Month: December 2016

Exploring the relationship between community-based physical activity and wellbeing in people with dementia: a qualitative study. (Ageing and Society, 2016, p. 1-21)

This study sought to identify factors which influenced how a group of people with dementia living in their own homes participated in community-based physical activity and explored the effect that exercise groups, dance and walking had on their wellbeing. Eleven people with dementia were interviewed. Findings suggest that when certain factors co-exist, physical activity can provide a context within which people with dementia are able to use embodied skills in order to support fragile identities, connect with others and express themselves.

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Is tube feeding futile in advanced dementia? (Linacre Q, 2016. 83(3) p. 283-307)

Many doctors believe that tube feeding does not help people with advanced dementia. Scientific studies suggest that people with dementia who have feeding tubes do not live longer or gain weight compared with those who are carefully hand fed. However, these studies are not very helpful because of flaws in design, which are discussed in this article. Guidelines from professional societies make a blanket recommendation against feeding tubes for anyone with dementia, but an individual approach that takes each person’s situation into account seems more appropriate. Patients and surrogates should be aware that the guidelines on this topic tend both to underestimate the benefit and exaggerate the burdens of tube feeding.

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Family caregivers experiences of formal care when caring for persons with dementia through the process of the disease. (Scandinavian Journal of Caring Sciences, 2016, 30(3) p. 526-534)

Family caregivers’ experiences of formal care when caring for persons with dementia through the process of the disease is sparsely investigated. The interviewed caregivers experience formal care reactive to their needs and this often promoted unhealthy transitions. Formal care needs to be proactive and deliver available care and support early on in the dementia trajectory. Interventions should focus on facilitating a healthy transition for family caregivers through the trajectory of the dementia disease to ensure their well-being.

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Stress in persons with dementia: benefits of a memory center day program (Archives of Psychiatric Nursing, 2016, 30(5) p. 531-38)

Most persons with dementia are cared for by family members who are so overwhelmed that their mental and physical health declines. Adult day care programs (ADC) are growing in number to meet caregivers’ needs for respite but little is known about their effect on enrollee mental health. Results provide support for ADC as a stress-reducing environment for individuals with mild to moderate cognitive impairment. Future studies should be conducted to examine which elements of ADC are beneficial.

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Non-use of day care services for dementia in Singapore – a dilemma for caregivers. (Int Psychogeriatr, 2016 Dec. Epub)

Day care services for patients with dementia (PWD) are generally under-utilized worldwide despite evidence of positive outcomes, such as improved behavioral, psychological, and cognitive functioning for patients, and reduced caregiver burden.
Caregivers generally understand the value of day care but several factors tip the balance in favor of non-use. These include culturally bound caregiving values and perceptions, and inadequacies in service delivery. Negative perceptions about services highlight the need to enhance the image and standards of day care and increase awareness of the benefits of day care for PWD beyond its custodial role.

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Resource utilisation, costs and clinical outcomes in non-institutionalised patients with Alzheimer’s disease: 18-month UK results from the GERAS observational study. (BMC Geriatrics, 2016, 16(1) p. 195)

Alzheimer’s disease (AD), the commonest cause of dementia, represents a significant cost to UK society. This analysis describes resource utilisation, costs and clinical outcomes in non-institutionalised patients with AD in the UK. The GERAS prospective observational study assessed societal costs associated with AD for patients and caregivers All patients enrolled had an informal caregiver willing to participate in the study
It showed that AD is a costly disease, with costs increasing with disease severity, even when managed in the community: informal caregiver costs represented the main contributor to societal costs.

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Northern Manhattan Hispanic Caregiver Intervention Effectiveness Study: protocol of a pragmatic randomised trial comparing the effectiveness of two established interventions for informal caregivers of persons with dementia. (BMJ Open, 2016, 6(11) p. e014082)

The prevalence of dementia is increasing without a known cure, resulting in an increasing number of informal caregivers. Caring for a person with dementia results in increased stress and depressive symptoms. There are several behavioural interventions designed to alleviate stress and depressive symptoms in caregivers of persons with dementia with evidence of efficacy. Two of the best-known interventions are the New York University Caregiver Intervention (NYUCI) and the Resources for Enhancing Alzheimer’s Caregivers Health (REACH). The effectiveness of the NYUCI and REACH has never been compared.

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Theorizing How Art Gallery Interventions Impact People With Dementia and Their Caregivers.(Gerontologist, 2016, 56(6) p.1033-1041)

This study sought to better understand how programs at contemporary and traditional art galleries might play a role in the lives of people with dementia.

The emerging theory has four primary components: the art gallery is seen as being a physically valued place that provides intellectual stimulation and offers opportunities for social inclusion that can change how dementia is perceived. These components coalesced to create positive emotional and relational effects for those with dementia and caregivers.

This has potential implications for the use of gallery-based programs in dementia care within public health, healthcare, and museum/art gallery policy and practice

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The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. ( Research in Nursing & Health, 2016, vol. 39 ( 5) p. 375-385)

Voluntary turnover in nursing can lead to nursing shortages that affect both individuals and the entire hospital unit. We investigated the relationship between group- and individual-level variables by examining the association of nurses’ job satisfaction and team commitment at the individual level, and nurse-physician collaboration at the group level, with individuals’ intention to leave the unit at the individual level. At the individual level, job satisfaction and team affective commitment are important factors for retaining staff, and at the group level, good work collaboration with physicians is instrumental in developing nurses’ affective identification with the team.

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Increasing the Registered Nursing Workforce Through a Second-Degree BSN Program Coaching Mode. (Nurse Educ. 2016, 41(6) p. 299-303)

The coach model is an innovative approach to clinical education in which registered nurses facilitate clinical instruction. The nursing students are assigned with a specific coach throughout the 12-month accelerated baccalaureate nursing curriculum. The purpose of this article is to share our experience using the coach model for students’ clinical education including the benefits, challenges, and outcomes.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library