How do people with dementia respond to different types of art? An explorative study into interactive museum programs

2018 ◽  
Vol 31 (06) ◽  
pp. 857-868 ◽  
Author(s):  
I. Hendriks ◽  
F. J. M. Meiland ◽  
K. Slotwinska ◽  
R. Kroeze ◽  
H. Weinstein ◽  
...  
Keyword(s):  
Cognitive Impairments ◽  
Target Group ◽  
Cross Sectional ◽  
Art Programs ◽  
People With Dementia ◽  
Study Results ◽  
Different Types ◽  
Museum Programs ◽  
Severity Of Dementia ◽  
Museum Tour

ABSTRACTObjectives:Various art programs are available for people with dementia. These have been shown to contribute to the patient’s quality of life. But are all types of art suitable for this purpose and for the target group? This study investigated whether responsiveness during museum programs depends on the type of art work shown and/or characteristics of the person with dementia, such as severity of dementia or specific cognitive impairments.Method:A cross-sectional observational study was conducted in which the responsiveness of people with dementia to different types of art was investigated as part of a study into the implementation of the Unforgettable program, an interactive guided museum tour program in Dutch museums for people with dementia.Results:The appreciative and active responsiveness and interaction with others during the program appeared related to the severity of dementia, to specific cognitive impairments, and to type of artworks. People with more severe dementia responded less to art than people with mild dementia. Artworks with more natural elements revealed less interaction with others. Artifacts (i.e., objects not originally meant as artworks) evoked more reactions than artworks.Conclusion:The study results are important to take into account when designing and offering art programs for people with dementia. Knowing which type of art works appeals most to (subgroups of) people with dementia will contribute to the optimization of art programs for this target group and to their active participation in such programs.

scholarly journals A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

2020 ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract BackgroundDementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ dementia knowledge, attitudes and care approach in China.Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to examine students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey.ResultsThe number of medical and nursing students completing the survey was 526 and 467 respectively. Students’ overall knowledge about dementia was poor, but attitudes were generally positive. The overall mean score of students’ dementia knowledge examined by the ADKS was 19.49 (SD=2.82) out of 30, students’ attitudes to dementia was 29.92(SD=3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD=2.20) out of 13. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). Students would not apply a person-centred care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students.Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

scholarly journals A comparative study of dementia knowledge, attitudes and perception of  care approach among Chinese nursing and medical students

2020 ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract Background Dementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ knowledge, attitudes and care approach of dementia in China. Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (AKDS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to measure students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey. Results The number of medical and nursing students completing the survey was 526 and 467 respectively. The overall mean score of students’ dementia knowledge measured by the ADKS was 19.49 (SD=2.82) out of 30, students’ attitudes to dementia was 29.92(SD=3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD=2.20) out of 13. Students’ overall knowledge towards dementia was poor and the attitudes were generally positive. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). Students would not apply a person-centered care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students. Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

scholarly journals GALL STONES;

2018 ◽  
Vol 21 (02) ◽  
pp. 386-390
Author(s):  
Alina Saqib ◽  
Saeed Sattar Shaikh ◽  
Jawad Mumtaz Sodhar
Keyword(s):  
Biochemical Analysis ◽  
Gall Stone ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gall Stones ◽  
Female Predominance ◽  
Study Results ◽  
Different Types ◽  
The Mean

Objectives: Recognition of various gall stones in the patients attending surgicalOPD by biochemical analysis of gall stones. Study design: Cross sectional study. Place &duration of study: ISRA Hospital, Hyderabad and Institute of Biochemistry Sindh UniversityJamshoro. Duration of study was 18 months. Methods: Cases were patients with gall stones whowere diagnosed on ultrasonography. Gall stone analysis was done from Institute of BiochemistrySindh University Jamshoro. A total of sixty nine subjects were included in the study. Results: Inthe present study the mean Age was 35.81+ 8.12 years. Frequencies in different age groups are15-24 (11.60%), 25-34 (24.64%), 35-44 (53.63%), 45-54 (8.69%), 55-64 (01.45%). Age distributionis shown in Graph III-1. In the present study 49(71.0%) were females and 20(29%) were maleswith the female to male ration of 2.45:1. gender distribution is shown in Graph III-2. In the presentfrequencies of different types of gall stones was, cholesterol stones 38(55.07%), pigmentedstones 20(28.99%) and mixed type of stones 11(15.94%). Frequencies of different types of gallstones is shown in Graph III-3. Conclusions: In our study the frequency of cholesterol gall stoneis more as compared to pigmented and mixed gall stones. A total of 55.07% of cholesterolgallstones were found in our study with the female predominance.

scholarly journals A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract Background Dementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ dementia knowledge, attitudes and care approach in China. Methods A cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS) and Approach to Advanced Dementia Care Questionnaire (ADCQ), were used to examine students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey. Results The number of medical and nursing students completing the survey was 526 and 467 respectively. Students’ overall knowledge about dementia was poor, but attitudes were generally positive. The overall mean score of students’ dementia knowledge examined by the ADKS was 19.49 (SD = 2.82) out of 30, students’ attitudes to dementia was 29.92(SD = 3.35) out of 40, and students’ person-centred care approach of dementia was 5.42 (SD = 2.20) out of 13. Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p < 0.05). Students would not apply a person-centred care approach. There were no statistically significant differences in the mean scores of ADCQ between nursing students and medical students. Conclusions Study results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

scholarly journals Antipsychotics in people with dementia: frequency of use and rationale for prescribing in a UK mental health service

2012 ◽  
Vol 36 (5) ◽  
pp. 165-169 ◽  
Author(s):  
Monica Crugel ◽  
Gilly Paton ◽  
Pratima Singh ◽  
Regina Jeboda ◽  
Adrian Treloar
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Psychotic Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Frequency Of Use ◽  
Clinical Records ◽  
Severity Of Dementia ◽  
Challenging Behaviours

Aims and methodTo determine how often and why antipsychotic medicines are prescribed to people with dementia. A cross-sectional survey of all clinical records was conducted in one National Health Service mental health trust.ResultsOf 946 people with dementia in the trust, 186 (20%) were prescribed an antipsychotic. Prevalence increased with the severity of dementia. The most common indication for initiating treatment was agitation/distress (70%), followed by verbal aggression (45%), psychotic symptoms (44%) and physical aggression (33%). The mean number of indications per patient was 2.6. In 58% of cases, the antipsychotic had been prescribed for more than a year, and a third of patients had not been reviewed in the past 6 months.Clinical implicationsPeople with dementia who are prescribed antipsychotic drugs generally display a range of challenging behaviours, but most notably are distressed. Systems for ongoing clinical review need improvement.

Relationship Between Quality of Life of People with Dementia and Their Caregivers in Indonesia

2021 ◽  
pp. 1-10
Author(s):  
Martina Wiwie S. Nasrun ◽  
Profitasari Kusumaningrum ◽  
Petrin Redayani ◽  
Hasya Layalia Lahino ◽  
Fithriani Salma Mardhiyah ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Strong Correlation ◽  
Elderly Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
People With Dementia ◽  
Care Improvement ◽  
Severity Of Dementia ◽  
The Relationship

Background: Caregivers, as one of the most important roles in caring for a person with dementia, have a challenging task. Therefore, maintaining the quality of life (QoL) of caregivers is an integral part of dementia care. Objective: To explore the relationship between the QoL of people with dementia and their caregivers in Indonesia. Methods: This is a cross-sectional study using binary correlations to analyze the relationship between people with dementia and caregivers’ QoL. Conducted in Cipto Mangunkusumo Hospital in Jakarta, the subjects were 42 people diagnosed with dementia according to the PPDGJ-III (adapted from the ICD 10) and 42 primary caregivers with at least 6 hours duration of caregiving per day. The QoL of people with dementia was measured by EuroQol-5D and VAS EQ-5D, while severity of dementia was measured by MMSE. Caregivers underwent an interview using WHO Quality of Life Instrument (WHOQOL-BREF) and NPI. Results: Most caregivers were women, aged 40–70 years old. The study found caregivers’ QoL environmental domain strongly correlated with people with dementia’s QoL (r = 0.839). Severity of dementia had a strong correlation with caregivers’ QoL physical domain (r = 0.946). Age, duration of caregiving per day, period of care provided by caregivers, and caregiver’s distress had a strong correlation with caregiver QoL for specific domains. Conclusion: There was a strong correlation between people with dementia’s QoL and caregiver QoL, so in managing dementia, clinicians should consider caregivers’ wellbeing as an essential part significantly affecting the quality of elderly care improvement.

scholarly journals A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

2020 ◽  
Author(s):  
Yao Wang ◽  
Lily Dongxia Xiao ◽  
Rong Huang
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Professional Education ◽  
Attitude Scale ◽  
Dementia Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
People With Dementia ◽  
Study Results ◽  
Care Approach

Abstract BackgroundDementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ knowledge, attitudes and care approach of dementia in China.MethodsA cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale, the Dementia Care Attitude Scale and Approach to Advanced Dementia Care Questionnaire, were used to measure students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey.ResultsThe number of medical and nursing students completing the survey was 526 and 467 respectively. Overall dementia knowledge was poor (19.49±2.82), but attitudes were generally positive (29.92±3.35). Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). We also observed that students would not apply a person-centered care approach. Findings also revealed statistically significant differences in care approach scores between medical and nursing students.ConclusionsStudy results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

494 DISCOMFORT IN PEOPLE WITH DEMENTIA ADMITTED TO AN ACUTE GENERAL MEDICAL HOSPITAL: A HOSPITAL CROSS SECTIONAL STUDY OF PREVALENCE

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii1-ii4
Author(s):  
R Low ◽  
E West ◽  
P L Sampson
Keyword(s):  
Cross Sectional Study ◽  
Acute Hospital ◽  
Neuropsychiatric Inventory ◽  
Ward Staff ◽  
Cross Sectional ◽  
People With Dementia ◽  
Acute Hospitals ◽  
Severity Of Dementia ◽  
Person With Dementia ◽  
Challenging Behaviours

Abstract Introduction The acute hospital is a challenging place for a person with dementia whose ability to communicate discomfort and need is impaired. Their discomfort may go unnoticed due to insufficient staffing and time resources in this acute environment. Concerns have been raised about the consequences of these overlooked discomfort (e.g. distress and agitation), and hence how we can correctly identify their sources and severity. This study aimed to describe the source of discomfort and challenging behaviours in people with dementia (PwD) in UK acute hospital. Method A cross-sectional observational study of 49 patients with dementia admitted to a NHS acute hospital. Their discomfort was detected and its sources were identified (Sources of Discomfort Scale) during an hour observation when they were at rest and moved by staff. Their challenging behaviours were also recorded (Neuropsychiatric Inventory) through interviewing with the ward staff, as well as documentation of severity of dementia and presence of delirium. Results The overall prevalence of discomfort was 98%, with excessively sleepy or tired being the commonest; 39 (80%) participants experienced three or more type of discomfort. The commonest sources of discomfort were physical (e.g. constipation) and environmental (e.g. physically restrained), affecting up to 43 (88%) and 42 (83%) participants respectively. There was also evidence of an association between delirium and sleepiness or tiredness’s discomfort, meaning that PwD with delirium were nearly triply as likely to feel uncomfortable because of sleepiness or tiredness. Challenging behaviours affected over 80% of our participants, with agitation or aggression being the commonest. On average, these behaviours were moderately severe. Conclusion Discomfort and challenging behaviours were very common in PwD admitted to acute hospitals. Patients and staff would benefit from more accurate and frequent detection of discomfort by focusing on non-pain-related discomfort and using observational scales.

“Where is Dementia?” A Systematic Literature Review Exploring Neuroanatomical Aspects of Dementia

2017 ◽  
Vol 2 (15) ◽  
pp. 9-23 ◽  
Author(s):  
Chorong Oh ◽  
Leonard LaPointe
Keyword(s):  
English Language ◽  
Signs And Symptoms ◽  
Behavioral Symptoms ◽  
Journal Articles ◽  
People With Dementia ◽  
Different Types ◽  
Precise Diagnosis ◽  
Physical Changes ◽  
The Brain ◽  
Language Literature

Dementia is a condition caused by and associated with separate physical changes in the brain. The signs and symptoms of dementia are very similar across the diverse types, and it is difficult to diagnose the category by behavioral symptoms alone. Diagnostic criteria have relied on a constellation of signs and symptoms, but it is critical to understand the neuroanatomical differences among the dementias for a more precise diagnosis and subsequent management. With this regard, this review aims to explore the neuroanatomical aspects of dementia to better understand the nature of distinctive subtypes, signs, and symptoms. This is a review of English language literature published from 1996 to the present day of peer-reviewed academic and medical journal articles that report on older people with dementia. This review examines typical neuroanatomical aspects of dementia and reinforces the importance of a thorough understanding of the neuroanatomical characteristics of the different types of dementia and the differential diagnosis of them.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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