Author: wythenshawe

Dance/Movement Therapy and Sensory Stimulation: A Holistic Approach to Dementia Care. (American Journal of Dance Therapy, Aug 2016)

Nearly 135 million people worldwide will be afflicted with dementia by 2050. Dementia is a devastating and progressive illness that results in the loss of one’s sense of self and feelings such as frustration, depression, and anxiety. Dance/movement therapy (DMT) is a useful, non-pharmacologic method for the treatment of dementia, as this discipline enhances quality of life, may attenuate cognitive decline, and is cost-effective; DMT engages the sensory systems and stimulates physical, emotional, and cognitive functioning. This article affirms that sensory stimulation in DMT is a holistic, economical, and fruitful approach for dementia care.

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Training to promote dementia support. (Nursing Times, Vol 112 (25), p. 20-23)

Inadequate care has been identified for those with dementia at all stages, from pre-diagnosis to end-of-life care. Nationally, two levels of initiatives are evolving: basic awareness skilling of frontline care staff and changing services at the strategic level. Senior clinical staff have the potential to fill the gap between the two levels and drive speedier service change.

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You stole my food! Eating alterations in frontotemporal dementia. (Neurocase, Aug 2016, 22(4) p. 400-409)

Patients with different types of dementia may exhibit pathological eating habits, including food fads, hyperphagia, or even ingestion of inanimate objects. Several findings reveal that such eating alterations are more common in patients with frontotemporal dementia (FTD) than other types of dementia. Moreover, eating alterations may differ between the two variants of the disease, namely the behavioral variant and semantic dementia (SD). In this review, we summarized evidences regarding four areas: eating and body weight alterations in FTD, the most common assessment methods, anatomical correlates of eating disorders, and finally, proposed underlying mechanisms. An increasing understanding of the factors that contribute to eating abnormalities may allow first, a better comprehension of the clinical features of the disease and second, shed light on the mechanism underlying eating behaviors in the normal population.

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The Impact of Dementia on Family Caregivers: What Is Research Teaching Us? (Current Neurology and Neuroscience Reports, October 2016.)

Dementia family caregiving has been the focus of research for decades. Much has been learned about the negative impact of caregiving as well as characteristics that may be protective. This paper explores themes in caregiving pertinent to clinicians and researchers working with dementia family caregivers: the psychological, subjective, and physical outcomes of caregiving, ways in which dementia alters relationships between the patient and caregiver, and strategies for improving outcomes for caregivers. Suggestions for next steps in research and clinical care are made.

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PEG Insertion in Patients With Dementia Does Not Improve Nutritional Status and Has Worse Outcomes as Compared With PEG Insertion for Other Indications. (J Clin Gastroenterol. Aug 2016)

Percutaneous endoscopic gastrostomy (PEG) tubes are commonly utilized as a method of enteral feeding in patients unable to obtain adequate oral nutrition. Although some studies have shown improved mortality in select populations, the safety and effectiveness of PEG insertion in patients with dementia compared with those with other neurological diseases or head and neck malignancy remains less well defined. OBJECTIVE: To evaluate the nutritional effectiveness, rate of rehospitalization, and risk of mortality among patients with dementia compared with patients with other neurological diseases or head and neck cancers who undergo PEG placement. CONCLUSIONS: PEG insertion in patients with dementia neither improve both short-term and long-term mortality nor rehospitalization rate as compared with patients who underwent PEG placement for alternate indications such as other neurological diseases or head and neck malignancy and even was associated with shorter time to death. Furthermore, PEG insertion in patients with dementia did not improve albumin. Therefore, careful selection of patients with dementia is warranted before PEG placement weighing the risks and benefits on a personalized basis.

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Involving Caregivers of People With Dementia to Validate Booklets on Food-Related Activities A Qualitative Think-Aloud Study. (J App Geron. Aug 2016)

This study is the first to explore informal dementia caregivers’ perceptions and outlook on written materials about all food-related processes: shopping, food preparation, and eating. The aim of the study was to develop and evaluate the content, format, and usefulness of two separate booklets (one newly developed and one existing) on food-related processes. Twenty dementia caregivers were provided with one of the two booklets, and a Think-Aloud method was used to gather information about their views on the booklets. The findings indicated that incorporating all three food processes in a new booklet could be beneficial for the participant. Shopping, purchasing food, driving, and dangers in the kitchen were addressed only in the developed booklet, and participants regarded them as important and useful areas to address. Therefore, this study has shown that tailored information may enhance caregivers’ confidence and support them in making decisions to help them adapt to food-related changes.

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How coaching can play a key role in the development of nurse managers. (Journal of Clinical Nursing 8 August 2016)

Findings show that following coaching, nurse managers gained increased resilience, confidence and better coping mechanisms. This resulted in perceived improved team management and cohesion and appeared to lead to better quality of care for patients.
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Challenges faced by international nurses when migrating: an integrative literature review. (International Nursing Review 8 August 2016)

The increasing strain of nursing shortages in the healthcare system has led to the recruitment of international nurses among many countries. However, following migration, international nurses are faced with challenges that may result in poor integration with their host countries.
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The Influence of Nurse Manager Leadership Style on Staff Nurse Work Engagement. (Journal of Nursing Administration 46(9) p 438-43)

Nurse managers who provide support and communication through transformational and transactional leadership styles can have a positive impact on staff nurse work engagement and ultimately improve organizational outcomes.
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Acknowleding attributes that enable the career academic nurse to thrive in the tertiary education sector: A qualitative systematic review. (Nurse Education Today, (45), p 212-218 )

This paper shows that evidence of early prospective career planning is necessary to optimise success in the tertiary sector. This is particularly important for nurse academics given the profession’s later entry into academia, the ageing nursing workforce and the continuing global shortage of nurses.
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