Cognitive reserve and self-efficacy as moderators of the relationship between stress exposure and executive functioning among spousal dementia caregivers. ( International psychogeriatrics, 2017 , p. 1-11)

A substantial literature has reported that stress negatively impacts on cognitive processes. As dementia caregiving can be stressful, it has been hypothesized that the challenges of dementia care may increase caregivers’ own vulnerability to cognitive decline.

Our findings are in line with the idea that greater psychological stress in response to challenges associated with dementia care predicts poorer caregiver executive functioning, particularly among caregivers with low CR (cognitive reserve). However, these findings are cross sectional; it is also possible that poorer executive functioning contributes to greater caregiver stress.

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Need for Resourcefulness Training for Women Caregivers of Elders with Dementia. (Issues Ment Health Nurs, 2015, 36(12) p. 1007-12)

Nearly ten million American women are caregivers of elders with dementia and may experience overwhelming stress that adversely affects their mental health. Interventions to teach them resourcefulness skills for managing stress can promote optimal mental health and facilitate continued caregiving. However, effectiveness of resourcefulness training (RT) cannot be examined until its need is established.
The results suggest a substantial need for resourcefulness training in women dementia caregivers and support moving forward to test RT’s effectiveness for reducing caregiver stress and depressive symptoms.

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Caregiver profiles in dementia related to quality of life, depression and perseverance time in the European Actifcare study: the importance of social health. ( Aging & Mental Health, 2017, 21(1) p. 49-57)

This article states that differences do exist between types of caregivers that explain variability in quality of life, depressive symptoms and perseverance time. The findings may give direction for tailored interventions for caregivers of persons with dementia, which may improve social health and reduce health care costs. The factors considered were (i) caregivers’ age, relationship with persons with dementia, severity of dementia, and (ii) tendency towards stress and difficulty adapting to stress.

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The experiences of people with dementia and their carers participating in individual cognitive stimulation therapy. (Int J Geriatr Psychiatry. 2017 Feb. Epub)

The carer-delivered individual cognitive stimulation therapy (iCST) was developed to improve cognition and quality of life of people with dementia. The study aims to explore people with dementia and family carers’ concepts of mental stimulation and experiences of participating in the iCST intervention.
People with dementia and their family carers found iCST stimulating and enjoyable, but many had difficulty delivering all the sessions as planned. Family carers suggested that providing extra support by involving other people in delivering the intervention may help to improve adherence to the intervention. iCST may be a useful tool to encourage people with dementia and their carers to communicate.

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Getting what they need when they need it. Identifying barriers to information needs of family caregivers to manage dementia-related behavioral symptoms. (Appl Clin Inform, 2017, 8(1), p. 191-205)

Consumer health informatics (CHI) such as web-based applications may provide the platform for enabling the over 15 million family caregivers of patients with Alzheimer’s Disease or related dementias the information they need when they need it to support behavioral symptom management. However, for CHI to be successful, it is necessary that it be designed to meet the specific information needs of family caregivers in the context in which caregiving occurs. A sociotechnical systems approach to CHI design can help to understand the contextual complexities of family caregiving and account for those complexities in the design of CHI for family caregivers.

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The Association of Eating Performance and Environmental Stimulation among Older Adults with Dementia in Nursing Homes: A Secondary Analysis. (International Journal of Nursing Studies, 2017 Mar. Epub)

Objectives: This study examined the association between environmental stimulation and eating performance among nursing home residents with dementia. Conclusions: Environmental stimulation that is personally tailored to a resident’ needs and preferences and directly offered to a resident contributed to better eating performance among residents with dementia. The findings will direct future development and implementation of person-directed mealtime care programs and dining environment arrangements for residents with dementia in nursing homes.

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Cost-effectiveness of oral nutritional supplements in older malnourished care home residents. (Clin Nutr. 2017 Feb. Epub)

Malnutrition is common in care home residents, but information on the cost-effectiveness of nutritional interventions is lacking. This study, involving a randomised trial in care home residents, aimed to examine whether oral nutritional supplements (ONS) are cost-effective relative to dietary advice. Conclusion: This pragmatic randomised trial involving one of the oldest populations subjected to a cost-utility analysis, suggests that use of oral nutritional supplements in care homes are cost-effective relative to dietary advice.

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Improving Nutritional Status of Older Persons with Dementia Using a National Preventive Care Program. (J Nutr Health Aging. 2017, 21(3) p. 292-298)

The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Alert (SA) quality register, where nutrition is one of the prioritized areas and includes four steps: assessment, analysis of underlying causes, actions performed and outcome. Conclusion: Using all steps in the structured preventive care process seems to improve nutritional status of persons with dementia assessed as at risk of malnutrition or malnourished. This study contributes to the development of evidence-based practice regarding malnutrition and persons with dementia.

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Afternoon tea highlights value of nutrition for people with dementia. (Nursing Standard. 2017 31(26) p. 11)

Nurses have been urged to support an initiative that aims to raise awareness of the importance of proper nutrition for people with dementia.

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Randomized Controlled Trial of Inner Resources Meditation for Family Dementia Caregivers. (J Clin Psychol, 2017 Mar. Epub)

The results from this randomized controlled trial indicate that mindfulness meditation and mantra has promise as a feasible and effective caregiver intervention for quality of life and physiological responding to stress. Adherence to between-session meditation practice was significantly associated with decreases in depression and self-reported improvements in ability to cope with stress, particularly among older female dementia family caregivers.

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