scholarly journals Intervenção cognitiva domiciliar para cuidadores de idosos com alzheimer

2018 ◽  
Vol 12 (10) ◽  
pp. 2659
Author(s):  
Ana Júlia De Souza Caparrol ◽  
Francine Golghetto Casemiro Golghetto Casemiro ◽  
Larissa Correa ◽  
Diana Quirino Monteiro ◽  
Marília Graciela Almeida Prado Sanchez ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Elderly People ◽  
Cognitive Intervention ◽  
Home Improvement ◽  
Before And After ◽  
Quasi Experimental ◽  
Student’S T ◽  
Improvement Intervention ◽  
Addenbrooke’S Cognitive Examination

RESUMO Objetivo: avaliar o efeito de intervenção cognitiva domiciliar sobre a cognição, a sobrecarga e o estresse em cuidadores de idosos com Doença de Alzheimer. Método: trata-se de estudo quantitativo, tipo quase-experimental, com 17 cuidadores informais de idosos com Doença de Alzheimer. Utilizaram-se o Addenbrooke’s Cognitive Examination-Revised (ACE-R), a Escala de Estresse Percebido (PSS) e a Escala de Sobrecarga de Zarit para a avaliação antes e depois da intervenção. Analisaram-se os resultados pelo SPSS, aplicando-se o test t de student para avaliar o efeito da intervenção. Resultados: identificaram-se mulheres (88,2%), com idade média de 52,5 anos e escolaridade média de 8,8 anos. Constatou-se melhora significativa na cognição geral pelo MEEM (p=0,008) e ACE-R (p= 0,003) e nos domínios atenção (p= 0,004), memória (p= 0,017) e fluência verbal (p= 0,023). Conclusão: avaliou-se pela intervenção cognitiva domiciliar melhora na cognição geral em cuidadores de idosos com Doença de Alzheimer, podendo ser uma importante ferramenta de promoção a saúde. Descritores: Idoso; Cuidadores; Cognição; Estresse Psicológico; Estudo de Intervenção, Geriatria.ABSTRACT Objective: to evaluate the effect of cognitive intervention on cognition, overload and stress in caregivers of elderly people with Alzheimer's disease. Method: this is a quasi-experimental quantitative study with 17 informal caregivers of elderly people with Alzheimer's disease. The Addenbrooke's Cognitive Examination-Revised (ACE-R), Perceived Stress Scale (PSS) and Zarit's Overload Scale were used for the evaluation before and after the intervention. The results were analyzed by the SPSS, applying the Student's t-test to evaluate the effect of the intervention. Results: women (88.2%) were identified, with a mean age of 52.5 years and mean schooling of 8.8 years. It was found a significant improvement in the general cognition by the MEEM (p = 0.008) and ACE-R (p = 0.003) and in the attention domains (p = 0.004), memory (p = 0.017) and verbal fluency (p = 0.023). Conclusion: it was evaluated by the cognitive home improvement intervention in general cognition in caregivers of elderly people with Alzheimer's disease, and can be an important tool to promote health. Descriptors: Aged; Caregivers; Cognition; Stress, Psychological; Clinical Trial; Geriatrics.RESUMEN Objetivo: evaluar el efecto de intervención cognitiva domiciliaria sobre la cognición, la sobrecarga y el estrés en cuidadores de ancianos con enfermedad de Alzheimer. Método: se trata de un estudio cuantitativo, tipo casi-experimental, con 17 cuidadores informales de ancianos con enfermedad de Alzheimer. Se utilizaron el Addenbrooke's Cognitive Examination-Revised (ACE-R), la Escala de estrés percibido (PSS) y la escala de sobrecarga de Zarit para la evaluación antes y después de la intervención. Se analizaron los resultados por el SPSS, aplicándose el test t de student para evaluar el efecto de la intervención. Resultados: se identificaron mujeres (88,2%), con edad media de 52,5 años y escolaridad promedio de 8,8 años. Se observó una mejora significativa en la cognición general por el MEEM (p = 0,008) y ACE-R (p = 0,003) y en los dominios atención (p = 0,004), memoria (p = 0,017) y fluencia verbal (p = 0,023). Conclusión: se evaluó por la intervención cognitiva domiciliaria mejora en la cognición general en cuidadores de ancianos con Enfermedad de Alzheimer, pudiendo ser una importante herramienta de promoción a la salud. Descriptores: Anciano; Cuidadores; Cognición; Estrés Psicológico; Ensayo Clínico; Geriatria.

scholarly journals Stereotypes, stereotype threat and ageing: implications for the understanding and treatment of people with Alzheimer's disease

2008 ◽  
Vol 28 (1) ◽  
pp. 103-130 ◽  
Author(s):  
JANE M. SCHOLL ◽  
STEVEN R. SABAT
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Adverse Effects ◽  
Stereotype Threat ◽  
Elderly People ◽  
Best Practice ◽  
Negative Stereotypes ◽  
Healthy Elderly ◽  
Before And After ◽  
Healthy Elderly People

ABSTRACTOver the past 15 years, a growing body of research has shown that people with Alzheimer's disease (AD) are affected not only by brain neuropathology but also by their reactions to its effects, by the environments in which they live, and by how they are treated by others. Nevertheless, three relatively neglected social influences on people with AD remain to be examined: negative stereotyping, negative self-stereotyping and stereotype threat. Numerous studies reviewed in this paper indicate that: (1) negative self-stereotypes at conscious and unconscious levels can have adverse effects on the performance of healthy elderly people on tasks demanding explicit memory (recall in particular), and (2) the mere threat of being stereotyped negatively can have adverse effects on the performance of healthy elderly people on tasks including those involving memory. In this paper, we discuss the relevance of these phenomena for our understanding and treatment of people with AD who are exposed to negative stereotypes about old age and about AD before and after they are diagnosed. There is evidence to suggest that these influences may have significant effects on people with AD. The paper concludes with recommendations for best practice in the treatment of people with AD in the light of the most apparent effects of negative self-stereotyping and stereotype threat. These include advocacy for an approach that involves aspects of counselling.

Prevalence of cardiovascular drug use before and after diagnosis of Alzheimer's disease

2020 ◽  
Vol 300 ◽  
pp. 221-225 ◽  
Author(s):  
Mai Vu ◽  
Marjaana Koponen ◽  
Heidi Taipale ◽  
Antti Tanskanen ◽  
Jari Tiihonen ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Drug Use ◽  
Cardiovascular Drug ◽  
Before And After

scholarly journals Autoregulation of Cerebral Blood Flow to Changes in Arterial Pressure in Mild Alzheimer's Disease

2010 ◽  
Vol 30 (11) ◽  
pp. 1883-1889 ◽  
Author(s):  
Allyson R Zazulia ◽  
Tom O Videen ◽  
John C Morris ◽  
William J Powers
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Arterial Pressure ◽  
The Elderly ◽  
Local Defect ◽  
Clinical Dementia Rating ◽  
Positron Emission ◽  
Before And After

Studies in transgenic mice overexpressing amyloid precursor protein (APP) demonstrate impaired autoregulation of cerebral blood flow (CBF) to changes in arterial pressure and suggest that cerebrovascular dysfunction may be critically important in the development of pathological Alzheimer's disease (AD). Given the relevance of such a finding for guiding hypertension treatment in the elderly, we assessed autoregulation in individuals with AD. Twenty persons aged 75±6 years with very mild or mild symptomatic AD (Clinical Dementia Rating 0.5 or 1.0) underwent 15O-positron emission tomography (PET) CBF measurements before and after mean arterial pressure (MAP) was lowered from 107±13 to 92±9 mm Hg with intravenous nicardipine; 11C-PIB-PET imaging and magnetic resonance imaging (MRI) were also obtained. There were no significant differences in mean CBF before and after MAP reduction in the bilateral hemispheres (−0.9±5.2 mL per 100 g per minute, P=0.4, 95% confidence interval (CI)=−3.4 to 1.5), cortical borderzones (−1.9±5.0 mL per 100 g per minute, P=0.10, 95% CI=−4.3 to 0.4), regions of T2W-MRI-defined leukoaraiosis (−0.3±4.4 mL per 100 g per minute, P=0.85, 95% CI=−3.3 to 3.9), or regions of peak 11C-PIB uptake (−2.5±7.7 mL per 100 g per minute, P=0.30, 95% CI=−7.7 to 2.7). The absence of significant change in CBF with a 10 to 15 mm Hg reduction in MAP within the normal autoregulatory range demonstrates that there is neither a generalized nor local defect of autoregulation in AD.

Effect of Alzheimer’s Training on Multicultural Personal Care Aides

2008 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Robin C. Fenley ◽  
Sarah J. Bober ◽  
Mebane E. Powell ◽  
Jacquelin Berman ◽  
Barbara N. Altman
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
New York ◽  
New York City ◽  
York City ◽  
The United States ◽  
Personal Care ◽  
Entry Level ◽  
Before And After ◽  
Item Knowledge

This article reports on the first 2 years of an ongoing project that examined the efficacy of a 10-hour dementia training provided to entry-level personal care aide (PCA) trainees from the Hispanic, White, African American, and Asian communities in New York City. Participants were enrolled in a 90-hour PCA training program offered by the New York City Department for the Aging and were either recipients of public assistance, displaced employees from September 11, or recent immigrants to the United States from China. Classes were conducted in Spanish, English, and Mandarin/Cantonese. An 11-item Knowledge of Alzheimer’s Disease instrument was developed for the purposes of this project and administered before and after the dementia training and at 3 months following graduation. All groups, regardless of language, showed a significant increase in knowledge of Alzheimer’s disease at the conclusion of the training and retention of this knowledge at 3 months follow-up. Age was strongly correlated with an increase in knowledge, while gender and education were not.

Influence of Educational Attainment on Cognition-Based Intervention Programs for Persons with Mild Alzheimer’s Disease

2016 ◽  
Vol 22 (5) ◽  
pp. 577-582 ◽  
Author(s):  
Israel Contador ◽  
Bernardino Fernández-Calvo ◽  
Francisco Ramos ◽  
Javier Olazarán
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Decline ◽  
Effect Size ◽  
Study Groups ◽  
Total Sample ◽  
Cognitive Intervention ◽  
Potential Effect ◽  
Cognitive Status ◽  
Disease Assessment

AbstractObjectives: This research retrospectively analyzed the effect of education on cognitive interventions carried out in patients with mild Alzheimer’s disease (AD). Methods: The total sample consisted of 75 patients with mild AD receiving treatment with cholinesterase inhibitors. The participants were divided into two groups: cognitive intervention (IG; n=45) and waiting list (WLG; n=30). Patients in the IG received either the Big Brain Academy (n=15) or the Integrated Psychostimulation Program (n=30) during 12 weeks. The influence of education on intervention effect was analyzed comparing mean change scores of the two study groups in the cognitive subscale of the Alzheimer’s Disease Assessment Scale (ADAS-cog), stratified by educational level. The potential effect of age, sex, cognitive status, and type of intervention was examined using post hoc stratification analyses. Results: Higher education was associated with faster cognitive decline in the WLG (effect size=0.51; p<.01). However, cognitive evolution was not influenced by education in the IG (effect size=0.12; p=.42). Conclusions: Our results suggest that cognitive intervention might delay accelerated cognitive decline in higher educated individuals with mild AD. (JINS, 2016, 23, 1–6)

scholarly journals The health of elderly people bearing Alzheimer’s disease: an integrative review / Saúde do idoso com doença de Alzheimer: revisão integrativa

2018 ◽  
Vol 10 (4) ◽  
pp. 941
Author(s):  
Hemmily Nóbrega Ventura ◽  
Leila De Cássia Tavares da Fonseca ◽  
Bruno César Fernandes Borges ◽  
Jéssica Yasmine Lacerda Nóbrega ◽  
Herbert Nóbrega Ventura ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Elderly People ◽  
Integrative Review

Objetivo: Verificar o conhecimento produzido pelos pesquisadores a respeito da saúde do idoso com Doença de Alzheimer (DA). Métodos: Revisão integrativa da literatura com levantamento bibliográfico realizado na Biblioteca Virtual em Saúde (BVS), MEDLINE e nos bancos de dados do Portal de Periódicos Capes.  Resultados: Observou-se a incipiência de artigos científicos publicados sobre a Doença de Alzheimer com enfoque na saúde da pessoa idosa. Conclusão: Verificou-se a necessidade de pesquisas para investigar a saúde do idoso em face à doença de Alzheimer que possibilitem aporte teórico na elaboração de políticas públicas de saúde mais abrangentes para os cuidados aos idosos. Descritores: Envelhecimento, Doença de Alzheimer, Autonomia pessoal, Saúde do idoso.

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