Position statement of the American Association for Geriatric Psychiatry regarding principles of care for patients with dementia resulting from Alzheimer disease.
American Journal of Geriatric Psychiatry (Impact Factor: 3.52). 08/2006; 14(7):561-72. DOI: 10.1097/01.JGP.0000221334.65330.55
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ABSTRACT: We determined whether the prevalence of behavioural and psychological symptoms of dementia (BPSD) in institutionalized older adults differed according to the geographical location of different facilities. This cross-sectional study covered 175 nursing homes (NH) in France (n = 6275; age, 86.0 ± 8.2 years; women, 73.7%). Information on NH residents' health status and NH structure and internal organization were recorded by the NH staff. Each participant was coded for the presence or absence of the following BPSD: aggressive, screaming, and wandering behaviours. NH were geographically defined as rural (<2000 inhabitants), low urban (2000 ≤ inhabitants < 10 000), intermediate urban (10 000 ≤ inhabitants < 100 000), or high urban (inhabitants ≥ 100 000). Adjusted binary logistic regressions showed that, compared with residents living in rural NH, those living in NH located in high-urban areas had a significantly higher risk of aggressiveness (odds ratio = 1.33; 95% confidence interval = 1.06-1.67) and screaming (odds ratio = 1.43; 95% confidence interval = 1.05-1.95). The likelihood of aggressiveness was also higher in residents living in NH located in intermediate-urban areas (odds ratio = 1.36; 95% confidence interval = 1.13-1.65). Rurality seems to play a positive role in the expression of BPSD. If this hypothesis were confirmed, it would encourage NH staff to develop activities that explore rural potentials for the management of BPSD. © 2014 The Authors. Psychogeriatrics © 2014 Japanese Psychogeriatric Society.Psychogeriatrics 12/2014; 14(4):229-34. DOI:10.1111/psyg.12063 · 1.22 Impact Factor
Conference Paper: 2008 California Guideline for Alzheimer's Disease Management[Show abstract] [Hide abstract]
ABSTRACT: Increasingly, Alzheimer's Disease (AD) is being viewed as a public health threat with prevalence is expected to double in the next 20 years (Alzheimer's Association, 2007). In an effort to improve Alzheimer's care, California's Department of Public Health convened the California Workgroup on Guidelines for Alzheimer's Disease Management, consisting of physicians, researchers, psychologists, nurses and care managers. The original guideline was produced in 1998 and updated in 2002. Its emphasis on integrating primary care with community supports stimulated the development of numerous implementation projects.. It was also unique in its emphasis on culturally sensitive management of AD. The California Workgroup is targeting April as a release date for the 2008 version of the Guideline. Since its last iteration in 2002, there have been a number of evidence-based changes in the management of Alzheimer's disease. The revised guideline will cover these including: The development of a new class of medications for the treatment of Alzheimer's disease, the NMDA receptor agonist. The emergence of a class of early stage patients and evidence about management strategies beneficial to them. A growing body of evidence on the impact of psychotropic medications for behavioral symptoms. A better understanding of the management of end of life care for people with Alzheimer's disease. The proposed presentation will cover the process for the development of the Guideline; review its content, emphasizing areas that have seen evidence-based change in practice; and, give an overview of planned dissemination and implementation strategies developed by the California Workgroup.136st APHA Annual Meeting and Exposition 2008; 10/2008
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ABSTRACT: The purpose of this study was to identify educational need of families with dementia patient for development of health information service system. This study focused on the families of 117 elderly dementia patients who were admitted to Hospital and to the Senile Ward. The collected data were analyzed by t-tests, ANOVA and Pearson's correlation using SPSS 17.0. Findings is that: 1) The score is higher in educational needs and burden who are old aged dementia patients' families and low grade in IADL; 2) There was a difference in the burden depending on whether the patients lived with them or not; 3) There was a difference in the educational needs according to the age of the families, education level, and monthly income. Since the families of dementia patients feel more burdened when they lack the knowledge and information needed to care for the patients. Dementia information service system is needed to provide a better understanding of dementia and how to respond to it. This study based on educational needs should be provided to dementia patients' families to reduce their burden.
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