Timeless Good Advice? (Action for Happiness)

Summary

The secret to happiness, for challenging times? Simple and evidence-based.

“Action for Happiness helps people take action for a happier and kinder world”.

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Reference

Active coping calendar for April 2020. [Online]: Action for Happiness, April 2020.

Aphorisms For Informal Reflection

Some “sayings of the day”, circulated among NHS staff:

April 1st 2020:

“It costs nothing to be kind”.

April 2nd 2020:

“God, grant me the serenity to accept the things I cannot change, the courage to change the things I can and the wisdom to know the difference”. (Reinhold Niebuhr)

April 3rd 2020:

“No act of kindness, no matter how small, is ever wasted”. (Aesop)

April 4th 2020:

“It’s nice to be important, but it’s more important to be nice”.

April 5th 2020:

“If you see someone without a smile, give them one of yours”.

Posted in Charitable Bodies, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , | Leave a comment

The Diversionary Value of Music Playlists for Patients With Dementia in Accident and Emergency Settings (Nurses.co.uk / BBC News)

Summary

A recent small-scale trial based at NHS Fife indicates that music playlists used on A&E wards can have a calming effect for most elderly dementia patients, offering potential to reduce agitation and distress without resort to medication.

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Reference

Study shows music has a calming influence on elderly dementia patients. [Online]: Nurses.co.uk, September 25th 2019.

See also:

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Reference

Music has calming effect on hospital dementia patients. Scotland: Edinburgh: BBC News (Edinburgh, Fife and East Scotland), September 24th 2019.

“The results of the study were welcomed by dementia charity Playlist For Life”.

Early Origins?

The likely early origins of this research (which remains unreported seemingly in the peer-reviewed literature):

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Reference

Skinner, H. (2018). An exploration of individualized music on levels of agitation in people with dementia in a specialist mental health setting: a mixed method approach. (Doctoral dissertation). Dundee: University of Abertay, 2018.

Further details, supplied by Matt Farrah (Co-Founder of Nurses.co.uk) [direct quotation]:

“How Music Helps Dementia Patients Deal With Distress

NHS Fife conducted an eight-week project. They loaded an MP3 player with songs from a variety of genres. The played them to patients displaying stress and agitation. Researchers used the music as a diversion technique. They discovered that it significantly reduced the levels of anxiety and 96 % of the patients involved in the study appeared less stressed during clinical procedures. Now the method has been introduced in post-theatre recovery and wards with elderly patients. One dementia nurse consultant based in Scotland observed that patients are often distressed when they come to A&E. However, they first try to deal with such distress using non-pharmacological means. Fortunately, music has aided many patients with dementia deal with their distress. They now consider the use of music as a necessity, not a nicety. Furthermore, many health experts see music as part of a broader approach to helping patients and their carers deal with dementia.

The study is based on trials involving 28 patients. It featured assessments on nine key behaviours including eye contact, vocalisations, touch, movements to music, laughter and smiling. It concluded that music supplements scientific treatment by distracting the patient’s attention away from stressful procedures, which decreases anxiety. Sarah Metcalfe, chief executive of Playlist for Life, was pleased with the promising results produced by the NHS Fife project.

She hopes other NHS Trusts adopt the approach. It can help them enhance the level of care they provide to patients with dementia as well as support family members and carers. Royal College of Psychiatrists in Scotland Chairman Adam Daly said they support any evidence-based research that can help people with dementia deal with distress, especially if medication can be avoided. The interventions can take many novel forms, but the use of music is an exciting development. It’s great to see how music is used to benefit people with dementia, especially within the hospital”.

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Scotland, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

More on the Possible Role of Neuroinflammation in Frontotemporal Dementia (Bazian / Brain)

Summary

Inflammation in the brain has been found to be present alongside (“co-localised” with) protein clusters in patients with frontotemporal dementia, suggesting that neuroinflammation may be involved as a potential cause of frontotemporal dementia.

“The researchers found that both the C-PK-11195 marker for inflammation, and F-AV-1451 marker for protein clusters, were more common in the front (frontal) and sides (temporal) of the brain in people with frontotemporal dementia than the healthy comparison group”.

The following NHS Digital Behind the Headlines critical appraisal interprets this research impartially.

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Reference

Brain inflammation linked to uncommon type of ‘early-onset’ dementia. London: NHS Digital; Behind the Headlines, March 18th 2020.

This relates to:

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Reference

Bevan-Jones, WR. Cope, TE. [and] Jones, PS. [et al] (2020). Neuroinflammation and protein aggregation co-localize across the frontotemporal dementia spectrum. Brain. March 17th 2020. [Epub ahead of print].

Posted in For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, NHS Digital (Previously NHS Choices), Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

COVID-19 Infection: Coronavirus in the UK (DHSC / PHE / BBC News / SCIE / NHS England)

Summary

Latest guidance for the general public.

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Reference

New guidance for households with possible COVID-19 infection. [Online]: Department of Health and Social Care [and] Public Health England, March 17th 2020.

In less than three months the impact of COVID-19 appears to have changed the history of civilisation (briefly at least).

Local Coronavirus Tracking

A quick online checker indicating the spread of this infection locally, from BBC News:

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Reference

Coronavirus in UK: How many confirmed cases are there in your area? London: BBC Health News, March 19th 2020.

WHO COVID-19 International Tracking Dashboard

The World Health Organisation has created the WHO Tracking Dashboard showing the numbers of confirmed cases, and fatalities, in countries affected by COVID-19.

Social Distancing

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Reference

Social distancing may be needed for ‘most of year’. London: BBC Health News, March 20th 2020.

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Reference

Coronavirus: Six months before UK ‘returns to normal’ – deputy chief medical officer. London: BBC Health News, March 29th 2020.

SCIE: Advice for Social Care

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Reference

Coronavirus (COVID-19) guidance for social care. [Online]: Social Care Institute for Excellence (SCIE), March 2020.

There is a SCIE COVID-19 Hub offering Coronavirus (COVID-19) advice for social care.

Patient Information on the Coronavirus Pandemic: Basic Advice For the Public in Other Languages

Doctors of the World has made available patient information on Coronavirus (COVID-19) offering basic advice, based on NHS guidance, in 34 languages; produced in partnership with the British Red Cross, Migrant Help and Clear Voice.

NHS England’s Guidance for Clinicians and NHS Managers

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Reference

Coronavirus guidance for clinicians and NHS managers. [Online]: NHS England, March 26th 2020.

Mental Wellbeing: Apps For NHS Staff

NHS staff have free access to wellbeing apps (until the end of December 2020), to support their mental health and wellbeing. These include:

  1. Unmind: a mental health platform for staff, to improve their mental wellbeing.
  2. Headspace: a science-based app for mindfulness and meditation,
  3. Sleepio: an evidence-based sleep improvement programme, using cognitive behavioural techniques to improve poor sleep.
  4. Daylight: a smartphone-based app which helps staff experiencing worry and anxiety.

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Reference

Free access to wellbeing apps for all NHS staff. [Online]: NHS Employers, March 26th 2020.

Statistical Uncertainties

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Reference

Roberts, M. (2020). Coronavirus: Why the UK death count is an inexact science. London: BBC Health News, March 31st 2020.

Online Questionnaire Feeds NHS Datasets to Inform Decision Makers

NHS England, NHSX and NHS Digital have developed the Coronavirus Status Checker.

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Reference

NHS COVID-19 symptom checker launched to help build up additional data. [Online]: HTN: Health Tech Newspaper, April 4th 2020.

Posted in BBC News, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, Local Interest, National, NHS, NHS Employers, NHS England, Public Health England, Quick Insights, SCIE, Statistics, UK, Universal Interest, Wolverhampton, World Health Organization (WHO) | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Interventions to Improve Resilience in People Living With Dementia (Frontiers in Medicine)

Summary

A review of the literature has identified five types of interventions designed to support resilience (coping with adversity) in people with dementia, which comprise:

  1. Dementia Advisors.
  2. Peer Support Network Services.
  3. Visual Arts Enrichment Activities (VAEA).
  4. Memory Makers.
  5. Early-Stage and Beyond Community Activities (ESBCA).

Limitations to current understanding, and suggestions for further research, are outlined.

Full Text Link

Reference

Whelan, S. Teahan, Á. [and] Casey, D. (2020). Fostering the resilience of people with dementia: a narrative literature review. Frontiers in Medicine. February 25th 2020; Vol.7: 45.

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Developments in Smart Assistive Technology to Support People With Dementia (Frontiers in Pharmacology)

Summary

A recent systematic investigates the use of remote “sensing technology” to assess behavioural and psychological symptoms of dementia (BPSD), and for monitoring people with dementia more generally. The broad categories of technology considered include (i) wearable sensors, (ii) non-wearable motion sensors and (iii) assistive technologies / smart home technologies.

The authors propose a framework for sustainable ethical innovation in the application of healthcare technology.

Full Text Link

Reference

Husebo, BS. Heintz, HL. [and] Berge, LI. [et al] (2020). Sensing technology to facilitate behavioral and psychological symptoms and to monitor treatment response in people with dementia. A systematic review. Frontiers in Pharmacology. February 7th 2020; Vol.10: 1699.

Posted in Assistive Technology, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, Telecare, Telehealth, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Elderly Depression and Dementia: Underlying Relationships? (Frontiers in Pharmacology)

Summary

A systematic review examines the relationship(s) between depression and dementia in old age, exploring multiple possible explanations:

  1. Depressive symptoms may be a risk factor for dementia.
  2. Depressive symptoms may be a prodromal symptom of dementia.
  3. Depressive symptoms may be simply coincidental in dementia, connected only by common underlying risk factors.

“It seems unlikely that there is no connection at all”.

Uncertainties remain.

Full Text Link

Reference

Wiels, W. Baeken, C. [and] Engelborghs, S. (2020). Depressive symptoms in the elderly-an early symptom of dementia? A systematic review. Frontiers in Pharmacology. February 7th 2020; Vol.11: 34.

Posted in Depression, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Person-Centred Care, Quick Insights, Systematic Reviews, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment