Non-pharmacological approaches to dementia: An overview of foundations & considerations

2017 ◽  
Vol 9 (4) ◽  
pp. 254
Author(s):  
Linda Carozza ◽  
Lisa-Marie Serrone ◽  
Lara Sugatan

Dementia is a syndrome characterized by the progressive degeneration of one's cognitive function. The syndrome inflicts one in every nine individuals 65 and older; and 200,000 individuals under the age of 65. Currently, no cure exists; thus, finding the highest quality treatment to reduce the symptoms of the disease must become priority. Maintaining or increasing one’s quality of life is the utmost goal of any therapy for individuals with dementia. Currently, non-pharmacological approaches for suppressing concomitant symptoms of the disease have become highly debated and researched for their usefulness and for their ability to achieve this goal. Several therapeutic methods that can be considered non-pharmacological - music therapy, narrative telling , poetry, art therapy, technological interventions, and exercise and dance movement programs. A literature review was completed in order to determine the role of theseapproaches on dementia. Findings indicate that there is a small effect on cognition during these therapies presently, but there is still insufficient research in the area to conclude a sufficient difference. Non-pharmacological treatments yield potential quality of life benefits while additionally being cost-effective compared to medical interventions. Due its prevalence, further research on this topic is warranted and necessary.

2021 ◽  
Vol 11 (14) ◽  
pp. 6301
Author(s):  
Giulia Grisolia ◽  
Mariarosa Astori ◽  
Antonio Ponzetto ◽  
Antonio Vercesi ◽  
Umberto Lucia

Recently, a non-equilibrium thermodynamic approach has been developed in order to model the fundamental role of the membrane electric potential in the cell behaviour. A related new viewpoint is introduced, with a design of a photobiomodulation treatment in order to restore part of the visual field. Here, a first step in experimental evidence of the validity of the thermodynamic approach is developed. This result represents the starting point for future experimental improvements for light stimulation in order to improve the quality of life of the patients. The future possible therapy will be in addition to the pharmacological treatments.


2020 ◽  
Author(s):  
Graham Farrell ◽  
Nick Tilley

Some security devices can be ugly, inconvenient or an infringement on civil liberties. This means that security is a quality of life issue as well as one of crime prevention. Here we propose that, in addition to preventing crime and being cost effective, security should preferably be ethical and unobtrusive, aesthetically neutral or pleasing, and the easy-to-use or default option. We describe security with such characteristics as ‘elegant’. We use two case studies to explore how, as many types of crime have declined in recent decades, there was an increase in elegant and a decrease in inelegant security. We suggest that the lifecycle of some security technologies sees them evolve from inelegant to elegant, that continual improvement is required to keep ahead of offender adaptations, and that inelegant security can fall into disuse even if it prevents crime. It is hoped that this conceptual contribution might inform discussions about the appropriate form and role of security.


2021 ◽  
pp. BJGP.2020.1043
Author(s):  
Sarah Milosevic ◽  
Natalie Joseph-Williams ◽  
Bethan Pell ◽  
Elizabeth Cain ◽  
Robyn Hackett ◽  
...  

Background: Lower urinary tract symptoms (LUTS) are common in older men and impact considerably on their quality of life. Management can be complex, and although most LUTS could be treated effectively in primary care, referrals to urology outpatients are increasing. The experiences of General Practitioners (GPs) and patients relating to the management of LUTS have not yet been fully explored. Aim: To explore GPs’ experiences of managing LUTS, together with patients’ experiences of and preferences for treatment in primary care. Design and setting: Qualitative telephone interviews with GPs and male patients presenting to primary care with bothersome LUTS. Method: Eleven GPs and 25 male patients were purposively sampled from 20 GP practices in 3 UK regions. Interviews were conducted between May 2018 and January 2019 and analysed using a framework approach. Results: Difficulty establishing causes and differentiating between prostate and bladder symptoms were key challenges to the diagnosis of LUTS in primary care, making treatment often a process of trial and error. Pharmacological treatments were commonly ineffective and often caused side-effects. Despite this, patients were generally satisfied with GP consultations and expressed a preference for treatment in primary care. Conclusion: Managing LUTS in primary care is a more accessible option for patients. Given the challenges of LUTS diagnosis, an effective diagnostic tool for use by GPs would be beneficial. Ensuring bothersome LUTS are not dismissed as a normal part of ageing is essential in improving patients’ quality of life. Greater exploration of the role of non-pharmacological treatments is needed.


2020 ◽  
pp. 147737082093210 ◽  
Author(s):  
Graham Farrell ◽  
Nick Tilley

Some security devices can be ugly, inconvenient or an infringement on civil liberties. This means that security is a quality of life issue as well as one of crime prevention. Here we propose that, in addition to preventing crime and being cost effective, security should preferably be ethical and unobtrusive, aesthetically neutral or pleasing, and the easy-to-use or default option. We describe security with such characteristics as ‘elegant’. We use two case studies to explore how, as many types of crime have declined in recent decades, there was an increase in elegant and a decrease in inelegant security. We suggest that the lifecycle of some security technologies sees them evolve from inelegant to elegant, that continual improvement is required to keep ahead of offender adaptations, and that inelegant security can fall into disuse even if it prevents crime. It is hoped that this conceptual contribution might inform discussions about the appropriate form and role of security.


Author(s):  
Yeshwanth Subash ◽  
Kamalakumar K. ◽  
Lydia M.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Osteoarthritis of the knee is a degenerative disorder associated with significant morbidity in the form of pain, knee stiffness and decrease in the functional capacity of the affected limb leading to a decrease in the quality of life for the patient. Various modalities of treatment are available for the management of this condition. The aim of this study was to evaluate the role of platelet rich plasma (PRP) injection in the management of early osteoarthritis of the knee and to compare the functional outcome with the studies of various authors as available in literature.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">60 patients with Kellgrenn and Lawrence grade 1 and 2 osteoarthritis of the knee were studied from January 2014 to January 2015 and were followed up for a period of 1 year</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 39 males and 21 female patients in our study with the right side being more commonly affected. There was a significant decrease in the VAS score and the WOMAC score at 1, 3, 6 and 12 months follow up as compared to the pre-injection baseline scores. All patients were satisfied with the procedure in terms of functional outcome. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">PRP injection is a cost effective, safe and efficient procedure with easily reproducible results and gives good functional results in terms of pain relief, improvement of range of movements and mobility, and improves the quality of life in patients with early osteoarthritis of the knee.</span></p>


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