be an active participant in everyday life rather than a passive recipient of care. Based on the development of a resource for residential and respite facilities in Australia, seven living experiences are identified: the presentation of self-experience, eating experience, personal ...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Davis, S., Byers, S., Nay, R., Koch, S. Tags: Article Source Type: journals

Where does risk feature in community care practice with older people with dementia who live alone?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aiming to provide insight into a growing area of aged care services this article reports on five practitioners' perspectives of what were the key elements of their practice in community care for older persons with dementia who live alone. It draws on the findings from the first of two research projects undertaken collaboratively with Mercy Community Care (MCC), a non-profit community care agency, in Sydney, Australia and the University of Sydney in 2003 and 2006. The first project was a pilot qualitative research study focusing on practices of staff who were involved in the Dementia Monitoring Program (DMP), a specialist s...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Waugh, F. Tags: Article Source Type: journals

How well do family caregivers know their relatives' care values and preferences?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the psychometric properties of the Values and Preferences Scale (VPS) and compares the responses of 267 persons with cognitive impairment with the responses of their family caregivers to determine the accuracy of the caregivers' perceptions of their relatives' care values and preferences.Design and Methods: Exploratory factor analyses examined whether a consistent factor structure could be found for the VPS for both persons with cognitive impairment (PWCIs) and family caregivers. Analyses also determined whether family caregivers were accurate in their perceptions of their relative's care preferences.Re...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Whitlatch, C. J., Piiparinen, R., Friss Feinberg, L. Tags: Article Source Type: journals

Growing and gaining through caring for a loved one with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: This research supports a shift from the conventional focus on burdens to a more holistic approach that considers how caregivers can grow and emerge stronger from the caregiving experience. This has implications in the design and delivery of services as utilizing these gains as a coping resource may enable better support for caregivers. It is pertinent that professionals supporting caregivers internalize the perspective of gains so that it becomes a natural way of seeing their clients and in the process help caregivers find meaning and enrichment in their caregiving journey.
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Netto, N. R., Jenny, G. Y. N., Philip, Y. L. K. Tags: Article Source Type: journals

Living on the threshold: The spatial experience of living alone with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this qualitative study was to understand the meaning of living alone for older people with dementia. Fourteen audio-taped open-ended interviews were conducted with eight such older women in Ontario, Canada. The data were analyzed using an adaptation of van Manen's method. Heidegger's philosophy informed interpretation of the findings through the theme living on the threshold. The study findings deepen understanding of `space' and `place' in the experience of living alone with dementia. Participants sought the middle-ground of dialectical tensions within the threshold space and shared insights about their spa...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: De Witt, L., Ploeg, J., Black, M. Tags: Article Source Type: journals

Supportive living environments: A first concept of a dwelling designed for older adults with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The vast majority of older adults want to remain living independently at home, with or without a sufficient amount of professional home care, even when overall health is starting to decline. The ageing of society and the increase in the number of very old elders goes together with an increase in the number of people with dementia. About two thirds of the diagnosed people in the Netherlands live at home. Dementia has severe implications to the quality of daily life, in particular to independent functioning. This sets extra demands to living environments. Older adults with dementia and their partners ask for living environme...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Van Hoof, J., Kort, H. S.M. Tags: Article Source Type: journals

Feasibility of using standardized patient methodology to develop and assess research assistant competence in dementia researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study evaluated its feasibility. An expert panel created six scenarios using standardized patients to portray dyads of dementia patients/caregivers, plus instructions for actors. Three research assistants trained in administering the Hamilton Depression Rating Scale portion of the Structured Interview for the Clinical Assessment of Depression in Dementia administered it to each dyad. An expert panel member telemonitored each session and scored pairs using the same instrument. Sessions were videotaped, watched and scored by research assistants. Their scores were compared with expert ratings, and deviation scores were c...
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Steele, A. B., Kunik, M. E., Cully, J., Davila, J. A., Morgan, R. O., Snow, A. L. Tags: Article Source Type: journals

Book reviews and educational resources: The Art of Dementia Care, by Daniel Kuhn and Jane Verity. Clifton Park, NY: Thomson Delmar Learning, 2008, pp. 123 (including a 10-page introduction). ISBN 10: 1--4018--9951-X; ISBN 13: 978--1-4018--9951--6Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Kydd, A. Tags: Article Source Type: journals

Book reviews and educational resources: Tom Kitwood on Dementia: A Reader and Critical Commentary, by Clive Baldwin and Andrea Capstick (Eds.). Maidenhead: McGraw Hill/Open University Press, 2007, 352 pp. ISBN-10: 0--335--222741--4 (pb); 0--335--222742--2 (hb)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - April 22, 2009 Category: Geriatrics Authors: Taylor, L. Tags: Article Source Type: journals

Editorial: Family mattersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Keady, J., Harris, P. P. B. Tags: Article Source Type: journals

Love song at the end of the day: A wife's journeyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Weyl, M. Tags: Article Source Type: journals

Information pathways into dementia care services: Family carers have their sayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study strongly emphasises the value of health professionals seriously and empathically hearing and acting upon family carers' requests for information and prompt diagnosis of dementia. In addition, there is a significant need to improve access and organization of information and services for people with dementia and their family carers.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Robinson, A., Elder, J., Emden, C., Lea, E., Turner, P., Vickers, J. Tags: Article Source Type: journals

Persistence of self in individuals with Alzheimer's disease: Evidence from language and visual recognitionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The persistence of self in individuals with probable Alzheimer's disease was investigated via language and visual self-recognition. Seventy-eight adults (ages 66—103) participated: 26 with mild cognitive impairments, 26 with moderate cognitive impairments, and 26 without impairment. Although frequency of language usage (during an interview) declined across impairment levels, there were no significant differences in either rates or proportions of pronoun and attribute usage. When asked to identify themselves in photographs taken with an instant camera, cognitively impaired individuals — in spite of forgetting th...
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Fazio, S., Mitchell, D. B. Tags: Article Source Type: journals

Frontotemporal dementia (FTD) patients living at home and their spousal caregivers compared with institutionalized FTD patients and their spousal caregivers: Which characteristics are associated with in-home care?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study identifies differences between in-home FTD patients and their caregivers (FTDH) and institutionalized FTD patients (FTDN) and their caregivers. Twelve in-home and 24 institutionalized FTD patients in the final stages of the disease, and their spousal caregivers, were observed. Neuropsychiatric function disorders, dementia duration and severity, burden, mental and physical health, quality of the current and premorbid relationship and caregiver motivation were analysed. The majority of FTDH patients had dementia of shorter duration and showed residual independence. In FTDH patients, neuropsychiatric symptoms were ...
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Riedijk, S. R., Duivenvoorden, H. J., Van Oostrom, I., Rosso, S. M., Van Swieten, J., Niermeijer, M. F., Tibben, A. Tags: Article Source Type: journals

Sense of coherence amongst male caregivers in dementia: A South African perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to explore the experiences of men caring for spouses suffering from dementia from a salutogenic perspective. The study focused on the experiences of ten men caring for a spouse with dementia. Primarily qualitative analysing methods were utilized. Data were obtained from semi-structured interviews conducted with male spouses of patients with dementia. An orientational analysis approach was followed and the data was analysed in terms of Antonovsky's sense of coherence construct. Qualitative findings were compared to participant responses to quantitative measures. Stressors most often reported were c...
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Pretorius, C., Walker, S., Heyns, P. M. Tags: Article Source Type: journals

African American caregivers: An exploration of pathways and barriers to a diagnosis of Alzheimer's disease for a family member with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the significance of an early diagnosis of Alzheimer's disease (AD), African Americans are diagnosed in later stages of the disease and present with greater cognitive impairment at the time of diagnosis when compared to Euro-Americans. To this end, there exists a paucity of research on diagnostic pathways among African Americans with dementia. More specifically, few studies have explored help-seeking pathways from the initial manifestation of symptoms until an actual diagnosis of Alzheimer's disease was received from the perspective of African American caregivers. Thus, the present study examined the retrospective e...
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Hughes, T., Tyler, K., Danner, D., Carter, A. Tags: Article Source Type: journals

Caring for individuals with end-stage dementia at the end of life: A specific focus on hospice social workersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study has implications for how hospice social workers and other healthcare professionals provide end-of-life care for patients and families who are dealing with dementia and the types of training that should be implemented in hospice agencies to strengthen end-stage dementia care.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Sanders, S., Swails, P. Tags: Article Source Type: journals

Innovative practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Moriarty, J. Tags: Article Source Type: journals

Improving services and support for people with dementia: Using a web forum to capture the views of people with dementia and their carers to inform a national audit office reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Ahmad, S. Tags: Article Source Type: journals

Improving outcomes for dementia care in acute aged care: Impact of an education programmeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Mcphail, C., Traynor, V., Wikstrom, D., Brown, M., Quinn, C. Tags: Article Source Type: journals

Person-centred home care for people with dementia: Developing a specialist service in an ethnically diverse communityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Snayde, F., Moriarty, J. Tags: Article Source Type: journals

Book review: Dementia Care Training Manual for Staff Working in Nursing and Residential Setting, by Danny Walsh. London: Jessica Kingsley, 2006, pp. 240. ISBN 1--8431--03184Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Brown, M. Tags: Article Source Type: journals

Book review: Diagnostic Issues in Dementia: Advancing the Research Agenda for DSM-V, by Trey Sunderland et al. (Eds.). Arlington, VA: American Psychiatric Association, 2007, pp. 165Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - January 28, 2009 Category: Geriatrics Authors: Jackson, G. A. Tags: Article Source Type: journals

Editorial: Hearing the voices in the policy--practice--research nexus: The importance of the knowledge exchange process for people with dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Wilkinson, H., Weaks, D. Tags: Article Source Type: journals

General practice-based intervention for suspecting and detecting dementia in France: A cluster randomized controlled trial1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective was to identify evocative signs of Alzheimer's disease through a cluster randomized controlled trial. The study involved 681 general practitioners (GPs), randomly selected and assigned to an intervention (n = 352) or a control group (n = 329), and 214 specialists. The intervention group participated in training sessions relating to dementia diagnosis and the use of brief neuropsychological tests suited to general practice. The control group dispensed usual general practitioner care. The primary outcome was suspicion of dementia by GPs. The secondary outcome was accurate detection of dementia by the GPs. Most ...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Rondeau, V., Allain, H., Bakchine, S., Bonet, P., Brudon, F., Chauplannaz, G., Dubois, B., Gallarda, T., Lepine, J.-P., Pasquier, F., Pouchain, D., Ritchie, K., Robert, P., Touchon, J., Vellas, B., Vercelletto, M., Verny, M., Carcaillon, L., Duveau, F., M Tags: Article Source Type: journals

Forgetting and the memory of forgetting: The material and symbolic role of memory in the intersubjective lives of people with AIDS dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In death-driven narratives of AIDS, phenomenological losses experienced as a result of changes to memory with AIDS dementia remain uncharted. Traditionally in the field of dementia, memory has been viewed as a neurological skill to be measured and charted, categorized into short-term or long-term memory loss. In this article, a relationship-based approach to memory is taken where memory is understood to play an important material and symbolic role in the lives of people with AIDS dementia and their relationships with significant others. Through ethnographic description, this article details how for two informants — D...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Kelly, A. Tags: Article Source Type: journals

A systematic review of the use of contingent valuation in Alzheimer's disease researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This systematic review was conducted to examine the use of an economic evaluation strategy called `contingent valuation' in Alzheimer's disease (AD). Several scholarly and internet databases were searched for relevant citations. Articles were included in the review if they contained an original report of the use of contingent valuation in AD. Six articles — all of which assessed contingent valuation defined as willingness-to-pay (WTP) — met this criterion. Overall, caregivers' and patients' WTP for medications was higher when outcomes were better (e.g. cure versus stability). Cost-benefit analyses in two articl...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Oremus, M., Tarride, J.-E. Tags: Article Source Type: journals

The meaning of everyday technology as experienced by people with dementia who live aloneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explored how people with dementia who live alone experienced the meaning of their everyday technology, such as telephones and electronic equipment, and the use of it. Eight participants with mild to moderate stage dementia were included. Repeated interviews and observations were undertaken in each participant's home and surroundings. A phenomenological, interpretative method was adopted in the analysis. In summary, the participants experienced their everyday technology to be embedded with both practical and existential meaning, as it could assist them in different ways in daily life as well as support their perc...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Nygard, L. Tags: Article Source Type: journals

Telephone-delivered psychosocial intervention reduces burden in dementia caregiversEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to examine the preliminary efficacy of Family Intervention: Telephone Tracking — Dementia (FITT-D), a multi-component intervention that is delivered in 23 telephone contacts over 12 months. Thirty-three dementia caregivers were randomly assigned to receive either FITT-D ( n = 16) or standard care (n = 17) using urn randomization to balance the groups on dementia severity, caregiver gender and relationship type (spouse versus other). Inclusion criteria included formal dementia diagnosis, caregiving for at least six months, residing with the care recipient, and providing at least four ho...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Tremont, G., Duncan Davis, J., Bishop, D. S., Fortinsky, R. H. Tags: Article Source Type: journals

The intentionality of insight: The meanings given to insight in the lived experiences of AIDS dementiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rather than duplicating biomedical research measuring insight, or suggesting models by which one could more reliably measure a person with dementia's insight, I turn to the notion of insight reflexively. Based on ethnographic research with four `intimate circles of care', I explore the consciousness of people with AIDS dementia's insight, the intentionality of insight in the phenomenological sense. Since insight is a capacity of all humans, I also include in my unit of analysis the meanings of insight for significant others. With intentionality, what matters most are the meanings made of and the positions taken towards ins...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Kelly, A. Tags: Article Source Type: journals

Lay and professional expectations of cholinesterase inhibitor treatment in the early stage of Alzheimer's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of the study were to identify, compare and contrast the expectations of key stakeholders regarding cholinesterase inhibitor treatments prescribed to people with Alzheimer's Disease (AD), and to examine those expectations in the light of recent findings regarding the efficacy and effectiveness of this class of drug. Participants were four older women diagnosed with early stage AD, their lay caregivers, their professional healthcare providers, and pharmacists and policy makers, making a total of 23 participants. Semi-structured interviews were performed in a conversational style designed to elicit accounts of ...
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Andersen, E., Silvius, J., Slaughter, S., Dalziel, W., Drummond, N. Tags: Article Source Type: journals

Book review and educational resource: Partnerships in Community Mental Health Nursing and Dementia Care: Practice Perspectives, by John Keady, Charlotte L Clark and Sean Page (Eds.). New York: Open University Press, 2007. 344 pp. ISBN 10--0--335--21581, {pound}24.99 (pbk)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Boyd, R. Tags: Article Source Type: journals

Book review and educational resource: Alzheimer's from the Inside Out, by Richard Taylor. Baltimore, MD: Health Professions Press, 2007. 255 pp. ISBN 1--932529--23--3, {pound}13.95 (pbk)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Keady, J. Tags: Article Source Type: journals

Book review and educational resource: Design for Nature in Dementia Care, Bradford Dementia Group Good Practice Guide, by Garuth Chalfont. London: Jessica Kingsley, 2008. 180 pp. ISBN 978--1--84310--571--8, {pound}19.99 (pbk)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - November 12, 2008 Category: Geriatrics Authors: Dewing, J. Tags: Article Source Type: journals

Editorial: Consumer fraud and dementia -- lessons learned from conmenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Dementia - August 4, 2008 Category: Geriatrics Authors: Cohen, C. A. Tags: Article Source Type: journals