Tag Archives: Difficult Conversations

Driving With Dementia or Mild Cognitive Impairment (EBMH / The Mental Elf / Canadian Geriatrics Journal)

Posted on January 8, 2017 by Dementia and Elderly Care News

Summary A review the current guidelines and evidence relating to driving and dementia (and driving with mild cognitive impairment) which is intended to help clinicians offer advice and make decisions about driving safety. The assessment tools / strategies available are … Continue reading →

Posted in Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Patient Information, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Ageing, Ageing and Dementia, Ageing Population, BMJ Publishing Group Ltd, Canada, Centre for Family Medicine Memory Clinic (Kitchener Ontario), Centre for the Health of the Elderly: Northumberland, Cognitive Assessments / Screening Tools, Combinations of On-Road Tests With Clinical and Neuropsychological Assessments, Dementia and Driving Guidance, Department of Family Medicine: McMaster University, Department of Medicine Division of Geriatrics: Ottawa Hospital, Department of Psychiatry: University of Oxford, Depressive Mood Disorders, Difficult Conversations, Driver and Vehicle Licensing Agency (DVLA), Drivers With Dementia, Driving, Driving and Dementia, Driving Assessment Centres, Driving Cessation, Driving in Dementia: Useful Links, Driving Mobility Approved Assessment Centres: for Independent Assessments, DVLA, DVLA Guidelines on Dementia and Mild Cognitive Impairment, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Evidence Based Mental Health (EBMH), Evidence Based Mental Health (Journal), Factors Determining Decisions to Stop Driving, Faculty of Health Science: University of Ottawa, Faculty of Medicine: Ottawa Hospital, Frontotemporal Dementia (FTD), Hamilton, Impaired Neck Mobility, Loss of Driving Licence: Patient Impact, McMaster University, Medical Fitness-to-Drive Decisions, Montreal Cognitive Assessment (MoCA), Motor Vehicle Drivers With Dementia, Northumberland, Office of Continuing Professional Development: University of Ottawa, Older People's Services: Oxford Health NHS Foundation Trust, Ottawa Hospital, Oxford Health NHS Foundation Trust, Potential Loss of Driving Licence: Patient Impact Sensitivity, Sensitivity Concerning Patient Impact, The Mental Elf, Tyne and Wear NHS Foundation Trust, University of Ottawa, University of Oxford, Use of Cognitive Tests to Assess Driving Ability, Visual Impairment | Leave a comment

Expert Consensus Guidelines for Family / Unpaid Carers on Assisting Persons With Cognitive Impairment or Dementia (BMC Geriatrics / Mental Health First Aid Australia)

Posted on July 19, 2016 by Dementia and Elderly Care News

Summary Experts were consulted with a view to developing a set of indicative guidelines for family and non-professional carers when assisting older persons either developing cognitive impairment or with dementia (or delirium). A list of potentially valuable skills (based on … Continue reading →

Posted in Community Care, Delirium, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, International, Management of Condition, Mental Health, Models of Dementia Care, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Universal Interest | Tagged Aggression, Agitation, Anger, Argumentativeness, Asking the Person Questions, Australia, Awareness of Confusion and Dementia, Being Understood During a Conversation, BMC Geriatrics, Burden on Caregivers, Caregiver Distress, Caregiving (Carers), Carer Fatigue, Carer Support, Carering for Persons With Mental Illnesses, Carers, Carers for People with Dementia, Caring for Persons With Delirium, Centre for Mental Health: University of Melbourne, Challenges in Communication, Challenging Behaviour, Challenging Behaviour in Dementia, Cognitive Impairment, Communicating in Group Situations, Communicating With the Person, Communication Skills, Confusion, Confusion (Delirium), Consensus Guidelines for Unpaid Carers of Persons With Cognitive Impairment, Consensus Guidelines for Unpaid Carers of Persons With Dementia, Contacting Emergency Services, Crises, Crisis Situations, Deakin University, Decision Making, Delirium Superimposed on Dementia, Delphi Consensus, Delphi Studies, Delusions, Dementia Awareness, Difficult Conversations, Discussing Dementia Diagnosis, Discussing Sensitive Issues, Discussions and Decisions About Care, Discussions and Decisions About Driving, Expert Consensus Guidelines for Family and Carers, Family Caregivers, Family Carers, Financial Difficulties and Mental Health Problems, Gaining and Keeping the Person’s Attention, Hallucinations, Hallucinations in People with Dementia, Health and Wellbeing of Adult Carers, Helping Disoriented People, Helping People to Complete Tasks, Helping People Who Have Regressed Into the Past, Helping People With Memory Problems, Helping Someone with Gambling Problems, Impact of Caring on Carers, Improving Educational Outcomes for Students With Mental Illness, Inappropriate Sexual Behaviour, Making Decisions and Planning For the Future, Management of Challenging Behaviour, Melbourne School of Population and Global Health: University of Melbourne, Mental Health First Aid (MHFA) Training, Mental Health First Aid Australia, Mental Health First Aid for the Older Person, Mental Health First Aid for the Older Person Manual and Course, Mental Health First Aid Guidelines, MHFA Australia: University of Melbourne, Needs of Carers, Non-Verbal Communication, Offering the Person Options, Parenting Strategies to Prevent Adolescent Alcohol Depression and Anxiety Problems, Population Mental Health Group: University of Melbourne, Practical Guidance, Return to Work Following a Mental Health Problem, School of Psychology: Deakin University, Seeing the Person Behind the Dementia, Seeking Professional Help, Shared Decision-Making, Strategies For Managing Resistance, Stress Reduction, Stress Reduction for Unpaid Family Carers, Support for Carers, Supporting Persons With Dementia, Sustainable Caring, Talking To the Person, University of Melbourne, Unpaid Caregivers (Carers), Unpaid Carers, Wandering, Wandering in Dementia, Workplace Prevention of Mental Health Problems | Leave a comment

Facilitating Difficult Conversations About Encroaching Old Age (BBC News / Independent Age)

Posted on July 11, 2016 by Dementia and Elderly Care News

Summary Independent Age (using the services of ComRes) conducted a survey which indicates that many people avoid talking about getting old and planning for loss of independence in old age. People tend to find conversations about end-of-life care particularly difficult … Continue reading →

Posted in BBC News, Charitable Bodies, End of Life Care, For Carers (mostly), In the News, Management of Condition, National, Patient Information, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Advance Care Planning, Advance Decision, Advance Statement, Ageing Population, Anticipatory Decision-Making, Barriers to Conversation (Difficult Conversations), Barriers to Talking About Ageing, Barriers: Ineffective Advance Care Planning, BBC Health News, Capacity and Advance Decisions, Care for People with Dementia in the Community, Care in an Ageing Society, Caregivers, Caregiving (Carers), Compassion in Dying, ComRes Polling, Decision Making, Decision-Making at End of Life, Decision-Making Capacity, Delayers, Delayers and Deniers, Delegated Decision Making, Deniers, Difficult Conversations, Difficult Conversations (Families and Carers), Difficult Conversations: Anticipating Reactions, Easing Decision-Making, End-of-Life Dementia Care Barriers: Ineffective Advance Care Planning, Facilitating Difficult Conversations, Families, Family Caregivers, Family Carers, Health and Care Suitable for an Ageing Population, Home Care, Independent Age, Independent Age Helpline, Information Sharing: Advance Care Plans, Intergenerational Communication, Janet Morrison (Chief Executive of Independent Age), Lasting Power of Attorney for Health and Welfare, Let Me Decide (Advance Care Directive), Living with Dementia, Loss of Independence, Managing My Affairs If I Become Ill, Participatory Decision-Making, Planning Ahead, Power of Attorney, Proxy Decision Making, Shared Decision-Making, Supporting Health Wellbeing and Independence, Talking About End-of-Life Planning, Talking About Getting Extra Help at Home, Talking About Moving Home, Talking About Moving Out of Home, Tools For End of Life Care Planning, Unpaid Care Provision, Unpaid Caregivers (Carers), Unpaid Carers, Unwillingness to Consider Residential Care | Leave a comment

Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)

Posted on May 3, 2016 by Dementia and Elderly Care News

Summary The latest Royal College of Physicians (RCP) audit has estimated that one in five families may not be consulted when hospital staff decide not to revive their relatives and issue “Do Not Resuscitate” (DNR) orders. “Guidelines issued by the … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged 24/7 Care, Access to Face-To-Face Specialist Palliative Care, Acute Care, Acute Hospital Care, Acute Hospitals, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care and Communication, Care and Compassion, Care in General Hospitals, Care of Dying Adults in Last Days of Life, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Clinical Audits, Communication, Communication Skills Training For Care in Last Hours or Days of Life, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Dementia Care in Acute General Hospitals, Difficult Conversations, Dignity and Respect, DNACPR: Do Not Attempt Cardiopulmonary Resuscitation, Do Not Resuscitate (DNR), Do Not Resuscitate (DNR) Communication Failures, Documented Evidence in Last 24 Hours of Life of Holistic Assessment of Patient’s Needs for Individual Plan of Care, Documented Evidence Patient Given Opportunity to Have Concerns Listened To, Documented Evidence That Needs Of Person(S) Important to Patient Were Asked About, Documented Evidence That Patient Would Probably Die (Imminent Death) Had Been Discussed With Nominated Person(S) Important to Patient, Documented Evidence That Patient Would Probably Die in Coming Hours or Days, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Facilitators, End of Life Care Pathway, End of Life Care Plans, End of Life Care Quality Indicators, End of Life Care Research, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, General Hospital Care, Geographical Variations, Good Communication, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hospital End-of-Life Care, Hydration and Nutrition, Improving Care in General Hospital Settings, Lay Member on Trust Board With Responsibility For End of Life Care, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, NHS Services Seven Days a Week, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, Quality of Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Specialist Palliative Care Services (SPC), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, Treatment at End of Life, Trust Seeks Bereaved Relatives’ or Friends’ Views, UK End-of-Life Care, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP) | Leave a comment

Further Room For Improvements in End of Life Care (BBC News / RCP)

Posted on March 31, 2016 by Dementia and Elderly Care News

Summary End of life care in the UK has previously been assessed to be possibly the best in the world, but a Royal College of Physicians audit report identifies local variations in the quality of hospital care for the dying. Full … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged 24/7 Care, Acute Care, Acute Hospital Care, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care of Dying Adults in Last Days of Life, Clinical Audits, Communication, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Difficult Conversations, Dignity and Respect, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, Geographical Variations, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hydration and Nutrition, Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, UK End-of-Life Care, Unwarranted Variations, variation, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP) | Leave a comment

Helpline Advice to Assist Recognising Early Signs of Dementia (BBC News / Alzheimer’s Society)

Posted on December 24, 2015 by Dementia and Elderly Care News

Summary The Alzheimer’s Society is offering telephone advice and assistance for the public, regarding better recognition of certain early signs of dementia in a family members. Full Text Link Reference Roberts, M. (2015). How to spot dementia in a loved … Continue reading →

Posted in Alzheimer's Society, BBC News, Charitable Bodies, Community Care, Diagnosis, For Carers (mostly), For Social Workers (mostly), In the News, Models of Dementia Care, National, Patient Information, Person-Centred Care, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Advice and Information, Advice and Support, Alzheimer’s Society Helpline, Awareness and Campaigns, Awareness Raising, BBC Health News, Confusion About Signs of Dementia, Delays After Noticing Dementia Symptoms Before Seeking Help, Delays in Dementia Assessment, Dementia Awareness, Dementia Friendly Christmas, Difficult Conversations, Early Diagnosis, Erika Aldridge: Head of Advice at Alzheimer’s Society, Festive Season, Fiona Phillips, Identification and Referral, Information and Advice, Living Well After Diagnosis, Loss of Interest in Things Once Enjoyed or Excelled In, Mispronounciation of Words, National Dementia Helpline, National Dementia Helpline: Christmas 2015 Opening Hours, Popular Confusion About Dementia Signs, Recognition Assessment and Diagnosis, Reducing Delays in Dementia Diagnosis, Repeatedly Forgetting Names of Family Members or Everyday Objects, Repetitive Compulsive or Ritualised Behaviours, Repetitive Phrases, Spotting the Signs of Dementia, Stuttering, Timely Diagnosis, YouGov | Leave a comment

National Screening for Dementia Not Recommended (UK NSC / AHRQ / Annals of Internal Medicine / Epidemiology / International Journal of Epidemiology)

Posted on January 19, 2015 by Dementia and Elderly Care News

Summary The UK National Screening Committee (UK NSC) has upheld previous recommendations against screening people aged 65 and over for dementia. This decision follows an extensive review of the evidence. The UK NSC has concluded that tests for dementia, which … Continue reading →

Tag Archives: Difficult Conversations

Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)

National Screening for Dementia Not Recommended (UK NSC / AHRQ / Annals of Internal Medicine / Epidemiology / International Journal of Epidemiology)

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