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What is it about carer‐led oral hygiene interventions for people with intellectual disabilities that work and why? A realist review

Objectives: To undertake a realist review of carer‐led oral hygiene interventions for people with intellectual disabilities. This was run parallel with a Cochrane Review. Methods: Realist review methods were followed. This was characterized by an iterative process of developing and refining theories of how interventions might work, expressed as context‐mechanism‐outcome configurations. The steps included identifying candidate theories with local and international expert consultation before applying an iterative search strategy.

Tue, 04/13/2021 - 13:48

Integration of family caregivers in delirium prevention care for hospitalized older adults: A case study analysis

Aim To understand how family caregivers of older adults hospitalized for orthopaedic surgery are integrated by nurses in delirium prevention care. Design Multiple case study. Methods The sample consisted of eight cases. Each case comprised an older adult, a family caregiver, and a nurse. Data were collected from September 2017 - April 2018 through various instruments, including semi-structured interviews and family caregiver logs.

Mon, 04/05/2021 - 16:01

Elder Abuse Assessment Tools and Interventions for use in the Home Environment: a Scoping Review

Background and Aim: Caregivers in the home environment have an important role in timely detecting and responding to abuse. The aim of this review was to provide insight into both the existing tools for the assessment of and interventions for elder abuse by formal and informal caregivers in the home environment, and to categorize them according to a public health perspective, into primary, secondary, tertiary or quaternary prevention.

Mon, 03/22/2021 - 10:02

Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers: A Randomized Controlled Trial

Effective and accessible interventions for indicated prevention of depression are necessary and lacking, especially for informal caregivers. Although telephone-based interventions could increase the accessibility for caregivers, randomized controlled trials are scarce, with no examination of prevention to date. Moreover, the efficacy of specific therapeutic components in preventive cognitive-behavioral programs is unknown.

Wed, 08/12/2020 - 13:18

Protecting the elderly through and beyond the Covid-19 lockdown

Extract: ...Add to this the knowledge that assaults and domestic murders surge by as much as 25% during a festive season - a time of increased financial strain and closer proximity of family members - and the present Covid-19 pandemic lockdown, the current environment for older people looks deeply concerning.

Mon, 07/27/2020 - 13:40

Understanding influenza vaccination rates and reasons for refusal in caregivers and household contacts of cancer patients

Highlights • Influenza vaccination has limited efficacy in cancer patients. • Caregiver and family vaccination is recommended for high-risk patients. • Distance, age, and limited time decreased vaccine uptake in caregivers and family. • Efforts targeting vaccination for caregivers and family of cancer patients are needed.

Thu, 06/27/2019 - 14:52

Understanding the integration of family caregivers in delirium prevention care for hospitalized older adults: a case study protocol

Aim: To understand family caregiver involvement in delirium prevention care for older adults hospitalized for orthopedic surgery hospitals and family caregiver integration by nurses.; Design: Multiple-case study.; Methods: The model of Care Partner Engagement was selected as theoretical framework. Eight cases will comprise an older adult hospitalized a family caregiver and a ward nurse. They will be recruited with a non-probability sampling on two orthopedic surgery wards in two hospitals.

Mon, 06/10/2019 - 15:23

Weathering the perfect storm: facing the challenge of maintaining gains for carers against a background of shrinking resources in one area of England

These are not easy times for carers in England. While English legislation and government policy are more carer-friendly than ever before, resources are under increasing pressure from both the exploding ‘demographic time-bomb’ and ‘austerity’. This has followed the global financial crash of 2008, subjecting the whole of the public sector to significant cuts. [...] If access to formal care has proportionately reduced, we must drive additional value from a more integrated voluntary and statutory sector ‘system’.

Thu, 05/23/2019 - 14:37

Gathering tips from carers to support people with dementia: an adaptation of the TOP 5 program for community use

Aim: Behavioral and psychological symptoms of dementia are often managed inappropriately with antipsychotic medicines. The TOP 5 program, which involves recording up to five relevant and meaningful tips that assist in personalizing care for the person with dementia, has been tested in the hospital setting and transitions of care in Australia, and has been found to be useful. Our study aimed to adapt the TOP 5 program as a strategy to support people with dementia in a primary care setting and to test the acceptability of our adapted TOP 5 program materials.

Wed, 11/21/2018 - 16:31

Factors influencing confabulation in Japanese patients with Alzheimer's disease

Background: Confabulations are often observed in patients with Alzheimer's disease (AD) and can increase family caregivers’ burdens. Previous studies have focused on the relationship between confabulation and cognitive ability. However, few studies have investigated the association between confabulation and familial factors. Here, we aimed to examine whether confabulation relates to familial factors, such as the level of family caregivers’ expressed emotion or the level of functioning of the family.

Fri, 11/16/2018 - 10:59

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