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Hasselfeld, Karolyn A. „A Caregiver's Guide to Developing A Personalized Activity for a Loved One Living with Dementia“. University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623165808180786.
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Edin, Ann-Sofie, und Linda Nicolaisen. „Hinder och möjligheter för sjuksköterskan att identifiera faktorer som påverkar undernäring hos äldre dementa på äldreboenden : En deskriptiv litteraturstudie“. Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-18018.
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Sammanfattning Bakgrund: På grund av att människor lever längre så kommer antal personer med demens också att öka. Med stigande ålder och ökad närvaro av kroniska sjukdomar så som demenssjukdom, blir det även en ökning av undernäringsproblematik hos den äldre befolkningen. Syftet: Föreliggande litteraturstudies syfte var att beskriva hinder och möjligheter för att sjuksköterskan ska kunna uppmärksamma, förhindra och minimera undernäring hos äldre dementa på äldreboenden. Syftet var också att granska artiklarnas kvalitét utifrån den metodologiska aspekten urval. Metod: En litteraturstudie med deskriptiv ansats genomfördes baserat på 16 vetenskapliga artiklar som söktes i databaserna Pubmed, Chinal och Scopus. Resultat: Studien visar att demenssjukdomens tre stadier orsakar nutritionsproblem. Bristande kommunikation och interaktion, utebliven måltidsträning och biverkningar av vissa läkemedel påverkade dementa äldres nutrition på ett negativt sett. Uteblivna bedömningar och bristande utbildning/kunskap hindrar sjuksköterskan att uppmärksamma undernäringar. Sjuksköterskan kan använda sig av mätinstrument till hjälp för att upptäcka undernäring och de med risk för undernäring. Sjuksköterskan kan ändra i miljön samt sätta in hjälpinsatser så som näringsdrycker, så det ska gynna nutritionen bättre. Måltidsträning har visat sig hjälpa personer med demens att minska sina ätsvårigheter och öka i vikt. Näringskunskapen visade sig vara högre bland dem med högre utbildning. Slutsats: Sjuksköterskor som arbetar på äldreboenden för dementa äldre, har ett ansvar att se till att näringsbehoven blir uppfyllda. Nutritionsvård är ett teamarbete. I en del av sjuksköterskans arbetsområde ingår rollen som ledare, vilket innebär att utbilda och informera övrig vårdpersonal i nutritionsvård. Det finns mycket forskning kring demens och undernäring, men få studier har genomförts utifrån den dementa personens perspektiv. Därför är ytterligare forskning baserat på intervjuer med dementa personer relevant.Abstract. Background: Because people live longer the number of people with dementia will also increase. With old age and increasing presence of chronic diseases such as dementia, it will also be an increase in the malnutrition problem in the elderly population. Aim: The present study’s aim was to describe the obstacles and opportunities for the nurse to pay attention to, prevent and minimize malnutrition in elderly demented in geriatric care. The aim was also to scrutinize the quality of the articles based on the methodological aspect selection. Method: A literature review with a descriptive approach was conducted based on 16 research articles that were searched in PubMed, Scopus and Chinal. Results: The study shows that the three stages of dementia causes nutritional problems. Lack of communication and interaction in the eating environment, lack of mealtime training and side effects of certain drugs affected the nutrition of people with dementia negatively. Lack of assessments and the lack of education / knowledge hinders the nurse to detect malnutrition. The nurse can use instruments to help to detect malnutrition and those at risk of malnutrition. The nurse may also change in the environment and put into relief efforts such as nutritional beverages, so that it benefits the nutrition better. Mealtime training has been shown to help people with dementia to reduce their eating difficulties and gain weight. Nutritional knowledge was found to be higher among those with higher education Conclusion: Nurses, who work in nursing homes for older people with dementia, have a responsibility to ensure that nutritional needs are met. Nutritional care is a team work. Parts of the nurse’s work include the role of being a leader, which means to educate and inform other healthcare professionals in nutritional care. There is extensive research on dementia and malnutrition, but few studies have been conducted using the demented person's perspective. Therefore, further research based on interviews with people with dementia is relevant.
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Foster, Vincent. „A pathological investigation of the frontal lobe in post-stroke dementia and other ageing-related dementias“. Thesis, University of Newcastle upon Tyne, 2015. http://hdl.handle.net/10443/2931.
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Approximately 30% of elderly stroke survivors develop post-stroke dementia (PSD). The mechanisms underlying this cognitive decline following stroke are unclear. Vascular pathology is associated with the frontal lobe, damage to which may result in executive dysfunction; a common clinical outcome of PSD. Previous pathological studies in PSD subjects have found that pyramidal neurons in the CA1 region of the hippocampus were particularly vulnerable, with atrophy of these cells associated with cognitive impairment. In this study we test the hypothesis that similar changes in pyramidal neurons in the three prefrontal circuits which control executive function may be related to executive dysfunction. The three circuits are; the dorsolateral prefrontal cortex (dlPFC), anterior cingulate cortex (ACC) and the orbitofrontal cortex (OFC). Histological and immunohistochemical staining with three dimensional morphometric analysis and quantitative image analysis was carried out in fixed paraffin-embedded prefrontal brain sections from the MRC funded CogFAST study (a long-term prospective study designed to investigate delayed dementia after stroke) as well as frontal brain tissue from aged-matched controls and pathologically defined dementia groups: vascular dementia (VaD), Alzheimer’s disease (AD), and those with mixed Alzheimer’s disease and vascular dementia (mixed). Pyramidal neuron volumes were significantly reduced in PSD, VaD, mixed, and AD when compared to aged-controls and post-stroke non demented (PSND) subjects in layer III, with layer V following a similar pattern. The neuronal changes in PSD correlated with global and executive function scores and were associated with markers for mitochondrial function, though did not correlate with tau or amyloid burden. Neuronal volumes in the ACC and the OFC did not significantly vary between groups; however pyramidal neurons within the OFC were significantly smaller in all groups (controls and disease) when compared to controls in dlPFC and ACC. There were no significant changes in pyramidal neuron densities between PSND and PSD in any of the three frontal regions. Analysis of the interneuronal densities revealed no significant differences between inhibitory neurons in PSND and PSD subjects. Pyramidal neuron ii volume changes did not appear to be associated with white matter (WM) pathology in post-stroke subjects. These findings suggest that pyramidal neuronal volume loss in the dlPFC is associated with cognitive decline in post-stroke and ageing-related dementia. The lack of relationship between AD type pathology, WM pathology, or interneuronal changes suggests dysfunction of the pyramidal neurons in the dlPFC play an important role in the development of executive dysfunction in PSD.
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Cañabate, González Mª del Pilar. „La demencia senil, el Alzheimer y el demente. Nuevas categorías para antiguos significados“. Doctoral thesis, Universitat de Barcelona, 2014. http://hdl.handle.net/10803/285003.
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La senilidad no es un fenómeno nuevo. El cambio es la conceptualización de este estado de pérdida cognitiva como situación morbosa. El deterioro senil aparece, desde hace cuatro décadas, como un concepto nuevo, presente en la mirada médica y, por extensión, en la mirada social. Pero hasta hace unas décadas, la senilidad no era objeto de estudio de la medicina. Actualmente, sin embargo, goza de una gestión técnica, farmacológica y médica y su lugar natural es la clínica. El objetivo de este estudio es descubrir qué «condiciones de posibilidad» se están dando en este momento histórico para que la categoría demencia senil se esté elevando al rango de patología; para que se esté reemplazando la categoría senilidad por la de demencia senil como nuevo concepto, y para que los ancianos seniles se conviertan en enfermos. En definitiva hemos examinado cómo se ha pasado de la senilidad a la construcción de la demencia senil y del anciano demente, explorando la construcción histórica de esta nueva subjetividad vinculada a la vejez.
Se ha considerado que el deterioro senil, caracterizado en tanto que síndrome patológico, es una invención que resulta de la estructura axiológica de la sociedad. El esquema de valores que conforman el marco de interacción social en el que nos movemos dificultan un encaje no problemático de la vejez en general y de la demencia en particular.
La hipótesis de partida ha sido que la medicalización de la demencia senil legitima la exclusión social de los ancianos.The aim of the present study was to determine which possibility conditions are currently taking place to uplift the category of senile dementia to the realm pathologies; and to point out why the category senility is being replaced by senile dementia as a new concept, altogether allowing the conversion from elders to patients. Briefly, we have investigated the conceptual transition from senility to senile dementia, and how this term and also the term demented have both been historically constructed, yielding, as a result of this process, a new subjectivity linked to the old age.
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Oliani, Merlyn Mércia [UNESP]. „Atividade física e aspectos neuropsiquiátricos em pacientes com demência e em seus cuidadores“. Universidade Estadual Paulista (UNESP), 2007. http://hdl.handle.net/11449/87420.
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Este estudo teve como objetivo analisar se o perfil de atividade física desenvolvido por pacientes com demência apresenta benefício na redução dos distúrbios neuropsiquiátricos e no desgaste mental dos cuidadores. Também foram analisadas as associações entre o perfil de atividade física desenvolvido pelos cuidadores na redução dos sintomas de ansiedade e de depressão. Foram estudados 118 sujeitos (59 pacientes com demência de Alzheimer, demência vascular e demência mista, e os 59 respectivos cuidadores). Os participantes foram recrutados no Ambulatório de Psiquiatria Geriátrica, Hospital das Clínicas, UNICAMP. Para coleta dos dados, foram utilizados os seguintes instrumentos: a) paciente - Inventário Neuropsiquiátrico - NPI (CUMMINGS et al., 1994) e o Mini-Questionário do Sono - MQS (ZOMER et al., 1985); b) cuidadores - Inventário Neuropsiquiátrico - NPI (CUMMINGS et al., 1994), o Mini- Questionário do Sono (ZOMER et al., 1985) e a Escala de Ansiedade e Depressão (ZIGMOND & SNAITH 1983). Ambos os grupos foram inquiridos quanto à prática de exercícios físicos mensurada pelo Questionário Baecke Modificado para Idosos - QBMI (VOORRIPS et al., 1991). A análise dos dados consistiu do teste U-Mann Whitney e da análise de regressão linear, do tipo stepwise. Admitiu-se nível de significância de 5% (p<0.05). Todos os participantes foram classificados em dois perfis de atividade física (segundo o QBMI): a) participantes com um perfil de menor atividade física; b) participantes com um perfil de maior atividade física. Os resultados indicaram que os pacientes com demência de Alzheimer, com perfil de maior atividade física apresentavam menos distúrbios neuropsiquiátricos e causavam menor desgaste mental no seu cuidador. Os pacientes com demência vascular, cujos cuidadores realizavam atividades aeróbias tinham um sono melhor. Os cuidadores de pacientes com demência mista e que tinham um perfil de maior atividade.
This cross-sectional study aimed analyzing if the physical activity profile, developed by patients with dementia, would benefit the reduction of neuropsychiatric disorders and the mental burden of the carers. The associations between the physical activity profile developed by the carers in the reduction of mental burden and symptoms of anxiety and depression were analyzed. There were studied 118 subjects were studied (59 patients with Alzheimer dementia, vascular dementia and mixed dementia, and their 59 carers). The participants were recruited in the Clinic of Geriatric Psychiatry, Hospital das Clínicas, UNICAMP. To collect data, the following tools were used: a) patient – Neuropsychiatric Inventory – NPI (CUMMINGS et al., 1994) and the Mini-Sleep Questionnaire – MSQ (ZOMER et al., 1985); b) carers – Neuropsychiatric Inventory – NPI (CUMMINGS et al., 1994), the Mini-Sleep Questionnaire – MSQ (ZOMER et al., 1985) and the Anxiety and Depression Scale (ZIGMOND & SNAITH 1983). Both groups were asked about the practice of physical activities measured by the Modified Baecke Questionnaire for Older Adults – MBQOA (VOORRIPS et al., 1991). To analyze data, the test U-Mann Whitney was used as well as the linear regression stepwise. The meaning level 5% (p<0.05) was accepted. All the participants were classified in two physical activity profiles (according to MBQOA): a) participants who presented a low physical activity profile; b) participants with a high physical activity profile. The results showed that the patients with Alzheimer dementia, with a high physical activity profile, presented less neuropsychiatric disorders and caused less mental burden on their carers. The patients with vascular dementia, whose carers practiced aerobic activities, had a better sleep. Also, the carers of patients with mixed dementia and who had a high physical activity profile suffered less mental burden with their patients.
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Gademan, Johanna, und Edita Zepcan. „Biståndshandläggarens tillvägagångssätt vid utredning av äldre dementa - en kvalitativ studie om äldre dementas självbestämmanderätt och delaktighet i utredningsprocessen“. Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-65191.
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Studiens syfte var att undersöka hur biståndshandläggare utreder äldre dementas behov utifrån vad de dementa uppger och uttrycker. Syftet har preciserats i frågeställningar som innefattar hur biståndshandläggare säkerställer att äldre dementa får den vård och omsorg de är i behov av samt hur de säkerställer att vården och omsorgen blir utifrån den demenssjukes önskemål och självbestämmanderätt. I studien tillämpades en kvalitativ metod och datainsamlingsmetoden var semistrukturerade intervjuer. Totalt intervjuades sju biståndshandläggare som arbetar med biståndsbedömning gällande äldre. De teorier som tillämpades för att analysera resultatet var pliktetik, situationsetik, konsekvensetik, begreppet doxa samt handlingsutrymme. Studiens slutsatser är att det är svårt att beskriva specifika tillvägagångssätt vid utredning av äldre dementas behov då arbetet är situationsbundet. Vidare är en slutsats att dementas självbestämmanderätt inte alltid kan säkerställas vilket beror på biståndshandläggarens tillvägagångssätt. Det framkommer även att biståndshandläggare inte alltid kan säkerställa att dementa får den vård de är i behov vid bristande samtycke, eftersom biståndshandläggarens handlingsutrymme i dessa fall inte räcker till.
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Holt, Jim, M. Deitz, M. Floyd, Jim Holt, M. Kauzlarich, Z. Rahman und S. Greenfield. „Dementia“. Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6497.
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Spūdytė, Kristina. „Globėjų, slaugančių demencija sergančius asmenis namuose,psichosocialinio streso vertinimas“. Master's thesis, Lithuanian Academic Libraries Network (LABT), 2005. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20050616_122153-24173.
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SUMMARY
Relevance and novelty of the topic. Cargivers of persons with clinical dementia experience a lot of social, psychological and physical health problems and feel burdened. Until recently there has been very little analysis of stress factors influencing the caregivers stress.
Aim of the study. To measure and examine psychosocial stress of family members and relatives who are caregivers of persons with dementia at home.
Methods. Caregivers of persons with dementia filled out an anonymous qeustionaire. The interviews were conducted from December, 2004 to February, 2005. Respondents, who participated in research, were members of Kaunas and Vilnius Alzheimer’s clubs, and the data was collected during the meetings of these two clubs in Kaunas Dainava Center for Psychological Health and Vilnius Antakalnis health centre respectively. 22 respondents were from Kaunas and 28 from Vilnius. From the 50 respondents, who participated in research, 35 (70%) were women, and 15 (30%) were men. The average age was 62 years (the range of age was 40-94 years). The questionnaire that was used to gather data consisted of five parts: general questions about the caregiver and the person with clinical dementia; Greene’s Relatives Stress Scale, Clinical Dementia Rating Scale and Rapid Disability Rating Scale.
Results. 7 (14%) respondents experienced a low level of psychosocial stress, 30 (60%) – average, and 13 (26%) – high level of stress. Most often the caregiver for person with clinical... [to full text]
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Alafuzoff, Irina. „Histopathological and immunocytochemical studies in age-associated dementias : the importance of rigorous histopathological criteria for classification of progressive dementia disorders“. Doctoral thesis, Umeå universitet, Geriatrik, 1985. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-101349.
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Dementia is an age-associated organic brain disorder, recognizable by the essential features of psychological or behavioral abnormality associated with permanent dysfunction of the brain interfering with social and occupational functioning. There are two clinical and three histopathological forms of dementia 1) primary degenerative dementia, (PDD), or Alzheimer's dementia/Senile dementia of Alzheimers type (AD/SDAT) which is associated with clinical features of uniform progression and insidious onset of symptoms and histopathologically i- dentified by the occurrence of neurofibrillary tangles (NFT) and senile/neuritic plaques (SP/NP) in various cortical and subcor- tical regions; 2) vascular dementia, or multi-infarct dementia (MID), which is associated with clinical features of stepwise progress and patchy distribution of deficits, and histopathologically identified by the occurrence of multiple large and/or small haemorrhagic and/or ischaemic infarcts in various cortical and subcortical regions and 3) intermediate form of dementia or "mixed” ("combined") dementia (AD-MID), which is histopatho- logically associated with the coexistance of symptoms and lesions observed in AD/SDAT and MID, and clinically referred to the MID group. The DSM-III criteria separate the demented into two groups, AD/SDAT and MID, while there are no unique clinical criteria for the AD-MID patients. The clinical diagnosis of dementia according to the DSM-III criteria was shown to be insufficient . Histopathological diagnostic criteria were postulated by us for 1) pathological changes developing in mentallyunimpaired ageing, 2) AD/ SPAT, 3) MID and 4) AD-MID. These histopathological classes could be separated, by means of multivariate data analysis. The pathology in AD-MID was shown not to be merely a linear combination of the AD/SDATand MID pathology. Intrathecal synthesis of Ig, oligoclonal bands or other abnormal proteins in the CSF could not be demonstrated in aged non-demen- ted and demented patients. The blood-cerebrospinal barrier (B-CSF-B) or blood-brain barrier (BBB) function alters with age and this alteration was shown to be more pronounced in MID and AD-MID patients. In MID and AD-MID patients the BBB alteration involves primarily the grey matter while in AD/SDAT patients the alteration would appear to involve only the white matter. The BBB dysfunction and a possible complement activation, either through antibody-anti- gen activation or other complement activators, was visualized in MID and AD-MID patients as perivascular serum protein deposits in the grey matter, always with a capillary in the center. The occurrence of some serum proteins in plaques, and the previously descibed localization of plaques in close relationship to the capillaries, suggest that altered BBB function and serum factors may be involved in the etiology and maturation of plaques while the etiology and maturation of tangles may not be directly dependent on these factors, as they were never labelled with any of the antisera studied.Diss. (sammanfattning) Umeå : Umeå universitet, 1985, härtill 6 uppsstser
digitalisering@umu
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Lemieux, Brenna Working. „Arbor Dementia“. OpenSIUC, 2011. https://opensiuc.lib.siu.edu/theses/578.
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TITLE: ARBOR DEMENTIA MAJOR PROFESSOR: Professor Judy Jordan Arbor Dementia is a collection of poems divided into two parts. The first includes poems that primarily address the author's childhood years, and focus on themes of family, nature, religion, and dementia. The second part includes poems that explore distance and its effect on the themes of the first part.
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Hughes, Julian C. „Understanding dementia : a Wittgensteinian critique of models of dementia“. Thesis, University of Warwick, 2000. http://wrap.warwick.ac.uk/4365/.
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How are we to understand dementia? The main argument involves an analysis (in Chapter 2) of intentional mental states, using Wittgenstein's discussion of rule-following, which suggests that such states demonstrate an irreducible, transcendental normativity. This externalist account of intentional mental states highlights the worldly embedding of practices. In Chapters 3,4 and 5, this analysis is applied respectively to the disease, cognitive neuropsychology and social constructionist models of dementia. Whilst clinically and scientifically useful, none generates an adequate account of normativity. The Wittgensteinian analysis supplies a constitutive (as opposed to causal) account that supports the notion of dementia-in-the-world (Chapter 6). A full understanding of dementia requires the human-person-perspective in order to accommodate all that dementia amounts to in the normatively-constrained world. The sub-plot considers our understanding of the person. Rather than the Locke-Parfit view, which stresses psychological continuity, the Wittgensteinian analysis supports the situated-embodied-agent view of the person (Chapters I and 6). This view and the notion of the human-person-perspective are mutually supportive, so that main and subplot both encourage a broader understanding. The works of Wittgenstein have acted as a primary source, with secondary literature commenting on his works. In discussing the models of dementia, I have cited primary sources. I have also considered philosophical works pertinent to the particular models, usually in connection with the mind-brain problem. The thesis concludes that there is no single way to understand dementia, but any understanding will be from the human-person-perspective, in accord with the situated-embodied-agent view and reflecting an externalist construal of intentional psychological states. This has implications for further research in philosophy, medical ethics and gerontology. The unique application of the Wittgensteinian philosophical analysis to clinical reality suggests an approach to people with dementia that stresses personhood in the context of embedded, embodied histories and continuing relationships with others.
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Walker, Denise (Denise Lynn) Carleton University Dissertation Psychology. „Distingushing Huntington's dementia from Alzheimer's dementia in clinical trial batteries“. Ottawa, 1992.
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Gorman, Debra L. Johnson. „Dementia and the Dental Patient| Dementia Training for Dental Professionals“. Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10265551.
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Although the population of adults age 65 and older with Alzheimer’s disease and other dementias is growing exponentially, many dental professionals are not adequately prepared to work with these special needs patients in the clinical setting. The purpose of this project was to develop a training for dental professionals including basics about dementia, and communication and behavioral management. Personal oral hygiene, often lacking in a person with dementia, contributes to periodontal inflammation and oral infection that may be linked to potentially, life-threatening diseases, including cardiovascular disease, and aspiration pneumonia. This could result in poor quality of life, and hospital or nursing home admission. The training will help dental professionals to better provide preventive or maintenance dental care or assist in providing care. The training will meet a portion of the continuing education biennial course requirements and course provider requirements for license renewal of dental professionals in California. The training was presented to dental professionals. Their feedback, as well as suggestions from an expert panel, informed revisions to the training, such as increasing the length of the training and including “brain breaks” in the presentation.
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Al, Traboulsi Sara. „Undersköterskors motivation inom åldringsvården“. Thesis, Högskolan Dalarna, Företagsekonomi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27926.
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Undersköterskors arbetsdag varierar från dag till dag beroende på hur dementa äldreboenden mår, känner och agerar. Det finns dagar då äldreboende är glada och positiva men andra dagar kan de vara oroliga, nervösa och aggressiva. Syftet med studien är “vad är det som motiverar undersköterskor till att arbeta med dementa äldreboende inom åldringsvården”. Det studien visar är om undersköterskor ska kunna klara av svåra dagar krävs det bra samarbete mellan kollegorna. Undersköterskor motiveras genom samarbete och uppskattning av äldreboende och anhöriga. När undersköterskor inte upplever ett bra samarbete eller uppskattning blir de mindre motiverade till arbetet och ineffektiva. Denna studie visar att undersköterskor föredrar att själva påverka sina arbetsuppgifter och inte vara styrda. Styrning vill undersköterskor undvika och föredrar att kunna arbeta fritt med äldreboende. Resultatet visar att undersköterskor anser att fritt arbete är det bästa för att hjälpa dementa äldreboenden på bästa sätt.Purpose: The study focuses on assistant nurses who work with dementia accommodation and the purpose of the essay is what motivates assistant nurses to work in elderly care.Method: In order to answer the purpose, a qualitative study has been used. It gives a deeper understanding of motivation and what can lead to inefficiency. Open interview questions have been used to gather information.Grounded theory: It involves gathering information from the different respondents and analyzing it to get a result.Result: Through the empire and analysis, a result is given in this chapter. The result shows that cooperation and appreciation is the reason for motivation. While inefficiency is due to injustice due to colleagues for different reasons. Stress and use of worksheets are also ineffective for assistant nurses.
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Santos, Catarina Isabel Oliveira Silva. „Caffeine and Dementia“. Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/45646.
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Aoki, Traci. „Dementia care coordination“. Thesis, Boston University, 2013. https://hdl.handle.net/2144/12044.
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Thesis (M.A.)--Boston UniversityBackground: Dementia is a chronic, irreversible condition that currently affects millions of Americans. With increasing life expectancies and an aging population, it is predicted that this number will triple within the next fifty years, possibly affecting 16 million Americans by 2050. The majority of care for these patients is provided by informal caregivers, usually their spouses or children. However, studies have shown that most informal caregivers feel they need more information about the disorder and the services available to help them, as well as on how to effectively care for their family member. Caring for a dementia patient is more stressful and burdensome than caring for someone who is solely physically impaired. Dementia caregivers experience higher rates of anxiety and depression, less time for personal activities, and greater difficulties maintaining jobs. Thus, interventions that provide caregivers with support and train them to properly care for dementia patients can be beneficial for both the patients and their families by reducing the adverse effects caregiving has on the caregiver’s mental and physical health while also improving the patient’s quality of care. Purpose: The purpose of this study is to evaluate the effects of the Alzheimer’s Association’s Dementia Care Coordination intervention on dementia patients and their caregivers. This study will determine whether the intervention improves the qualities of life of patients and caregivers, lowering their depression and hospitalization rates while also reducing caregivers’ levels of burden, distress, and anxiety.
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Vince, Adrienne. „Wellbeing in dementia“. Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:14401.
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The portfolio thesis is divided into three parts: Part one is a systematic literature review exploring the relationship between self and staff-proxy assessments of quality of life in dementia. The review aimed to provide an exploration into the relationship between ratings made between self and staff-proxy rating as well as the factors that may explain or predict any differences between ratings. A systematic search of four databases identified 12 relevant studies. The findings of the studies are analysed using narrative synthesis and forest plots. Results are discussed in relation to clinical practices and research. Part two is an empirical paper that explores the subjective understandings and lived experiences of Old Age Psychiatrists in relation to positive wellbeing in dementia. Qualitative data was collected using semi-structured interviews and analysed using Interpretive Phenomenological Analysis (IPA). Eleven psychiatrists from three NHS Trusts participated in the research. Three super-ordinate themes and nine sub-ordinate themes emerged from the data. These themes are discussed in relation to the wider literature base. Part three comprises the appendices supporting the systematic literature review and empirical paper. It also includes a reflective statement of the primary researcher’s experiences of the research process.
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Santos, Catarina Isabel Oliveira Silva. „Caffeine and Dementia“. Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/45646.
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Thoresson, Jammis, und David Sandström. „Smärtskattning hos dementa“. Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-385.
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Syftet med denna studie var att belysa metoder som vårdpersonal kan använda sig av för att bedöma smärta hos personer med demens och vilka konsekvenser som detta medför. En litteraturstudie gjordes där 16 vetenskapliga artiklar analyserades. Resultatet visade att det finns smärtbedömningsinstrument tillgängliga som kan identifiera smärta hos personer med demens som inte själva verbalt kan beskriva sin smärta. Instrumenten innehöll beskrivningar av beteenden som kunde vara tecken på smärta. En del instrument innehöll förslag till interventioner som kunde utföras och utvärderas. Konsekvenser av användandet av ett smärtbedömningsinstrument visade signifikant minskade smärtbeteenden och ökade farmakologiska och ickefarmakologiska åtgärder.
Sammanfattningsvis finns det smärtbedömningsverktyg tillgängliga för att identifiera smärta hos personer med demens.
The aim of this study was to illuminate methods healthcare workers can utilize assessing pain among persons with dementia and what consequences it would bring. A literature review was made by analyzing sixteen scientific articles. The result showed that there are pain assessment tools available to identify pain among persons with dementia, who cannot verbally describe their pain. The instruments contained descriptions of behaviours that could be signs of pain. Some of the instruments contained suggestions of interventions that could be performed and evaluated. Consequences of using a pain assessment tool showed significant decrease in discomfort and increased pharmacological and non-pharmacological interventions. In conclusion there are pain assessment tools available to identify pain among persons with dementia.
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Taylor, Rachel Jane. „Being given a diagnosis of dementia : the experiences of people with dementia and people who care for someone with dementia“. Thesis, Open University, 1996. http://oro.open.ac.uk/57649/.
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This study explores the issues raised for people with dementia and their carers when they receive a diagnosis of dementia. Previous research suggests that more people with dementia than other serious illnesses such as cancer will not be told their diagnosis. The implications of this for the way that people with dementia adjust psychologically to their situation are reviewed. It is suggested that the complex illness concept and the particular nature of dementia as an illness influence communication about it The research had three groups of participants. Twenty-six people caring for a relative with dementia completed a short survey. Two people with dementia and seven people caring for someone with dementia were interviewed face-to-face to gather in-depth information about their experiences of receiving and coping with a diagnosis. Grounded theory was used to analyse the interviews and a descriptive summary of the survey was produced. The survey confirmed that many people with dementia do not get told their diagnosis. The interviews described the issues raised for people with dementia, such as the feelings raised for them by having dementia and highlighted their ways of coping with dementia. The interviews with carers suggested that if sharing was an issue, the carers tried to strike a balance between remaining honest and protecting the person from the implications of the knowledge. Maintaining a sense of hope for the person seemed to be very important. A critical discussion of the methodology is presented. The implications for future research and the clinical relevance of the research are also discussed.
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Mills, Marie Annette. „Narrative identity and dementia : narrative and emotion in older people with dementia“. Thesis, University of Southampton, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261749.
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Hill, Jonathan. „Development of a Differential Neurocognitive Profile for Alzheimer’s Dementia and Vascular Dementia“. Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc500158/.
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Alzheimer’s Dementia (AD) is among the most common diseases in the Geriatric population, and its prevalence is expected to quadruple by 2047.Vascular Dementia (VaD) is the second most frequent cause of dementia, with studies indicating VaD accounts for 10-20% of dementia cases across the globe. A diagnostic model differentiating AD and VaD would be clinically and scientifically valuable, considering the treatment approaches for these conditions are different. Although there are differences between AD and VaD on their neuropsychological profiles, a diagnostic model that successfully differentiates AD and VaD on neuropsychological testing has not been developed, despite previous attempts. Our study addresses this gap in the literature by examining two diagnostic models used to predict the conversion of AD from mild cognitive impairment, and a third model was proposed to differentiate AD from VaD. We conducted ROC Analyses using the variables LM II Standard Score, Animals Total, and CDRS Sum based on a previous diagnostic model. The sensitivity and specificity for the diagnosis of mild VaD were calculated for all possible scores of each test measure. The Animals Total cutoff score of 7 achieved excellent sensitivity and specificity, receiving 96% and 92%, respectively. In this sample, patients who could name at least seven animals under 60 seconds were highly likely to be diagnosed with VaD. LM II Scaled Score also achieved statistical significance (p <0.001) and a cutoff score of 4 received 96% sensitivity and 77% specificity. Patients who achieved an LM II Scaled Score of 4 or higher were highly likely to be diagnosed with VaD.
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Busfield, Frances. „Molecular genetics of dementia“. Thesis, Imperial College London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336329.
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Hughes, Elizabeth Ann. „Negative priming and dementia“. Thesis, Bangor University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263280.
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Corney, M. J. R. „Dementia and informal care“. Thesis, Bangor University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296320.
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Lishman, Emma. „The paradox of dementia“. Thesis, University of Exeter, 2012. http://hdl.handle.net/10036/3694.
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This qualitative study used semi-structured interviews to explore how 6 people talked about their difficulties before and after a dementia diagnosis. The Assimilation of Problematic Experiences Scale (APES) was used to analyse the data and describe participants’ internal processes as they became increasingly aware of their problems. Assimilation analysis views successful therapeutic change as accepting and integrating an aspect of the self that had previously been denied, due to it being too painful. The findings of the study build on the research evidence that suggests that despite the enormity of its psychological implications individuals find ways of integrating a dementia diagnosis into their sense of self. This occurred within an oscillating progress; stepping in and out of awareness, illustrating the paradox of acceptance and denial. Social support was crucial in enabling participants to sustain a positive sense of self in the face of this adjustment.
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Ng, Nai-kong Richard. „Naming impairment in dementia“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1985. http://hub.hku.hk/bib/B29648257.
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Astell, Arlene Jean. „Disordered speech in dementia“. Thesis, University of Warwick, 1995. http://wrap.warwick.ac.uk/3992/.
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What is the effect on language of the progressive degenerative disorder, Alzheimer's disease (AD)? What are the functional consequences of this illness, particularly for speech? The majority of accounts interpret speech disorder in AD as reflecting underlying semantic disruption. In contrast I apply current theories of lexicalization in speech production to the speech disorder. Four competing hypotheses are derived from a two-stage model of lexicalization in speech production. This model contains separate semantic, lexical and phonological representations. Data are collected from patients with probable AD and age-matched controls using standard psycholinguistic techniques. The data support an explanation of progressively impaired higher level cognitive processing which interacts with impaired semantic to lexical processing in speech production.
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Singleton, Andrew B. „Genetic aspects of dementia“. Thesis, University of Newcastle Upon Tyne, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299652.
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Smith, Carthage John. „Cholinergic receptors in dementia“. Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.235680.
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Tang, Lai Leng. „Empowerment in dementia care“. Thesis, City University London, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.664627.
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Holt, Jim. „Behavioral Challenges in Dementia“. Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6469.
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Anderson, Julia M. „Tetrahydrobiopterin metabolism in dementia“. Thesis, Aston University, 1987. http://publications.aston.ac.uk/14531/.
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The aim of this study was to establish levels of the enzymes involved in tetrahydrobiopterin (BH4) metabolism in human and rat brain preparations; to determine whether BH4 metabolism is altered in dementia, particularly in relation to senile dementia of the Alzheimer type (SDAT); and to examine the effect of aluminium on BH4 metabolism. Overall BH4 synthesis and dihydropteridine reductase (DHPR) activity were greater in the locus coeruleus than in the neocortex of elderly subjects. Sepiapterin reductase and DHPR activity showed a linear correlation with age in the temporal cortex. DHPR activity in the frontal cortex was relatively constant until the mid 60s and then fell with age. Overall BH4 synthesis showed a non-significant decline in temporal cortex and was significantly reduced in locus coeruleus preparations from SDAT subjects compared to control subjects. As DHPR, sepiapterin reductase and GTP cyclohydrolase activity were unaltered in SDAT we suggested that there is a lesion on the biosynthetic pathway between dihydroneopterin in triphosphate and BH4 in SDAT, possibly at the level of 6-pyruvoyl tetrahydropterin synthase. DHPR activity and BH4 synthesis capacity were unaltered in temporal cortex preparations from Huntingdon's disease subjects indicating that the defect in BH4 metabolism in SDAT is specific to the disease process and not a secondary consequence of dementia. The implications of altered BH4 metabolism in ageing and dementia are discussed. BH4 metabolism was examined in temporal and frontal cortex preparations from 4 subjects who had received peritoneal dialysis treatment. All patients had elevated serum aluminium levels. The data suggests that aluminium may inhibit DHPR activity in the frontal cortex resulting in diminished BH4 levels in the cells which leads to a compensatory increase in the activity of the biosynthetic pathway. Aluminium reversibly inhibited sepiapterin reductase activity in rat brain preparations but did not alter sepiapterin reductase activity in vivo. Overall BH4 synthesis and OTP cyclohydrolase activity were not affected by aluminium in vitro. The biosynthetic pathway was unaltered in rat brain preparations from animals receiving aluminium orally compared to control animals. DHPR activity was unaltered or increased in rat brain preparations from aluminium treated rats compared to the control group.
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Cunliffe, Amanda Louise. „Cognitive rehabilitation in dementia“. Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/31208.
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Literature review: Dementia can be extremely disruptive and debilitating to everyday life leading to psychological distress. Cognitive rehabilitation is a relatively new intervention in dementia that could potentially alleviate this. The aim of the review was to critically cognitive rehabilitation in dementia. The review revealed a scarcity of research in this area with a number of methodologically limited studies. Despite their limitations the evidence for this intervention was encouraging. Further research employing more robust study designs needs to be conducted focusing on the functional, psychological and social impact of cognitive rehabilitation. Research report: To evaluate the effectiveness of a memory group providing cognitive rehabilitation a two group controlled design was used. Two matched memory clinics supplied the sample. Outcomes were activities of daily living (ADL), mood and carer strain. Memory deficit was also measured. Data was gathered at baseline and three months through a home visit by a researcher independent of the intervention. 26 intervention and 21 control participants were recruited. No statistically significant differences were found between groups at baseline. At three months deterioration in memory and ADL was observed in both groups. This was statistically significant for ADL. In the intervention group mood in participants and carers and carer strain remained stable with no statistically significant differences. In the control group statistically significant increases in participant depression, carer anxiety and depression and carer strain were observed. Effect sizes indicated a medium effect. The memory group did not have a positive effect on ADL but appeared to stabilise mood and carer strain. A possible protective effect of the group against psychological distress is a hypothesis that requires further investigation. Critical appraisal: Reflections on research process including the development for the intervention, the development of the evaluation and conducting the project are discussed.
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Papachristou, Iliatha G. „Dementia and food : towards an understanding of food-related processes within dementia care“. Thesis, University of Surrey, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.585482.
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In the dementia and food literature, the focus is on eating in institutional settings; from formal caregivers' perspectives (Watson & Green, 2006). The current thesis aims to investigate the phenomenon of dementia and food processes (shopping, preparation and eating) from caregivers' perspectives, using four different research methodologies. In Study la and 1 b, a qualitative study was carried out in which twenty care givers ' narratives on dementia progression and food processes and needs for food services were analysed using Thematic Analysis. Results from Study la revealed a set pattern of decline in dementia and food, as the ability to shop for food declined first, then preparation and lastly the ability to eat declined. Caregivers transitioned into a new food role by adapting to these changes. From Study 1 b results revealed three points of view; most needing information support on food and dementia. In Study 2, in order to assess dementia, food processes and affect it has on satisfaction with food-related life, a quantitative study was designed, operationalised from the results obtained in Study 1. Results indicated a significant relation with adapting to changes more in food shopping and preparation than eating. Also, seeking information and education was significant with satisfaction with food-related life. In Study 3, an audit was conducted to ascertain food and dementia material, using Thematic Analysis. Results revealed that most information was on eating, some on preparation and least on shopping and that materials were scarce. Finally, Study 4a was carried out using a Think-Aloud method, in which two sets of care givers fed back on two different booklets on food and dementia. One booklet was from Study 3 and another newly devised booklet was operationalised from the results obtained from Study la and 3. It was found that care givers judged the new booklet more beneficial, as it contained all food processes. It is concluded that by receiving focused information and support services as dementia progresses, care givers and the cared for can maintain satisfaction with food-related life.
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Boreišaitė, Rita. „Dienos centro kūrimo poreikis demencija sergantiems ligoniams“. Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.100438-22871.
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Demencija sergančių ligonių priežiūra yra labai sudėtinga. Dienos centrai gerina ligonių, jų šeimos narių gyvenimo kokybę, padeda ligoniams ilgiau išlikti bendruomenėje. Kaune tokio centro nėra, tad buvo įvertintas dienos centro kūrimo poreikis ir paruoštas galimas dienos centro veiklos modelis/ organizacinė struktūra.
Darbo tikslas.
Įvertinti dienos centro, demencija sergantiems ligoniams, kūrimo poreikį Kauno mieste.
Uždaviniai.
1. Įvertinti dienos centro kūrimo poreikį apklausiant demencija sergančių ligonių globėjus bei sveikatos priežiūros specialistus.
2. Įvertinti dienos centro, demencija sergantiems ligoniams, kūrimo galimybes peržvelgiant teisinę bazę.
3. Paruošti galimą dienos centro veiklos modelį/ organizacinę struktūrą, ligoniams sergantiems demencija, remiantis literatūra ir apklausos rezultatais.
Tyrimo metodika. Tyrimas buvo atliekamas anoniminės anketinės apklausos būdu penkiose Kauno Psichikos sveikatos centruose ir Alzheimerio klube 2006 m. rugsėjo – 2007 m. sausio mėnesiais. Anketas užpildė 25 ligonių globėjai (G) ir 41 sveikatos priežiūros specialistas (SPS). Tiriamąją grupę sudarė 66 asmenys, iš jų – 60 moterų ir 6 vyrai. Globėjų grupėje amžiaus vidurkis buvo 58 metai (amžiaus ribos 29 – 78 metai), o SPS grupėje - 42 metai (amžiaus ribos 25 – 74 metai). Dienos centro kūrimo poreikio įvertinimui naudotos dvi apklausos anketos: anketa skirta ligonių globėjams ir anketa – sveikatos priežiūros specialistams. Duomenys analizuoti SPSS – 10.0 kompiuterine... [toliau žr. visą tekstą]The care of patients with dementia is very difficult. Day centres improve the quality of life of these patients and their family members, help to stay longer in the community life. There is no such day centre in Kaunas, so it was evaluated the requirement of creation such centre and prepared the possible model/ structure. Aim of the study To evaluate the requirement of creation the day centre for the patients with dementia in Kaunas city. Objectives 1. Evaluate the requirement of the creation of day centre by questioning the health care specialists and carers of patients with dementia. 2. Evaluate the possibility of creation such centre for the patients with dementia reviewing the law basis. 3. Prepare the possible model/ structure of the day centre for the patients with dementia, according to the data in literature and results of the questioning. Methods. The research was performed by anonymous questioning in 5 Kaunas Mental health care centres and in Alzheimer‘s club during the period of 2006 september - 2007 january. 25 carers (C) and 41 health care specialists (HCS) completed the questionnaire. The research group was formed of 66 people – 60 women and 6 men. The average age in the carers group was 58 years ( age range 29 - 78 years), and in HCS group - 42 years (age range 25 - 74 years). There were used two questionnaires for evaluation the requirement of creation the day centre: first questionnaire was for the carers of the patients and other one – for the health care... [to full text]
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Espinosa, Val Mª Carmen. „Estudio del cumplimiento de las recomendaciones para adaptar la textura de los líquidos y de la dieta en los pacientes con Disfagia dados de alta de una unidad de psicogeriatría“. Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/461588.
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Introducción: La prevalencia de la disfagia orofaringea (DO) en pacientes con demencia es muy elevada y se asocia a pérdida de peso, malnutrición, deshidratación y neumonía por aspiración (NA). La DO es un indicador de progresión de la demencia y la NA es con frecuencia la causa de la muerte. El abordaje es multifactorial e incluye adaptación de las texturas de los líquidos y la dieta, higiene oral y una adecuada posición durante la ingesta. Hay poca información sobre el cribado sistemático de la DO en estos pacientes, la educación sanitaria que reciben, el cumplimiento de las recomendaciones y la aparición de complicaciones asociadas al incumplimiento.
Objetivos: Conocer la prevalencia de la DO en una unidad de psicogeriatría (UP), la prevalencia del cumplimiento de las recomendaciones dadas para adaptar la textura de los líquidos y la dieta, conocer los principales factores clínicos relacionados con un buen o mal cumplimiento y determinar las complicaciones asociadas a la DO y el efecto del cumplimiento durante el seguimiento a los 3,6 y 18 meses del alta.
Métodos: Estudio observacional de cohortes, realizado en la UP. Se incluyeron todos los pacientes con DO y demencia o deterioro cognitivo dados de alta. Para la valoración clínica de la DO se usó el método de exploración clínica volumen-viscosidad (MECV-V). Se registraron variables sociodemográficas, severidad de la demencia, situación funcional (índice de Barthel), comorbilidad (índice de Charlson), estado nutricional ( Mini Nutritional Assessment), parámetros nutricionales (albúmina y colesterol ) e higiene oral ( Simplified Oral Hygiene Index). Se realizó un seguimiento telefónico a los 3, 6 y 18 meses, para valorar el cumplimiento de las recomendaciones y la aparición de complicaciones (infecciones respiratorias, visitas a urgencias, pérdida de peso y muerte).
Resultados: Se incluyeron 255 (57,6%) pacientes. Presentaban DO el 85,9% (219). La edad media era 83,5±8 años, el 61,6 % (157) eran mujeres, la estancia media fue 54,8±68,4 días, el índice de comorbilidad de Charlson 2,01±1,4, el índice de Barthel al ingreso: 30,8±24,7 y al alta: 39,6±26,5. El 68,2% se encontraban en fases severas de la demencia (CDR 3). Respecto a las recomendaciones nutricionales, en el 53% se indicó dieta tipo E (British Dietetical Association) y en el 55,2% viscosidad néctar. La mortalidad a los 18 meses fue del 34,3%. La complicación más frecuente fue la infección respiratoria de vías aéreas bajas. El incumplimiento de las recomendaciones de la dieta era del 11% y de la viscosidad de los líquidos alrededor del 47,5%. La supervivencia global (DO y no DO) estaba asociada negativamente a la existencia de disfagia (p=0,002). En los pacientes DO la mortalidad estaba asociada a la dependencia funcional al ingreso (p=0.005) y al alta (p<0,0001), a la malnutrición (p=0,046) y a la severidad de la demencia (p<0,0001). En nuestro estudio, el cumplimiento de las recomendaciones de texturas y viscosidad, no influye en la mortalidad de los pacientes ni en la pérdida de peso ni en el incremento de las infecciones respiratorias.
Conclusiones la DO es muy prevalente en los pacientes con demencia y está estadísticamente asociada a la edad, dependencia funcional, severidad de la demencia e incremento de la mortalidad. Se debería realizar cribado de la DO en todos los pacientes con demencia y un abordaje multifactorial.Introduction: The prevalence of oropharyngeal dysphagia (OD) in patients with dementia is very high and is associated with weight loss, malnutrition, dehydration and aspiration pneumonia (AP). OD is an indicator of progression of dementia and AP is often the cause of death. The approach is multifactorial and includes texture-modified foods and thickened fluids, oral hygiene and a suitable position during feeding. There is little information on the systematic screening of OD in these patients, the health education they receive, compliance with the recommendations and the appearance of complications associated with noncompliance. Objectives: To know the prevalence of OD in a Psychogeriatric Unit ( PU), the prevalence of compliance with the given recommendations about texture modified foods and thickened fluids, the main clinical factors related to good or poor compliance and to determine complications associated with OD and the effect of compliance during follow-up at 3, 6 and 18 months after discharge. Methods: Observational cohort study, conducted at the PU. We included all patients with OD and dementia or cognitive impairment discharged. For the clinical evaluation of OD, the method of volume-viscosity swallow test (V-VST) was used. Socio-demographic variables, severity of dementia, functional status (Barthel index), comorbidity (Charlson index), nutritional status ( Mini Nutritional Assessment), nutritional parameters (albumin and cholesterol ) and oral hygiene (Simplified Oral Hygiene Index), were recorded, A telephone follow-up was carried out at 3, 6 and 18 months to assess the accomplishment with the recommendations and the appearance of complications (respiratory infections, emergency visits, weight loss and death). Results: We included 255 (57.6%) patients. Prevalence of OD was 85.9% (219). Mean age was 83.5±8y and 61.6% (157) were women. Average hospital stay was 54.8 ± 68.4 days. Charlson comorbidity index was 2.01 ± 1.4. Barthel index on admission was 30.8 ± 24.7 and at discharge 39.6 ± 26.5. 68.2% of patients were at high severity phases of dementia (CDR 3). Regarding nutritional recommendations, 53% and 55.2% of patients, were recommended type E diet (British Dietetic Association) and nectar viscosity respectively. Mortality at 18 months was 34.3%. The most frequent complication was respiratory infection of the lower airways. Non-compliance with diet recommendations was 11% and liquid viscosity was around 47.5%. Overall survival (OD and non-OD) was negatively associated with dysphagia (p=0.002). Mortality was associated with impaired functionality on admission (p=0.005) and discharge (p<0.0001), malnutrition (p=0.046), and severity of dementia (p<0.0001). In our study, compliance with textures and viscosity recommendations neither did not influence patient mortality, weight loss or increased respiratory infections. Conclusions: OD is very prevalent among patients with dementia and is statistically associated with older age, impaired functionality, severity of dementia and increased mortality. OD should be systematically screened and treated in all patients with dementia.
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Crespo, Cuevas Ane Miren. „Marcadores ultrasonográficos asociados a deterioro cognitivo leve y demencia“. Doctoral thesis, Universitat Autònoma de Barcelona, 2021. http://hdl.handle.net/10803/671722.
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El deteriorament cognitiu és una de les principals causes de morbimortalitat a nivell mundial. Al voltant de 50 milions de persones a tot el món pateixen demència i es preveu que aquest nombre es tripliqui en 2050. La recerca de biomarcadors de deteriorament cognitiu s'ha aguditzat en les últimes dècades, amb un interès especial en la fase presimptomàtica de la malaltia, fase òptima per a l'aplicació d'un potencial tractament neuroprotector.
La sonografía transcranial constitueix una eina no invasiva i fàcilment aplicable a la població, utilitzada ja des de fa anys en diferents àrees de la Neurologia. Recentment, s'ha descrit que l'aterosclerosi intracranial de gran got i la resistència vascular cerebral (com a mesura indirecta de la malaltia de petit vas i leucoaraiosi cerebral), s'associen amb el diagnòstic de deteriorament cognitiu i demència. No obstant això, no existeixen dades basades en estudis poblacionals longitudinals que avaluïn aquests marcadors ultrasonográficos com a predictors precoços de deteriorament cognitiu. D'altra banda, el diàmetre de l'tercer ventricle cerebral s'ha proposat com un marcador indirecte d'atròfia cerebral, fàcilment avaluable mitjançant sonografía transcranial, i que podria constituir un marcador precoç de deteriorament cognitiu. Finalment, s'han descrit altres alteracions en el parènquima cerebral en malalties neurodegeneratives avaluades mitjançant sonografía transcranial, com la hiperecogenicidad de la substància nigra (SN) en la malaltia de Parkinson (EP), però la seva relació amb el rendiment cognitiu i la demència ha estat poc estudiada.
Els treballs englobats en la present tesi s'emmarquen dins d'un estudi poblacional longitudinal (Estudi Barcelona-Àsia) i se centren en la recerca de marcadors ultrasonográficos precoços de deteriorament cognitiu a llarg termini. La presència d'estenosi arterials cèrvico-cerebrals, l'índex de pulsatilitat com a mesura de la resistència vascular cerebral i el diàmetre de l'tercer ventricle han emergit com a predictors independents de deteriorament cognitiu a llarg termini en la nostra població. Aquestes troballes podrien ajudar a detectar una població en risc que podria beneficiar-se de el desenvolupament d'estratègies de prevenció primària i recerca d'alternatives terapèutiques.El deterioro cognitivo es una de las principales causas de morbimortalidad a nivel mundial. Alrededor de 50 millones de personas en todo el mundo padecen demencia y se prevé que este número se triplique en 2050. La búsqueda de biomarcadores de deterioro cognitivo se ha agudizado en las últimas décadas, con un interés especial en la fase presintomática de la enfermedad, fase óptima para la aplicación de un potencial tratamiento neuroprotector. La sonografía transcraneal constituye una herramienta no invasiva y fácilmente aplicable a la población, utilizada ya desde hace años en diferentes áreas de la Neurología. Recientemente, se ha descrito que la aterosclerosis intracraneal de gran vaso y la resistencia vascular cerebral (como medida indirecta de la enfermedad de pequeño vaso y leucoaraiosis cerebral), se asocian con el diagnóstico de deterioro cognitivo y demencia. Sin embargo, no existen datos basados en estudios poblacionales longitudinales que evalúen estos marcadores ultrasonográficos como predictores precoces de deterioro cognitivo. Por otra parte, el diámetro del tercer ventrículo cerebral se ha propuesto como un marcador indirecto de atrofia cerebral, fácilmente evaluable mediante sonografía transcraneal, y que podría constituir un marcador precoz de deterioro cognitivo. Finalmente, se han descrito otras alteraciones en el parénquima cerebral en enfermedades neurodegenerativas evaluadas mediante sonografía transcraneal, como la hiperecogenicidad de la sustancia nigra (SN) en la enfermedad de Parkinson (EP), pero su relación con el rendimiento cognitivo y la demencia ha sido poco estudiada. Los trabajos englobados en la presente tesis se enmarcan dentro de un estudio poblacional longitudinal (Estudio Barcelona-AsIA) y se centran en la búsqueda de marcadores ultrasonográficos precoces de deterioro cognitivo a largo plazo. La presencia de estenosis arteriales cérvico-cerebrales, el índice de pulsatilidad como medida de la resistencia vascular cerebral y el diámetro del tercer ventrículo han emergido como predictores independientes de deterioro cognitivo a largo plazo en nuestra población. Estos hallazgos podrían ayudar a detectar una población en riesgo que podría beneficiarse del desarrollo de estrategias de prevención primaria y búsqueda de alternativas terapéuticas.
Cognitive impairment is one of the main causes of morbidity and mortality in the world. Around 50 million people worldwide have dementia and this number is expected to triple in 2050. In most cases, the aetiology of dementia is still unknown. The search of biomarkers of cognitive impairment has been intensified in recent decades, with a special interest in the presymptomatic phase of the disease, which is an optimal phase for the application of a neuroprotective treatment. Transcranial sonography is a non-invasive and easily applicable tool to the population, used for years in different areas of Neurology. Recently, it has been described that intracranial large vessel atherosclerosis and cerebral vascular resistance (as an indirect measure of small vessel disease and cerebral leukoaraiosis), are associated with the diagnosis of cognitive impairment and dementia. However, there are no longitudinal population-based data that evaluate these ultrasound markers as early predictors of cognitive impairment. On the other hand, the diameter of the third cerebral ventricle has been proposed as an indirect marker of cerebral atrophy, easily evaluable by transcranial sonography, and which could constitute an early marker of cognitive impairment. Finally, other alterations in the cerebral parenchyma evaluated with transcranial sonography have been described in neurodegenerative diseases, such as the hyperechogenicity of the substantia nigra (SN) in Parkinson’s disease (PD), but its relationship with cognitive performance and dementia has been poorly studied. The articles included in this thesis are framed within a longitudinal population study (Barcelona-AsIA Study) and focus on the search for early ultrasound markers of long-term cognitive impairment. The presence of cervico-cerebral arterial stenosis, the pulsatility index as a measure of cerebral vascular resistance and the diameter of the third ventricle have emerged as independent predictors of long-term cognitive impairment in our population. These findings could help to detect a population at risk that could benefit from the development of primary prevention strategies and therapeutic alternatives.
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Lavonen, Petra, und Antonia Liljedahl. „Oral hälsa hos dementa“. Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-41723.
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Page, Kyle S. „Fear of Alzheimer's Disease in Middle to Late Adulthood: a Two Year Investigation of Change Versus Stability“. Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc283854/.
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The term dementia refers to a progressive decline in cognitive functioning resulting in a significant impairment in daily living. Given the devastating impacts of the disease and lack of a cure, it is reasonable to expect people fear developing a dementia. Alzheimer's disease ranks high among the most feared diseases in national samples of the American population. As a topic of study, little is known about the determinants of fear of Alzheimer's disease and how this fear may change as a function of aging, time, or experience. The current study sought to fill this gap by investigating the nature of changes in fear of Alzheimer's disease by following participants (N = 227) over the course of two years. Volunteers completed measures on fear of dementia, knowledge about Alzheimer's disease, knowledge about the aging process, personality traits, memory self-efficacy, anxiety about aging, and Alzheimer's-related experiences (i.e., family history, caregiving experience, number of people known with the disease, personal diagnosis, etc.). Results supported the notion that fear for becoming a burden to others, a component of fear of dementia, decreased over the two years. In addition, personality traits and memory self-efficacy mediated the two-year change in concerns about perceived symptoms of cognitive decline. In predicting fear for various aspects of Alzheimer's disease, anxiety about aging and experience/exposure to the disease emerged as prominent predictors. These results highlight dementia concerns and offer guidance for early interventions, such as an open communication with family and health care providers about fear of dementia.
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Ritchie, Louise. „Dementia friendly living environments : an empirical investigation of design solutions in dementia care homes“. Thesis, University of the West of Scotland, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.556069.
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Over the last two decades the use of the environment as a therapeutic tool in the care of people with dementia has become more popular. Despite this, there is a lack of research which includes an empirical measure of behaviour to assess the impact that dementia friendly interventions have on people with dementia. Much of the current research focuses on the perceptions of the staff and relatives on the impact the environment has on people with dementia. There is a small body of research which attempts to include an empirical measure of behaviour, however due to small sample sizes in this type of research it is difficult to generalise the findings to a wider population. An extensive literature review identified the living area of care homes as the area most commonly used by residents yet it is the area that has received the least attention in terms of creating a dementia friendly environment.
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Ionescu, Elena. „Sexual behavior in older adults diagnosed with dementia| Curriculum for caregivers in dementia communities“. Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527008.
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Behavioral complications, such as Inappropriate Sexual Behavior (ISB), are developed in many cases of dementia. Sex, even for those with dementia, is a primary need, but supporting this need in an appropriate manner may overwhelm caregivers. The purpose of this project was to create a curriculum for Dementia Friendly Community (DFC) residential caregivers on the topic of sexual expression among older adults with dementia. By offering training on sexuality and dementia it is expected that caregivers can increase the DFC's provision of quality of life. This project presented an assessment tool and plan on how to manage ISB, activities relevant to the discussed topics, and curriculum evaluation forms. Expert reviewers offered recommendations to further improve the curriculum's quality.
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Hebert, Catherine. „An Exploration of Dementia Friendly Communities from the Perspective of Persons Living with Dementia“. Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3324.
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The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions: How are interactions and relationships experienced by persons living with dementia in the community? How is community engagement experienced by PLWD? To what extent and in what way is the impact of stigma associated with dementia? What are the attributes of a DFC from the perspective of PLWD?
Eighteen older adults with reported dementia or memory loss were recruited from support groups or community organizations. Semi-structured interviews were conducted in participants’ homes and analyzed using conventional qualitative content analysis.
Three major themes emerged from the transcribed interviews (a) transitions in cognition: vulnerable identities, (b) social connections, and (c) engagement in life activities. The dynamic experience of living with dementia revealed by participants suggested the following attributes of a DFC: (a) social inclusion, (b) support for role continuity, (c) availability of meaningful and contributory activities, (d) flexible support as cognition transitions, (e) community dementia awareness (to combat stigma), and (f) a supportive diagnostic process. The presence of care partners in the interviews was supportive, and the evaluation to sign consent tool assisted in determination of participant capacity to self-consent.
The findings were interpreted through the theoretical frameworks of personhood, the social model of disability, human rights and citizenship, the environmental press model, and transitions theory. DFC development requires a contextual lens focused on well-being with input from multiple stakeholders including PLWD. Collaboration among community organizations supported by local, regional, and national policy supporting flexible service provision through cognitive transitions has the potential to provide a strong social network on which to build a DFC.
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Jones, Dwynwen Angharad. „Bilingualism and dementia : the relationship between linguistic variables and cognitive performance in early dementia“. Thesis, Bangor University, 1994. https://research.bangor.ac.uk/portal/en/theses/bilingualism-and-dementia--the-relationship-between-linguistic-variables-and-cognitive-performance-in-early-dementia(16014ce4-5bc6-4f0c-8bf4-731421fbd3ab).html.
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Davis, Catherine. „Women's narratives of dementia: an exploration of the impact of male dementia on families“. Thesis, University of Surrey, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.582754.
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This is a portfolio of work completed across three years of a Doctorate in Clinical Psychology training programme. The portfolio is divided into two volumes: Volume I is a public document that will be held in the library at the University of Surrey; Volume II is a private document containing more sensitive and confidential material which will be stored electronically and securely in the Psychology department at the University of Surrey. This is Volume I. r , Each volume is further divided into/three dossiers: academic: clinical; and »: research. In this volume, the academic dossier comprises a literature review, an essay, two reflective accounts of problem-based learning exercises, and summaries of process accounts of the first two years of a personal and professional learning and development group. The clinical dossier contains five clinical case reports (one of which is a summary of oral presentation of material), together with a summary of the clinical experiences gained across five placements. The research dossier contains a service-related research project including evidence of feedback to the service, a major research project, a qualitative research project and a research log. The aim of the portfolio is to give the reader a sense of the breadth and depth of work completed over the three years, together with a sense of the developmental progression of the author across her training.
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Dawood, Eman Salah. „Dementia caregiving impact of location of residence on stress, coping, social support and health /“. Diss., Online access via UMI:, 2007.
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Söderlund, Maud. „Som drabbad av en orkan anhörigas tillvaro när en närstående drabbas av demens /“. Åbo : Åbo akademis förlag, 2004. http://catalog.hathitrust.org/api/volumes/oclc/56802731.html.
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Hill, Heather. „Talking the talk but not walking the walk : barriers to person centred care in dementia /“. Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20041215.100826/index.html.
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Thesis (Ph.D.) -- La Trobe University, 2004."A thesis submitted in total fulfillment of the requirements for the degree of Doctor of Philosophy, School of Public Health, Faculty of Health Sciences, La Trobe University, Bundoora." Research. Includes bibliographical references (leaves 343-362). Also available via the World Wide Web.
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AVANCINI, GIULIA. „ANZIANI E CAREGIVER DI FRONTE ALL'INSORGERE DELLA DEMENZA. UNA RICERCA PARTECIPATIVA“. Doctoral thesis, Università Cattolica del Sacro Cuore, 2018. http://hdl.handle.net/10280/50312.
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L’obiettivo della ricerca è stato quello di indagare le esperienze delle persone e delle famiglie che stanno vivendo le prime fasi della demenza all’esordio, con lo scopo di comprendere come potrebbero essere forniti aiuti specifici per sostenere le persone, con i loro particolari bisogni, proprio in questa prima e delicata fase della malattia. Considerato il suo campo di indagine e il suo oggetto, tale ricerca si è prestata particolarmente all’applicazione di una metodologia di ricerca di tipo partecipativo. La ricerca infatti ha visto coinvolti attivamente in tutto il processo di ricerca i soggetti che hanno un’esperienza di vita diretta, personale o legata al loro lavoro quotidiano, del fenomeno da studiare.
Sono stati utilizzati lo strumento dell’intervista semi-strutturata e del diario per indagare il punto di vista dei caregiver familiari e degli anziani affetti da deterioramento cognitivo e/o demenza in fase iniziale.
I risultati ottenuti, molteplici ed eterogenei, hanno permesso di comprendere sia i vissuti dei caregiver familiari sia dei soggetti che in prima persona affrontano la malattia. Tali risultati sono stati divisi per aree tematiche, proponendo delle mappe concettuali: sei che si focalizzano sul punto di vista dei caregiver, quattro che focalizzano l’attenzione sul vissuto degli anziani.
I risultati permettono di comprendere il significato che ha il prendersi cura per il caregiver e il ricevere assistenza per l’anziano; gli atteggiamenti e le emozioni di entrambi riguardo la malattia e gli aspetti legati ad essa; il ruolo della famiglia e di altre figure significative in questa situazione; il rapporto con i servizi e le modalità con cui le famiglie affrontano questo problema.The research aim was to investigate the experiences of people and families who are experiencing the early stages of dementia, in order to understand which specific helps could be provided to support people, with their particular needs, in this first and delicate phase of the disease. Considering its field of investigation and its object, this research has been particularly suited to the application of the participatory research methodology. The research in the entire research process has actively involved people who have a direct, personal or job-connected experience of the disease. Tools as a semi-structured interview and a diary has been used to investigate the point of view of family caregivers and their elderly relatives with cognitive impairment. The results obtained have been multiple, heterogeneous and allowed us to understand the experiences of the family caregivers and of the subjects who face the disease directly. These results have been divided by different areas and have been organized using concept maps. Six maps have been focusing on the point of view of the caregivers and four maps focusing on the experience of the elderly. The results allowed the researcher to understand different elements: what caring means for the caregivers and what to be assisted means for the elderly with cognitive impairment; the attitudes and emotions of both players about the disease; the role of the family and other significant figures in this situation; the relationship with the services and how families face this problem.
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Zakzanis, Konstantine K. „Neuropsychological profiles of dementia syndromes“. Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0005/NQ43459.pdf.
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