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Letteratura scientifica selezionata sul tema "Dementia patients"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 20 febbraio 2023

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Articoli di riviste sul tema "Dementia patients"

Mohr, E., P. Brouwers, J. J. Claus, S. E. Purdon, M. Gagnon e T. N. Chase. "Differential Classification of Dementia". Behavioural Neurology 8, n. 1 (1995): 23–30. http://dx.doi.org/10.1155/1995/391254.

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In the absence of biological markers, dementia classification remains complex both in terms of characterization as well as early detection of the presence or absence of dementing symptoms, particularly in diseases with possible secondary dementia. An empirical, statistical approach using neuropsychological measures was therefore developed to distinguish demented from non-demented patients and to identify differential patterns of cognitive dysfunction in neurodegenerative disease. Age-scaled neurobehavioral test results (Wechsler Adult Intelligence Scale—Revised and Wechsler Memory Scale) from Alzheimer's (AD) and Huntington's (HD) patients, matched for intellectual disability, as well as normal controls were used to derive a classification formula. Stepwise discriminant analysis accurately (99% correct) distinguished controls from demented patients, and separated the two patient groups (79% correct). Variables discriminating between HD and AD patient groups consisted of complex psychomotor tasks, visuospatial function, attention and memory. The reliability of the classification formula was demonstrated with a new, independent sample of AD and HD patients which yielded virtually identical results (classification accuracy for dementia: 96%; AD versus HD: 78%). To validate the formula, the discriminant function was applied to Parkinson's (PD) patients, 38% of whom were classified as demented. The validity of the classification was demonstrated by significant PD subgroup differences on measures of dementia not included in the discriminant function. Moreover, a majority of demented PD patients (65%) were classified as having an HD-like pattern of cognitive deficits, in line with previous reports of the subcortical nature of PD dementia. This approach may thus be useful in classifying presence or absence of dementia and in discriminating between dementia subtypes in cases of secondary or coincidental dementia.

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Zanni, Guido, e Jeannette Wick. "Differentiating Dementias in Long-Term Care Patients". Consultant Pharmacist 22, n. 1 (1 ottobre 2007): 14–28. http://dx.doi.org/10.4140/tcp.n.2007.14.

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Many long-term care residents are diagnosed with dementia, but dementia appears in many forms. Alzheimer's disease, the most common, is typified by a slow onset and relentless progression to complete incapacitation. Vascular dementia usually appears somewhat abruptly, is associated with vascular comorbidities, and has an unpredictable progression pattern. Lewy body dementia shares features of both Alzheimer's and Parkinson's disease; its hallmarks include fluctuating cognitive performance, visual hallucinations, and extrapyramidal motor symptoms. Frontotemporal dementias are associated less with memory disorders and more with behavioral and language aberrations. Mixed dementia covers those patients who do not have an apparent singular cause of dementia. Pseudodementia is a dementia resulting from underlying causes and is reversible, unlike the aforementioned dementias.

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Mohr, Erich, Denise Walker, Christopher Randolph, Margaret Sampson e Tilak Mendis. "Utility of Clinical Trial Batteries in the Measurement of Alzheimer's and Huntington's Dementia". International Psychogeriatrics 8, n. 3 (settembre 1996): 397–411. http://dx.doi.org/10.1017/s1041610296002761.

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Tests used as outcome measures in clinical trials of antidementia agents are not typically employed as part of diagnostic evaluations, and little information exists as to the sensitivity of these tests in terms of either differentiating demented patients from normal individuals or in distinguishing dementias of various types and etiologies. Sensitivity to mild dementia and sensitivity to impairment of various neuropsychological domains are, however, prerequisites for valid use of an instrument as an outcome measure in this context. The present study was undertaken to directly compare six different tests (three traditional psychometric tests and three clinical trial batteries) in terms of their sensitivity to detect and distinguish between mild dementia in patients with either Alzheimer's disease (n = 15) or Huntington's disease (n = 15), when compared to normal controls (n = 15). Tests included the Mattis Dementia Rating Scale, the Mini-Mental State Examination, the Wechsler Memory Scale-Revised, the Alzheimer's Disease Assessment Scale-Cognitive Subscale, the Computerized Drug Research (CDR) Cognitive Assessment System, and the Repeatable Battery for the Assessment of Dementia (RBAD). All of the tests were roughly equivalent in terms of their ability to discriminate normal subjects from mildly demented patients. Only the CDR and RBAD, however, were able to reliably discriminate between the two patient groups. The results are discussed in terms of the applicability of these tests as outcome measures for clinical trials in dementing disorders.

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Langhorne, Samuel. "Patients with dementia and depression-complexity". Psychology and Mental Health Care 2, n. 3 (6 luglio 2018): 01–03. http://dx.doi.org/10.31579/2637-8892/030.

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For a long time researchers and clinicians have been trying to clarify the possible existing relationships between Alzheimer’s disease and the depression in the elderly. This article tries to take stock of these complex links. It seems that often depression is clinically confused with apathy.

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Cummings, Jeffrey L. "Neuropsychiatric Assessment and Intervention in Alzheimer's Disease". International Psychogeriatrics 8, S1 (ottobre 1996): 25–30. http://dx.doi.org/10.1017/s1041610296003043.

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Dementia is a major public health problem in the United States and the world, requiring the expenditure of enormous economic and human resources. Dementia is common in the elderly, and, as the size of the aged population increases, the number of dementia victims will rise. Many dementias are fatal, producing the gradual erosion of intellectual abilities and eventual death of the patient. Demands made on family members and caregivers of dementia patients are extraordinary and often result in their emotional and financial exhaustion. Although basic science efforts are devoted to finding a cure for Alzheimer's disease (AD) and other dementing illnesses, there is an urgent need for research that has immediate applicability to the 4 million current dementia patients.

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Cipriani, Gabriele, Sabrina Danti, Lucia Picchi, Angelo Nuti e Mario Di Fiorino. "Daily functioning and dementia". Dementia & Neuropsychologia 14, n. 2 (giugno 2020): 93–102. http://dx.doi.org/10.1590/1980-57642020dn14-020001.

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Abstract. Dementia is characterized by a decline in memory, language, problem-solving and in other cognitive domains that affect a person’s ability to perform everyday activities and social functioning. It is consistently agreed that cognitive impairment is an important risk factor for developing functional disabilities in patients with dementia. Functional status can be conceptualized as the ability to perform self-care, self- maintenance and physical activity. A person with dementia usually requires help with more complex tasks, such as managing bills and finances, or simply maintaining a household. Good functional performance is fundamental for elderly people to maintain independency and avoid institutionalization. The purpose of this review is to describe functional changes in demented patients, evaluating the variability in subgroups of dementias.

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Eloniemi-Sulkava, Ulla, Irma-Leena Notkola, Kaija Hämäläinen, Terhi Rahkonen, Petteri Viramo, Maija Hentinen, Sirkka-Liisa Kivelä e Raimo Sulkava. "Spouse Caregivers' Perceptions of Influence of Dementia on Marriage". International Psychogeriatrics 14, n. 1 (marzo 2002): 47–58. http://dx.doi.org/10.1017/s104161020200827x.

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Objectives: To investigate what kind of changes spouse caregivers of demented patients experience after the onset of dementia (a) in the general atmosphere, happiness, and relations of marriage and (b) in the sexual side of marriage. Design: Semistructured telephone interviews of spouse caregivers of demented patients. Setting: Community-living demented patients and their spouse caregivers in eastern Finland. Participants: The spouse caregivers of 42 demented patients recruited from a previous intervention study. Measures: The questionnaire covered different areas of marriage from the time before and after the onset of dementia. Results: A statistically significant decline had occured in extent of happiness (p = .012), in equal relations (p = .001), and in patients' expressions of sexual needs (p < .001) when compared the time before and after dementia. Twenty-five (60%) of the caregivers reported that the demented patient had shown at least one negative sexual behavioral change during the course of dementia. Seven male patients (24%) had shown the behavioral symptom of constantly expressing need for making love. One in 10 caregivers had experienced positive sexual behavioral changes. In one third of the patients, the expressions of tenderness towards the caregiver had increased. Dementia did not affect significantly the general atmosphere of the marriage. Out of those still in home care, at 3 years from the onset of dementia, 19 couples (46%) continued to practice intercourse, at 5 years the number was 15 couples (41%), and at 7 years it had declined to 7 couples (28%). Conclusions: Dementing illness has a major negative impact on many dimensions of marriage. However, there are also positive changes and preserved aspects of marriage. Dementia seems to have a surprisingly little impact on whether the couple continues to have intercourse when compared with the general aging population.

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Hershey, Linda A., David F. Jaffe, P. Gregg Greenough e Shu-Li An Yang. "Validation of Cognitive and Functional Assessment Instruments in Vascular Dementia". International Journal of Psychiatry in Medicine 17, n. 2 (giugno 1988): 183–92. http://dx.doi.org/10.2190/af5l-ah89-llv7-xen4.

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Vascular dementia is a common and potentially reversible type of dementing illness. Simple, yet valid, assessment instruments are needed to quantitate the severity of cognitive and functional impairment in vascular dementia patients seen in consultation or studied in therapeutic trials. Among sixty-three patients with known ischemic cerebrovascular disease, we found thirteen who satisfied research criteria for vascular dementia, nineteen who were “borderline” and thirty-one who were not demented. We administered the Cognitive Capacity Screening Examination and the Functional Activities Questionnaire to these patients and found both tests capable of distinguishing demented from nondemented groups with a high degree of sensitivity and specificity. This battery of assessment instruments was especially helpful in evaluating patients who fell into the “borderline” category. Both tests can be easily administered at the bedside or during routine office visits.

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Torian, Lucia, Emily Davidson, George Fulop, Laura Sell e Howard Fillit. "The Effect of Dementia on Acute Care in a Geriatric Medical Unit". International Psychogeriatrics 4, n. 2 (settembre 1992): 231–39. http://dx.doi.org/10.1017/s1041610292001066.

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Treatment of dementia costs billions of dollars in long-term care and community services every year. Dementia also burdens the acute care system and may contribute to financial problems for hospitals serving large numbers of demented elderly. In a specialized geriatric medical unit devoted to acute care of the frail elderly, Alzheimer's disease and vascular and mixed dementias afflicted 63% of inpatients and were associated with excess consumption of nursing resources, complications of treatment, nosocomial infections, lengthy hospitalizations, and financial losses to the hospital. Due in part to the effects of dementia on mobility, continence, and nutrition, demented patients suffered more frequently from life-threatening infections, sepsis, iatrogenic disease, and prolonged hospital stays. Hospital losses were 75% higher for demented patients than for nondemented patients.Dementia affected the majority of acute care patients in this study. However, it was rarely coded as an admitting diagnosis, even though it may have been the proximate cause of the medical morbidity which led to the acute hospitalization. In addition, despite the significant impact of dementia on the hospital course and costs, it was a factor in hospital reimbursement in less than one third of cases. The results indicate that dementia was not considered to be an acute diagnosis, nor was it recognized as a complex medical illness. The impact of dementia on acute hospitalization, including the mechanisms by which dementia prolongs the hospital stay, requires further investigation.

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Brouwers, P., E. Mohr, K. Hildebrand, M. Hendricks, J. J. Claus, I. S. Baron, M. Young e P. Pierce. "A Novel Approach to the Determination and Characterization of HIV Dementia". Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 23, n. 2 (maggio 1996): 104–9. http://dx.doi.org/10.1017/s0317167100038804.

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ABSTRACT:Background: Neuropsychological studies of the pattern and extent of cognitive impairment in HIV-infected patients have mostly used deviations from control values and/or cut-off scores as criteria for classification of dementia. There is, however, no agreement as to how to define impairment, and classification is imprecise. Method: The current study used a dementia classification matrix, developed with a step-wise linear discriminant analysis of neuropsychological data from patients with primary neurodegenerative dementias, to classify symptomatic HIV patients as demented or non-demented, and further to differentiate cortical and subcortical dementia patterns. Thirty-two male and 2 female patients (mean age 39 ± 2) with symptomatic HIV disease (mean absolute CD4 count 195 ±41) participated in the study. Results: Thirty-five per cent of patients were classified as demented. Of these, 83% showed a subcortical pattern and 17% a cortical profile of deficits. Significant differences between patients classified as subcortically demented and those categorized as normal on neuropsychological measures associated with subcortical integrity further validated the classification. Measures of psychiatric status between subgroups were similar. Conclusion: Since certain treatments may delay or reverse cognitive deficits, the use of an objective classification method based on discriminant analysis may help to identify patients who may benefit from therapy.

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Più fonti

Tesi sul tema "Dementia patients"

Hamdy, R. C., J. V. Lewis, Amber Kinser, A. Depelteau, Rebecca Copeland, T. Kendall-Wilson e K. Whalen. "Too Many Choices Confuse Patients With Dementia". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1231.

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Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

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Hamdy, Ronald C., Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen e J. Culp. "Driving and Patients With Dementia". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2738.

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Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the caregivers/patient interaction is presented. The futility of arguing with patients who have dementia is highlighted as well as the suspiciousness it may generate. Alternate actions that can be useful to avoid/avert the situation from escalating and having a catastrophic ending are discussed. Testing/evaluating patients with dementia for fitness to drive is also reviewed and a list of select resources is included.

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Bainbridge, Samantha. "Experiences of hospitalized patients with dementia". Honors in the Major Thesis, University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/657.

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People with dementia are hospitalized for a variety of reasons. The combination of dementia with additional health conditions creates a unique challenge to caregivers in acute care settings. There is a dearth of information available to provide guidance to the nursing staff caring for these patients. This integrated review of the literature examined the experiences of hospitalization from the perspective of the older adult with dementia, the family caregiver, and the patient care staff. Results showed a limited body of literature that addressed hospital experiences of people with dementia and those of family and professional caregivers. Additionally, few studies addressing this topic have been conducted in the United States. The primary finding from this study is that better communication is needed between nursing staff, patients, and their family caregivers. Nurses should carry out detailed assessments of cognition and pain in all elderly patients, and strive to provide appropriate palliative and end-of-life care. Dementia- specific training for all staff members may help to promote a better understanding of patients with dementia. Lastly, further research into the experiences of hospitalized dementia patients is needed, with a focus on acute care settings within the United States.
B.S.N.
Bachelors
Nursing
Nursing

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Hamdy, Ronald C., Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis e Kathleen Whalen. "Patients with Dementia Are Easily Distracted". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2740.

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Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether memory is predominantly affected: amnestic type and nonamnestic/behavioral type. Not all patients with MCI transition to dementia, some recover. In this case scenario, we present a 68-year-old man with MCI who lives with his wife. They are getting ready to host dinner. His wife asks him to vacuum the dining room while she runs an urgent errand. We describe how this simple task vacuuming a room ended in a catastrophe with the patient spending the night in jail and his wife hospitalized. We discuss what went wrong in the patient/wife interaction and how the catastrophic ending could have been avoided.

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Hamdy, Ronald C., J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson e Kathleen Whalen. "Too Many Choices Confuse Patients With Dementia". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2741.

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Hamdy, R. C., Amber E. Kinser, J. V. Lewis e Rebecca Copeland. "Hallucinations Are Real to Patients With Dementia". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1232.

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In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.

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Atee, Mustafa. "Improving Pain Management amongst Patients with Dementia". Thesis, Curtin University, 2021. http://hdl.handle.net/20.500.11937/87949.

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This thesis developed, validated and implemented a multimodal, point-of-care pain assessment tool for people with moderate-to-severe dementia unable to self-report. PainChek® is a novel smart device-enabled application, which uses automated facial analysis to identify pain-relevant facial markers in conjunction with clinical pain behaviours to estimate pain intensity. PainChek® was shown to have sound psychometric and clinimetric properties. Clinical implementation demonstrated a significant advance in pain assessment, allowing optimal pain management for this population.

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Cook, Ailsa. "Understanding the communication of older people with dementia living in residential care". Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/3301.

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This thesis explores the communication of a group of older people with dementia living in a residential care home and specifically, seeks to understand how living with dementia in a care home influences communication. The study draws broadly on a symbolic interactionist perspective and uses an ethnographic, inclusive, video methodology. In so doing, the study grounds the research in the experiences of the older residents with dementia and explores communication as it is interwoven with social life. The empirical data, on which this thesis is based, were gathered over the course of six months in one residential care home in Central Scotland. Analysis of these data, in conjunction with the theoretical literature informing the study, led to the development of a framework and a set of concepts to understand the communication of the older people with dementia living in residential care. This framework was used to examine the ways in which the older residents' experiences of institutionalisation, ageing, and dementia, generally, and of life in the care setting, specifically, influenced their communication. The findings revealed that the older residents made diverse meanings of their experiences in the home, and mat many of the meanings that they made were threatening to their self-identity, self-determinacy and social relationships. The residents engaged in a range of strategies to respond to the impact of these meanings and to negotiate their life in the care home. The research presented in this thesis has many implications for understanding the experiences of older people with dementia in residential care. In particular, the research highlights the need for a new social understanding of dementia, that examines the experience of dementia in relation to broad structural and cultural processes and that seeks to promote the social inclusion and citizenship of older people with dementia.

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Sandman, Per-Olof. "Aspects of institutional care of patients with dementia". Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 1986. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100563.

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The aim of the present study was to investigate all long-term institutions in the county of Västerbotten, Northern Sweden, to give a detailed description of the institutionalized population with respect to motor functions, vision, hearing, speech, ADL-functions, prevalence of psychiatric symptoms and behavioral disturbances, staff work load, use of psychoactive drugs and prevalence of dementia. Another aim was to select some specific 'problem areas' in the nursing care of demented patients for further descriptive and interventional studies. For this reason, morning care procedure (hygiene, dressing), meal behavior (eating, communication), nutrition, constipation and relocation between institutions were selected. The results of the study have been reported in six papers summarized below: I.The study has shown that the proportion of demented patients is increasing in longterm institutions in Sweden. Furthermore, demented patients were shown to be more impaired in all rated functioning abilities and exhibited more psychiatric symptoms and behavioral symptoms. A high proportion of the demented probands were also prescribed psychoactive drugs, i.e. neuroleptics. II. Five patients with Alzheimer-type dementia were monitored during morning care. A 12-step classification system was developed to be used as a guide to understand and determine abilities essential for performance of morning care for demented patients. The quantitative assessment showed that none of the patients were able to manage morning care independently, but there was a wide variation in their highest level of performance. III. Five patients with Alzheimer-type dementia were observed (video taped) during their meals in a changed meal milieu and with new meal routines. When the patients ate without staff participation, the two least demented patients became 'caregivers'. When two mental nurses joined the group, first in civil clothes and then in white uniforms, the patients dropped their roles as helpers. The patients were able to compose complete meals in 0-79 per cent of the meals. The conversation during the meals could be characterized as incomplete, with short sentences and a lot of breaks. Sixty-three per cent of all utterances were about food and eating and almost all conversation concerned the present time. IV. Thirty-three psychogeriatric patients, with severe constipation were given a high- bran bread instead of their accustomed laxatives. During the high-bran treatment period, the number of bowel evacuations and the volume of faeces increased. The total laxative consumption decreased by 93 per cent. V. Nutritional status and dietary intake were studied in a sample of severely demented, institutionalized patients. Energy and /or protein malnutrition was found in 50 per cent of the patients. The mean energy intake was 2059 kcal. Malnourished patients had had four times as many infectious periods during their hospital stay as patients without malnutrition. Thirty-nine of 44 patients lost weight during their hospital stay. VI. Thirty-three psychogeriatric patients were followed for 36 weeks after relocation from a mental hospital to two newly built nursing homes. An intensive pre-relocation program was performed. No negative effects of the relocation were found. On the contrary, the relocated group improved their ADL-functions after the transfer. Based upon the above cited studies, a model for nursing care of demented patients is presented.

S. 1-45: sammanfattning, s. 46-192: 6 uppsatser

digitalisering@umu

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Mudrenko, Iryna Hryhorivna, Ірина Григорівна Мудренко e Ирина Григорьевна Мудренко. "Predictors of suicidal behavior in patients with dementia". Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/57982.

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Libri sul tema "Dementia patients"

Nori, Graham, e Warner James Dr, a cura di. Dementia: Alzheimer's and other dementias. 2^a ed. London: Class, 2002.

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Frederiksen, Kristian Steen, e Gunhild Waldemar, a cura di. Management of Patients with Dementia. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-77904-7.

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Steele, Cynthia. Dementia care. New York: McGraw-Hill Medical, 2010.

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Dementia in close-up. London: Routledge, 1999.

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Trevor, Adams, e Manthorpe Jill 1955-, a cura di. Dementia care. London: Arnold, 2003.

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Mackay, Margaret. Dementia and bereavement. Stirling: University of Stirling, Dementia Services Development Centre, 1993.

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Dementia diary: Poems & prose. London: Journal of dementia care [and] Hawker Publications, 2008.

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Rabins, Peter V. Practical dementia care. New York: Oxford University Press, 1999.

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Rabins, Peter V. Practical dementia care. 2^a ed. New York, NY: Oxford University Press, 2006.

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Rabins, Peter V. Practical dementia care. 2^a ed. New York: Oxford University Press, 2005.

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Capitoli di libri sul tema "Dementia patients"

Völzke, Volker. "Dementia". In Patients with Memory Disorders, 29–34. Wiesbaden: Springer Fachmedien Wiesbaden, 2023. http://dx.doi.org/10.1007/978-3-658-39800-2_7.

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Zisselman, M., e B. W. Rovner. "North American Services for Patients with Dementia". In Dementia, 591–99. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4615-6805-6_35.

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Jelic, Vesna, e Bengt Winblad. "Anti-dementia Medication". In Management of Patients with Dementia, 73–104. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-77904-7_5.

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Isik, Ahmet Turan. "Delirium Superimposed on Dementia". In Delirium in Elderly Patients, 39–48. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-65239-9_4.

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Koopmans, Raymond T. C. M., H. Roeline W. Pasman e Jenny T. van der Steen. "Palliative Care in Patients with Severe Dementia". In Severe Dementia, 205–13. Chichester, UK: John Wiley & Sons, Ltd, 2006. http://dx.doi.org/10.1002/0470010568.ch17.

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Chen, S. T., e J. L. Cummings. "Neuropsychiatric Symptoms in Dementia Patients". In Dementias, 195–221. Milano: Springer Milan, 1999. http://dx.doi.org/10.1007/978-88-470-2149-5_9.

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Dubler, Nancy Neveloff. "Legal Issues in Research on Institutionalized Demented Patients". In Alzheimer’s Dementia, 149–73. Totowa, NJ: Humana Press, 1985. http://dx.doi.org/10.1007/978-1-4612-5174-3_13.

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Ready, Rebecca E., e Brian R. Ott. "Quality of Life in Patients With Vascular Dementia". In Vascular Dementia, 323–29. Totowa, NJ: Humana Press, 2005. http://dx.doi.org/10.1385/1-59259-824-2:323.

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Nous, Amber, Maxime Vande Vyver, Wietse Wiels e Sebastiaan Engelborghs. "Diagnostic Evaluation of Dementia". In Management of Patients with Dementia, 31–55. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-77904-7_3.

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Hoffman, Pamela B., e Leslie S. Libow. "The Need for Alternatives to Informed Consent by Older Patients". In Alzheimer’s Dementia, 141–48. Totowa, NJ: Humana Press, 1985. http://dx.doi.org/10.1007/978-1-4612-5174-3_12.

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Atti di convegni sul tema "Dementia patients"

Ramos, Júlia Xavier, Bruno Zacarias, Breno Barbosa e Simone Brandão. "18-FDG PET ANALYSYS FOR DEMENTIA DIAGNOSIS- BASELINE RESULTS FROM A REFERENCE CENTER IN RECIFE, BRAZIL". In XIII Meeting of Researchers on Alzheimer's Disease and Related Disorders. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1980-5764.rpda061.

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Background: Positrons emission tomography associated with computed tomography- PET/CT using the 18 F-fluorodeoxyglucose is a well-established exam for the medical evaluation of dementia, mainly helping in differential diagnosis to determine the specific type of dementia. Objectives: To describe the role of the PET/CT in the differential diagnosis of dementia in patients. Methods: a single-center, descriptive and records-based analysis of patients with Dementia evaluated in a clinic of Neurology at Recife and referred to PET/ CT due to diagnosis uncertainty, between 2020-2021. Results: 29 patients were included. The mean age was 65 years-old and 62% were female. Alzheimer’s dementia was the main diagnostic hypothesis (41.3%). PET/CT was suggestive of Alzheimer’s in 24%, Frontotemporal dementia in 21% and Lewy Bodies Dementia in 17% of patients. PET/CT results disagreed from clinical hypothesis in 21% o and in 10% it was inconclusive. In 38% it corroborated the clinical suspicion. Conclusions: in this sample the use of PET/CT FDG contributed to improve diagnostic accuracy in a significant subset of patients, mostly in the scenery of diagnostic uncertainty or atypical syndromes such as earlyonset dementias. A larger sample size and the continuation of this research will give us more information in the near future.

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Pandhi, Sameksha, e Rajat Tiwari. "Dementia Care: An Android Application for Assisting Dementia Patients". In 2022 3rd International Conference on Intelligent Engineering and Management (ICIEM). IEEE, 2022. http://dx.doi.org/10.1109/iciem54221.2022.9853066.

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Animashaun, Aisha, e Gilberto Bernardes. "Noise promotes disengagement in dementia patients during non-invasive neurorehabilitation treatment". In 4th Symposium on Occupational Safety and Health. FEUP, 2021. http://dx.doi.org/10.24840/978-972-752-279-8_0009-0014.

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Introduction:The lack of engagement and the shortage of motivation and drive, also referred to as apathy, negatively impacts the effectiveness and adherence to treatment and the general well-being of people with neurocognitive disorders (NCDs), such as dementia. Methodology:The hypothesis raised states that the engagement of people with dementia during their non-invasive treatments for NCDs is affected by the noisy source levels and negative auditory stimuli present within environmental treatment settings. An online survey was conducted with the study objectives to assess 1) the engagement levels of dementia patients while interacting with others at home versus in therapy facilities, 2) the emotions perceived when interacting with people at home compared to therapy sessions, 3) the perceived loudness of the environment at home versus in therapy facilities, and 4) which source sounds negatively impact the patients at home and during therapy sessions. A purposive sampling (n=62) targeting relatives, friends, and caregivers of dementia patients was conducted via online community forums in the DACH region. Moreover, a recording session was conducted in a psychotherapist’s office to verify the answer tothe questionnaire on the noise sources perceived in therapy facilities. Results and Discussion:The raised hypothesis that disruptive auditory stimuli and noise levels influence the engagement levels of demented individuals during treatment is confirmed as the engagement is affected by the perceived noise disruptions when comparing perceived noise levels and engagement at home to those in treatment facilities.Significant statistical results were found between the lower engagement of demented individuals when interacting with people during therapy sessions compared to higher engagement in-home interactions. Furthermore, negatively perceived sound sources can be found in both therapy facilities and home settings. The noise sound sources identified, such as human voices, household appliances and household noises, while recording inthe psychotherapist’s office align with the questionnaire responses received on this topic. The findings indicate that the perceived heightened noise levels in therapy facilities stand in correlation with the lowered engagement rate perceived during the therapy session compared to the lower noise level and higher engagement encountered when demented individuals interact at home. Conclusion:If the identified noise elements are masked or replaced by other auditory stimuli that promote a soothing soundscape, the original disturbances encountered during therapy and the lack of engagement can possibly be minimized. Further studies need to be conducted in the prototyping of a noise intervention tool to analyze the impact on lack of engagement through noise disturbances.Keywords. Noise, Engagement, Dementia, Therapy, Apathy.INTRODUCTIONNeurocognitive disorders (NCDs) are a steadily rising global public health concern. In 2020, around 50 million people worldwide lived with major NCDs, specifically dementia, with nearly 10 million new cases per year1NCDs can be found in many diseases, including Alzheimer, Parkinson, Huntington, and Creutzfeldt-Jakob (Reith, 2018). The causes of NCDs are typically associated with advanced age. Still, it can occur from incidents such as traumatic brain injuries, infections, thyroid problems, damage to the blood vessels, and other causes (Kane et al., 2017), increasingly affecting a wide range of people and age groups. Successful treatment methods are limited and can be split into two main categories, invasive and non-invasive methods.Invasive treatment methods are surgical procedures, such as Deep Brain Stimulation (DBS), a neurosurgical procedure in which a neurotransmitter is placed in the brain to send electrical 1World Health Organization, Dementia [website] https://www.who.int/news-room/fact-sheets/detail/dementia(accessed 12 April 2021)

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Tupakula, Udaya, e Vijay Varadharajan. "Secure monitoring for dementia patients". In SAC 2014: Symposium on Applied Computing. New York, NY, USA: ACM, 2014. http://dx.doi.org/10.1145/2554850.2554950.

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Müller, Lars, Mark Sonnentag e Stephan Heuer. "Supporting Reflection on Dementia Care using Proximity Sensors". In ICTs for improving Patients Rehabilitation Research Techniques. IEEE, 2013. http://dx.doi.org/10.4108/icst.pervasivehealth.2013.251943.

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Bradeanu, Andrei Vlad, Loredana Pascu, Alexandru Bogdan Ciubara e Dragos Cristian Voicu. "COMPLICATIONS OF HIP HEMIARTHROPLASTY IN PATIENTS WITH DEMENTIA". In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.8.

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ge is one of the most important parameters influencing the occurrence of hip fractures in patients over the age of 65, whereas their mental state is a decisive factor. Older adults have eight times higher risk of dying of a hip fracture if we compared to those people without a hip fracture. The risk of death is very high in the first three months and it remains in first ten years. High incidence of hip fracture and dementia worldwide includes Europe and Middle East part of Europe, South America, Canada, United States and Asia. There is a very high probability that patients with hip fractures and dementia may develop delirium that will result in prolonged hospitalization and poor mobility. Death is a rare complication of hip arthroplasty. Less than 1% patients in United States died, however in the first 90 days the postoperative mortality rate is somewhat higher than 1%. Otherwise, after revision surgery this rate increases. The most common complications of hip hemiarthroplasty that can be avoided by surgeons are: dislocation (posterior approach), and infection (the most common are Gram-positive Staphylococcus aureus- MRSA and Gram-negative bacillus). In one year the mortality rates will be over than half in the patients with deep infection and approximately 65% of patients with dislocation prosthesis in 6 months but also depends by type of prosthesis: monobloc (Austin Moore) or bipolar, cemented or uncemented. Other patient-related complications in the order in which they appear are pulmonary embolism, hematoma formation, unusual ossification, thromboembolism, nerve injury, fracture (periprosthetic). In patients who receive antiplatelet, anti-inflammatory, or anticoagulant therapy, it is necessary to stop the preoperative medication and to perform intraoperative hemostasis. During surgery, there is a risk to damage obturator vessels, perforating branch of femoralis artery and injury iliac vessels when drilling medial acetabular wall. In the last two decades thromboembolism has been prevented by physical therapy and socks with gradual compression. Depending on the type of surgeon's preferred type of proceedings, the following nerves may be injured: femoral nerve, sciatic nerve, and superior gluteal nerves.

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Varghese, Ajay Basil, M. Gokilavani, Mareena Kunjachan, Aagneyan Namboodhiri e George Menezes. "AI Based Caregiver for Dementia Patients". In 2021 Fifth International Conference on I-SMAC (IoT in Social, Mobile, Analytics and Cloud) (I-SMAC). IEEE, 2021. http://dx.doi.org/10.1109/i-smac52330.2021.9640970.

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Kalaiselvi, V. K. G., D. Pushgara Rani, Dharini V. K, Anupama Jeyashree S e Parvathi Priya Nandana K. M. "Ghajini - An application For Dementia Patients". In 2022 International Conference on Communication, Computing and Internet of Things (IC3IoT). IEEE, 2022. http://dx.doi.org/10.1109/ic3iot53935.2022.9767962.

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Franco, Brenda, Iandra Silva Souza, Maria Clara Cotrim Pereira e Victoria Faustino da Silva Reis. "Epidemiologic profile of patients with dementia on the Brazilian public health system in the last decade". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.646.

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Background: In Brazil, 55.000 dementia’s new cases are registered per year, the illness is distinguished by cognition decline. However, this disease’s prevalence is scarce. Objectives: Identify the epidemiologic profile of patients with dementia per region in Brazil during the years 2010 to 2020. Methods: In this ecologic descriptive study, secondary data was obtained in the DATASUS platform. The data gathered referred to hospitalizations by dementia per region of Brazil during 2010 to 2020. Furthermore, we collected data on sex, age, and ethnicity. Statistical analysis was conducted using measures of central tendency and dispersion. Results: The greatest frequency of hospitalizations occurred in 2010 (Mean= 729,8; SD= 662,4;95% CI= 149,1-1310,4), and the lowest in 2020 (Mean= 449,4; SD= 471,7;95% CI= 35,9-862,9). Southeast had the major frequency (Mean= 1.649; SD= 160,2;95% CI= 1.554-1.744) and the least frequent was the North. The female gender prevailed only in 2016 and 2019 (Mean= 297,6; SD= 345,1;95% CI= -4,9 - 600,1). Furthermore, in 2010, patients amid the age of 20- 59 years old established the highest fraction of hospitalizations (Mean= 410; SD= 300,5;95% CI= 146,5-673,4). However, during 2011 and 2020, individuals ≥60 years old predominated. The white patient’s number was larger (Mean= 621; SD= 65,1;95% CI= 582-659). Conclusion: The most prevalent epidemiologic profile was white males older than 60 years old residents of the Southeast which is consonant with the comprehended epidemiology.

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Thomas, Philippe. "Narrative therapeutic approach in the care for patients with dementia and psychosis". In 2nd International Neuropsychological Summer School named after A. R. Luria “The World After the Pandemic: Challenges and Prospects for Neuroscience”. Ural University Press, 2020. http://dx.doi.org/10.15826/b978-5-7996-3073-7.17.

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Dementia and psychosis can arise from a trauma in patients’ life history. Behavioral difficulties of the afflicted individual can lead to bad memories triggered by an event or an encounter. Attempts to bring such patients back to reality can destroy their awareness of the self and the world. A narrative therapeutic approach can help them reconstruct their life story and enhance their sense of wellbeing. With dementia, it is necessary to open the book of the afflicted individual’s life at the right page in order to help them get back to reading it in the present. With psychosis, stories must be detached from the personal life history and from reality. An empathetic therapist allows the patient to bypass the obstacles to link their fictional and real life and to recover the necessary minimum of self.awareness.

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Rapporti di organizzazioni sul tema "Dementia patients"

Zhang, Chen qi, kexin Zheng, Lingqi Sun e Hongbin Sun. Effects of magnesium valproate adjuvant therapy on patients with dementia: A Systematic Review and Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, novembre 2021. http://dx.doi.org/10.37766/inplasy2021.11.0038.

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Review question / Objective: To evaluate the efficacy of magnesium valproate(VPM) in the adjuvant treatment of patients with dementia(PwD). Participant or population: Adults with dementia (as diagnosed by a clinician, or using any recognized diagnostic criteria) will be included. Information sources: MEDLINE via PubMed, Cochrane Library, EBSCO, Embase, China National Knowledge(CNKI) and Wan fang databases.

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Long, Cong, XUke Han, Yunjiao Yang, Tongyi Li, Qian Zhou e Qiu Chen. Efficacy of Intranasal Insulin in Improving Cognition in Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, agosto 2022. http://dx.doi.org/10.37766/inplasy2022.8.0054.

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Review question / Objective: How does the efficacy of Intranasal Insulin in improving Cognition in Mild Cognitive Impairment or Dementia. Condition being studied: Insulin regulates many aspects of brain function related to mild cognitive impairment (MCI) or dementia, which can be delivered to the brain center via intranasal (IN) devices. Some small, single-site studies indicated that intranasal insulin can enhance memory in patients with MCI or dementia. The pathophysiology of Alzheimer disease (AD) and diabetes mellitus (DM) overlap, making insulin an attractive therapy for people suffering from MCI or dementia. The goal of the study is to evaluate the effectiveness of IN insulin on cognition in patients with MCI or dementia.

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Liu, Puqing, Jingwen Chen, Jun Chen, Xuefeng Wang e Zhangxuan Shou. The efficacy and safety of butylphthalide combined with donepezil in the treatment of vascular dementia: A meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, gennaio 2023. http://dx.doi.org/10.37766/inplasy2023.1.0057.

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Review question / Objective: The efficacy and safety of butylphthalide combined with donepezil in the treatment of vascular dementia: Ameta-analysis. Condition being studied: Vascular dementia is the second most common cause of dementia and a major health concern worldwide, only after to Alzheimer's disease. As the increasing aging of the global population, the number of vascular dementia patients is expected to increase year by year, which will bring great economic burden to all countries in the world. In recent years, more and more published RCT studies have shown that butylphthalide can further improve behavioral ability and dementia symptoms in vascular dementia patients based on donepezil treatment. Our study aimed to systematically evaluate the efficacy and safety of butylphthalide combined with donepezil in the treatment of vascular dementia through meta-analysis, providing an objective and scientific reference for the clinical use of butylphthalide.

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Delineau, Valeska, Ligia Passos, Ana Rita Ferreira e Lia Fernandes. The role of behavioral and psychological symptoms of dementia (BPSD) in patient’s autonomy. A scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2022. http://dx.doi.org/10.37766/inplasy2022.5.0008.

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Review question / Objective: This scoping review study aims to identify, summarize, and appraise available literature regarding the role of (BPSD)/neuropsychiatric symptoms in patients’ autonomy with all types of dementia diagnoses. To accomplish this objective, this scoping review will address the following question: What is the role of behavioral and psychological symptoms of dementia in the patient’s autonomy? This review will comprise the terms capacity, functional abilities, and competence in the autonomy concept. Background: Dementia is a neurodegenerative syndrome characterized by the development of multiple cognitive deficits and behavioral changes that interferes with multiple aspects of life, including cognition, daily functioning, and behavioral. With the progress of the disease, the patients lose their capacity, functional abilities, competence, and autonomy (Barbas & Wilde, 2001; Darby & Dickerson, 2017; Irastorza, Corujo, & Bañuelos, 2011; Lee, Jang, & Chang, 2019; Marson, 2013).

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Reuben, David, Neil Wenger, Lee Jennings e Ronald Hays. Testing a Way to Help Patients with Dementia and Their Caregivers Set Goals for Care. Patient-Centered Outcomes Research Institute® (PCORI), ottobre 2019. http://dx.doi.org/10.25302/10.2019.me.13035845.

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Tan, Aihua, Yan Hu, Han Yan, Zheng Zhang, Ziyu Song e Simiao Ran. Efficacy and safety of Chinese Herbal Medicine for Vascular dementia: A protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, gennaio 2022. http://dx.doi.org/10.37766/inplasy2022.1.0098.

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Review question / Objective: As a common type of clinical dementia, the prevalence rate of vascular dementia(VaD) increased rapidly in recent years, damaging both patients’ health and social-economic prospect. There is currently no effective treatment for VaD, though western medicines can slightly improve patients' cognitive function, but not brought a significant improvement in daily life ability. Chinese herbal medicine(CHM) has been widely employed to treat dementia for more than 2000 years in China. Despite the proliferation of relevant literature, there is still a lack of evidence to prove the effectiveness and safety of such therapy. Therefore, this systematic review and meta-analysis protocol is aimed to assess the efficacy and safety of CHM forVaD. Information sources: 6 English databases (PubMed, Web of Science, Embase, Springer, CENTRAL and WHO International Clinical Trials Registry Platform) and 4 Chinese databases (Wan fang Database, Chinese Scientific Journals Database, China National Knowledge Infrastructure Database and Chinese Biomedical Literature Database).

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Hauer, Klaus, Ilona Dutzi, Christian Werner, Jürgen M. Bauer e Phoebe Ullrich. Implementation of intervention programs specifically tailored for patients with CI in early rehabilitation during acute hospitalization: a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, ottobre 2022. http://dx.doi.org/10.37766/inplasy2022.10.0067.

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Review question / Objective: What is the current status of implementation of interventional programs on early functional rehabilitation during acute, hospital-based medical care, specifically tailored for older patients with CI and what are the most appropriate programs or program components to support early rehab in this specific population? This study combines a systematic umbrella review with a scoping review. While an umbrella review synthesizes knowledge by summarizing existing review papers, a scoping review aims to provide an overview of an emerging area, extracting concepts and identify the gaps in knowledge. The study focuses on older hospitalized adults (>65 yrs.) receiving ward based early rehabilitation. The focus within this review is on study participants with cognitive impairment or dementia. The study targets at controlled trials independent of their randomization procedure reporting on an early functional rehabilitation during hospitalization. Trials that were conducted in different or mixed settings (e.g. inpatient and aftercare intervention) without a clear focus on hospital based rehabilitation were excluded. The study aim is to identify the presence of CI specific features for early rehabilitation including: CI/dementia assessment, sub-analysis of results according to cognitive status, sample description defined by cognitive impairment, program modules specific for geriatric patients CI.

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Ma, Lili. Effectiveness of telephone-based intervention on the family caregivers of patients living with dementia: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review Protocols, aprile 2020. http://dx.doi.org/10.37766/inplasy2020.4.0122.

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Kouloutbani, Komanthi, Fotini Venetsanou, Petros Dinas, Konstantinos Karteroliotis e Antonios Politis. Effects of physical exercise on the neuropsychiatric symptoms of patients with dementia: A protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, giugno 2021. http://dx.doi.org/10.37766/inplasy2021.6.0108.

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Carnahan, Ryan, Grant Brown, Marianne Smith, Elena Letuchy, Linda Rubenstein, Bryan Gryzlak, Susan Schultz et al. Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents. Patient-Centered Outcomes Research Institute (PCORI), giugno 2020. http://dx.doi.org/10.25302/06.2020.cer.1131.

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