FC28-01 - Psychosocial interventions for people with dementia in Irish residential settings: What nurses and health care assistants know, do and want to learn

2011 ◽  
Vol 26 (S2) ◽  
pp. 1971-1971 ◽  
Author(s):  
A. Hunter
Keyword(s):  
Grounded Theory ◽  
Current Practice ◽  
Psychosocial Interventions ◽  
Education Programme ◽  
Limited Resources ◽  
Structured Education ◽  
Training Requirements ◽  
People With Dementia ◽  
And Training

Introduction35.6 million people are living with dementia worldwide. Up to 40% of people with a dementia go into residential care. There is a need to understand PSI practice and training requirements of practioners.ObjectivesInterview and observe stake holders (service users, carers, educationalists and practitioners). Participants were asked to explore their understanding of the value of PSIs. Develop grounded theory to inform the development of a structured education programme for PSIs.AimsIdentify current practice and the potential to develop PSI training. Contribute to a structured education programme. Develop a framework for the implementation of PSIs.MethodsClassical Grounded theory.ResultsDelivery of PSIs is dependent upon the influence of: attributes, experience and education. These factors are affected by the need to be flexible and individual ideas of what is effective. All of these factors are shaped by the need to make the most of limited resources and complete basic physical tasks.ConclusionsA complicated range of influences impact upon the delivery of PSIs. Theory developed indicates that PSI education must address practitioner attitude and emphasise the benefits to staff efficiency and reducing agitation in people with dementia along with improving the quality of life of people with dementia.

scholarly journals Updated meta-review of evidence on support for carers

2018 ◽  
Vol 23 (3) ◽  
pp. 196-207 ◽  
Author(s):  
Jane Dalton ◽  
Sian Thomas ◽  
Melissa Harden ◽  
Alison Eastwood ◽  
Gillian Parker
Keyword(s):  
Mental Health ◽  
Systematic Reviews ◽  
Mental Health Problems ◽  
Psychosocial Support ◽  
Psychosocial Interventions ◽  
Negative Effects ◽  
High Quality ◽  
People With Dementia ◽  
Meta Review

Objective To update a 2010 meta-review of systematic reviews of effective interventions to support carers of ill, disabled, or older adults. In this article, we report the most promising interventions based on the best available evidence. Methods Rapid meta-review of systematic reviews published from January 2009 to 2016. Results Sixty-one systematic reviews were included (27 high quality, 25 medium quality, and nine low quality). The quality of reviews has improved since the original review, but primary studies remain limited in quality and quantity. Fourteen high quality reviews focused on carers of people with dementia, four on carers of those with cancer, four on carers of people with stroke, three on carers of those at the end of life with various conditions, and two on carers of people with mental health problems. Multicomponent interventions featured prominently, emphasizing psychosocial or psychoeducational content, education and training. Improved outcomes for carers were reported for mental health, burden and stress, and wellbeing or quality of life. Negative effects were reported in reviews of respite care. As with earlier work, we found little robust evidence on the cost-effectiveness of reviewed interventions. Conclusions There is no ‘one size fits all’ intervention to support carers. There is potential for effective support in specific groups of carers, such as shared learning, cognitive reframing, meditation, and computer-delivered psychosocial support for carers of people with dementia. For carers of people with cancer, effective support may include psychosocial interventions, art therapy, and counselling. Carers of people with stroke may also benefit from counselling. More good quality, theory-based, primary research is needed.

Snapshot: Alzheimer's Australia pilot of an innovative approach to consumer education and training

2009 ◽  
Vol 21 (S1) ◽  
pp. S69-S71 ◽  
Author(s):  
Phaedra Eayrs
Keyword(s):  
Pilot Project ◽  
Education And Training ◽  
Innovative Approach ◽  
Information Support ◽  
People With Dementia ◽  
Access Information ◽  
Person With Dementia ◽  
Carer Respite ◽  
And Training

ABSTRACTBackground: Enabling the families and carers of people with dementia to access information, support and opportunities for education and training is critical to ensuring that both the carer and person with dementia maintain their quality of life. The Dementia Caring Pilot Project trialed an innovative approach to providing this support through offering tailored activities aimed at enhancing and developing a range of skills, both dementia-specific and life oriented.Method: Alzheimer's Australia worked closely with Commonwealth Carer Respite Centres (CCRCs) across Australia to identify potential participants, and then deliver skills enhancement activities that were suited to their individual needs.Results: Nationally, 47 CCRCs participated in the Project and 324 skills enhancement activities were provided to over 1000 participants.Conclusions: The Project was successful in giving the families and carers of people with dementia the opportunity to express the need for the capabilities they wished to enhance, and to have the opportunity of a flexible service response.

Exploring Current Practice, Knowledge, and Training Needs for Managing Psychosocial Concerns in the Audiology Setting: Perspectives of Audiologists, Audiology Reception Staff, and Managers

2021 ◽  
pp. 1-33
Author(s):  
Rebecca J. Bennett ◽  
India Kelsall-Foreman ◽  
Sara Donaldson ◽  
Michelle Olaithe ◽  
Lisa Saulsman ◽  
...  
Keyword(s):  
Psychosocial Support ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Psychosocial Needs ◽  
Training Requirements ◽  
Psychosocial Concerns ◽  
Convenience Sampling ◽  
Practice Knowledge ◽  
And Training

Purpose The purpose of this study was to explore the current practices and training requirements for supporting clients experiencing psychosocial concerns in the audiology setting, from the perspectives of audiology clinicians, managers, and reception staff. Method Convenience sampling was used to recruit audiologists, reception staff, and clinic managers ( N = 13, M age = 32.2 ± 8.1, range: 25–47 years, 11 female) through a large hearing services provider in Western Australia. A semistructured focus group was used to elicit participant views regarding current experiences relating to clients who express psychosocial concerns in the audiology setting, familiarity with psychosocial interventions, and training requirements for delivery of psychosocial interventions in the audiological setting. Results Twenty-four subthemes were identified across six themes: (1) awareness of psychosocial well-being, (2) the role of others, (3) identifying client's psychosocial needs, (4) managing client's psychosocial needs, (5) barriers to providing psychosocial support, and (6) broadening audiological services to include psychosocial support. Conclusions Participants reported an awareness of their clients' psychosocial challenges within the audiology setting, yet they described uncertainty in how best to respond in providing support and whether this was within their scope of practice. A majority of audiology staff expressed desire and motivation to broaden the scope of their service in order to better address their clients' hearing loss–related psychosocial needs.

Dementia specialist care units

2017 ◽  
pp. 281-286
Author(s):  
Rebecca Palm ◽  
Sabine Bartholomeyczik
Keyword(s):  
Nursing Homes ◽  
Psychosocial Care ◽  
Specialist Care ◽  
Term Care ◽  
Active Involvement ◽  
Care Services ◽  
People With Dementia ◽  
And Training

Dementia specialist care units (DSCUs) provide care for people with dementia and severe challenging behaviour who live in nursing homes. They are an alternative care setting within traditional nursing homes. By providing certain physical design features, employing staff with additional dementia expertise and training, enhancing psychosocial care, and focusing on the active involvement of families, these units aim to improve the quality of life of people with dementia and their families. However, research has not demonstrated a clear benefit of DSCUs for people with dementia to date. Nevertheless, they are regarded as an essential pillar of dementia long-term care services and are a topic of several national dementia strategies.

Economics of dementia: A review of methods

Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1426-1440 ◽  
Author(s):  
Sheelah Connolly
Keyword(s):  
Economic Evaluation ◽  
Economic Analysis ◽  
Cost Of Illness ◽  
Limited Resources ◽  
Methodological Issues ◽  
The Past ◽  
People With Dementia ◽  
Economic Methods ◽  
Expected Increase

Given the expected increase in the number of people with dementia in the coming years, it is anticipated that the resources necessary to support those with dementia will significantly increase. There will therefore likely be increased emphasis on how best to use limited resources across a number of domains including prevention, diagnosis, treatment and supporting informal caregivers. There has been increasing use of economic methods in dementia in the past number of years, in particular, cost-of-illness analysis and economic evaluation. This paper reviews the aforementioned methods and identities a number of methodological issues that require development. Addressing these methodological issues will enhance the quality of economic analysis in dementia and provide some useful insights about the best use of limited resources for dementia.

scholarly journals Improving quality of life for people with dementia in care homes: making psychosocial interventions work

2012 ◽  
Vol 201 (5) ◽  
pp. 344-351 ◽  
Author(s):  
Vanessa Lawrence ◽  
Jane Fossey ◽  
Clive Ballard ◽  
Esme Moniz-Cook ◽  
Joanna Murray
Keyword(s):  
Psychosocial Interventions ◽  
Care Homes ◽  
Successful Implementation ◽  
Clinical Settings ◽  
Active Engagement ◽  
Staff Time ◽  
Tailored Interventions ◽  
Widespread Implementation ◽  
People With Dementia

BackgroundPsychosocial interventions can improve behaviour and mood in people with dementia, but it is unclear how to maximise their effectiveness or acceptability in residential settings.AimsTo understand what underlies the successful implementation of psychosocial interventions in care homes.MethodSystematic review and meta-synthesis of qualitative research.ResultsThe synthesis of 39 qualitative papers revealed that beneficial psychosocial interventions met the needs of people with dementia to connect with others, make a meaningful contribution and reminisce. Successful implementation rested on the active engagement of staff and family and the continuing provision of tailored interventions and support. This necessitated staff time, and raised issues around priorities and risk, but ultimately helped redefine staff attitudes towards residents and the caregiving role.ConclusionsThe findings from the meta-synthesis can help to inform the development and evaluation of psychosocial interventions in care homes and support their widespread implementation in clinical settings.

Sign in / Sign up

Export Citation Format

Share Document