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- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Difficult Conversations
Driving With Dementia or Mild Cognitive Impairment (EBMH / The Mental Elf / Canadian Geriatrics Journal)
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
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Helpline Advice to Assist Recognising Early Signs of Dementia (BBC News / Alzheimer’s Society)
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
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National Screening for Dementia Not Recommended (UK NSC / AHRQ / Annals of Internal Medicine / Epidemiology / International Journal of Epidemiology)
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
Posted in Acute Hospitals, Community Care, Department of Health, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Guidelines, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Public Health England, Quick Insights, Standards, UK, Universal Interest
Tagged (Hepatocellular Carcinoma: Alphafetoprotein), Activities of Daily Living (ADL), Activities of Daily Living Scale, ADAS-Cog, ADAS-Cog: Alzheimer’s Disease Assessment Scale - Cognitive Subscale, Addenbrooke's Cognitive Examination (ACE), Addenbrooke's Cognitive Examination-Revised (ACE-R), Alzheimer's Disease Assessment Scale (ADAS-Cog11), Alzheimer’s Early Screening, Annals of Internal Medicine, Australia, Benefits of Detection and Early Intervention, Best Interest Decisions, Best Interests, Best Interests of Patients, Blackfriars Consensus Statement, Bond University, Brief Assessments, Cambridge Cognitive Examination (CAMCOG), CAMCOG-R: Cambridge Cognitive Examination-Revised, Case Finding, Case Finding for Patients with Dementia, Centre for Research in Evidence-Based Practice: Bond University, CERAD-NP, Clock Drawing Test, Clock Drawing Test (CDT), Cognition Disorders, Cognitive Assessment Tools, Cognitive Impairment, Complex Best Interests Decision Making, Consortium to Establish a Registry for Alzheimer’s Disease – NP (CERAD-NP), Counter-Intuitive Screening Evidence, Counterintuitive Screening Evidence, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Diagnosis, Dementia Screening, Dementia Screening Debate, DemTect, Department of Medicine: Stanford University School of Medicine, Department of Statistics: Stanford University School of Humanities and Sciences, Diagnosis and Referral, Diagnosis and Support, Diagnosis Gap, Diagnosis of Dementia, Diagnosis Rates, Difficult Conversations, Doctor-Patient Relationships, Dr Anne Mackie: Director of Programmes (UK NSC), Dr Charles Alessi: Dementia Lead for PHE, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Effectiveness of Early Detection and Treatment, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, General Practice, GPs, Harms of Detection and Early Intervention or Treatment, Improving Diagnosis, Incentive Payments, International Journal of Epidemiology, International Journal of Geriatric Psychiatry, Mass Screening, MCI: Mild Cognitive Impairment, Memory Assessments, Mild Cognitive Impairment, Mild Cognitive Impairment (MCI), Montreal Cognitive Assessment (MoCA), Neuropsychological Tests, olutions for Public Health (SPH), Opinions About Meaning of Overdiagnosis: National Community Survey of Australians, PHE: Public Health England, Picture Based Assessments, Population Screening for Dementia Deyond Passive Case-Finding, Post-Diagnosis Support, Pre-Dementia (MCI), Prevalence of Cognitive Impairment, Primary Prevention Interventions, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Progression of Mild Cognitive Impairment to Dementia, Quality Premium Payments, Recommendation against national dementia screening. London: Public Health England (PHE), Risk Assessment, Risk of Overdiagnosis Associated With Screening, Rowland Universal Dementia Assessment Scale (RUDAS), School of Public Health: University of Sydney, Screening, Screening for Cognitive Impairment, Screening for Cognitive Impairment in Older Adults, Screening for Dementia, Screening Programmes, Screening Tests, Screening: Counter-Intuitive Evidence, Screening: Counter-Intuitive Evidence (Abdominal Aortic Aneurysm), Screening: Counter-Intuitive Evidence (Abdominal Aortic Aneurysm: Ultrasound), Screening: Counter-Intuitive Evidence (Breast Cancer), Screening: Counter-Intuitive Evidence (Breast Cancer: Breast Self-Exam), Screening: Counter-Intuitive Evidence (Breast Cancer: Clinical Breast Exam), Screening: Counter-Intuitive Evidence (Breast Cancer: Mammography), Screening: Counter-Intuitive Evidence (Cardiovascular Disease), Screening: Counter-Intuitive Evidence (Cardiovascular Disease: Echocardiography), Screening: Counter-Intuitive Evidence (Cervical Cancer), Screening: Counter-Intuitive Evidence (Cervical Cancer: Cytology), Screening: Counter-Intuitive Evidence (Cervical Cancer: Human Papilloma Virus), Screening: Counter-Intuitive Evidence (Cervical Cancer: Visual Inspection), Screening: Counter-Intuitive Evidence (Colorectal Cancer), Screening: Counter-Intuitive Evidence (Colorectal Cancer: Faecal Occult Blood Test [FOBT]), Screening: Counter-Intuitive Evidence (Colorectal Cancer: Fecal Occult Blood Test [FOBT]), Screening: Counter-Intuitive Evidence (Colorectal Cancer: Flexible Sigmoidoscopy With or Without FOBT), Screening: Counter-Intuitive Evidence (Colorectal Cancer: Flexible Sigmoidoscopy), Screening: Counter-Intuitive Evidence (Colorectal Cancer: Single Flexible Sigmoidoscopy), Screening: Counter-Intuitive Evidence (Hepatocellular Carcinoma), Screening: Counter-Intuitive Evidence (Hepatocellular Carcinoma: Alphafetoprotein and Ultrasound), Screening: Counter-Intuitive Evidence (Lung Cancer), Screening: Counter-Intuitive Evidence (Lung Cancer: CA-125), Screening: Counter-Intuitive Evidence (Lung Cancer: Chest X-Ray), Screening: Counter-Intuitive Evidence (Lung Cancer: Chest X-Ray and Cytology), Screening: Counter-Intuitive Evidence (Lung Cancer: CT Scan), Screening: Counter-Intuitive Evidence (Multiple Flexible Sigmoidoscopy), Screening: Counter-Intuitive Evidence (Oral Cancer), Screening: Counter-Intuitive Evidence (Oral Cancer: Visual Exam), Screening: Counter-Intuitive Evidence (Ovarian Cancer), Screening: Counter-Intuitive Evidence (Ovarian Cancer: CA–125), Screening: Counter-Intuitive Evidence (Prostate Cancer), Screening: Counter-Intuitive Evidence (Prostate Cancer: Prostate-Specific-Antigen), Screening: Counter-Intuitive Evidence (Type 2 Diabetes), Screening: Counter-Intuitive Evidence (Type 2 Diabetes: Fasting Blood Glucose and HbA1c), Solutions for Public Health (SPH) Review, Stanford Prevention Research Center: Stanford University School of Medicine, Stanford University School of Medicine, Systematic Population Dementia Screening Programme: Not Recommended (UK NSC), Target Culture, Target-Driven Behaviour, Target-Driven Priorities, Targeted Screening, Timely Diagnosis, Trail Making Assessments, Trail Making Test, Trail Making Tests, Transition from Cognitive Impairment to Dementia, U.S. Preventive Services Task Force (USPSTF), UK National Screening Committee, UK National Screening Committee (UK NSC), United States Preventive Services Task Force, United States Preventive Services Task Force (USPSTF), University of Sydney, USA Department of Health Research and Policy, USA Department of Health Research and Policy: Stanford University School of Medicine, Verbal Fluency, Verbal Fluency Assessments
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Screening to Identify People at Risk of Dementia (JRCPE)
Summary This article in the Journal of the Royal College of Physicians of Edinburgh presents a balanced account of both sides of the argument with regards to whether screening for dementia might be beneficial, and concerning the recent controversy on … Continue reading
Posted in Acute Hospitals, Alzheimer's Society, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, Patient Care Pathway, Quick Insights, Scotland, UK, Universal Interest
Tagged Best Interest Decisions, Best Interests, Best Interests of Patients, Blood Pressure, Cardiovascular Risk, Cardiovascular Risk Factors and Cognitive Decline, Case Finding for Patients with Dementia, Cochrane-Registered Prevention Reviews, Complex Best Interests Decision Making, Conflicts of Interests, Continuum of Cognitive Impairment, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Diagnosis, Dementia Screening Debate, Diagnosis and Referral, Diagnosis and Support, Diagnosis of Dementia, Diagnosis Rates, Diagnosis Rates (Regional UK), Diet, Difficult Conversations, Doctor-Patient Relationships, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Exercise, General Practice, GPs, Improving Diagnosis, Incentive Payments, Incentives, Journal of the Royal College of Physicians of Edinburgh, JRCPE: Journal of the Royal College of Physicians of Edinburgh, MCI: Mild Cognitive Impairment, Medical Ethics, Mild Cognitive Impairment (MCI), Misdiagnosis, Modifiable Risk Factors, Montreal Cognitive Assessment (MoCA), NAPC, National Association of Primary Care, National Association of Primary Care (NAPC), NHS Health Check, NHS Health Checks Programme, Norwich Medical School, Obesity, Over-Diagnosis, Perverse Incentives, Physical Activity, Physical Exercise, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Post-Diagnostic Support, Potential Harms of Diagnosis, Pre-Dementia (MCI), Preventable Dementia (Public Health England), Preventative Care, Prevention, Preventive Care, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Regular Exercise, Risk Factors, Screening, Screening for Dementia, Smoking, Target-Driven Priorities, Timely Diagnosis, University of East Anglia, Vascular Risk Factors, Vested Interests, Watling Medical Centre (UK), Western University: London Health Sciences Centre
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The Dementia Case-Finding Debate Continues (BBC News / BMJ)
Summary Fewer than half of the estimated 670,000 people with dementia typically receive a formal diagnosis, and the government has the well-intentioned aspiration to increase dementia diagnosis rates in England to two-thirds by 2015. A GP writing in the British … Continue reading
Posted in Alzheimer's Society, BBC News, Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
Tagged BBC Health News, Best Interest Decisions, Best Interests, Best Interests of Patients, Binscombe Medical Centre: Godalming [Surrey], BMJ, Breaking Bad News, British Medical Journal (BMJ), Case Finding for Patients with Dementia, Complex Best Interests Decision Making, Conflicts of Interests, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Diagnosis, Dementia Screening Debate, Diagnosis and Referral, Diagnosis and Support, Diagnosis Gap, Diagnosis of Dementia, Diagnosis Rates, Diagnosis Rates (Regional UK), Difficult Conversations, Doctor-Patient Relationships, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Former Health Secretary Jeremy Hunt, General Practice, GPs, Health and Social Care Integration, Herefordshire Clinical Commissioning Group, Improving Diagnosis, Incentive Payments, Incentives, MCI: Mild Cognitive Impairment, Medical Ethics, Mild Cognitive Impairment (MCI), Misdiagnosis, NHS Herefordshire CCG, Over-Diagnosis, Perverse Incentives, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Post-Diagnostic Support, Potential Harms of Diagnosis, Pre-Dementia (MCI), Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Quality Premium Payments, Screening, Screening for Dementia, Target Culture, Target-Driven Behaviour, Target-Driven Priorities, Timely Diagnosis
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