Дисертації: "Symptons of dementia in elderly"

1

Andersson, Frida. "Dementia; common cause of suicide among elderly?" Thesis, Uppsala University, Department of Medical Biochemistry and Microbiology, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7164.

Повний текст джерела

Анотація:

Elderly committing suicide can be in a “preclinical phase” of dementia. Depressive symptoms may indicate a risk to develop a disease of dementia, for example Alzheimer’s Disease. Today almost 10% of the Swedish population older than 65 years suffer from a cognitive impairment diagnosed as dementia. Symptoms of dementia are associated with degenerative changes in the brain caused by a deposition of amyloid, leading among others things to a nerve cell death. A clinical diagnosis can be hard to set, and a definitive diagnose can only be set after a pathological examination, which only is possible after death. For this study we used Congo red staining of brains sections to find amyloid in autopsies from elderly people committing suicide. 35 cases (>60 year) were studied. Of the 35 cases 1/3 showed to be positive for amyloid deposition. This result in addition to other studies suggest that depressive symptoms is a “preclinical phase” of dementia, and therefore the suicide risk for this group must be consider to be elevated. However, more reliable prospective studies most be done to confirm this retrospective study.

Стилі APA, Harvard, Vancouver, ISO та ін.

2

Yolpant, Wichiya. "Resourcefulness, Compassion Fatigue, and Depressive Symptoms in Thai Caregivers of Elders with Dementia." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1548436077662017.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

3

Coon, Sharon K. "An investigation of two groups of registered nurses comparing attitudes toward the elderly and the ability to differentiate signs, symptoms and interventions with dementia and depression in the elderly." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845954.

Повний текст джерела

Анотація:

The purpose of this study was to compare two groups of nurses's attitudes towards the elderly and the knowledge base of the nurses as to signs, symptoms and interventions with depression and dementia in the elderly. The theoretical framework for this study was Oren's (1985) self-care deficit theory. Attitude was measured using the Koan Attitude Toward Old People Scale (Koan, 1961) and knowledge was measured using a scale developed by (Myton, Allen, and Baldwin, 1991).The population studied was registered nurses working at these state hospitals in a midwestern state and agency nurses from four agencies that provide staff coverage at these hospitals. The convenience sample consisted of state nurses (n=65) and agency nurses (n=38). A cover letter explaining confidentiality and voluntary participation was attached to each survey. Completion of the survey constituted consent to participate in the study. There were no identified risks related to participation in the study.The study did not identify significant differences between groups in any of the variables involving attitude toward the elderly, ability to differentiate signs, symptoms, and interventions for dementia and depression in the elderly. Both groups were able to correctly identify signs, symptoms and interventions for dementia and depression about one-half the time. The treatment modalities are different for dementia and depression. The problem is significant because if signs, symptoms and interventions are not identified correctly the patient will not be assisted toward recovery and self-care may decrease. The recommendation for increased inservice education on gerontological nursing are applicable to both groups.
School of Nursing

Стилі APA, Harvard, Vancouver, ISO та ін.

4

O'Donnell, Rose Marie Minna, and Rose Marie Minna O'Donnell. "Pilot RCT of Mindfulness-Based Stress Reduction (MBSR) Versus Progressive Muscle Relaxation (PMR) to Reduce Symptoms of Distress Among Elderly Dementia Caregivers: Results at One Year Post-Intervention." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625444.

Повний текст джерела

Анотація:

Providing care for a frail older adult who is suffering from dementia has been described as a stressful experience that may erode psychological well-being and physical health of caregivers. The burden and stress is increased when the caregivers are themselves elderly. The present study investigated an 8-week stress-reduction program, Mindfulness-Based Stress Reduction (MBSR), and compared it to a similarly structured, alternative behavioral intervention, Progressive Muscle Relaxation (PMR), to determine if MBSR was as effective or more effective than PMR at reducing subjective burden, symptoms of depression, perceived loneliness or perceived stress among middle-aged and older family caregivers of persons with dementia and other neurocognitive disorders. Twenty-eight participants were randomly assigned to either MBSR or PMR. Self-report and biological measures were collected on five occasions: At the beginning and end of intervention training, and at 8 weeks, 6 months and 1 year following the end of intervention training. In addition to a packet of self-report questionnaires and home-collected salivary cortisol, a laboratory controlled emotional stress test was designed to elicit an emotionally stressful response relevant to caregivers’ experience of caregiving, and facilitate the measurement of stress-related changes in systolic blood pressure and cortisol reactivity. At 1 year post-intervention, the PMR group showed a significantly greater reduction in perceived stress and disruptive patient behaviors. A reduction in emotional reactivity to patient problem behaviors approached significance (p = .08) at 1 year post-intervention for the PMR group. The MBSR group showed significantly greater reductions in self-reported symptoms of depression and perceived isolation from pre- to post-intervention, and those changes remained significant at 8 weeks post-intervention. However, by 1 year post-intervention, interaction effects were non-significant as both groups showed similar decreases in symptoms of depression and perceived isolation. Both groups showed similar decreases in diurnal cortisol, cortisol awakening response, and daily average cortisol (but not laboratory cortisol) from pre- to post-intervention and further decreases at 8 weeks post-intervention, and showed similar reductions in magnitude of change by 1 year post-intervention. This pattern was similar for both groups with systolic blood pressure, showing decreases from pre- to post-intervention, additional decreases at 8 weeks post-intervention, and returning towards baseline by 1 year post-intervention. Both groups also reported similar increases in levels of dispositional mindfulness and self-compassion and similar improvement in overall sleep quality that was sustained at 1 year post-intervention. No changes were seen for perceived burden or loneliness. Significant correlations with amount of daily practice of the instructed stress-reduction approaches were observed for several of the dependent measures from pre- to post-intervention and 8 weeks post-intervention. From pre-intervention to 1 year post-intervention, an overall pattern emerged, where both groups showed similar improvements from pre- to post-intervention, and additional improvements at 8 weeks post-intervention, but displayed a curvilinear reduction in improvements—with some exceptions—and a return towards baseline at 6 months and 1 year post-intervention. In general, reductions in the magnitude of changes observed by 1 year post-intervention remained below baseline levels. Results suggest that both MBSR and relaxation-based interventions may be differentially effective in reducing psychological and physiological indices of chronic stress among older caregivers of relatives with neurocognitive disorders. However, further research, employing wait-list control participants, will be necessary for unambiguous interpretation of the present results.

Стилі APA, Harvard, Vancouver, ISO та ін.

5

O'Donnell, Rose Marie Roisin. "Pilot RCT of Mindfulness-Based Stress Reduction (MBSR) Versus Progressive Muscle Relaxation (PMR) to Reduce Symptoms of Distress Among Elderly Dementia Caregivers| Results at One Year Post-Intervention." Thesis, The University of Arizona, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10277682.

Повний текст джерела

Анотація:

Providing care for a frail older adult who is suffering from dementia has been described as a stressful experience that may erode psychological well-being and physical health of caregivers. The burden and stress is increased when the caregivers are themselves elderly. The present study investigated an 8-week stress-reduction program, Mindfulness-Based Stress Reduction (MBSR), and compared it to a similarly structured, alternative behavioral intervention, Progressive Muscle Relaxation (PMR), to determine if MBSR was as effective or more effective than PMR at reducing subjective burden, symptoms of depression, perceived loneliness or perceived stress among middle-aged and older family caregivers of persons with dementia and other neurocognitive disorders. Twenty-eight participants were randomly assigned to either MBSR or PMR. Self-report and biological measures were collected on five occasions: At the beginning and end of intervention training, and at 8 weeks, 6 months and 1 year following the end of intervention training. In addition to a packet of self-report questionnaires and home-collected salivary cortisol, a laboratory controlled emotional stress test was designed to elicit an emotionally stressful response relevant to caregivers’ experience of caregiving, and facilitate the measurement of stress-related changes in systolic blood pressure and cortisol reactivity. At 1 year post-intervention, the PMR group showed a significantly greater reduction in perceived stress and disruptive patient behaviors. A reduction in emotional reactivity to patient problem behaviors approached significance (p = .08) at 1 year post-intervention for the PMR group. The MBSR group showed significantly greater reductions in self-reported symptoms of depression and perceived isolation from pre- to post-intervention, and those changes remained significant at 8 weeks post-intervention. However, by 1 year post-intervention, interaction effects were non-significant as both groups showed similar decreases in symptoms of depression and perceived isolation. Both groups showed similar decreases in diurnal cortisol, cortisol awakening response, and daily average cortisol (but not laboratory cortisol) from pre- to post-intervention and further decreases at 8 weeks post-intervention, and showed similar reductions in magnitude of change by 1 year post-intervention. This pattern was similar for both groups with systolic blood pressure, showing decreases from pre- to post-intervention, additional decreases at 8 weeks post-intervention, and returning towards baseline by 1 year post-intervention. Both groups also reported similar increases in levels of dispositional mindfulness and self-compassion and similar improvement in overall sleep quality that was sustained at 1 year post-intervention. No changes were seen for perceived burden or loneliness. Significant correlations with amount of daily practice of the instructed stress-reduction approaches were observed for several of the dependent measures from pre- to post-intervention and 8 weeks post-intervention. From pre-intervention to 1 year post-intervention, an overall pattern emerged, where both groups showed similar improvements from pre- to post-intervention, and additional improvements at 8 weeks post-intervention, but displayed a curvilinear reduction in improvements—with some exceptions—and a return towards baseline at 6 months and 1 year post-intervention. In general, reductions in the magnitude of changes observed by 1 year post-intervention remained below baseline levels. Results suggest that both MBSR and relaxation-based interventions may be differentially effective in reducing psychological and physiological indices of chronic stress among older caregivers of relatives with neurocognitive disorders. However, further research, employing wait-list control participants, will be necessary for unambiguous interpretation of the present results.

Стилі APA, Harvard, Vancouver, ISO та ін.

6

Carvalho, Maria Cristina Guapindaia. "A experiência do cuidar: o (des) amparo do cuidador familiar." Pontifícia Universidade Católica de São Paulo, 2010. https://tede2.pucsp.br/handle/handle/12601.

Повний текст джерела

Анотація:

Made available in DSpace on 2016-04-27T18:47:37Z (GMT). No. of bitstreams: 1 Maria Cristina Guapindaia Carvalho.pdf: 1591425 bytes, checksum: d206b31cc39bb5c7dd31994490ac6734 (MD5) Previous issue date: 2010-05-10
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This study aims to characterize the family caregivers of dependent elder people, and to identify the presence of stress, strain and / or minor psychiatric symptoms in these individuals. Additionally, the study examines the relationship between stress and mental distress with social-demographic factors related to the caring activity. This is a cross-sectional and prospective study conducted from July to December 2009, which evaluated 69 caregivers of dependent elder people treated at the Clinic of Geriatrics, Hospital do Servidor Publico Municipal (Municipal Hospital of Civil Servants). By means of structured interview, we applied a questionnaire to characterize the caregivers and the patients, the Zarit stress scale, the SRQ-20 mental distress scale and the Hamilton-21 Depression Scale. The results showed that the investigated caregivers, during the research, were in average 58.72 years old, with 89.86% of them being women, 52.17% being daughters and 36.23% being wives. They were taking care of the patient for 4 years and six months, in average. It was found that 85% of them haven t any social support and 75.36% of them did not receive any help whatsoever from other family members. Regarding to the level of stress, 44.93% of the caregivers presented a moderated level and 34.78% presented levels varying from moderate to severe. Regarding the presence of minor psychiatric symptoms, 68.12% presented mental disorders and all of them were classified as bearers of mild depression, in the Hamilton-21 scale. Regarding to the use of drugs, 34.78% reported the use of antidepressants and 7.25% reported the use of anxiolytics. Regarding to the variables associated to stress, it was found that the dependence of the patient, his/her persistent behavior and the use of antidepressants by the caregiver increased the estimation of stress. It also was found that when the prior relationship between caregiver and the dependent elder person was considered as good, the stress levels were lower, and if the previous relationship was considered poor, the stress increased. With respect to mental suffering, when the dependency factor was perceived as a major disturbance, the chances of presentation of minor psychiatric symptoms by the caregiver were nine times higher. The data show the great demand in the caring activities, the overhead inherent to this task and the stress that it can cause, with consequences for the mental health of the caregiver and the quality of care provided
Este estudo tem como objetivo caracterizar os cuidadores familiares de idosos com dependência, bem como identificar a presença de estresse, sobrecarga e/ou sintomas psiquiátricos menores nesses indivíduos. Além disso, analisa-se a relação do estresse e do sofrimento mental com variáveis sociodemográficas e fatores relacionados à tarefa de cuidar. Trata-se de um estudo transversal e prospectivo, realizado no período de julho a dezembro de 2009, sendo avaliados 69 cuidadores de idosos dependentes atendidos na Clínica de Geriatria do Hospital do Servidor Público Municipal. Por meio de uma entrevista estruturada, aplicou-se um questionário de caracterização do cuidador e do paciente, a escala de estresse de Zarit, a escala SRQ-20 de sofrimento mental e a escala de depressão Hamilton-21. Os resultados evidenciaram que os cuidadores investigados, quando da realização da pesquisa, tinham em média 58,72 anos de idade, sendo 89,86% mulheres, 52,17% filhas e 36,23% esposas. Cuidavam do familiar em média há 4 anos e seis meses. Verificou-se que 85% não contavam com nenhum suporte social e 75,36% não recebiam nenhuma ajuda dos outros familiares. Em relação ao nível de estresse, 44,93% dos cuidadores apresentaram níveis moderados e 34,78%, níveis de moderado a severo. No que diz respeito à presença de sintomas psiquiátricos menores, 68,12% apresentaram sofrimento mental e todos pontuaram como depressão leve na escala Hamilton-21. Sobre a utilização de medicamentos, 34,78% relataram usar antidepressivos e 7,25%, ansiolíticos. Quanto às variáveis associadas ao estresse, constatou-se que a dependência do paciente, seu comportamento perseverativo e o uso de antidepressivos pelo cuidador aumentavam a estimativa de estresse. Também se verificou que, quando a relação prévia entre cuidador e idoso dependente era considerada boa, o nível de estresse se mostrava menor, e, se a relação prévia era considerada ruim, o estresse aumentava. Com relação ao sofrimento mental, quando o fator dependência era entendido como incômodo maior, a chance de o cuidador apresentar sintomas psiquiátricos menores era nove vezes maior. Os dados mostram a grande demanda na atividade de cuidar, a sobrecarga inerente a essa tarefa e o estresse que acarreta, com consequências para a saúde mental do cuidador e a qualidade do cuidado prestado

Стилі APA, Harvard, Vancouver, ISO та ін.

7

Larcombe, Julie Eileen. "Care for the elderly." Thesis, University of Birmingham, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272569.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

8

Billioti, de Gage Sophie. "Benzodiazepines and risk of dementia in the elderly." Thesis, Bordeaux, 2015. http://www.theses.fr/2015BORD0106/document.

Повний текст джерела

Анотація:

Ce travail porte sur l’étude du risque de démence chez les personnes âgées ayant consommé des benzodiazépines. Ces médicaments méritent une attention particulière du fait de (i) leur utilisation trop systématique et le plus souvent chronique contrairement aux recommandations préconisant des durées d’utilisation courtes (ii) leurs effets délétères sur la cognition demeurant mal évalués à long terme. La plupart des études conduites sur ce sujet ont conclu à une augmentation du risque de démence chez les sujets ayant utilisé des benzodiazépines. Un biais protopathique pouvait cependant, en partie du moins, avoir expliqué ces résultats : la prescription de benzodiazépines pouvait avoir été motivée par des prodromes souvent observés au cours des années précédant le diagnostic de la maladie. Afin de mieux prendre en considération ce biais, le projet BENZODEM a utilisé les ressources de la cohorte PAQUID (3777 sujets ≥ 65 ans tirés au sort sur les listes électorales de Dordogne et Gironde bénéficiant d’un suivi de plus de 20 ans). Ce projet, combinant deux études de cohorte et une étude cas-‐témoins, a conclu à un risque de démence augmenté de 46 à 62% chez les utilisateurs de benzodiazépines et retardé de 5 à 15 ans par rapport à l’initiation du traitement. La seconde partie du programme (BENZODEM2) a consisté en une étude cas-‐témoins conduite sur un large échantillon de sujets de plus de 65 ans enregistrés sur la base de données de la Régie de l’Assurance Maladie du Québec (RAMQ). Ce programme a permis (1) de valider les précédents résultats (risque augmenté de 30 à 80% en fonction de la dose, la durée du traitement et la nature des molécules) (2) d’identifier les profils de consommation associés à un excès de risque : consommateurs de plus de 3 mois avec une relation dose-‐effet marquée et molécules à longue demi-‐ vie d’élimination. Des explorations complémentaires ont permis de conclure que cet excès de risque n’était pas expliqué par une mortalité différentielle entre groupes comparés ni par la prescription d’autres médicaments psychotropes. Une autre étude menée sur PAQUID montrait une absence de différence entre consommateurs et non consommateurs de benzodiazépines vis-‐à-‐vis de l’évolution des scores mesurant les fonctions cognitives. Ces résultats ont permis d’émettre des hypothèses concernant le mécanisme de l’association entre utilisation de benzodiazépines et démence: (1) les benzodiazépines pourraient constituer des marqueurs précoces de la maladie ; (2) les benzodiazépines pourraient aussi diminuer les capacités de recours à la réserve cognitive en réponses aux lésions précoces de la maladie au stade préclinique ; (3) il est aussi possible que ces deux explications soient combinées
This work deals with the risk of dementia in elderly individuals who have used benzodiazepines. These drugs deserve particular attention because (i) their use appears to be too systematic and most often chronic despite good practice guidelines recommending short durations of use (ii) their deleterious effects on cognition remain underevaluated for the long-‐term. Most of the studies conducted concluded that there was an increased risk of dementia among benzodiazepine users. In fact, a protopathic bias could, at least in part, have explained these results. Indeed, the prescription of benzodiazepines could have been motivated by the prodromes often observed several years before the clinical diagnosis of a dementia. With the aim of better controlling for this bias, the BENZODEM project used the resources of the PAQUID cohort (3777 subjects ≥65 years randomly sampled from electoral lists in South-‐West France, with a 20-‐ year follow-‐up). This project combined two cohort studies and one case-‐control. These studies concluded in a risk of dementia increased by 46 to 62% in benzodiazepine users and delayed by 5 to 15 years after treatment initiation. The second part of the programme (BENZODEM2) consisted of a case-‐control study conducted in a large sample of subjects >65 years registered in the Quebec Health care database (Régie de l’Assurance Maladie du Québec, RAMQ). It was thus possible(1) to validate the previous results by using a different population (the risk was found to be increased by 30 to 80% depending on the patterns of use regarding dose, duration and type of molecule), (2) to identify the patterns of use which appeared to be at risk; excess risk was only apparent for uses of more than three months with a marked dose-‐effect relationship, and was higher for molecules with a long elimination half-‐life. Complementary explorations using the PAQUID cohort indicated that the excess risk in exposed was not explained by a differential mortality rate between the groups compared. Other studies suggested that the link found remained independently of the prescription of other psychotropics. Another analysis in the PAQUID cohort showed that, in the absence of dementia, no difference was observed between benzodiazepine users and non-‐users with regards to the evolution of scores evaluating cognitive functions. These results led to several assumptions about the putative mechanism explaining the relationship found between benzodiazepine use and dementia: (1) benzodiazepines could be early markers of symptoms such as anxiety, depression or insomnia, which are potential prodromes or risk factors for this disease, (2) these drugs could also reduce the ability to use cognitive reserve in order to cope with early lesions of the disease during the preclinical stage, (3) the association found could also result from these two mechanisms

Стилі APA, Harvard, Vancouver, ISO та ін.

9

Harlin, Frida. "Potentially Inappropriate Medications- among elderly diagnosed with dementia." Thesis, Umeå universitet, Institutionen för integrativ medicinsk biologi (IMB), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-169962.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

10

Guest, Diana Ruth. "Affect, dementia, and occupational engagement among the institutionalized elderly." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0002/MQ30687.pdf.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

11

Campbell, Elizabeth Ann. "Therapeutic Architecture: Housing for People with Dementia." Thesis, Virginia Tech, 2005. http://hdl.handle.net/10919/34109.

Повний текст джерела

Анотація:

An environment strongly influences the behavior of individuals with dementia. A well designed physical environment can maintain and enhance the ability to function and improve quality of life. My thesis uses a residential environment for people suffering from dementia as the basis for therapeutic intervention. Understanding the physical and psychological effects of architecture on a person with dementia is an important tool in slowing the progression and effects of the disease. The competence of an individual can effect how he or she experiences a space and can make them respond more intensively to the immediate environment. Building orientation, color, lighting, and access to nature can affect the psyche of a resident and can help stabilize and reduce the effects of the disease.
Master of Architecture

Стилі APA, Harvard, Vancouver, ISO та ін.

12

Faxén, Irving Gerd. "Nutritional status and cognitive function in frail elderly subjects /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-004-4/.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

13

Li, Y. (Yahui). "Visually-aided smart kitchen environment for elderly suffering from dementia." Master's thesis, University of Oulu, 2013. http://urn.fi/URN:NBN:fi:oulu-201306041449.

Повний текст джерела

Анотація:

This thesis was part of smart kitchen project, it aimed to use current technology to facilitate senior citizens with mild dementia’s cooking process in the kitchen. As different senior citizens with mild dementia had different living habit and kitchen environment, smart kitchen had context aware and learning ability to adapt itself to fit senior citizens with mild dementia’s habit and living condition to assist their cooking activities. This research applied scenario based design method, its result worked with the other research of this smart kitchen project to build smart kitchen prototype, the prototype was created to accomplish the scenario of instructing senior citizens with mild dementia to complete coffee making process by the aid of remote guiding system operated by caretaker. This research developed a way to design steps and collect data elements of coffee making process for the cooking guiding system, so that remote caretaker can instruct senior citizens with mild dementia by taking advantage of it. Multiple cameras based visual surveillance system was designed to facilitate observation of cooking objects and senior citizens with mild dementia’s cooking condition in the kitchen. Audio and graphical assistance were applied to deliver instruction information to senior citizens with mild dementia. This smart kitchen prototype affirmed the feasibility of smart kitchen, and it also revealed the area for further improvement.

Стилі APA, Harvard, Vancouver, ISO та ін.

14

陳健禧 and Kin-hei Anthony Chan. "An evidence-based guideline of using music for elderly with dementia to reduce agitated behaviors." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193076.

Повний текст джерела

Анотація:

Agitated behaviours in dementia elderly predispose to negative outcomes. Music intervention is an evidence-based intervention that could help to ease the situation. The integrative and systematic review studies provide evidence that music intervention is effective in reducing agitated behaviours in dementia elderly. The assessment of the implementation potential, the feasibility and transferability demonstrate the music intervention can be implemented in local setting. An evidence-based guideline based on the reviewed papers is developed to use in local HK hospitals or nursing homes. With the help of an effective communication plan to the stakeholders, it is believed that the intervention can be smoothly implemented. Further evaluation helps to review the potentials for sustaining the intervention in the long run.
published_or_final_version
Nursing Studies
Master
Master of Nursing

Стилі APA, Harvard, Vancouver, ISO та ін.

15

Ng, Tsz-hang. "Validation of the Chinese version of the location learning test for elderly Chinese in Hong Kong /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B35507032.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

16

Alford, Susan Elizabeth. "A Predictive Model for Dementia Risk in Elderly Adults with Prediabetes." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/129.

Повний текст джерела

Анотація:

Dementia is a serious public health concern in the United States, with a prevalence of 5.2 million. There is currently no effective way to prevent or cure dementia, and the precise etiology is unknown, but it appears there are multiple risk factors. Prediabetes (PD) has been identified as a risk factor although the scientific evidence is conflicting. This study is important to those at high risk for dementia and to healthcare professionals who lack substantiated dementia prevention strategies. The purpose of this case control study was to determine whether PD is associated with dementia in adults aged 65-95 years and whether the association varies according to demographic (age, gender, race, and socioeconomic status [SES]) and health (atherosclerosis, body weight, cerebrovascular disease, dyslipidemia, hypertension, and stroke) risk factors. The ecosocial theory was selected to bridge the study findings to life-course exposures and risk factors. Cases (n = 574) and controls (n = 2,157) were sampled from a large ambulatory care dataset, and multivariable logistic regression was used to test the research hypotheses. No unadjusted association between PD and dementia was found (OR 1.08, 95% CI = .854, 1.241, p = .604). The regression analysis revealed no association between PD and dementia; however, atherosclerosis, hypertension, low body weight, and low/average SES were found to be significantly and independently associated with dementia. A stratified analysis revealed that race and SES did not alter the effect of PD on dementia. The implications for positive social change include the potential reduction of incident dementia through initiatives targeted toward demographic and health risk factors including atherosclerosis, hypertension, low body weight, and low/average SES.

Стилі APA, Harvard, Vancouver, ISO та ін.

17

Fair, David Alan. "An investigation into cultural differences in the conceptualization of and attributions about cognitive decline in the elderly." Thesis, Rhodes University, 1999. http://hdl.handle.net/10962/d1002483.

Повний текст джерела

Анотація:

There is little data regarding the prevalence of dementia in South Africa. Estimating such prevalence is problematic as the most commonly used cognitive screening tests are inappropriate for use in non-western populations. For this reason researchers have explored the use of informant questionnaires where relatives provide information on cognitive functioning over the last year. In the South African context Lenger, de Villiers & Louw (1996) conducted a dementia case-ascertainment study in a Xhosa-speaking community near Cape Town using a well-known informant questionnaire, the DECO, and concurrent clinical assessment. Reflecting on the discrepancies between DECO scores and clinical diagnosis, the researchers conducted interviews to explore beliefs and expectations regarding the elderly and cognitive decline. The aims of the current research were to gather comparative data from Bothasig, an English-speaking community, in order to explore areas of commonality and difference in perceptions and attributions regarding cognitive decline in the elderly. The study found that a significant percentage of informants from both Bothasig and Langa consider forgetfulness to be normal in old age. Different discourses around illness in the elderly were identified incorporating a range of medicalised and folk attributions. The discussion showed that informant perceptions within the Langa community may increase the likelihood that observational data provided in informant questionnaires may be confounded by cultural perceptions regarding the elderly. In addition, certain items on the DECO were found to be unsuitable for use across groups and modifications were proposed. The data was analyzed using both quantitative methods and phenomenological discourse analysis. The discussion concluded with metatheoretical reflections on the tension between etic and emic perspectives in cross-cultural research.

Стилі APA, Harvard, Vancouver, ISO та ін.

18

Koh, Si En Angel, and 許思恩. "Exercise for improving cognition in community-dwelling elderly with dementia : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206931.

Повний текст джерела

Анотація:

Context: Dementia impairs daily functional ability and independence through negatively affecting cognitive function. As the prevalence of dementia increases, the burden on healthcare facilities and families grows, pointing to the need for providing further options available for the management of dementia in the community context. Of these options, physical exercise interventions are easily modifiable and relatively simple to implement. The primary objective of this review is to investigate the effectiveness of exercise for improving cognitive function in elderly people with dementia living in the community. Methods: A systematic review of 2 databases (PubMed and EMBASE) was carried out for all studies investigating the effects on cognition of a physical exercise intervention among home-dwelling elderly patients with dementia. Data was extracted on baseline characteristics of study participants, type of exercise intervention, length of follow up, and changes in cognitive outcome measures. Results: Seven studies were included. Three provided statistically significant results that showed an association between exercise and cognition in community-dwelling dementia patients.!The remaining four studies could not establish an association. Conclusions: The effectiveness of exercise for improving cognition in community-dwelling people with dementia is unclear based on the conclusions of this review. Small sample size and methodological quality limited the results. Further well-designed studies are needed that investigate appropriate community-based exercise interventions for people with dementia.
published_or_final_version
Public Health
Master
Master of Public Health

Стилі APA, Harvard, Vancouver, ISO та ін.

19

Lindén, Thomas. "Late neuropsychiatric consequences of stroke in the elderly /." Göteborg : Institute of Clinical Neuroscience and Physiology, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/739.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

20

Wong, Sau-shan Susanna. "A study of stress and coping strategies of caregivers of the demented elderly /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2013079X.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

21

Pyykönen, Krista. "Many Memories, Many Stories : Participatory Music Project for Elderly People with Dementia – Music Pedagogical Applications for Elderly Care." Thesis, Kungl. Musikhögskolan, Institutionen för klassisk musik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kmh:diva-1378.

Повний текст джерела

Анотація:

”Many Stories, Many Memories” was a participatory creative music project carried out in collaboration with three professional musicians, a group of seven senior residents and the occupational therapist of “Suomikoti”-elderly home in Stockholm, February 20th – March 21st 2013 . The aim of the project was to build community feeling, participation and operation for the elderly people with dementia by intervening musically in their everyday lives. During the eight workshop-sessions, improvisation pieces were created by using song, text, fine arts, percussion instruments, body percussion, piano, kantele, and violin.The emphasized qualities of the project’s musical working methods were contextuality, and person-centered and focus group - oriented approaches. The purpose of multi-sensor exercises was to support the participants’ sense of body and reinforce their identity. The project, during which the musicians and the group of seniors met in the field of performing arts, was completed with a collectively composed semi-improvised concert, which was performed to an audience consisting of the residents and staff of Suomikoti, as well as family members.“Many Memories, Many Stories” was my Professional Integration Project (PIP) in the international Joint Music Master for New Audience and Innovative Practice – Master Degree Program (NAIP) at on the Royal College of Music in Stockholm. Observational periods at local Stockholm elderly homes as well as a preparatory project were conducted prior to the PIP-project. The goal of the PIP-project and this Master Thesis was to create new empiric data on the potentials of creative participatory music workshops for elderly care. This project’s musical intervention was carried out as practice-based research, and was documented session by session both in written reflections and on video for data- analysis. Semi-structured thematic interviews were also conducted for obtaining data. The interviewees were professional practitioners on the fields of music and health-care.The outcomes of the project reveal that intensive participation in the project had positive effects on the people’s motor skills, creativity, expression, social interaction and self- esteem, which by enriching their everyday lives improve their general quality of life.Attached to this Master Thesis are two videos; a documentary-DVD describing the process of the project, and an edition of the”Many Memories, Many Stories”-concert in full length. The documentary DVD contains mainly video-footage from the workshop sessions.

Bilaga: 1 DVD

Стилі APA, Harvard, Vancouver, ISO та ін.

22

Lai, King-lok, and 黎敬樂. "Associations of cognitive function with feeding performance and swallowing function in elderly with dementia." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206598.

Повний текст джерела

Анотація:

Introduction: Feeding difficulty and dysphagia are common problems in elderly patients with dementia. Malnutrition and aspiration pneumonia may result from feeding problem and swallowing dysfunction. There were limited previous reports on the course of cognitive functional decline and the relationship among cognitive function, feeding performance and swallowing function in dementia patients. Objectives: The objectives of the present study were to investigate the association between cognitive function and feeding performance in elderly with dementia, and to investigate the association between cognitive function and severity of dysphagia in elderly with dementia. Method: In this cross-sectional study, we recruited 215 Chinese participants from hospital clinics and old aged homes from March 2014 to July 2014. The participants were over 65-year-old, with diagnosis of dementia and without history of other neurological diseases. Sociodemographic information of the participant was interviewed. Medical records were reviewed for the diagnoses of dementia and associated medical conditions. The Abbreviated Mental Test (AMT) was adopted to assess participants’ cognitive function. The feeding performance was evaluated by the Chinese version of Edinburgh Feeding Evaluation in Dementia (EdFED) Scale. The swallowing function was assessed by the Gugging Swallowing Screen (GUSS) test and Therapy Outcome Measure (TOM) impairment scale. Results: Significant negative correlation was demonstrated between AMT score with EdFED score (rho= -0.571, p<0.001). After adjustment of confounders, AMT score was an independent predictor of EdFED score (p=0.034), with age (p=0.016) and functional status (p=0.001) being two additional independent factors. The AMT score manifested significant associations with the measures of severity of dysphagia from the bivariate analysis of results from GUSS (p<0.001) and TOM (p<0.001). After adjustment of confounders, the AMT score was not a significant independent predictor when the swallowing function was assessed by GUSS, but it was an independent predictor when the former was assessed by TOM (p=0.004). Age, functional status, male gender, living in old aged homes, caregivers being children/family members and maids were also independent factors of dysphagia. Conclusion: In this pilot study, we found the cognitive function of elderly with dementia was related to feeding performances. Those with the poorest cognitive function had the worst feeding performance. We also found poor cognitive function was related to poor swallowing function in elderly with dementia. Furthermore, age and functional status were also predictors of feeding performance in dementia. Future prospective studies are recommended to examine the effects of other possible confounding factors including co-morbid neurological diseases, medications and behavioral symptoms, on the association between cognitive function and feeding performance and swallowing function. Early assessment, education and intervention on feeding problem and dysphagia to elderly with dementia and their caregivers are recommended in daily clinical practice.
published_or_final_version
Medicine
Master
Master of Medical Sciences

Стилі APA, Harvard, Vancouver, ISO та ін.

23

Tsang, Yin-mei. "A study of stress in the caregivers of the demented elderly /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1341799X.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

24

Abramsson, Linnea. "PREVALENCE OF DRUG RELATED PROBLEMS STOPP/START in elderly people with dementia." Thesis, Umeå universitet, Farmakologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157692.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

25

Achor, Sam Ndu. "Family visits or contact to dementia elderly at long term care facilities." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1581.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

26

Morrow, Luzviminda Salamat. "Effectiveness of Cognitive Rehabilitation as Memory Intervention for Elderly Adults with Dementia." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4314.

Повний текст джерела

Анотація:

Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during the period of May 2012 through December 2013 was used. Wilcoxon matched pair tests were used to assess elders' changes in memory and mood functioning. Results indicated that there were no significant changes in memory skills or mood functioning found after the elderly individuals participated in the cognitive rehabilitation program within the 18-month period of continuous intervention training. Several limitations could explain these results including a small sample size of 88 participants that finished the 18-month program; the quality of the assessment process; and the lack of further information on the archived data such as demographics, patients' medication regimen, or type of family support. Health care professionals, families, and caretakers may use these results to understand the importance of closely monitoring the training and checking for positive results and adjusting the intervention as needed. Results of the study also highlighted the importance of focusing on promoting a take-charge collaborative approach to awareness and life satisfaction which is a salient implication for positive social change.

Стилі APA, Harvard, Vancouver, ISO та ін.

27

Dean, David G. "Mediators of depression in secondary carers of a spouse with dementia." Thesis, Bangor University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239968.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

28

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.

Повний текст джерела

Анотація:

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

Стилі APA, Harvard, Vancouver, ISO та ін.

29

Serova, Svetlana. "Association Between Folate, Vitamin B12 and Cognitive Performance in Demented Elderly." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9034/.

Повний текст джерела

Анотація:

Dementia is prevalent among elderly people. As the world population ages, it is projected that the number of people affected by dementia may triple in the next 50 years. Over the last two decades, research has focused on identifying potentially modifiable risk factors in development and progression of dementia, such as vitamin B12 and folate. Results concerning the effects of low folate and vitamin B12 on cognitive performance are mixed. The main objective of the present study was to investigate the effects of vitamin deficiency on cognitive functioning in a clinical sample of elderly individuals with cognitive problems using a comprehensive neuropsychological assessment. A retrospective chart-review was performed on the 102 records of patients from the Geriatrics Clinic at the University of North Texas Health Science Center who presented with cognitive deficits. Charts were reviewed to obtain data on vitamin supplementation, vitamin status, history of chronic conditions and other biochemical data. The available database was used to obtain data on neuropsychological assessment. The study demonstrated mild association between vitamin B12 and folate status and cognitive deficits. There appeared to be a higher cut-off level that is above the traditionally used levels for vitamin B12 and folate deficiency concentrations at which cognitive deficits became more pronounced. Clinical applications, limitations and suggestions for future research were discussed.

Стилі APA, Harvard, Vancouver, ISO та ін.

30

Mattingly, Jenna. "Extinction-Induced Behavioral Variability in Older Adults with Dementia." OpenSIUC, 2010. https://opensiuc.lib.siu.edu/theses/366.

Повний текст джерела

Анотація:

The present study attempted to investigate the effects of extinction on the behavior of older adults with moderate to severe dementia. A touch screen computer displaying four large colored buttons was employed. Participants were exposed to three conditions: baseline, intervention, and a reversal. The target response (pressing green after yellow) resulted in a video stimulus in the intervention condition, and then the videos were withheld during the reversal condition. Data on button-pressing and vocal-verbal statements were visually analyzed to determine the effect of the videos on responding; however none of the participants acquired the task. Therefore, a discussion of extinction responding was not possible. Interesting findings in terms of reinforcement and implications for the treatment of problem behaviors in older adults with dementia are discussed.

Стилі APA, Harvard, Vancouver, ISO та ін.

31

Clifford, Angela. "Physical activity and cognition in the elderly." Thesis, Loughborough University, 2012. https://dspace.lboro.ac.uk/2134/12494.

Повний текст джерела

Анотація:

Dementia is a common cause of disability in the elderly and, in the absence of a successful long-term treatment, it is important to investigate possible lifestyle interventions to help reduce an individual s risk of developing the condition. This thesis investigated the relationship between physical activity and dementia risk, finding that not all research supports the link. The literature review presented in this thesis (Chapter 2) highlighted several possible mediating factors, specifically the type of physical activity performed, the cognitive domains being studied and participant characteristics. Women seemed most susceptible to the effect of physical activity and some other forms of midlife interventions, possible mechanisms for which were discussed in another review (Appendix A). The cognitive test battery to be used in later studies was evaluated for its relevance to dementia and treatment during a 6-month study of Alzheimer's disease patients and their carers (Chapter 3). Memory tasks were found to be especially sensitive to clinical outcomes of dementia treatment (Chapter 4). An observational study of Indonesian elderly found a positive relationship between physical activity and memory performance on the same tests. This effect was strongest in women and in those with no pre-existing cognitive impairment (Chapter 5). However, the relationship could be further modified by other demographic factors, such as education. Health was independently affected in this model by exercise and its association with engaging in physical activity in this cohort was further investigated in Chapter 6. A randomised controlled trial (Chapter 7) was conducted to assess the effect of a 12-week programme of non-aerobic physical activity in sedentary middle-aged adults. Results indicated that resistance training, but not flexibility exercises, influenced memory but not executive function. Overall, this thesis suggests that several types of physical activity may be effective at slowing cognitive decline in elderly groups who are at increased risk of dementia, such as those in middle age and elderly women (Chapter 8). These findings should be expanded with the aim to improve healthcare advice and influence policy-making.

Стилі APA, Harvard, Vancouver, ISO та ін.

32

Quick, Amanda Jean. "Assessing the Validity of Engagement-Based and Selection-Based Preference Assessments in Elderly Individuals with Dementia." OpenSIUC, 2014. https://opensiuc.lib.siu.edu/theses/1454.

Повний текст джерела

Анотація:

The preference assessment literature has mainly focused on children and adults with developmental disabilities. To date, minimal research related to preference and reinforcer assessments has been conducted with the elderly population with cognitive impairment. This study assessed the predictive validity of engagement- and selection-based preference assessment formats with two types of reinforcer assessments. One of these reinforcer assessments was engagement-based, and the other one included a task. The participants were three elderly individuals at an adult day program with a formal diagnosis of Dementia and a score less than 24 on the MMSE. The first participant's top items in the each preference assessment were validated in both reinforcer assessments. The second participant's top items from the free operant and MSWO were validated with the engagement-based reinforcer assessment, but the other assessment produced variable responding. The third participant's top items were validated in three out of four reinforcer assessments. Results are discussed in terms of their implications for preference and reinforcer assessments and their utility with the population of elderly adults with cognitive impairments.

Стилі APA, Harvard, Vancouver, ISO та ін.

33

Russell, Richard Lloyd. "In sickness and in health: Elderly men who care for wives with dementia." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2002. http://wwwlib.umi.com/cr/syr/main.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

34

Watkins, Mary. "An evaluation of Crest, a night hospital for elderly people suffering from dementia." Thesis, University of Plymouth, 1994. http://hdl.handle.net/10026.1/2561.

Повний текст джерела

Анотація:

The aim of the study was to evaluate the effectiveness of a night hospital nursing service for elderly people suffering from dementia; in particular, to establish the appropriateness of night support for this group and their carers. The study developed as a result of previous work that demonstrated that some carers requested "inpatient" admission for their relative/friend because of the stress of providing support and supervision at night. The research methods involved an evaluative structure - process - outcome, quality assurance and case study approach. An operational policy for the service was drawn up, as were nursing standards (process) . The service was evaluated over a two year period. Patient outcomes were measured using a visual analogue scale at intervals over six months to identify behavioural changes. Similarly, carers' feelings of anxiety and coping ability relating to their caring role were measured. Changes in patient behaviour and carer anxiety and felt ability to cope were analysed using the Wilcoxon matched-pairs signed ranks test. Carers were interviewed to elicit the effects their relatives' attendance at CREST had on their day to day lives. Changes in the use of community care services as a result of CREST were also identified. The sample consisted of 38 patients and their informal carers. Nursing activity was observed using non-participant observation to establish both the type of activity and peak work load periods. The results demonstrate that CREST had a positive outcome in terms of supporting patients' carers and that patients' behaviour did not change significantly while attending the night hospital. This latter result has been interpreted as a positive outcome in that people suffering from dementia can be expected to deteriorate over time. In conclusion it is anticipated that the results of this study have significance for planning nursing services for the care group involved and should assist in identifying the number and grade of staff needed to deliver optimum care at night to elderly people with dementia. Recommendations for changes in the operational policy have been made which will assist managers in planning new services. The research suggests that new nursing services for this group in the health authority will be more closely related to the individual needs of patients and their carers than has been achieved hitherto. This strategy should lead to fewer patients needing long term in-patient care.

Стилі APA, Harvard, Vancouver, ISO та ін.

35

Wong, Kam-chu Gemma. "Attitudes of health care workers towards the elderly with dementia in Hong Kong." Thesis, Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14512026.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

36

Whittick, Janice Elizabeth. "Carers of the dementing elderly coping techniques and expressed emotion /." Thesis, Connect to e-thesis, 1993. http://theses.gla.ac.uk/696/.

Повний текст джерела

Анотація:

Thesis (Ph.D.) - University of Glasgow, 1993.
Thesis submitted to the Faculty of Medicine, Department of Division of Developmental Medicine, University of Glasgow, 1993. Includes bibliographical references. Print version also available.

Стилі APA, Harvard, Vancouver, ISO та ін.

37

Barei, Moniri Lenoir Hermine. "Relations entre dépression, symptômes dépressifs et démences chez le sujet âgé : rôle de la pression artérielle." Thesis, Paris 11, 2012. http://www.theses.fr/2012PA11T035/document.

Повний текст джерела

Анотація:

La dépression (caractérisée ou subsyndromique) est fréquente tout au long de la vie et les démences sont des pathologies fréquentes du sujet âgé. Une association longitudinale entre la dépression ou les symptômes dépressifs et la démence a été rapportée. Cependant, le sens de cette association demeure incertain et ses mécanismes pathogéniques selon l’âge de l’apparition des manifestations dépressives sont largement méconnus. Les facteurs de risque vasculaires sont associés à la démence et une comorbidité vasculaire est également retrouvée chez le sujet âgé dépressif. L’hypothèse qu’un ou des facteurs de risque cardiovasculaires constitue(nt) l’ultime dénominateur commun des troubles de l’humeur et de démences devrait être vérifié. L’objectif de cette thèse était d’étudier les liens entre la pression artérielle, la dépression et la démence. Dans un échantillon de 9294 sujets âgés de 65 ans et plus (Etude 3C), non institutionnalisés, suivis pendant 4 ans, nous avons retrouvé une association entre les symptômes dépressifs sévères à l’inclusion et le risque de démence (en particulier vasculaire) incidente. A l’opposé, les antécédents dépressifs n’augmentaient pas le risque de démence. Nos analyses transversales indiquaient une pression artérielle plus basse chez les sujets dépressifs comparés aux sujets non dépressifs. Pour terminer, l’association entre les symptômes dépressifs sévères et la démence n’était pas médiée par l’hypertension artérielle. Nos résultats indiquent que les symptômes dépressifs semblent constituer une expression non cognitive de la phase prodromale de la démence plutôt que d’en être un facteur de risque. L’explication d’une pression artérielle plus basse chez les sujets dépressifs comparés aux sujets non dépressifs n’est pas univoque. Une pression artérielle basse pourrait conduire à une hypoperfusion cérébrale, corrélée aux lésions de la substance blanche dans les régions les plus sensibles aux modifications du flux sanguin cérébral et dont l’altération est associée aux manifestations dépressives et cognitives. Ce travail offre de nouvelles perspectives de définition des groupes de population à haut risque de démence, et des perspectives de recherche sur les mécanismes biologiques liant la pression artérielle et la dépression. D’un point de vu méthodologique, il met l’accent sur la nécessité des méthodes d’évaluation fiables et précises des cas pathologiques (dépressifs et déments), lesquels influencent réciproquement l’évaluation de chacun
Depression is highly common throughout the life course and dementia is common in late life. Depression has been linked with dementia, yet the direction and pathological mechanisms of this association (whether depression is a prodromal feature or consequence of, or a risk factor for dementia) remains unclear. Vascular risk factors are associated to the risk of incident cognitive impairment and dementia and comorbid vascular disease is a feature of depression in latelife. Therefore, the hypothesis that vascular risk factors are the ultim denominator of psychological perturbations and dementia is to be verified. The aim of this work was to study the links between blood pressure, depression and dementia. In a cohort of 9294 community-dwelling elderly individuals aged 65 years and over, participating to the longitudinal population-based 3 City Study, followed up for 4 years, we found an association between baseline depressive symptoms’ severity and the incident dementia risk (particularly of vascular type). Conversely, we found no association between history of depression and incident dementia. Moreover, our cross sectional analyses exhibited an inverse association between systolic and diastolic blood pressure values and depression. Overall, however, the association between depressive symptoms and dementia was not mediated by hypertension. These results indicate that depression is rather a prodromal symptom of vascular dementia than a risk factor for it. The explanation for the inverse association found between blood pressure values and depression is not straightforward. Low blood pressure may lead to cerebral hypoperfusion found to be associated with white matter lesions in cerebral regions vulnerable to alterations of cerebral blood flow, and associated with cognitive impairment and depression. This work offers the opportunity for the definition of group of populations at high risk to develop dementia, vascular one in particular. It also gives the perspective of research on the biological mechanisms linking blood pressure and depression. From a methodological point of view, it emphasizes the need for instruments assessing precisely and thoroughly these two conditions which influence the assessment of each other

Стилі APA, Harvard, Vancouver, ISO та ін.

38

Buxton, Helen L. "The effects of running a validation therapy group on staff-client interactions in a day centre for the elderly." Thesis, University of East Anglia, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320814.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

39

Buettner, Karen Elise. "The path of memory : an affective approach to design for dementia in the elderly." Thesis, Georgia Institute of Technology, 1994. http://hdl.handle.net/1853/23922.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

40

Engelhardt, Nina. "Selective visual attention to novelty in elderly with senile dementia of the Alzheimer's type." Case Western Reserve University School of Graduate Studies / OhioLINK, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=case1057678131.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

41

Nagy, Z., and Elizabeth J. (formerly Milwain) Anderson. "Depressive Symptoms Increase the Likelihood of Cognitive Impairment in Elderly People with Subclinical Alzheimer Pathology." 2005. http://hdl.handle.net/10454/3498.

Повний текст джерела

Анотація:

No
The objective of this study was to investigate whether the presence of depressive symptoms influences the clinical expression of Alzheimer's pathology. We have analysed the relationships between the severity of Alzheimer's pathology and cognitive decline in two patient groups defined by the presence or absence of depressive symptoms. The study included 89 subjects who participated in a longitudinal research programme prior to death, underwent post-mortem examination and were found to have only Alzheimer-type pathology in their brains, ranging in severity from the entorhinal to neocortical stages. Our results indicate that depressive symptoms did not influence cognition in the early (entorhinal) stages of Alzheimer's disease (AD; where cognition was good regardless of whether or not there was evidence for depressive symptoms) or in the late (neocortical) stages (where cognition was poor regardless of whether or not there was evidence for depression). However, in the intermediate (limbic) stages, patients with depressive symptoms had significantly worse cognitive performance (mean CAMCOG of 32) than those who did not (mean CAMCOG of 73). We conclude that depressive symptoms may contribute to the cognitive decline of AD patients in that pathology, that would be otherwise silent, becomes clinically apparent. Therefore, a multiple diagnosis of early AD and depression should be more widely considered in elderly persons presenting with mild cognitive decline and depression. Treating the depressive symptoms would benefit the patient, but the cognitive improvement may not indicate that AD is absent.

Стилі APA, Harvard, Vancouver, ISO та ін.

42

Luo, Yueh-ing, and 羅月英. "The effects of Montessori-based activities on depressive symptoms and daily livelihood function elderly with dementia." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/74312102074692146819.

Повний текст джерела

Анотація:

碩士
雲林科技大學
健康產業管理研究所碩士班
98
The goal of this study is to investigate the effect of Montessori–based activities intervention on changes in depressive symptoms and daily livelihood functions of elderly with dementia in an institution. A quasi-experimental design was used in this study. Fifty-eight subjects (including 28 in the experiment group and 30 in the control group) from two nursing homes in Hsinchu county were observed. For the experiment group, Montessori–based activities were used as training materials, while control group followed normal activities arranged by the institution. Post-test analysis was performed on the two groups after 4 weeks and 12 weeks of intervention. The results of this study are described as followings. First of all, there was a significant difference in the depressive symptoms interaction between the experiment and control groups. Moreover, the result also demonstrated that the changes in depression after 4 weeks and 12 weeks of intervention both showed improvements when compared with pre-test results. Secondly, the experiment group showed significant change in depressive symptoms subcategory “related to emotions.” Finally, analysis of variance of daily livelihood functions in the experiment group showed a significant difference in interaction. Daily livelihood function scores for the experiment group was greater than the ones who were belonging to control group. The conclusion might be provided that long-term montessori–based activities training can alleviate depressive symptoms and improve daily livelihood functions. Applications of Montessori–based activities could be proposed in the nursing home.

Стилі APA, Harvard, Vancouver, ISO та ін.

43

CHIA-FENG, TU, and 杜佳鳳. "The Experience of Caring for Elderly with Dementia Combined Behavioral and Psychological Symptoms: Perspectives of Nursing Aides." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/3p423k.

Повний текст джерела

Анотація:

碩士
弘光科技大學
護理研究所
105
With Taiwan facing the advent of an aging society and the growing prevalence of chronic diseases, the population with dementia or disabilities is increasing yearly, which leads to a rising demand for long-term care human resources and a heavier burden on existing nursing aides. This in turn has brought about the phenomenon that a growing number of elders with dementia or disabilities are now living in long-term care facilities. Among these elders, the difficulty of attending to those suffering from dementia has proven to be higher when coupled with behavioral and psychological symptoms of dementia (BPSD). In long-term care facilities, nursing aides are the front-line service staff, but their experiences in attending to dementia patients have been explored relatively less than other topics related to dementia. This study aims to derive a better understanding of nursing aides' experiences and feelings of attending to the residents in long-term care facilities with dementia and BPSD. Based on qualitative research, the methodology includes purposive sampling and semi structured interviews to collect data concerning the experiences and feelings of 11 nursing aides from a dementia day-care center in Miaoli and a dementia care center in Taichung. The survey spanned June 2015 to October 2015. The research results are divided into three dimensions: (1) positive caregiving experiences, (2) multiples forms of caregiving stress that are neglected, and (3) formulating self-coping strategies. The results show that despite a considerable amount of stress, most nursing aides interviewed possess positive caregiving experiences. In addition to stress, the nursing skill mix, which is difficult for nursing aides to master, also affects their work enthusiasm, but they also agree that mutual support among colleagues and their ability to formulate self-coping strategies motivate them to carry on in their work. The results are expected to serve as a reference in clinical practice, education, and policy formulation for long-term care facilities and related government agencies. Key Words：dementia, behavioral and psychological symptoms of dementia, qualitative research, nursing aides

Стилі APA, Harvard, Vancouver, ISO та ін.

44

Dobbins, Sharon Rebecca Standley Jayne M. "The effect of group music therapy interventions and individual music therapy interventions on changes in depressive symptoms in elderly persons with dementia in residential facilities." Diss., 2005. http://etd.lib.fsu.edu/theses/available/etd-04292005-171746/.

Повний текст джерела

Анотація:

Thesis (M.M.) Florida State University, 2005.
Advisor: Jayne M. Standley, Florida State University, College of Music. Title and description from dissertation home page (viewed 6-22-07). Document formatted into pages; contains 55 pages. Includes biographical sketch. Includes bibliographical references.

Стилі APA, Harvard, Vancouver, ISO та ін.

45

Rose, Karen M. "The effects of cranial electrical stimulation on sleep disturbances, depressive symptoms, and caregiving appraisal in elderly caregivers of persons with Alzheimer's disease or related dementia /." 2006. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:3218444.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

46

Kao, Pei-Chun, and 高培鈞. "Exploring the association in depressive symptoms, health status and oral functions among elderly by using the dataset from 「Elderly veterans health status long-term follow plan- construction of Shilin, Beitou community veterans and elders depression, suicide and dementia screening and service models」." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/h65tay.

Повний текст джерела

Анотація:

碩士
國立陽明大學
臨床暨社區護理研究所
103
According to population trended to elder society and public health issue has been changed. Elderly health issue has been focus for years, especially psychological issue. As a result, there is a great amount studies pointed out the individual relationship between demographic, health status, oral function and depressive symptom. However, there is short of study to investigate the relationship between demographic, health status, oral function and depressive symptom. So, this study is going to investigate the relationship between demographic, health status, oral function and depressive symptom. The result can use to elderly psychological problem prevention, and proving elderly psychological health. The study is a cross-sectional study, and assessed 955 participants aged 65 years and older, derived from the ‘Elder veteran health status long-term follow plan’ study. Using self-made questionnaire collected demographic, health status and oral function data. Depressive symptom is collected by BSRS-5. Data analysis used Chi-square, univariate logistic regression and multivariate logistic regression. The prevalence of elderly depressive symptom is 9.9%.After controlled demographic data, self-reported health status, self-reported teeth status and self-reported chewing problem are trended to have depressive symptom.

Стилі APA, Harvard, Vancouver, ISO та ін.

47

Zhang, Angela Rong Yang. "At home in a nursing home: on movement and care." Thesis, 2020. http://hdl.handle.net/2440/129650.

Повний текст джерела

Анотація:

This thesis follows the everyday movements of a group of elderly Australians, to critically examine how they came to experience a sense of home while living with bodily and cognitive impairments in a nursing home. In tracing their steps and the minutiae of their day-to-day activities, this research illustrates how nursing home residents experience ‘home’ as a sense of ‘rightness’ of being through doing the most mundane activities of walking, transferring position and eating. Examining care through the lens of home, I analyse how home, bodies and movement are reconfigured through multiple contexts of care. I argue that it is only in constellations of care that produce movements that residents attempt to make, but are unable to make on their own, that the potential to become at home is made possible. Based on 12 months of fieldwork in two nursing homes in metropolitan Adelaide, South Australia, this research attends closely to the sensory extensions (Dennis 2007) and restrictions of residents’ bodies vis-à-vis their engagements with other people and things. From the taste of a home cooked meal, to the touch of staff and family members, medications, handrails, carpeted floors and walking aids, residents’ ageing and declining bodies respond to, and may resist, assistance to walk, stand or eat. Care plans, staff and equipment, as this thesis will show, can also restrain residents’ bodies, inhibiting their movements and their becoming at home. This thesis draws on Deleuze and Guattari’s (1977, 1988) theories of becoming and desiring production to expand Jackson’s notion of home (1995, 2002) and ‘existential imperative’ (2002, p. 14) to propose that home is a matter of becoming-at-home-in-the-world. Key to my argument is how residents experience an innermost drive to move, and in examining how their urge to move is responded to, I demonstrate the multiple and at times contested forces that can propel residents to sit, to stand, or to put one foot ahead of the other. It is through this Deleuzian approach that I detail the multiple persons and things that enact and produce assemblages (Deleuze & Guattari 1988) of care. In so doing, I demonstrate that an ethically responsive care, or the care that was communicated and experienced as ‘right’ by residents, requires tinkering (Mol, Moser & Pols 2010) to achieve a balance between inclusion and autonomy (Rapport 2018). From moment to moment, and day-to-day, as bodies age, decline and eventually die, each resident requires different assemblages of care to move and to become at home. Examining the varieties of experience for nursing home residents through the theoretical lens of becoming at-home-in-the-world, this thesis provides new knowledge about the interrelations between movement and care, and the generative and productive affects of walking, standing and eating in residents’ lives. I argue that this ethnographically informed understanding of the sensibilities and potentialities of movement presents a challenge to clinical constructions of bodily and cognitive impairment and is at odds with aged care discourses and practices that may render the lives of nursing home residents inactive or meaningless and thus further constrain their existential and bodily potentials.
Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2020

Стилі APA, Harvard, Vancouver, ISO та ін.

48

Wang, Ching-Chung, and 王景忠. "NFC for Elderly with Dementia." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/69537319825351582851.

Повний текст джерела

Анотація:

碩士
國立中興大學
資訊科學與工程學系所
102
The problem of population aging is getting worse. However Dementia, a neurodegenerative illness characterized by memory disorders and disorientation, among other symptoms, is more common in the elderly. Dementia patients with memory loss who easily get lost, make the dementia care become very difficult. It also takes huge social cost. NFC (Near Field Communication) is a set of standards for smartphones and similar devices to establish radio communication with each other by putting them together or bringing them into close proximity. NFC is used for contactless transactions and data exchange in a few inches. It could quickly establish the connection between two devices without requiring pairing or acceptance by its owner as like as Bluetooth. In this research, we leverage NFC protocol and NFC tag to develop a dementia assistance system on an Android framework. The NFC tag could be replaced with a dementia bracelet, which contains the dementia patients’ information engraved. Once dementia patients get lost, we can use the NFC device, such as a smart phone, to read the tags which were equipped with patients to recognize the identity of patients. And then we can leverage the feature of Google Map to find the closest police station and convoy dementia patients to the police station. In this system, it also allows patient’s relative and medical personnel to retrieve the patient’s information more easily.

Стилі APA, Harvard, Vancouver, ISO та ін.

49

Yu-HuiChang and 張玉慧. "Spatial planning for elderly people with Dementia." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/ghp2hb.

Повний текст джерела

Анотація:

碩士
國立成功大學
土木工程學系
106
Dementia is a degenerative disease with cognitive dysfunction and emotional problems, which does not deprive one's mobility. A Dementia friendly environment helps to postpone the course of illness, and maximize the patient's freedom of movement. The goal of the space planning for elderly people is to make patients age with dignity, and to reduce the pressure of the caregivers. This research analyzed domestic and international studies relevant to living space for healthy seniors and elderly people with Dementia. And study the behavior of the elderly and people with Dementia. Elders often experience mobility problems, five sences impairment, memory decline, and difficulty in sleeping. Dementia is a group of symptoms associated with impairment of the cognitive ability. Ten principles of residential space design are set according to previous research and the behavior of elders with Dementia. Based on the design principles, the standard of equipment and facilities is set up. The aim of the spatial planning is to examine the inconveniences caused by the physical and mental degradation of the elderly. And provide special space to meet the needs of patients with Dementia. This spatial planning can be the reference of newly built friendly environment for elderly people who have lost their intelligence.

Стилі APA, Harvard, Vancouver, ISO та ін.

50

SHIH, HSIU-CHEN, and 施秀珍. "To Explore the Effect of Recreational Therapy on Behavioral and Psychological Symptoms of Dementia Elders." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/55b339.

Повний текст джерела

Анотація:

碩士
輔仁大學
公共衛生學系碩士班
107
Background: Dementia is with no radical cure. The elderly suffering from dementia show various symptoms in physiological, psychological and social aspects. Their behavioral and psychological symptoms of dementia (BPSDs) may be a heavy burden to their family caregivers. According to the Guidance for Dementia Care, non-pharmacological intervention is preferred, but there is currently no explicit agreement on the effect of non-pharmacological methods. Purpose: This is mainly to explore the effect of Recreational Therapy on the BPSDs of the elderly suffering from dementia. Methods: This is a cross-sectional study. Subjects were recruited from the caregivers of the 183 day care center nationwide. The questionnaire was conducted in an anonymous way. We distributed 366 questionnaires and 148 of retrieved questionnaires were effective (effective response rate: 40%). The questionnaires cover the following scales: needed activities and recreations, efficacy ranking of activities and recreations, frequency of activities and recreations, and efficacy of BPSDs. The Cronbach’s α (resulted from reliability analyses) of the scales of needed activities and recreations, frequency of activities and recreations, and efficacy of BPSDs are 0.917, 0.784 and 0.917, respectively. The measurement of needed activities and recreations is conducted by the 5-point Likert Scale, in which the individual scores are added and the higher total score is, the more efficacy the elderly suffering from dementia feel for their BPSDs. The frequency of activities and recreations is counted by year and the higher the average score is, the more efficacy the elderly suffering from dementia feel for their BPSDs. The measurement of efficacy of BPSDs is conducted by the 5-point Likert Scale, in which the individual scores are added and the higher total score is, the more efficacy the elderly suffering from dementia feel for their BPSDs. Data analysis includes descriptive statistics, t-test, one-way ANOVA, Pearson's product-moment correlation and multiple regression analysis. Results: Most of the subjects are young female caregivers with care experience of no more than two years. These caregivers believed that the Activity and Recreation Adjunctive Therapy are needed for some activities, such as cognitive activities, sensory activities and physical activities. Some BPSDs, such as depression and hypersomnia, might have greater impact on the elderly. The first three effective activities are general exercises, singing and group/past-event-chatting activities. The first three activities of high frequency are physical activity, memory training and art appreciation in a descending order. The Recreational Therapy is slightly positively related with behavioral symptoms of the elderly suffering from dementia, but it has no statistically significant impact on the behavioral symptoms. Conclusion: This study is to realize the needs of the elderly suffering from dementia for their recreational activities and explore the disease development by interviewing the caregivers of the day care center. We believed that the Recreational Therapy is necessary and it may help the elderly in living an enriched life. It is, therefore, of great value for persons, families and our society. Keywords: Dementia, Non-pharmacological Interventions ,Recreational Therapy, Behavioral and Psychological Symptoms of Dementia, Daycare Center

Стилі APA, Harvard, Vancouver, ISO та ін.

Дисертації з теми "Symptons of dementia in elderly"

Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями