scholarly journals Anxiety: a hidden element in dementia

2012 ◽  
Vol 18 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Vellingiri Raja Badrakalimuthu ◽  
Andrew F. Tarbuck

SummaryAnxiety has reported prevalence rates between 38 and 72% among people with dementia. It has a negative impact on cognitive impairment and is associated with agitation and poor quality of life. The presence of excessive anxiety can be difficult to establish in people with dementia, especially when expressive or receptive speech is impaired. Unfortunately, there is a lack of research on the treatment of anxiety in dementia, and also on the wider issue of the management of anxiety disorders in old age. We explore the prevalence, presentation and diagnosis of anxiety in dementia and discuss the therapeutic options available.

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Sumarni Sumarni ◽  
Adi Heru Sutomo ◽  
Cempaka Tursina ◽  
Purwanta Purwanta ◽  
Ade Indah Wahdini ◽  
...  

Merapi eruption can cause a psychological traumatic for elderly such as depression, increase disability, and decrease quality of life. We need to train the cadres to make an elderly care village. The study aim is to know the influence of cadre training on knowledge and skill for elderly healthiness. This study uses secondary data from community research on May until September 2018 in Desa Purwobinangun, Sleman. The target is cadres and 80 elderlies in Desa Purwobinangun, Sleman. The tools in this study such as Module Ramah dan Sehat Lansia, Geriatric Depression Scale (GDS), Mini-Mental State Examination (MMSE), questionnaire about knowledge and skills of traditional games, and questionnaire about early detection and treatment in old age health. The data will be shown in quantitative data. After trained, the result was showed: 1) average points of knowledge about health problem in old age especially in social support increased 50%; traditional game increased 30%; old friendly increased 45%; and brain games increased 40%. 2) average points of skills to treat elderly health problem especially in social support elevated 19,81%; traditional games rose 17,02%; elderly care increased 27,58%; and brain games increased 28,68%. 3) tendency to get health problem in elderly: hypertension decreased 8,75%, diabetes mellitus stayed at 37 subjects; depression decreased 22,5%; good cognitive increased 16,25%; moderate cognitive impairment decreased 16,28%; and severe cognitive impairment stayed at 9 subjects; and low quality of life was decreased 27,5%). Cadres empowerment can increase knowledge and skill of cadre to treat health problems in elderly.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S276-S276
Author(s):  
Syed Nabeel Javaid

AimsThe aim of this systematic literature review was to determine the evidence-based effectiveness of animal assisted interventions and to look at the factors that limit implementation of this intervention.BackgroundDementia is a major health issue worldwide impacting not only on the people diagnosed with dementia, but also on their families and caregivers, and the healthcare professionals. The symptoms of dementia include cognitive impairment that can range from mild to severe, and behavioural and psychological symptoms which have debilitating effects on functional capacity and quality of life. A number of non-pharmacological interventions are being developed to help people with dementia. Animal assisted therapy is one of those interventions that has demonstrated positive effects on various aspects of dementia (Filan and Llewellyn-Jones, 2006). However, there are limitations to its use and feasibility of animal assisted therapy programmes is unclear.MethodOnly randomised-controlled trials (RCTs) were to be included to evaluate high quality evidence. A systematic literature search was carried out to find using the PubMed and Cochrane databases and a search of the NICE website. Literature was screened according to inclusion and exclusion criteria. Eight randomised-controlled trials were selected to be used in this systematic review to assess the effectiveness of animal-assisted therapy.ResultThe results regarding the effectiveness of animal assisted therapy were variable. There was some improvement demonstrated in symptoms of depression, agitation, behaviour and cognitive impairment. Quality of life and activities of daily living also demonstrated positive outcomes. There was a reduction in the risk of falls in people with dementia. However, the studies conducted demonstrated limited methodologies. The factors limiting the use of animal assisted therapy were found to be concerns around adverse events to animals, issues of animal welfare and economic feasibility of animal assisted therapy programmes.ConclusionFurther research needs to be done using properly conducted randomised controlled trials with larger sample sizes to formally assess people's perceptions regarding therapy animals and develop clear guidelines and protocols for integrating these interventions in healthcare.


2008 ◽  
Vol 23 (11) ◽  
pp. 1103-1109 ◽  
Author(s):  
Pierre Missotten ◽  
Gilles Squelard ◽  
Michel Ylieff ◽  
David Di Notte ◽  
Louis Paquay ◽  
...  

2018 ◽  
Vol 15 (5) ◽  
pp. 400-407 ◽  
Author(s):  
Pasquale Ricci ◽  
Francesco Massoni ◽  
Lidia Ricci ◽  
Emanuela Onofri ◽  
Giuseppe Donato ◽  
...  

Background: Among the myriad of factors modulating quality of life assessments estimated in patients presenting a variety of cognitive impairments, the distinctive and critical influence of diet and exercise cannot be overestimated. Objective: The objective of this study was to review the evidence to confirm the association between these health-endowering agents and cognitive performance in People With Dementia as well as providing a correlation between Mini Mental State Examination scores and available anthropometric data. Methods: The authors tested the hypothesized correlation on a sample of subjects with instrumentally confirmed cognitive impairment using parameters as Body Mass Index and calf circumference. Results: The results confirm the hypothesis and suggesting the possible use of anthropometric data in the process of objective evaluation of the patient with cognitive impairment that could also be used for forensic medicine.


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