One Hour of Social Interaction Per Week Improves Dementia Care (NIHR / NHS Choices / PLoS Medicine)

Summary

NIHR-funded research indicates that a modest amount of social interaction improves quality of life for people with dementia living in care homes. Agitation and aggression were reduced by these cost-effective means, and the quality of life in people with dementia was improved.

Full Text Link

Reference

Dementia care improved by just one hour of social interaction each week. Online: National Institute for Health Research (NIHR), February 7th 2018.

This relates to:

Full Text Link

Reference

Ballard, C. Corbett, A. [and] Orrell, M. [et al] (2016). Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: a cluster-randomised controlled trial. PLoS Medicine. February 6th 2018; 15(2): e1002500.

Further analysis by Bazian:

Full Text Link

Reference

‘It’s good to talk,’ dementia study finds. London: NHS Choices; Behind the Headlines, February 7th 2018.

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, NHS Choices, NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Examining Alternative Visions of Funding Social Care for Older People in England (King’s Fund / Health Foundation)

The Kings Fund and the Health Foundation have produced a report on “Approaches to social care funding”. It considers the various advantages and disadvantages of a variety of proposed approaches to funding social care for older people, which include (quotation):

  • Improving the current system.
  • The Conservative Party’s proposals at the time of the 2017 General Election (a revised means test and an [unspecified] cap on care costs).
  • A single budget for health and social care.
  • Free personal care.
  • A hypothecated tax for social care.

Full Text Link

Reference

Wenzel, L. Benne, L. [and] Bottery, S. [et al] (2018). Approaches to social care funding: social care funding options. London: King’s Fund [and] Health Foundation, February 2018. Health Foundation Working Paper No.2.

There is also an Executive Summary / Press Release.

Posted in Charitable Bodies, Commissioning, Community Care, Department of Health and Social Care (DHSC), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, King's Fund, Management of Condition, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Heavy Drinking: an Under-Appreciated Dementia Risk Factor? (BBC News / Lancet Public Health)

Summary

Research based in France has discovered an association between alcohol use disorders and dementia risk, particularly regarding the risk of developing early-onset dementia (i.e. with onset at an age less than 65 years).

Full Text Link

Reference

Alcohol and dementia: What’s the truth? London: BBC Health News, February 21st 2018.

This relates to:

Full Text Link (Note: This article is available freely. It would normally require a suitable Athens password, a journal subscription or payment for access).

Reference

Schwarzinger, M. Pollock, BG. [and] Hasan, OSM. [et al]; QalyDays Study Group (2018). Contribution of alcohol use disorders to the burden of dementia in France 2008–13: a nationwide retrospective cohort study. Lancet Public Health. February 20th 2018, [Epub ahead of print].

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, Mental Health, Quick Insights, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

A Framework of Promising Interventions for Improving the Support of People Living With Dementia (Age UK)

Summary

An Age UK report investigates a variety of interventions which may be of assistance in the support of people with dementia and their families / carers. Case studies of services and projects designed to support wellbeing / living well for people with dementia are provided, complete with appendices of contact details and references.

Section headings in this report comprise:

  • Executive Summary
  • Introduction
    • Dementia in the UK.
    • About this report.
    • Dementia rights and the social model of disability.
    • Why focus on ‘living well’ with dementia?
    • What does it mean to live well with dementia?
    • The evidence on dementia interventions.
  • Chapter 1
    • A new framework for supporting people to live well with dementia.
  • Chapter 2: Foundation Services
    • Pre- and post-diagnostic support.
    • Person-centred planning.
    • Points of contact.
  • Chapter 3: Direct Interventions
    • Personal wellbeing.
    • Positive relationships: existing.
    • Positive relationships: new.
    • Active daily lives.
  • Chapter 4: Enabling Services
    • Technology.
    • Transport.
    • Housing and care.
  • Chapter 5: Structural Factors
    • Rights-based approaches.
    • Dementia-friendly communities.
  • Conclusions and recommendations

“Rights-based approaches will be vital in taking forward our discussions with providers in the community. The new Dementia Statements set out a clear set of expectations and reminding people of these can help to ensure that people with dementia are not disregarded or overlooked”. p.5. Keith Oliver: Kent and Medway NHS Dementia Service User Envoy.

Full Text Link

Reference

Promising approaches to living well with dementia. London: Age UK, September 2017.

Posted in Age UK, Alzheimer's Society, Assistive Technology, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Systematic Reviews, Telecare, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Telecare for Older People in Adult Social Care (King’s College London)

Summary

The UTOPIA Project, conducted by King’s College London (and partners), surveyed English local authorities on their use of assistive technology and telecare to support older people. It investigates a conundrum:

“An important context to the study was an earlier, Department of Health funded randomised controlled trial which became known as the Whole System Demonstrator (WSD) project. This study concluded that telecare did not produce better outcomes for recipients over a 12 month follow-up period but these findings do not appear to have led to a reappraisal of the value of telecare by local authorities”. p.1.

Full Text Link

Reference

Woolham, JG. Steils, N. [and] Fisk, M. [et al] (2018). The UTOPIA Project. Using telecare for older people in adult social care: the findings of a 2016-17 national survey of local authority telecare provision for older people in England. London: Social Care Workforce Research Unit, King’s College London, February 2018.

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

Dementia Care Mapping: Not Necessarily a Magic Bullet (Clinical Interventions in Aging)

Summary

A systematic review looking at the effectiveness of Dementia Care Mapping (DCM) as a tool for use in dementia care settings discovered mixed results. Barriers and facilitators in the implementation of DCM in practice are discussed. DCM is appears to be more likely to be implemented successfully when suitably skilled and motivated staff are trained as mappers, with appropriate preparation and ongoing support, and when supported by leadership within organisations which have a pre-existing culture of person-centered care.

“ …further research into the processes and contexts required to ensure successful implementation is required to ensure that investment in DCM is not wasted”. p.175.

Full Text Link

Reference

Surr, CA. Griffiths, AW. [and] Kelley, R. (2018). Implementing Dementia Care Mapping as a practice development tool in dementia care services: a systematic review. Clinical Interventions in Aging. January 26th 2018; 13: 165-177.

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment