To examine the association between hearing aids (HAs) and time to diagnosis of Alzheimer disease (AD) or dementia, anxiety or depression, and injurious falls among adults, aged 66 years and older, within 3 years of hearing loss (HL) diagnosis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To investigate the presence of cerebral amyloidopathy and its associations with performances on neurocognitive tests and clinical features in depressed elders with mild cognitive impairment (MCI).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Memory complaints are a common concern for older adults and may co‐occur with anxiety symptoms. Although both memory complaints and anxiety are associated with heightened cognitive decline risk, little is known about how these symptoms develop over time. The purpose of this study was to examine the differential concurrent and longitudinal relationships among anxiety symptoms and two types of memory complaints in cognitively intact older adults.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Free access. Cognitive impairment is underdiagnosed in primary care. Understanding factors that precipitate memory‐related discussion could inform strategies to improve diagnosis and counseling. We assessed whether: 1) having a cognitive impairment or dementia diagnosis, 2) ratings of cognition by clinicians, or 3) ratings of cognition by family companions were associated with memory‐related discussion during primary care visits.
Free access. This study was conducted to estimate prevalence rates and factors associated with depressive symptoms indexed by the Centre for Epidemiological Studies‐Depression (CES‐D‐10) score in a large sample of community‐dwelling healthy older adults from Australia and the United States. Convergent and divergent validity of the CES‐D‐10 were also examined.
Dementia affects a person’s ability and desire to eat and drink to meet their nutritional requirements. This article identifies problems associated with nutritional status in people living with dementia and outlines the effectiveness of interventions to counteract the negative effects on nutritional status. To read the full article, log in using your MPFT NHS OpenAthens details.
As the UK's older population continues to rise, the more likely it is for practice nurses to encounter patients living with Alzheimer's and frailty. Kirsty Smith and Sophie Wallington explore the definitions and models of frailty available in medical literature. To read the full article, log in using your MPFT NHS OpenAthens details.
Implications for practice and research:
>Older adults living with Alzheimer’s disease (AD) respond best to patient-centred care that values and affirms personhood and maintains the ‘self’.
>Research to examine perceptions and attitudes of professional care staff towards AD in older adults may provide insight into pre-existing quality of life (QOL) biases. To read the full article, log in using your NHS OpenAthens details.
A tool to help staff understand the management of pain in dementia care comprises four simple steps to recognise pain and treat it effectively. To read the full article, log in using your MPFT NHS OpenAthens details.
This article considers to what extent a person with dementia can maintain their sense of self and identity following diagnosis of dementia. The authors discuss identity in the context of dementia and illustrate this through the use of a hypothesised case study of a woman with a diagnosis of dementia. Theories and approaches that recognise and maintain identity and presentation of self, within the context of dress and accessories, and interactions with others, are discussed. To read the full article, log in using your MPFT NHS OpenAthens details.
Hearing loss (HL) is the third most common chronic health condition in older adults, yet it is often undiagnosed and/or untreated. Given the association between HL and cognitive impairment, it is expected that many people undergoing cognitive screening may have HL. The Montreal Cognitive Assessment (MoCA) is a brief screening test that assesses a wide range of cognitive functions sensitive to Alzheimer's disease (AD) and mild cognitive impairment (MCI). Although MoCA items were carefully designed to be sensitive to deficits in MCI, they were not designed to take sensory declines into account. In the current investigation, we examined the MoCA's psychometric properties following omission of subtests primarily dependent on hearing status (memory, digit span, attention to letters, and sentence repetition).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Fear of falling (FoF) may be an early marker of decline in global cognitive functioning, but associations with specific domains of cognitive functioning are unclear. The aim was to examine associations between FoF and 4‐year decline in memory, processing speed and executive functioning in adults aged 50 years and older.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Apathy is pervasive neuropsychiatric syndrome in people with neurocognitive and psychiatric disorders. The diagnostic criteria for apathy (DCA) have been revised in 2018.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Injuries caused by falling are a major health concern among older population. For older people, falls are the leading cause of head injuries; especially, persons with cognitive disorders have an increased risk of falling. Objective: To compare the incidence of head injury and traumatic brain injury (TBI) among persons with Alzheimer’s disease (AD) with persons without AD. To read the full article, log in using your NHS OpenAthens details.
To determine if poorer healthcare and financial decision making forecasts adverse cognitive outcomes in old age. Specifically, we hypothesized that poorer decision making would be associated with an increased risk of incident Alzheimer's dementia, an increased risk of incident mild cognitive impairment (MCI), and a more rapid decline in cognition.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for research and practice:
> Active pain treatment improves sleep in people with dementia and depression.
> This study paves the way for improved methods; these results should be used as the basis for further exploration of this important issue.
> Future studies should include subjective evaluation of the benefits of pain treatment on sleep and explore improvements in related areas such as day-time functioning and falls. To read the full article, log in using your NHS OpenAthens details
In response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.. To read the full article, log in using your MPFT NHS OpenAthens details.
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
The aim of the study was to evaluate the extent to which the practices of NHS services in Scotland for people with an intellectual disability and dementia are consistent with a range of quality indicators that cover screening, assessment and intervention. To read the full article, log in using your MPFT NHS OpenAthens details.
Cognitive decline has been associated with and accepted as a consequence of ageing. Diets such as the Mediterranean diet have been investigated for their effect on abating cognitive decline. However, diet is not the only aspect of the Mediterranean life that may play a role – social interaction and cultural engagement may also be influential in preserving cognitive function through the ageing process. To read the full article, log in using your MPFT NHS OpenAthens details.
Aim: To investigate the quality of life (QoL) and well-being of people living with advanced dementia in care homes. To read the full article, log in using your MPFT NHS OpenAthens details.
Sexual minority discrimination might lead to a higher risk of mild cognitive impairment (MCI) and dementia. The aim of this study was to assess the risk of MCI and dementia between older adults in same‐sex relationships (SSR) and opposite‐sex relationships (OSR).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
There are a number of recent studies that demonstrate dementia as being preventable in around 30% of all cases, through the control of modifiable risk factors, such as obesity, diabetes, alcohol consumption, high blood pressure and smoking (e.g. Livingston et al, 2017). Frankish and Horton (2017) estimate that delaying the onset of dementia by just 1 year could reduce its prevalence by 11% by 2050. To read the full article, log in using your MPFT NHS OpenAthens details.
A Lancet report on the risk factors of dementia stated that hearing loss in midlife is the highest modifiable risk factor for the later onset of dementia (Livingston et al, 2017). The report is welcomed as a reminder that managing hearing loss earlier could hold back this contributing factor to dementia in later life. To read the full article, log in using your MPFT NHS OpenAthens details.
Although many studies explored the relationship between executive functions (EF) and activities of daily living (ADLs) in cognitive disorders, previous studies used measurements without well‐defined levels of ADLs. This study explored the relationship between EF and the threefold classification of everyday functioning; basic or b‐, instrumental or i‐, and advanced or a‐ADLs, and examined how EF account for the variance in this triad of everyday functioning.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Objective To explore the experiences of healthcare professionals working in falls prevention and memory assessment services in providing assessments and interventions for falls risk reduction in people with dementia. Open Access Article
Obstructive sleep apnea (OSA) has been linked to an increased risk for Alzheimer's disease (AD), but little prospective evidence exists on the effects of OSA treatment in preclinical AD. The objective was to determine if continuous positive airway pressure (CPAP) treatment adherence, controlling for baseline differences, predicts cognitive and everyday function after 1 year in older adults with mild cognitive impairment (MCI) and to determine effect sizes for a larger trial.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Modifiable lifestyle risk factors are of great interest in the prevention and management of Alzheimer's disease (AD). Loneliness and social networks may influence onset of AD, but little is known about this relationship in people with AD. The current study aimed to explore the relationship between loneliness and social networks (social measures) and cognitive and psychopathology decline (AD outcomes) in people with AD.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
How nurses can support those experiencing memory loss or isolation whose life experience differs so much from others their age
For older lesbian, gay, bisexual and trans (LGBT) people who have memory loss, being asked about their past can sometimes cause anxiety, triggering painful recollections. Nurses working with this group of patients can benefit from understanding the issue and knowing how best to handle this situation. To read the full article, log in using your MPFT NHS OpenAthens details.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
People should look out for signs of depression and dementia among older family members and friends over Christmas, NHS England expert Professor Alistair Burns urged today.
Problems that may have been hidden can come to the surface or be easier to spot as families or friends get together over the festive season, Prof Burns said.
Depression should not be written off as inevitable in old age and can be treated effectively. Emotional changes can also be the first indication that someone has dementia.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
Implications for research and practice:
> Active pain treatment improves sleep in people with dementia and depression.
> This study paves the way for improved methods; these results should be used as the basis for further exploration of this important issue.
> Future studies should include subjective evaluation of the benefits of pain treatment on sleep and explore improvements in related areas such as day-time functioning and falls. To read the full article, log in using your NHS OpenAthens details
In this overview we discuss the palliative psychiatric care of older people towards the end of life. We briefly consider ethics, dementia care, delirium, depression, anxiety, grief and physician-assisted suicide. We also discuss hope, dignity, spirituality and existentialism. We hope that this article will encourage clinicians to reflect on the effects of terminal illnesses on the mental health of dying people and the current provision of palliative psychiatric care. . To read the full article, log in using your MPFT NHS OpenAthens details.
Depression and cardiometabolic abnormalities are independently associated with a high risk of dementia. This study aimed to examine the association of comorbid depressive symptoms and cardiometabolic abnormalities with risk of dementia.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting.
Open access. The aim of this study was to examine neuropsychiatric symptom (NPS) factor severity progression over time in empirically derived (ED) mild cognitive impairment (MCI) subtypes.. To read the full article, log in using your MPFT NHS OpenAthens details.
Supportive interventions for people with dementia, and their families and carers
Anxiety is a natural human response to stress and can be experienced in many different ways. However, feelings of unease or fear can become so intense they can be difficult to control and can affect day-to-day life. To read the full article, log in using your MPFT NHS OpenAthens details.
- Quick access to the Royal Marsden online via the library website homepage: library.sssft.nhs.uk
- Sign-in using your Open Athens username and password (if you don't yet have an Open Athens account, register at: openathens.nice.org.uk)
- Do a quick keyword search of all procedures
- Browse all chapters, clinical procedures and illustrations
- View custom MPFT procedures including: infection control skin preparation, medicines management.
Treatment for hypertension to target blood pressure in community-dwelling African–Americans aged over 65 was associated with a reduced incidence of all-cause dementia.
This study provides further suggestion that lower blood pressure in late middle-age is associated with a reduced risk of developing dementia in later life. To read the full article, log in using your NHS OpenAthens details.
We're expanding our Be Aware updates and want to know what physical health topics you'd like to keep updated on. Let us know your ideas by replying to this email with 'physical health topics' followed by your suggestions
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum..... The competency addressed in this article is an understanding of how to develop an intervention for people with mild cognitive impairment and dementia to promote their independence, stability, and physical activity. To read the full article, log in using your NHS OpenAthens details.
This review provides a broad overview of the effectiveness of interventions for subjective cognitive decline (SCD) in improving psychological well-being, metacognition and objective cognitive performance. Open Access Article
. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The editorial presented here aims to complement the importance of the research carried out by Chiu Ming-Jang et al.’s Diagnostic accuracy of instrumental Activities of daily Living for dementia in community-dwelling older adults [1]. This study shows how the functional evaluation in instrumental activities of daily living, and consequently with the use of scales of functional assessment in instrumental activities of daily living, can help to obtain a clinical orientation as a result of the evolution towards a dementia, similar to that obtained with a cognitive evaluation.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To investigate which of two sources of information about an older adult’s wishes—choices made in an advance directive or proxy’s opinion—provides better insight into the older adult’s preferences measured in hypothetical clinical situations involving decisional incapacity.. To read the full article, log in using your NHS OpenAthens details.
Neuropsychology Vol. 32, Iss. 4, (May 2018): 450-460.
Objective: This study examines the relative utility of a particular class of noninvasive functional biomarkers—sensory functions—for detecting those at risk of cognitive decline and impairment. Three central research objectives were examined including whether (a) olfactory function, vision, and audition exhibited significant longitudinal declines in nondemented older adults; (b) multiwave change for these sensory function indicators predicted risk of mild cognitive impairment (MCI); and (c) change within persons for each sensory measure shared dynamic time-varying associations with within-person change in cognitive functioning.. To read the full article, log in using your NHS OpenAthens details.
Psychology and Aging Vol. 33, Iss. 3, (May 2018): 448-460.
A growing body of research has examined whether people’s judgments of their own memory functioning accurately reflect their memory performance at cross-section and over time. Relatively less is known about whether these judgments are specifically based on memory performance, or reflect general cognitive change. The aim of the present study was to examine longitudinal associations of subjective memory with performance in tests of episodic memory and a wide range of other cognitive tests, including the Wechsler Adult Intelligence Scale—Revised (WAIS–R) Block Design, Comprehension, Digit Span, Digit Symbol, and Vocabulary subtests.. To read the full article, log in using your NHS OpenAthens details.
Delirium is an acute clinical emergency that requires prompt clinical intervention. A predisposing factor for delirium is dementia, and delirium may highlight the vulnerability of a patient to developing dementia. However, delirium also occurs during an acute illness in patients diagnosed with dementia; this is classified as delirium superimposed on dementia. This complex interplay of both dementia syndromes and the condition of delirium has been extensively studied. However, delirium continues to be under-recognised in the acute setting, which impacts negatively on patient outcomes.
To read the full article, log in using your NHS OpenAthens details.