Dissertations / Theses: 'Dementia'

1

Holt, Jim, M. Deitz, M. Floyd, Jim Holt, M. Kauzlarich, Z. Rahman, and S. Greenfield. "Dementia." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6497.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Lemieux, Brenna Working. "Arbor Dementia." OpenSIUC, 2011. https://opensiuc.lib.siu.edu/theses/578.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

3

Hughes, Julian C. "Understanding dementia : a Wittgensteinian critique of models of dementia." Thesis, University of Warwick, 2000. http://wrap.warwick.ac.uk/4365/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

4

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

5

Walker, Denise (Denise Lynn) Carleton University Dissertation Psychology. "Distingushing Huntington's dementia from Alzheimer's dementia in clinical trial batteries." Ottawa, 1992.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

6

Aoki, Traci. "Dementia care coordination." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12044.

Full text

Abstract:

Thesis (M.A.)--Boston University
Background: 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.

APA, Harvard, Vancouver, ISO, and other styles

7

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

Vince, Adrienne. "Wellbeing in dementia." Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:14401.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

9

Santos, Catarina Isabel Oliveira Silva. "Caffeine and Dementia." Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/45646.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

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/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

11

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

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/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

13

Busfield, Frances. "Molecular genetics of dementia." Thesis, Imperial College London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336329.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Hughes, Elizabeth Ann. "Negative priming and dementia." Thesis, Bangor University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263280.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Corney, M. J. R. "Dementia and informal care." Thesis, Bangor University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296320.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Lishman, Emma. "The paradox of dementia." Thesis, University of Exeter, 2012. http://hdl.handle.net/10036/3694.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

17

Ng, Nai-kong Richard. "Naming impairment in dementia." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1985. http://hub.hku.hk/bib/B29648257.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Astell, Arlene Jean. "Disordered speech in dementia." Thesis, University of Warwick, 1995. http://wrap.warwick.ac.uk/3992/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

19

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Tang, Lai Leng. "Empowerment in dementia care." Thesis, City University London, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.664627.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Cunliffe, Amanda Louise. "Cognitive rehabilitation in dementia." Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/31208.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

23

Holt, Jim. "Behavioral Challenges in Dementia." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6469.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Anderson, Julia M. "Tetrahydrobiopterin metabolism in dementia." Thesis, Aston University, 1987. http://publications.aston.ac.uk/14531/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

25

De, Ronchi Diana. "Education and dementing disorders : the role of schooling in dementia and cognitive impairment /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-349-3/.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

27

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/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

28

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

29

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

30

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

31

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

33

Edin, Ann-Sofie, and 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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

34

Dawood, Eman Salah. "Dementia caregiving impact of location of residence on stress, coping, social support and health /." Diss., Online access via UMI:, 2007.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

35

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Morris, Deborah. "Understanding screening behaviour for dementia." Thesis, University of Southampton, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427723.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Sampson, Elizabeth Lesley. "Longitudinal studies in frontotemporal dementia." Thesis, University College London (University of London), 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.406422.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Eriksson, Staffan. "Falls in people with dementia." Doctoral thesis, Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1449.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Ayre, Gareth Andrew. "The comparative neuropsychology of dementia." Thesis, University of Newcastle Upon Tyne, 1998. http://hdl.handle.net/10443/850.

Full text

Abstract:

On the basis of neuropathological, neurochemical, genetic, and clinical profile studies on patients, distinct forms of dementia, such as dementia with Lewy bodies (DLB), have been distinguished which were originally thought to be Alzheimer's disease (AD). Dementia with Lewy bodies is probably the second most common form of dementia in the elderly. In this thesis, a well characterised and investigated cohort of DLB and AD patients were compared to non-demented elderly controls in order to establish profiles of cognitive decline in these groups. Initially, comprehensively matched experimental groups were compared using the Cambridge Neuropsychological Test Automated Battery (CANTAB). The DLB group was less impaired than the AD group on a test of visual pattern recognition memory. However, the DLB group performed worse on a number of cognitive tests. Comparison of larger, carefully matched, experimental groups using the Cognitive Drug Research Computerised Assessment Battery (CDR) also revealed differences in the profile of cognitive impairment in DLB and AD. The DLB group showed more marked deficits in attentional abilities than the AD group. In particular, the DLB group were unable to sustain attention. Conversely, the DLB group were less impaired on a test of visual secondary recognition memory than the AD group. Further division of the DLB group into cases with and without persistent visual hallucinations revealed distinct patterns of cognitive impairment in these two groups. Generally, DLB cases with persistent visual hallucinations showed greater attentional and spatial working memory deficits than the DLB cases without persistent visual hallucinations. A final study compared decline in cognitive function over 1 year in DLB, AD and control groups. Similar rates of cognitive decline were identified in a number of cognitive domains in AD and DLB groups. In addition, disproportionate decline in the ability to sustain attention was identified in the DLB group. A comparative model relating known neuropsychological, neurochemical, and neuropathological features of DLB and AD was proposed.

APA, Harvard, Vancouver, ISO, and other styles

41

Orrell, Martin William. "Life events in senile dementia." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/life-events-in-senile-dementia(35b7b188-0dfc-4e09-b4cc-b3cf3ce82236).html.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Charlesworth, G. "Neuropsychology of frontal lobe dementia." Thesis, University of East Anglia, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296874.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Hendrie, Hugh C. "The Indianapolis - Ibadan Dementia Project." Thesis, University of Glasgow, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394963.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Thorgrimsen, Lene Marie Harkjaer. "Quality of life in dementia." Thesis, University College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405573.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Ferguson-Coleman, Emma. "Deaf with dementia : a narrative." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/deaf-with-dementia-a-narrative(7a1fb991-1902-4249-967d-bd75b14ae22e).html.

Full text

Abstract:

Background: There are 850,000 people living with dementia in the UK; this number includes Deaf people who use British Sign Language, but little is known of their experience or how services might be improved to support them and their carers, who are often also Deaf. Deaf people are routinely excluded from reports on linguistic/cultural minorities and dementia because their status, as such, is not recognised. They are very different from the much larger population of older people who lose their hearing and may also have dementia. Aims and Objectives: i) To explore the everyday experiences of living with dementia from the perspectives of Deaf BSL users with dementia and their care partners; ii) To explore the general Deaf community's knowledge and understanding of dementia, its symptoms and impact on everyday life. Method: Three focus groups were held with a total of 26 Deaf BSL users, who did not have dementia, to gauge their knowledge about dementia and where they might go for support. Four Deaf BSL users living with dementia with five care partners took part in two semi-structured interviews 6-8 weeks apart. Data were analysed using thematic analysis, storied stories and narrative analysis. All data were collected in BSL by a Deaf researcher. ResultsLack of access to information and support in BSL impeded early recognition of symptoms, access to diagnosis, and support within the Deaf community. Personal narratives revealed Deaf people's resilience while living with dementia. Narratives challenged key concerns of personhood, citizenship and embodiment from a different perspective because Deaf people are not usually regarded as full citizens and their capacity is routinely challenged regardless of dementia. Furthermore, embodiment of communication and language is a life-long experience, not residual adaptation. Visual strategies to support agency were also documented. Conclusions: The Deaf community needs provision of accessible and understandable information about dementia in BSL. Mainstream dementia support services should review their accessibility of effective support for Deaf BSL users who have been diagnosed with dementia and their families. However, Deaf people with dementia remain resilient and positive about their everyday lives with the support of their familial relationships.

APA, Harvard, Vancouver, ISO, and other styles

46

Bennett, Stuart James. "Oxidative stress biomarkers in dementia." Thesis, University of Birmingham, 2011. http://etheses.bham.ac.uk//id/eprint/1449/.

Full text

Abstract:

Alzheimer’s disease (AD) is a devastating neurodegenerative disorder which is thought to affect 26.6 million individuals worldwide. There is growing concern over a worldwide dementia epidemic that is predicted to develop over the coming decades. The evidence thus far suggests that increased levels of oxidative stress and vascular risk factors are two major contributors, amongst others, to AD development. The thesis aimed to investigate markers of oxidative stress in AD plasma. Moreover, the oxidative status of specific proteins was investigated using both hypothesis driven and proteomic approaches. Results presented in this thesis suggest that global plasma protein oxidation levels are not different when AD and control subjects are compared, but that individual plasma proteins are specific targets for oxidative modification in AD. The thesis explores different methodologies to assess oxidative changes in AD. In addition it demonstrates that emerging novel and powerful mass spectrometry techniques can be employed successfully to identify several proteins modified by oxidation, providing an initial starting point for further investigation.

APA, Harvard, Vancouver, ISO, and other styles

47

Fisher, Gemma. "Spousal relationships in dementia care." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/1322/.

Full text

Abstract:

This thesis is in two volumes. Volume one consists of the research component and the second represents the clinical work conducted onplacements within the NHS. Volume I consists of three papers. Paper one is a critical review of the current literature regarding instruments used to measure relationship quality between a spousal couple when one of the couple has a diagnosis of dementia. Paper two presents the construction and validation of a new measure: The Birmingham Relationship Continuity Measure (BRCM). The final paper of Volume I is an executive summary of the main research findings. Volume II includes five clinical practice reports. The first report presents the case of ‘Mia’, who was experiencing low mood. Mia’s problems were formulated from both a cognitive and psychodynamic framework. The second report is a single case experimental design, investigating the effectiveness of Cognitive Behavioral Therapy used with a 35 year old man experiencing Obsessive Compulsive Disorder. Report three is an evaluation of a Child and Adolescents Mental Health Services use of outcome measures. The service was evaluated inline with government policy and recommendations made as to how the service could improve the completion of the necessary outcome measures. The final written report is a case study of the work conducted with ‘Kate’ an older person with anxiety. The fifth clinical practice report is presented here in the form of an abstract, and describes the presentation of a commissioning report for a new service supporting parents with Learning Disabilities.

APA, Harvard, Vancouver, ISO, and other styles

48

Simons, Jonathan Sam. "Episodic learning in semantic dementia." Thesis, University of Cambridge, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.620954.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Merrick, K. "Dementia : constructing a relational perspective." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11319/.

Full text

Abstract:

Section A is a review of literature which has explored the experience of dementia in the context of couple relationships. Four key themes thought to be central to this experience were identified and highlight the impact of dementia upon couple relationships, and how aspects of relationships may influence the experience of dementia. Limitations and gaps in our understanding are highlighted. Most significantly, the existent literature focuses upon care partners’ perceptions and excludes people with dementia. Therefore, it is argued that a relational understanding of the experience of dementia, in the context of couple relationships, remains unknown. The review concludes with a rationale for why further research is needed and how people with dementia could be included. Section B describes a qualitative study, using interpretative phenomenological analysis, to investigate couples’ experiences of dementia. Seven couples were interviewed and five master themes (‘foundations’, ‘altered structures’, ‘self-restoration’, ‘flexible scaffolding’ and ‘reflective capacity’) emerged from analysis of the data. These themes offer an understanding of the experience of dementia from a relational perspective and depict the ways in which couples construct their experience in order to make sense of dementia, and the processes that they adopt in order to adjust to dementia. The findings of this study are supported by existing empirical and theoretical literature and have implications for future research and clinical practice.

APA, Harvard, Vancouver, ISO, and other styles

50

Jarvis, Adam Thomas. "Family caregiver responses to dementia." Thesis, University of Hull, 2012. http://hydra.hull.ac.uk/resources/hull:6344.

Full text

Abstract:

This portfolio thesis consists of three parts: Part one is a systematic review of extant literature aiming to present an understanding of the factors associated with psychological wellbeing amongst family caregivers of individuals with dementia. Previous work has been limited in its coverage of care-recipient, caregiver and systemic associates with spousal and family caregiver as well as the constructs of psychological wellbeing measured. After a systematic search of the literature and application of inclusion and exclusion criteria, 11 studies were included for review. Findings were compared across studies and methodological quality evaluated. The findings were compared to theories presented in existing models of caregiving and future research and clinical implications discussed. Part two is an empirical paper focusing on care-recipient challenging behaviour and its relationship with spousal/family caregiver attributions, emotional responses and willingness to help. A gap in the literature was identified in relation to whether Weiner’s (1985) cognitive-emotional model of helping behaviour could be applied to the help-giving behaviour of family caregivers of individuals with dementia. Fifty-two spousal and family members providing care for an individual with dementia at home participated in a cross-sectional, quantitative study. Regression analyses were used to test the suitability of a mediator model to caregiver willingness to help. The results did not support the model tested. However it replicated findings from previous work, suggesting important roles for optimism and sympathy. It was not possible to discern precise functions from the present findings. Implications for future research and within the clinical context were discussed. Part three comprises of the appendices in order to supplement parts one and two, and a reflective statement describing the experience of conducting the research project culminating in this portfolio thesis.

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Dementia'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles