Neuropsychiatric symptoms and syndromes in institutionalized elderly people without dementia

2010 ◽  
Vol 23 (3) ◽  
pp. 425-434 ◽  
Author(s):  
Luca Cravello ◽  
Katie Palmer ◽  
Giovanni de Girolamo ◽  
Carlo Caltagirone ◽  
Gianfranco Spalletta
Keyword(s):  
Older People ◽  
Elderly People ◽  
Motor Behavior ◽  
Neuropsychiatric Symptoms ◽  
Behavioral Syndromes ◽  
Night Time ◽  
Adequate Treatment ◽  
Institutionalized Elderly ◽  
People With Dementia ◽  
Psychiatric Disturbances

ABSTRACTBackground: Neuropsychiatric disorders are mainly studied in people with dementia but estimates are still not available for institutionalized elderly people without dementia. The aim of this work was to investigate neuropsychiatric syndromes in non-demented elderly people living in residential facilities (RFs).Methods: Data from the PROGRES-Older people project, including 95 RFs in Italy, were analyzed. From a total of 1215 people, 252 without dementia were recruited. Behavioral syndromes were identified using both factor and cluster analysis of results from the 12-item Neuropsychiatric Inventory. Logistic regression was used to assess factors associated with behavioral syndromes. Global cognitive functioning was assessed with the Mini-mental State Examination (MMSE). Current pharmacological treatments were taken from the residents’ records.Results: Five neuropsychiatric syndromes were identified: (1) Affective (depression, anxiety, night-time behaviors); (2) Hyperactive (agitation, irritability, appetite abnormalities); (3) Psychotic (delusions and hallucinations); (4) Manic (euphoria and disinhibition); (5) Apathetic (apathy and aberrant motor behavior). The risk of having a neuropsychiatric syndrome was higher in people with younger age (OR: 5.1, 1.3–20.0), higher education (OR: 7.3, 2.4–22.1), and low MMSE score (OR: 6.5, 1.9–22.2). Almost half of people with behavioral syndromes were not undergoing psychotropic treatment. Hypnotic and anxiolytic agents were the most frequently used drugs for most of the syndromes.Conclusions: Older people without dementia living in RFs exhibit a syndrome pattern of neuropsychiatric behaviors different from those observed in patients with dementia, which are associated with cognitive and sociodemographic characteristics. A large proportion of non-demented older people with neuropsychiatric syndromes are not having adequate treatment for their psychiatric disturbances.

The Relationship Between Antioxidant Nutrient Intake and Cataracts in Older People

2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  
Keyword(s):  
Vitamin C ◽  
Older People ◽  
Dietary Intake ◽  
Protective Effect ◽  
Elderly People ◽  
Nutrient Intake ◽  
Institutionalized Elderly ◽  
Weighing Method ◽  
The Relationship

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.

Older people dying with dementia: a nationwide study

2012 ◽  
Vol 24 (10) ◽  
pp. 1581-1591 ◽  
Author(s):  
Koen Meeussen ◽  
Lieve Van den Block ◽  
Michael Echteld ◽  
Nicole Boffin ◽  
Johan Bilsen ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
Elderly People ◽  
Cognitive Abilities ◽  
End Of Life Care ◽  
Large Scale ◽  
Care Home ◽  
Life Care ◽  
Early Palliative Care ◽  
People With Dementia

ABSTRACTBackground: Large-scale nationwide data describing the end-of-life characteristics of older people with dementia are lacking. This paper describes the dying process and end-of-life care provided to elderly people with mild or severe dementia in Belgium. It compares with elderly people dying without dementia.Methods: A nationwide retrospective mortality study was conducted, via representative network of general practitioners (GPs) in 2008 in Belgium, with weekly registration of all deaths (aged ≥ 65) using a standardized form. GPs reported on diagnosis and severity of dementia, aspects of end-of-life care and communication, and on the last week of life in terms of symptoms that caused distress as judged by the GP, and the patients’ physical and cognitive abilities.Results: Thirty-one percent of our sample (1,108 deaths) had dementia (43% mildly, 57% severely). Of those, 26% died suddenly, 59% in care home, and 74% received palliative treatment, versus 37%, 19%, and 55% in people without dementia. GP–patient conversations were less frequent among those with (45%) than those without (73%) dementia, and 11% of both groups had a proxy decision-maker. During the last week of life, physical and psychological distress was common in both groups. Of older people with dementia, 83% were incapable of decision-making and 83% were bedridden; both significantly higher percentages than found in the group without dementia (24% and 52%).Conclusions: Several areas of end-of-life care provision could be improved. Early communication and exploration of wishes and appointment of proxy decision-makers are important components of an early palliative care approach which appears to be initiated too infrequently.

Sexuality Among Institutionalized Elderly Patients with Dementia

1999 ◽  
Vol 6 (2) ◽  
pp. 144-149 ◽  
Author(s):  
M Ehrenfeld ◽  
G Bronner ◽  
N Tabak ◽  
R Alpert ◽  
R Bergman
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Care Staff ◽  
Health Care Staff ◽  
Institutionalized Elderly ◽  
Mostly Heterosexual ◽  
Continued Education ◽  
People With Dementia ◽  
The Subject ◽  
Common Misconceptions

The subject of sexuality among elderly patients with dementia was examined, focusing on two main aspects: the sexual behaviour of institutionalized elderly people with dementia; and the reactions of other patients, staff and family members to this behaviour. The behaviour was found to be mostly heterosexual and ranged from love and caring to romance and outright eroticism. Reactions varied, being accepting of love and care but often objecting to erotic behaviour. Understanding of the sexual needs of elderly people should become an integral part of the training and continued education of health care staff, thus helping to resolve conflicts and clarify common misconceptions.

scholarly journals Institutionalized elderly people with dementia: an integrative review on nursing care

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Josiane Steil Siewert ◽  
Angela Maria Alvarez ◽  
Silvia Maria Azevedo dos Santos ◽  
Fabiana Almeida Brito ◽  
Karina Silveira de Almeida Hammerschmidt
Keyword(s):  
Elderly People ◽  
Nursing Care ◽  
Elderly Care ◽  
The Elderly ◽  
Integrative Review ◽  
Care Process ◽  
Institutionalized Elderly ◽  
People With Dementia ◽  
Nursing Team ◽  
Proper Training

ABSTRACT Objective: To ascertain the characteristics of the nursing care provided to institutionalized elderly people with dementia. Methods: Integrative review of studies published between 2013 and 2017, in English, Spanish, and Portuguese, from the databases BDENF, LILACS, CINAHL, PubMed, SciELO, TRIP, and National Guideline Clearing House. Thematic data analysis was used. Results: From the data collected in the 41 included studies, three themes emerged: Care with a focus on the needs of elderly people in LTCIEs; Care based on the work process of the nursing team; and Shared care. Final considerations: Elderly care can take place from different perspectives: that of the elderly; the nursing team; and it can be shared among the different parties involved. The importance of communication must be stressed, as do the development of skills and attitudes of the team, as well as proper training and support, good environment in the care process, and an approach centered on the institutionalized elderly.

scholarly journals Effects of Multisensory Stimulation on a Sample of Institutionalized Elderly People With Dementia Diagnosis

2014 ◽  
Vol 29 (5) ◽  
pp. 463-473 ◽  
Author(s):  
Ana Maseda ◽  
Alba Sánchez ◽  
Mª Pilar Marante ◽  
Isabel González-Abraldes ◽  
Ana Buján ◽  
...  
Keyword(s):  
Elderly People ◽  
Dementia Diagnosis ◽  
Institutionalized Elderly ◽  
Multisensory Stimulation ◽  
People With Dementia

scholarly journals Blood pressure, antihypertensive medication and neuropsychiatric symptoms in older people with dementia: The COSMOS study

2020 ◽  
Vol 36 (1) ◽  
pp. 46-53
Author(s):  
Bianca E. M. Jong‐Schmit ◽  
Rosalinde K. E. Poortvliet ◽  
Stefan Böhringer ◽  
Jonathan M. K. Bogaerts ◽  
Wilco P. Achterberg ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older People ◽  
Antihypertensive Medication ◽  
Neuropsychiatric Symptoms ◽  
People With Dementia

scholarly journals Application of cognitive stimulation in the care of institutionalized elderly people with dementia / Aplicação da estimulação cognitiva no cuidado ao idoso institucionalizado com demência

2021 ◽  
Vol 13 ◽  
pp. 1044-1052
Author(s):  
Neyce de Matos Nascimento Matos Nascimento ◽  
Rafaella Queiroga Souto ◽  
Gleicy Karine Nascimento de Araújo Nascimento Araújo ◽  
Renata Clemente dos Santos Clemente Santos
Keyword(s):  
Mixed Methods ◽  
Elderly People ◽  
Cognitive Stimulation ◽  
Institutionalized Elderly ◽  
People With Dementia ◽  
Appraisal Tool

Objetivo: identificar as evidências científicas sobre os cuidados de enfermagem aos idosos institucionalizados com demência. Método: trata-se de uma revisão integrativa da literatura, com a utilização da estratégia PICo. Foram incluídos estudos publicados no intervalo de 2009 a 2018, nas bases de dados LILACS, CINAHL, a MEDLINE e a SCOPUS. Os artigos tiveram sua análise de qualidade realizada a partir do instrumento Mixed Methods Appraisal Tool. Resultado: de 6.144 textos inicialmente obtidos foram selecionados 7 artigos, sendo 54% publicados em 2010 e 14% no ano de 2016. As intervenções identificadas estão relacionadas à prática de atividades físicas e de estimulação cognitiva, as quais demonstram ser bastante positivas no cuidado ao idoso com demência, pois permite estimular funções cerebrais ainda preservadas, promovendo uma melhora na sua qualidade de vida. Conclusão: a maioria das intervenções identificadas podem ser aplicadas pela equipe multiprofissional e podem ser associadas, quando necessário, aos recursos farmacológicos.

scholarly journals Association of brain amyloidosis with the incidence and frequency of neuropsychiatric symptoms in ADNI: a multisite observational cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031947 ◽  
Author(s):  
Naira Goukasian ◽  
Kristy S. Hwang ◽  
Tamineh Romero ◽  
Jonathan Grotts ◽  
Triet M. Do ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Motor Behavior ◽  
Neuropsychiatric Symptoms ◽  
Amyloid Pet ◽  
Neuropsychiatric Inventory ◽  
Night Time ◽  
Survival Analyses ◽  
Exact Test ◽  
Amyloid Pathology

ObjectiveTo investigate the relationship between amyloid burden and frequency of existing and incidence of new neuropsychiatric symptoms (NPS) in elderly with and without cognitive decline.Methods275 cognitively normal controls (NC), 100 subjective memory complaint (SMC), 559 mild cognitive impairment (MCI) and 143 Alzheimer’s disease dementia subjects from the Alzheimer’s Disease Neuroimaging Initiative received (18F)-florbetapir positron emission tomography (PET) scans. Yearly neuropsychiatric inventory (Neuropsychiatric Inventory (NPI)/NPI-Questionnaire) data were collected from the study partners at each visit. Mean standard uptake volume ratios (SUVR) normalised to whole cerebellum were obtained. Positive amyloid PET scan was defined as mean SUVR ≥1.17. Fisher’s exact test was used to compare frequency and incidence between amyloid positive and amyloid negative subjects. Survival analyses were used to estimate of neuropsychiatric symptoms (NPS) between amyloid positive and amyloid negative subjects. Survival analyses were used to estimate hazard ratios for developing the most common NPS by amyloid status.ResultsNo differences in NPS frequency were seen between amyloid positive and amyloid negative NC, SMC, MCI or dementia groups. MCI subjects with amyloid pathology however tended to have greater frequency x severity (FxS) of anxiety, hallucinations, delusions, apathy, disinhibition, irritability, aberrant motor behavior, and appetite, but not agitation, depression, night-time disturbances, or elation. MCI subjects with amyloid pathology were at greater risk for developing apathy, anxiety and agitation over time. Baseline presence of agitation and apathy and new onset agitation, irritability and apathy predicted faster conversion to dementia among MCI subjects.ConclusionsAmyloid pathology is associated with greater rate of development of new NPS in MCI. Anxiety and delusions are significant predictors of amyloid pathology. Agitation, irritability and apathy are significant predictors for conversion from MCI to dementia.

Sign in / Sign up

Export Citation Format

Share Document