Tailored mental health care after nursing home admission: improving transfers of people with dementia with behavioral problems. An explorative study

Aging & Mental Health: Volume 19, Issue 10, 2015

Objectives: In the Netherlands, many community-dwelling people with dementia and behavioral disturbances and their family caregivers receive mental health care from a community psychiatric nurse (CPN). To promote continuity of care for these persons after moving to a nursing home, a transfer intervention was developed. The aim of this explorative study was to evaluate this intervention and its implementation.

Method: A qualitative explorative study design was used. CPNs visited professional nursing home carers, people with dementia and family caregivers six weeks after moving, advised on how to manage behavioral problems of their former clients and provided support to family caregivers. Twenty-two interviews were conducted with participants exposed to the intervention (5 CPNs, 5 family and 12 nursing home carers) and with 11 stakeholders (i.e., nursing home and mental health care managers, professional caregivers) to identify facilitators and barriers to the implementation. Data were collected in 2012 and 2013.

Results: The follow-up visit at six weeks met the need for background information of new admitted patients and helped family caregivers close off the period prior to the move. It did not meet the original purpose of providing nursing home staff with advice about problem behaviors on time: six weeks after the move was experienced as too late.

Conclusion: The transfer intervention increased the awareness of nursing home staff about personal and behavioral characteristics of residents with dementia and supported caregivers in coping with the new situation. The timing of the intervention could be improved by scheduling it immediately after the move.

via Taylor & Francis Online.

Dementia 2015 – Alzheimer’s Society Annual Report

Alzheimer’s Society’s fourth annual report

Dementia 2015: Aiming higher to transform lives

Dementia 2015: Aiming higher to transform lives is Alzheimer’s Society’s fourth annual report looking at quality of life for people with dementia in England. It contains the results of their annual survey of people with dementia and their carers, and an assessment of what is currently in place and needs to be done to improve dementia care and support in England over the next five years.

Now is the crucial turning point for dementia, and the government’s commitment to dementia needs to be met by a fully-fledged national action plan for the 2020 challenge.

Their report provides a snapshot of how well people are living with dementia, what support they are receiving and what barriers they face to living well. It makes practical recommendations to the new government on the steps that need to be taken to make quality of life better for people with dementia.

via Dementia 2015 – Alzheimer’s Society.

High blood pressure linked to reduced Alzheimer’s risk; antihypertensive drugs may be reason

A new study suggests that people with a genetic predisposition to high blood pressure have a lower risk for Alzheimer’s disease.

However, authors conclude the connection may have more to do with anti-hypertension medication than high blood pressure itself.

“It’s likely that this protective effect is coming from antihypertensive drugs,” said co-author John Kauwe, associate professor of biology at Brigham Young University. “These drugs are already FDA approved. We need to take a serious look at them for Alzheimer’s prevention.”

The study, published this month in PLOS Medicine, analyzed genetic data from 17,008 individuals with Alzheimer’s and 37,154 people without the disease. Data came from the Alzheimer’s Disease Genetics Consortium and the International Genomics of Alzheimer’s Project.

BYU researchers worked with scholars from the University of Cambridge, Aarhus University in Denmark and the University of Washington on the massive study. BYU’s role was to flex its muscles in supercomputing and bioinformatics. With the help of BYU’s supercomputer, Kauwe and undergraduate student Kevin Boehme pieced together 32 data sets for the analysis.

via High blood pressure linked to reduced Alzheimer’s risk, meds may be reason: Study authors say its likely protective effect comes from antihypertensive drugs — ScienceDaily.

Diagnosis and management of dementia by BMJ talk medicine | Free Listening on SoundCloud

Diagnosis and management of dementia

By 2050 an estimated 135 million people worldwide will have dementia. However, increasing evidence showing that dementia may be preventable.

In this part of a 2-part podcast, Sue, who cared for her mother who had dementia, and Louise Robinson, GP and professor of primary care at Newcastle University, join us to discuss how to diagnose and manage the condition.

Listen to part 2 of the podcast:
Bmjpodcasts – How-gps-can-help-dementia-carers

Read the full clinical review: