scholarly journals Psychological Challenges Among Older Adults with Early Stage Dementia: A Narrative Literature Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 748-749
Author(s):  
Mijin Jeong

Abstract Due to rapid expected growth in the population of older adults with dementia, exploring the issues and experiences related to early stage dementia (ESD) is a fundamental step toward helping individuals adjust to their diagnosis and transition into treatment. The purpose of this paper is to review the extant literature regarding how older adults adjust to and cope with the onset of dementia through major situations and difficulties. A narrative approach was applied to review 120 articles focused on ESD that were published in the U.S. and other western countries between 1995 to 2020. There were four apparent themes in the literature, which align with key chronological experiences related to ESD: diagnosis of dementia; stigma related to dementia; the development of identity with ESD; and social and service-related experiences of older adults with ESD. Stigma related to dementia was a powerful risk factor that hindered psychological adjustment to ESD. Varied cultural perspectives on dementia and a lack of knowledge of dementia symptoms among diverse older adults and their families were also major risk factors. In the U.S., there was a lack of literature, especially around the development of identity with dementia and older adults’ perspectives on available services, Also, there were insufficient U.S.-based studies that explored the challenges of psychological adjustment among racial and ethnic minority groups. Future research could benefit from taking a life course perspective to assess ESD within the context of one’s life and examine challenges associated with ESD across all four themes to promote empowerment.

2019 ◽  
pp. 389-410
Author(s):  
Nathalie Houlfort ◽  
Julie Lauzier ◽  
Sarah Bourdeau

This chapter reviews theories and perspectives, such as role theory, the life course perspective, and the resource perspective, pertaining to retirement and how passion for work relates to the main theoretical background used to study retirement. An extensive review of the research that has examined the role of passion for work in retirees’ psychological adjustment is presented. Results show that harmonious passion for work is positively associated with retirees’ psychological adjustment, whereas the opposite if found for obsessive passion. The chapter concludes with suggestions for future research in this important area as well as with practical implications aimed at organizations, workers and retirees to facilitate a smoother life transition and to experience a more fulfilling retirement.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S806-S806
Author(s):  
Alicia Riley

Abstract This study examines regional disparities in later life health from a life course perspective. To sort out when and how region influences health over the life course, I focus on the sharp contrast between the South and the rest of the U.S. in health and mortality. I draw on data from the National Life Health and Aging Project (NSHAP), a nationally representative sample of community-dwelling older adults in the U.S., to estimate the differential risk of multiple health outcomes and mortality by regional trajectory. I find that older adults who leave the South are worse off in multiple outcomes than those who stay. I also find evidence of a protective health effect of community cohesion and dense social networks for the Southerners who stay in the South. My results suggest that regional trajectory influences health in later life through its associations with socioeconomic status, access to healthcare, and social rootedness.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S412-S412
Author(s):  
Kristina Shiroma ◽  
Nathan Davis ◽  
Bo Xie

Abstract Older adults of Asian ethnic minority groups are often underrepresented in the literature on cultural aspects of end-of-life (EOL) decision making. This literature review aimed to systematically investigate the cultural aspects of EOL decision making for aging adults of Asian ethnic minority groups. In February 2019, systematic searches were conducted in PubMed using MeSH terms “end-of-life”, “decision-making”, and “culture OR cultural”. Articles with human subjects, full text in English, published in the past 10 years, with original, empirical findings were included. After multiple rounds of screening, the final sample included 22 results, with sample sizes ranging from 11 to over 9 millions representing South Asian, Chinese, Korean, Taiwanese, Singaporean, Asian and Asian/Pacific adults. The findings suggest the literature on older Asian adults is present, but limited. Future research is needed to explore cultural aspects of Asian ethnic minority groups in respect to older adult’s information preferences in EOL decision-making.


Author(s):  
Debra Morgan ◽  
Melanie Funk ◽  
Margaret Crossley ◽  
Jenny Basran ◽  
Andrew Kirk ◽  
...  

ABSTRACTEarly differential diagnosis of dementia is becoming increasingly important as new pharmacologic therapies are developed, as these treatments are not equally effective for all types of dementia. Early detection and differential diagnosis also facilitates informed family decision making and timely access to appropriate services. Information about gait characteristics is informative in the diagnostic process and may have important implications for discriminating among dementia subtypes. The aim of this review paper is to summarize existing research examining the relationships between gait and dementia, including gait classification systems and assessment tools, gait patterns characteristic of different dementias (Alzheimer's disease, vascular dementia, dementia with Lewy Bodies, and fronto-temporal dementia), and the utility of gait analysis in early-stage diagnosis. The paper concludes with implications for future research.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 479-479
Author(s):  
Flavia Andrade ◽  
Mariana López-Ortega ◽  
Emma Aguila ◽  
Stephanie Grasso

Abstract Growth in older populations, and hence in the number of persons living with dementia, is particularly rapid for individuals of Mexican origin living in the U.S. and Mexico. In order to identify influences on cognitive health in this diverse population, the University Texas at Austin and Mexican National Institute of Geriatrics (INGER) organized their second Bridging Conference titled: "Framing Challenges of Cognitive and Mental Health Care in Mexican-origin Older Adults in Mexico and the U.S". In this presentation, we highlight the results of a consensus-building session, during which bi-national expert opinions were generated and synthesized addressing gaps in research, knowledge, and policy, as well as the setting of priorities for immediate action and future research. Reducing barriers to adequate care for those aging-in-place with dementia was a central theme of the identified priorities. Critical areas of identified need, more specifically, included reducing social isolation, caregiver burden, and diminishing retirement income.


Author(s):  
Garrick Percival

This chapter examines criminal justice policy in the U.S. states, discussing the important developments in knowledge in recent years, and outlining key areas for future research in this important area of public policy. The chapter is organized around two fundamental questions. The first is what political forces cause governments to use more coercive forms of crime and social control? The second is how do political forces contribute to the disproportionate level of punishment imposed on racial and ethnic minority groups? Both questions entail basic questions about policing, criminal profiling, and particular campaigns, such as the most recent drug war. In devoting attention to these questions, state and local government researchers have the opportunity to make significant and lasting contributions by moving the field to a more synthesized and theoretically shaped understanding of criminal justice policy in the U.S. states.


Author(s):  
Yunjuan Luo ◽  
Yang Cheng ◽  
Mingxiao Sui

During the COVID-19 pandemic, older adults appear to be more susceptible to the coronavirus disease. Although the health stakes are higher for older adults, individuals of all ages should adopt preventive measures to contain the human-to-human transmission of the virus. This study conducted a national online survey of 1843 adults at the early stage of the COVID-19 pandemic in the U.S. to examine age disparities in preventive behaviors against the virus. The results show that older generations, motivated by a higher perceived severity of the disease, were more likely to take the precautionary actions recommended by the U.S. Centers for Disease Control and Prevention (CDC) than younger generations. This thus suggests that persuasive health messages addressing the severity of COVID-19 might reduce the generational gap and promote preventive behaviors among young people, to protect themselves and the elderly.


Author(s):  
Ajeet Gajra

Platinum-based adjuvant chemotherapy is the standard of care for patients with early-stage non–small cell lung cancer (NSCLC) treated with surgery. There is a paucity of data regarding the appropriate use of adjuvant chemotherapy in the treatment of older adults. In the absence of prospective randomized controlled trials specific to this population, the available evidence is limited to post hoc analyses of prospective studies in age-unselected populations and retrospective reviews of population databases. The available evidence for treatment of older adults with adjuvant therapy using cisplatin- and carboplatin-based therapy is reviewed. Strategies for future research, as well as the role of geriatric assessment in risk stratification, will be addressed.


2019 ◽  
Vol 13 (2) ◽  
pp. 101-111
Author(s):  
Sarah C. Howes ◽  
Darryl Charles ◽  
Katy Pedlow ◽  
Iseult Wilson ◽  
Dominic Holmes ◽  
...  

Purpose Active computer gaming (ACG) is a way for older people to participate in strength and balance exercise. Involving older adults in the development of a bespoke ACG system may optimise its usability and acceptability. The purpose of this paper is to employ user-centred design to develop an ACG system to deliver strength and balance exercises, and to explore its safety, usability and acceptability in older adults. Design/methodology/approach This paper describes user involvement from an early stage, and its influence on the development of the system to deliver strength and balance exercise suitable for display on a flat screen or using an Oculus Rift virtual reality (VR) headset. It describes user testing of this ACG system in older adults. Findings Service users were involved at two points in the development process. Their feedback was used to modify the ACG system prior to user testing of a prototype of the ACG system by n=9 older adults. Results indicated the safety, usability and acceptability of the system, with a strong preference for the screen display. Research limitations/implications The sample size for user testing was small; however, it is considered to have provided sufficient information to inform the further development of the system. Practical implications Findings from user testing were used to modify the ACG system. This paper identified that future research could explore the influence of repeated use on the usability and acceptability of ACG in older adults. Originality/value There is limited information on the usability and acceptability VR headsets in this population.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 301-301
Author(s):  
Travis Kadylak ◽  
Shelia Cotten ◽  
Amy Schuster

Abstract The majority of literature on Facebook use and well-being focuses on younger demographics. The number older adults using Facebook continues to increase. Facebook use by older adults has been found to increase well-being and decrease feelings of depression. This study investigates the effect that perceived social support on Facebook may have on loneliness, depression, social support (offline), and fear of missing out (FOMO) for older adult Facebook users. Older adults aged 65 and older in the U.S. completed a Qualtrics survey (N=798). Participants were, on average, 74 years old. Perceived social support on Facebook had a positive association with social support, depression, and FOMO. The results suggest that among Facebook using older adults, higher levels of perceived social support on Facebook were associated with higher levels of social support, feelings of depression, and FOMO. Future research should investigate the possibility that depression could be driving perceived social support on Facebook.


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