Advanced dementia

Home healthcare (HHC) comprises clinical services provided by medical professionals for people living at home with various levels of care needs and health conditions. HHC may reduce care transitions from home to acute hospitals, but its long-term impact on homebound people living with dementia (PLWD) towards end-of-life remains unclear.

14p vinobelprisen 26-03-2022 10 4   Download

Dementia is a neuro-degenerative condition resulting in cognitive and physical decline over time. In the early stages of the condition, physical decline may be slow, but in the later stages, it may become more pronounced.

10p vinobelprisen 26-03-2022 12 5   Download

End of life care for residents with advanced dementia in the aged care setting is complex. There is prolonged and progressive cognitive decline, uncertain disease trajectory, significant symptom burden and infrequent access to specialist palliative care. Residential aged care managers offer a unique perspective in understanding the experience of providing end of life care for residents with advanced dementia.

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The aim of this study was to further validate PainChek®, an electronic pain assessment instrument, with a population living with dementia in a UK care home. Method: This study utilised a correlational design to evaluate the psychometric properties of PainChek® when compared to the Abbey Pain Scale (APS). Blinded paired pain assessments were completed at rest and immediately post-movement by a researcher and a nurse.

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Polypharmacy is common in people with dementia. The use of psychotropic drugs (PDs) and other, potentially inappropriate medications is high. The aims of this cross-sectional study were 1) to investigate the use of drugs in people with advanced dementia (PWAD), living at home or in long term care (LTC); 2) to focus on PD use; and 3) to identify determinants of PD use.

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Though work has been done studying nursing home (NH) residents with either advanced Alzheimer’s disease (AD) or Alzheimer’s disease related dementia (ADRD), none have distinguished between them; even though their clinical features affecting survival are different. In this study, we compared mortality risk factors and survival between NH residents with advanced AD and those with advanced ADRD.

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The field of movement disorders is relatively broad, encompassing disorders of increased movement, such as tremors, dystonia, and tics, to disorders characterized by a paucity of movement, such as Parkinson’s disease. Our understanding of the pathogenic mechanisms and our treatment options are expanding at a rapid pace. This expansion ranges from the medical and surgical advances in treating Parkinson’s disease to the flood of genetic abnormalities that have now been found to cause various movement disorders.

490p crius75 03-01-2013 82 10   Download

I welcome with enthusiasm the third edition of this book for families and friends of patients with dementing illnesses. It has served well in its prior appearances and should accomplish even more with this edition, as here the most recent advances in scientific and clinical knowledge about these conditions are brought forth. As I have watched, with pride in Johns Hopkins psychiatry, each of the editions of The 36-Hour Day appear, I have been impressed by both the information and the comfort it brought to those who would help their relatives....

400p loaken_1 15-11-2012 28 1   Download

Huang, Yen and Lu (Chapter 18) review the role of SPECT in the diagnosis of idiopathic Parkinson’s disease and its differentiation from other conditions characterised by parkinsonisms such as dementia with Lewy Bodies (DLB) and vascular parkinsonism. Accurate diagnosis is clearly critical for treatment and prognosis, and the authors provide a very useful overview of recent developments in dopamine transporter imaging which have led to important advances in this area.

732p wqwqwqwqwq 21-07-2012 130 15   Download

What are the prospects for advances in the treatment of schizophrenia as the 21st Century unfolds? It is clear that many advances have been made in the 100 years since Eugen Bleuler’s important monograph Dementia Praecox or the Group of Schizophrenias, compiled detailed clinical descriptions of his asylum patients (Bleuler 1911; 1950).

194p wqwqwqwqwq 20-07-2012 106 10   Download

The intent of Vascular Dementia: Cerebrovascular Mechanisms and Clinical Management is to address the many recent advances in cardiovascular and cerebrovascular medicine and the impact of these on the lives of older adults by examining the state-of-the-art research on vascular dementia (VaD). A distinguishing feature of this work is its interdisciplinary nature. We have assembled work from contributors in multiple related fields, including both human and animal studies, in order to advance our collective understanding of VaD....

370p ozon_ozon 04-05-2012 70 12   Download