STRESSORS AND WELL-BEING AMONG CAREGIVERS TO OLDER ADULTS WITH DEMENTIA - THE IN-HOME VERSUS NURSING-HOME EXPERIENCE
alzheimers-disease; burden; care; caregiving stress; family caregiving; family member; Geriatrics & Gerontology; hassles; institutionalization; long-term care; nursing-homes; predictors; scale
Stephens M A P; Kinney J M; Ogrocki P K
Gerontologist
1991
1991-04
Journal Article
<a href="http://doi.org/10.1093/geront/31.2.217" target="_blank" rel="noreferrer noopener">10.1093/geront/31.2.217</a>
Neuropsychiatric Symptoms in Dementia Patients With and Without a History of Traumatic Brain Injury
alzheimers-disease; association; behavioral disturbances; cache county; inventory; long-term care; Neurosciences & Neurology; prevalence; Psychiatry; quality-of-life; residents; validation
The authors aim to determine if a history of traumatic brain injury (TBI) assessed before dementia onset is associated with a higher risk of neuropsychiatric symptoms after dementia onset. A population-based incident series of people with dementia were assessed for TBI prior to onset of dementia and for neuropsychiatric symptoms after the onset, using the Neuropsychiatric Inventory. Participants with predementia TBI were more likely to exhibit disinhibition (12.7% versus 5.4%, OR = 2.8, p = 0.02), but not other neuropsychiatric symptoms. Traumatic brain injury may increase the risk of disinhibition in patients with dementia. (The Journal of Neuropsychiatry and Clinical Neurosciences 2010; 22: 166-172)
Rao V; Rosenberg P; Miles Q S; Patadia D; Treiber K; Bertrand M; Norton M; Steinberg M; Tschanz J; Lyketsos C
Journal of Neuropsychiatry and Clinical Neurosciences
2010
2010
Journal Article
<a href="http://doi.org/10.1176/jnp.2010.22.2.166" target="_blank" rel="noreferrer noopener">10.1176/jnp.2010.22.2.166</a>
Disentangling consumer and provider predictors of advance care planning.
*Advance Care Planning; *Long-Term Care; Adult; advance care planning; Advance Care Planning; Age Factors; area agencies on aging; Attitude of Health Personnel; care management; Caregivers; community-based care; Conceptual Framework; Consumers; Data Analysis Software; Discussion; Factorial Design; factorial surveys; Female; Human; Humans; Judgment; Long Term Care; long-term care; Middle Age; Multivariate Analysis; Quasi-Experimental Studies; Questionnaires; Random Sample; Registered Nurses; Social Workers; Surveys; Surveys and Questionnaires; Vignettes
Factorial surveys were used to examine community-based long-term care providers' judgments about consumers' need for advance care planning (ACP) and comfort levels in discussing ACP. Providers (448 registered nurses and social workers) judged vignettes based on hypothetical consumers. Hierarchical linear models indicated providers judged consumers who were older, had end-stage diagnoses, multiple emergency department visits, and uninvolved caregivers as most in need of ACP. These variables explained 10% of the variance in judgments. Providers' beliefs about ACP predicted judgments of need for ACP and comfort level in discussing ACP. Provider characteristics explained more variance in comfort levels (44%) than in judgments of need (20%). This study demonstrates the need for tailored educational programs to increase comfort levels and address ACP misconceptions.
Baughman Kristin R; Ludwick Ruth; Merolla David; Palmisano Barbara; Hazelett Susan; Allen Kyle R; Sanders Margaret
The American journal of hospice & palliative care
2013
2013-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/1049909112464692" target="_blank" rel="noreferrer noopener">10.1177/1049909112464692</a>