Cognitively Impaired Spouses as Primary Caregivers for Demented Elderly People

1996 ◽  
Vol 44 (7) ◽  
pp. 828-831 ◽  
Author(s):  
Lucie Boucher ◽  
J. Renvall ◽  
J. Edward Jackson
Keyword(s):  
Elderly People ◽  
Primary Caregivers ◽  
Cognitively Impaired

Associations between Neuropsychiatric Symptoms and Cerebral Amyloid Deposition in Cognitively Impaired Elderly People

2015 ◽  
Vol 49 (2) ◽  
pp. 387-398 ◽  
Author(s):  
David Bensamoun ◽  
Renaud Guignard ◽  
Ansgar J. Furst ◽  
Alexandre Derreumaux ◽  
Valeria Manera ◽  
...  
Keyword(s):  
Elderly People ◽  
Neuropsychiatric Symptoms ◽  
Amyloid Deposition ◽  
Cognitively Impaired ◽  
Cerebral Amyloid

scholarly journals Family Integrity Among Older Caregivers of Relatives With Dementia

2016 ◽  
Vol 26 (63) ◽  
pp. 15-23 ◽  
Author(s):  
Sara Guerra ◽  
Daniela Figueiredo ◽  
Marta Patrão ◽  
Liliana Sousa
Keyword(s):  
Content Analysis ◽  
Elderly People ◽  
Family Relationships ◽  
Family Life ◽  
Older Persons ◽  
Satisfaction With Life ◽  
Primary Caregivers ◽  
Positive Outcome ◽  
Negative Outcomes ◽  
Ego Integrity

Abstract The construct of family integrity denotes that older persons' attainment of ego integrity is linked to family relationships. Family integrity is the positive outcome (overall satisfaction with life); disconnection (dissatisfaction) and alienation (estrangement) are the negative outcomes. This study focuses on elderly people who are primary caregivers of relatives with dementia, and examines their experience of events related to that role, which are perceived as being of influence on their sense of family integrity. The sample included 26 participants. Open-ended interviews were conducted. The interview transcripts were submitted to content analysis. The main findings suggest that caregivers who experience family integrity tend to embrace the new life demand associated with the caregiving role, while those tending towards disconnection struggle to maintain their pre-existing goals, and those experiencing alienation tend to feel helpless. Caring for a relative with dementia has an impact on multiple aspects of family life.

Delirium

2020 ◽  
pp. 382-394
Author(s):  
Ravi S. Bhat ◽  
Kenneth Rockwood
Keyword(s):  
Older People ◽  
Elderly People ◽  
Systemic Disease ◽  
Future Research ◽  
Dopamine Antagonist ◽  
Cognitively Impaired ◽  
Personalized Care ◽  
Common Term ◽  
Multicomponent Interventions

Delirium is a common term for an ancient condition that still defies precise categorization or treatments based explicitly on its pathophysiology. Understanding has proved evanescent. For example, even a tried-and-true distinction between delirium and dementia appears not to withstand precise scrutiny. A newer understanding of the pathophysiology of delirium focuses on the role of neuroinflammation in both engendering vulnerability in the ageing and/or cognitively impaired brain and, when unwell with systemic disease, precipitating delirium. In the meantime, useful effort has focused on prevention, especially by multicomponent interventions. Treatment proceeds by addressing any precipitating illnesses and by general measures, including empathetic, personalized care. A role exists for dopamine antagonist medication, but it must be used with a precise indication and with early and frequent review. The prognosis of delirium is now understood to be often less transient than had originally been proposed, especially when it occurs in older people, in many of whom it can unmask, or even precipitate, dementia. Future research should extend to elderly people, who, in any setting, develop delirium, and evaluate mechanisms that lead to the characteristics features of delirium.

Perceptual Dysfunction in Elderly People with Cognitive Impairment: A Risk Factor for Falls?

2000 ◽  
Vol 63 (6) ◽  
pp. 248-253 ◽  
Author(s):  
Helen Buri ◽  
Joanne Picton ◽  
Pam Dawson
Keyword(s):  
Risk Factor ◽  
Cognitive Impairment ◽  
Elderly People ◽  
Exploratory Study ◽  
Occupational Therapists ◽  
Adaptive Strategies ◽  
Qualitative Approach ◽  
Cognitively Impaired ◽  
Spatial Disorientation ◽  
Movement Difficulties

Elderly people with cognitive impairment are highly susceptible to falls and are likely to have perceptual dysfunction. However, the possible relationship between falls and perceptual deficits has never been considered. The purpose of this exploratory study was to investigate whether perceptual deficits are a risk factor for falls and, if so, which types of perceptual dysfunction may pose the greatest risk. A qualitative approach was adopted, using an interview with therapists and observation of elderly residents in care homes. Interaction with the environment, movement and psychological factors emerged as important markers of perceptual dysfunction related to falls. Spatial disorientation emerged as the most important perceptual risk factor. Occupational therapists and physiotherapists should seek ways to improve spatial orientation in elderly cognitively impaired people who fall or who might fall. Adaptive strategies to help them to interact with the environment and approaches to gait analysis that seek a cognitive-perceptual explanation for movement difficulties may be useful.

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