Dementia Risk Reduction: Suggestions for Lifestyle Modification (NHS Choices / Lancet / BBC News / AAIC)

Summary

A large-scale international review, by the Lancet Commission on Dementia Prevention, Intervention and Care (LCDPIC), suggests that perhaps one in three cases of dementia could be prevented if people took steps to follow healthier lifestyles and so protect their brain health throughout life. This international study, also presented at the Alzheimer’s Association International Conference in London, lists the nine main potentially modifiable risk factors, ranked by importance:

  1. Mid-life hearing loss (estimated responsible for 9% of risk).
  2. Failing to complete secondary education (estimated responsible for 8% of risk).
  3. Smoking (estimated responsible for 5% of risk).
  4. Failure to seek early treatment for depression (estimated responsible for 4% of risk).
  5. Physical inactivity (estimated responsible for 3% of risk; or perhaps not).
  6. Social isolation (estimated responsible for 2% of risk).
  7. High blood pressure (estimated responsible for 2% of risk).
  8. Obesity (estimated responsible for 1% of risk).
  9. Type 2 diabetes (estimated responsible for 1% of risk).

Alcohol consumption / alcohol abuse and poor diet did not make the top ten; although numerous alternative listings are available.

Full Text Link

Reference

Nine lifestyle changes may reduce risk of dementia. London: NHS Choices; Behind the Headlines, July 20th 2017.

This relates to:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Livingston, G. Sommerlad, A. [and] Orgeta, V. [et al] (2017). Dementia prevention, intervention, and care. Lancet. July 19th 2017. [Epub ahead of print].

Further commentary from BBC News:

Full Text Link

Reference

Walsh, F. (2017). Nine lifestyle changes can reduce dementia risk, study says.  London: BBC Health News, July 20th 2017.

Posted in BBC News, Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Hypertension, In the News, Integrated Care, International, Mental Health, Models of Dementia Care, NHS Choices, Non-Pharmacological Treatments, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

The Living Conditions of Unpaid Carers in the UK: the State of Caring 2017 Report (Carers UK)

Summary

The latest “State of Caring 2017” report reveals that four in ten of unpaid carers in the UK have not taken a break in over one year, and that one in four carers had not had a day-off from caring in five years. Such carers reported a deterioration in their health, both mentally (73%) and physically (65%).

The Carers UK annual survey of carers also indicates there may be anxiety concerning the support likely to be available, given the context of cuts to adult social care services.

Full Text Link

Reference

One in four unpaid carers “have not had a day off” in five years. [Online]: Carers UK, July 11th 2017.

This relates to:

Full Text Link

Reference

State of Caring 2017. London: Carers UK, July 2017.

Posted in Carers UK, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Self Care Week 2017: Embracing Self Care for Life (Self Care Forum)

Summary

The Self Care Week (2017) awareness campaign, organised by the Self Care Forum, is planned to take place between November 13th – 19th 2017.​

This year’s theme will be “Embracing Self Care for Life”. Further Self Care Week information and resources should be available shortly online.

Full Text Link

Reference

Self Care Week 2017. Online [Bradford; Yorkshire]: The Self Care Forum, July 2017.

The 19th Annual Self Care Conference, also entitled “Embracing Self Care for Life” is set for Tuesday 26th September 2017, and will be held at Imperial College London.

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Early Research on Stress and Social Disadvantage as Potential Risk Factors (BBC News / AAIC)

Summary

Early research findings presented at the Alzheimer’s Association International Conference in London suggest that stressful life events, and more generally the chronic stress of enduring social deprivation life-long, may age the brain. The researchers claim that extremely stressful experiences may act to age the brain “by least four years”. This particular study does not cover the risk factors for dementia, per se.

Full Text Link

Reference

Triggle, N. (2017). Stressful experiences ‘can age the brain by four years’. London: BBC Health News, July 17th 2017.

See also:

Full Text Link

Reference

Stressful life experiences age the brain by four years, African-Americans most at risk. Alzheimer’s Association International Conference® 2017. [London. Online]: Alzheimer’s Association, July 2017.

The Alzheimer’s Association AAIC Press Office has provided a curated collection of associated press releases, pertaining to the 2017 Alzheimer’s Association International Conference (AAIC®2017).

Full Text Link

Reference

Alzheimer’s Association International Conference® 2017. Full List of Press Releases. [London. Online]: Alzheimer’s Association, July 2017.

Posted in BBC News, Charitable Bodies, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Approaches to Supporting Dementia-Friendly Healthcare in Hospital Settings (BMJ Open)

Summary

A review implies that staff dementia awareness training, by itself alone, may not improve dementia care and / or the outcomes for patients with dementia in hospital. It appears that additional strategies such as support for staff in implementing their learning and the provision of further resources from senior staff with expertise in dementia care are likely to be equally important for improving actual practice and patient outcomes.

This study identifies “context-mechanism-outcome” configurations which are beneficial for promoting dementia-friendly care in acute settings:

  • Appreciation of communication difficulties in persons living with dementia and sensitivity in the appreciation of their unmet needs.
  • Higher recognition of the roles of health care assistants in improving hospital care.
  • Endorsement from senior management which promotes staff’s confidence in adopting changes to care practices.
  • Easier permission to adapt working practices to provide better dementia care.
  • Availability of staff in sufficient numbers.
  • Alignment of ward priorities with person-centred approaches to care.

Conversely, it appears that an undue preoccupation with risk is likely to restrict patient choice and increase patient distress.

Full Text Link

Reference

Handley, M. Bunn, F. [and] Goodman, C. (2017). Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review. BMJ Open. July 16th 2017; 7(7): e015257.

Posted in Acute Hospitals, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Residential Care: Exploring the Options, the Costs and the Alternatives (BBC News)

Summary

Following a recent review of Care Quality Commission (CQC) inspections, which revealed that perhaps one in four care homes may to be failing in terms of safety and the adequacy of care provided, a BBC News item provides a quick user guide on navigating the care system, choosing a suitable care home, and the likely costs locally.

Note: Alternatives to residential care are explored.

Full Text Link

Reference

Triggle, N. (2017). How to choose the perfect care home. London: BBC Health News, July 14th 2017.

Posted in BBC News, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, Non-Pharmacological Treatments, Northern Ireland, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment