International Schedule for Integrated Assessment and Staging of Care for Dementia (IDEAL schedule)

2019 ◽  
pp. 13-16
Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  
Keyword(s):  
Social Support ◽  
Integrated Assessment ◽  
Psychological Symptoms ◽  
Informal Carer ◽  
Sum Score ◽  
Behavioural And Psychological Symptoms ◽  
Different Dimensions ◽  
Anchor Points ◽  
Professional Care ◽  
The Ideal

This chapter includes a complete copy of the IDEAL schedule, including its seven dimensions: 1) activities of daily living; 2) physical health; 3) cognitive functioning; 4) behavioural and psychological symptoms; 5) social support; 6) informal care, (which includes two sub-dimensions: time spent on care by informal carer and carer stress); and 7) formal professional care (which includes three sub-dimensions: total number of hours of formal professional care received, total number of hours of formal professional care needed, and additional dementia-related care needed). Each dimension has a set of anchor points, which assist the user of the schedule in rating the different dimensions appropriately. Information is also provided on how to calculate the total sum score on the IDEAL schedule.

The aims of the IDEAL schedule

2019 ◽  
pp. 1-2
Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  
Keyword(s):  
Social Support ◽  
Activities Of Daily Living ◽  
Cognitive Functioning ◽  
Integrated Assessment ◽  
Psychological Symptoms ◽  
Clinical Staging ◽  
Behavioural And Psychological Symptoms ◽  
Severity Of Dementia ◽  
Function Information ◽  
The Ideal

This chapter provides an overview of the purposes of the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule) and its user manual. The IDEAL user manual provides information that is needed when learning how to use the IDEAL schedule. The schedule is a global clinical staging schedule for dementia, which allows an assessment of a person across seven dimensions (activities of daily living, physical health, cognitive functioning, behavioural and psychological symptoms, social support, informal care, and formal professional care), and provides ability-to-function information as well as suggestions concerning care elements corresponding to the level of impairments of function. Attached to the IDEAL schedule is a ‘Menu of care options’ with recommendations for interventions for different stages of severity of dementia, as measured by the IDEAL schedule.

Overview of IDEAL schedule and how to use it

2019 ◽  
pp. 7-12
Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  
Keyword(s):  
Integrated Assessment ◽  
Clinical Interview ◽  
Rating System ◽  
Anchor Points ◽  
The Ideal

This chapter gives a detailed description of the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule), as well as of the glossary that accompanies the schedule. It provides information necessary to decide who may use the schedule, what purposes the assessments may serve, and how the schedule should be used. The chapter describes the IDEAL schedule’s structure, as well as its seven dimensions and the anchor points that the schedule has for each of those dimensions, and the schedule’s rating system. It also describes how to train staff in the use of the IDEAL schedule, how to conduct a clinical interview with the IDEAL schedule, and what to take into account in finalizing the assessment after the IDEAL interview.

Social Support Protects Chinese Medical Staff from Suffering Psychological Symptoms in COVID-19 Defense

2020 ◽  
Author(s):  
Yan Lv ◽  
Zhun Zhang ◽  
Yuandi Xi ◽  
Weijian Zeng ◽  
Jia Li ◽  
...  
Keyword(s):  
Social Support ◽  
Medical Staff ◽  
Psychological Symptoms

scholarly journals Moderating Roles of Resilience and Social Support on Psychiatric and Practice Outcomes in Nurses Working During the COVID-19 Pandemic

2021 ◽  
Vol 7 ◽  
pp. 237796082110242
Author(s):  
Anna E. Schierberl Scherr ◽  
Brian J. Ayotte ◽  
Marni B. Kellogg
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Online Survey ◽  
Psychological Symptoms ◽  
The United States ◽  
Direct Care ◽  
Behavioral Measure ◽  
Hierarchical Regression ◽  
Research Reporting ◽  
Symptoms Of Depression

Introduction Staff and equipment shortages and an easily transmissible virus make working in the COVID-19 pandemic demanding physically and psychologically. Nurses on the frontlines are particularly vulnerable to the adversity of working under these conditions, particularly with regard to mental health. Thus, understanding risk and protective factors for this vulnerable and essential group is critical for identifying potential targets of interventions. We had two aims for the current study: (a) to examine work functioning and symptoms of depression, anxiety, and posttraumatic stress (PTSD) among nurses who did and did not care for patients with COVID-19; and (b) to determine if resilience and social support moderate these relationships. Methods For three weeks in July 2020, nurses across the United States were invited to participate in an online survey collecting data on demographics, resilience, social support, and screening measures of depression, PTSD, anxiety, and distracted practice. Data were analyzed using descriptive statistics and hierarchical regression for each outcome measure. Conclusions Our findings support a growing body of research reporting that nurses are experiencing mental health sequelae during the COVID-19 pandemic, especially those providing direct care to patients with the virus. We found that compared to nurses who did not care for patients with COVID-19, those who did reported increased symptoms of PTSD, depression, and anxiety. A novel contribution is our finding that nurses providing direct COVID-19 care also experienced increased levels of distracted practice, a behavioral measure of distraction linking to a potential impact on patient care. We also found that resilience and social support acted as moderators of some of these relationships. Fostering resilience and social support may help buffer the effects of providing care to patients with COVID-19 and could potentially decrease nurse vulnerability to developing psychological symptoms and impairment on the job.

scholarly journals 412 - An Affect Education Model for Caregivers: Managing Behavioural and Psychological Symptoms of Dementia

2020 ◽  
Vol 32 (S1) ◽  
pp. 128-128
Author(s):  
Ken Schwartz ◽  
Robert Madan ◽  
Rosalind Sham ◽  
Sandra Gardner
Keyword(s):  
Focus Groups ◽  
Psychological Symptoms ◽  
Care Delivery ◽  
Care Providers ◽  
Term Care ◽  
Self Reflection ◽  
Personal Support ◽  
Behavioural And Psychological Symptoms ◽  
Education Model ◽  
The Impact

Introduction:Providing care for people with behavioural and psychological symptoms of dementia is stressful as these individuals are commonly labelled as aggressive or resistant to care. Few studies have evaluated the impact of providing support to professional caregivers working in long-term care. Our mixed methods pilot study evaluated the impact of the innovative Affect Education Model among health care providers from two Toronto nursing homes.Methods:The two-person centred Affect Educational Model through the use of seven questions that encourage self-reflection teaches that problematic behaviours are co-constructed between individuals with BPSD and caregivers. Study procedures included recruiting nursing staff and personal support workers and teaching them the model in five weekly 30-minute group sessions. Qualitative measures in the form of focus groups were obtained. Quantitative measures were obtained through the use of five questionnaires.Results:Qualitative findings from focus groups identified four themes: facilitators and barriers perceived in current care delivery, the impact of the model experience on staff care delivery, reflections on being taught the model, and future model implementation. Quantitative results were also collected and discussed.Conclusions:The use of both pharmacologic and nonpharmacologic treatment of individuals with BPSD may be greatly enhanced by an interpersonal two-person Affect Education Model that emphasizes the importance of calming down and self-reflection. Future directions include expanding the model to family caregivers through the use of multimedia resources.

The search for the ideal tendon repair in zone 2: strand number, anchor points and suture thickness

2013 ◽  
Vol 39 (1) ◽  
pp. 20-29 ◽  
Author(s):  
R. Savage
Keyword(s):  
Animal Model ◽  
Laboratory Tests ◽  
Tendon Repair ◽  
Clinical Results ◽  
Review Article ◽  
Cyclic Motion ◽  
Mechanical Factors ◽  
Anchor Points ◽  
Repair Techniques ◽  
The Ideal

This review article examines the mechanical factors involved in tendon repair by sutures. The repair strength, repair stiffness and gap resistance can be increased by increasing the number of core strands and anchor points, by increased anchor point efficiency and the use of peripheral sutures, and by using thicker sutures. In the future, laboratory tests could be standardized to a specific animal model and to a defined cyclic motion programme. Clinical studies support the use of multi-strand core and peripheral sutures, but two-strand core sutures are not adequate to ensure consistently good clinical results. Training surgeons in complex tendon repair techniques is essential.

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