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Review

A microeconomic analysis of the impact of estate recovery for long-term care

France’s personalized autonomy allowance (APA) was created in 2002 to address the problem of caring for dependents. The allowance is in the form of a payment of a portion of the expense of personal and homecare services (“copayment”). This allowance is universal and is available to anyone over the age of 60. Eligibility and the amount allocated to eligible persons depends on the level of dependency, and the amount of expense remaining to be paid is based on income.

Thu, 07/20/2017 - 15:12

Observational pain assessment scales for people with dementia: a review

Dementia may alter the experience of pain and the ability to communicate it; this will, in turn, result in poor pain detection and inadequate treatment. The aim of this literature review is to identify the observational pain scales that have clinical utility and feasibility for use with people living with dementia in the community by district nurses in their daily practice. It was found that a consensus could not be reached on which tool to use in clinical practice.

Thu, 07/20/2017 - 15:11

A stakeholder-centred exploration of the current barriers to the uptake of home care technology in the UK

An increase in the ageing UK population is leading to new ways of looking at how we deliver health and social care services in the UK. The use of assisted living technology (ALT) and telecare is already playing a part in these new models of care. Yet despite the current advances in the range of technology and networking capabilities in the home, ALT and telecare solutions have not been taken up as eagerly as might have been anticipated.

Thu, 07/20/2017 - 15:11

Predictors of satisfaction with life in family carers: Evidence from the third European quality of life survey

This research aimed to identify predictors of satisfaction with life in family carers. Evidence from the literature and from the Third European Quality of Life Survey (years 2011–2012) led to the construction of a model which was tested through linear regression analysis. The results corroborate findings from previous studies identified in the literature, showing that married and employed carers with higher education, those with fewer difficulties making ends meet with their household income and those who are healthier have higher levels of satisfaction with life.

Thu, 07/20/2017 - 15:11

Cost-effectiveness of treatments for Alzheimer's dementia

Care of dementia is extremely resource demanding and has a great impact on both the formal care systems and the situation for informal carers. Thus, the question of cost–effectiveness is crucial. This presentation is, to a great extent, based on the dementia project by the Swedish council on technology assessment in health care. After the database search and quality judgment of papers, 22 papers of drug treatment were finally included. A summary of the situation as regards cost–effectiveness on drugs for Alzheimer’s disease showed that no evidence could be stated on empirical studies.

Thu, 07/20/2017 - 15:11

Psychological treatments for common mental health problems experienced by informal carers of adults with chronic physical health conditions (Protocol)

Background: Improved life expectancy is resulting in increased outpatient treatment of people with chronic physical health conditions and reliance on the provision of informal care in the community. However, informal care is also associated with increased risk of experiencing common mental health difficulties such as depression and anxiety. Currently there is a lack of evidence-based treatments for such difficulties, resulting in poor health outcomes for both the informal carer and care recipient.

Thu, 07/20/2017 - 15:11

The effect of dementia on patients, informal carers and nurses

Aileen Murray explores the implications for three groups affected by the condition and how greater awareness of these results in improved experiences for individuals

Thu, 07/20/2017 - 15:11

Advanced chronic obstructive pulmonary disease: More than a lung disease

Chronic obstructive pulmonary disease (COPD) is unique among leading causes of death in Western society. While the impact of other major diseases are on the decline, the prevalence, associated morbidity and attributable mortality of COPD continue to rise. The emotional burdens to patients and care-givers and financial burdens of COPD to our healthcare system are substantial. The traditional biomedical approach to COPD is failing with its focus on the underlying pathophysiology, and treatment of acute exacerbations.

Thu, 07/20/2017 - 15:10

Experiences of adults providing care to a partner or relative with depression: A meta-ethnographic synthesis

Background: International interest in the informal carer role has grown in part because of the relationship between caring and caregiver burden. It has been suggested that living with someone with depression is comparable to that of other serious mental health problems, such as schizophrenia or dementia.

Methods: This meta-ethnography included 15 studies exploring experiences of living with a relative or partner with depression. Studies were heterogeneous regarding types of relationship with the depressed individual.

Thu, 07/20/2017 - 15:10

Donepezil for dementia due to Alzheimer's disease

Background: Alzheimer's disease is the most common cause of dementia in older people. One of the aims of therapy is to inhibit the breakdown of a chemical neurotransmitter, acetylcholine, by blocking the relevant enzyme. This can be done by a group of chemicals known as cholinesterase inhibitors. Objectives: The objective of this review is to assess whether donepezil improves the well-being of patients with dementia due to Alzheimer's disease.

Thu, 07/20/2017 - 15:08

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