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Dementia

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Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi Feb 2020

Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi

All Dissertations, Theses, and Capstone Projects

The characterization of the earliest stages of Alzheimer's disease (AD) is a topic of major research interest because it is critical for early diagnosis and emerging interventions. Metamemory, or knowledge about memory, including awareness of one’s own memory functions, has been investigated in AD especially in relation to how impairment in memory and executive functions contribute to unawareness of cognitive deficits, termed anosognosia. Previous research, however, has not systematically investigated metamemory functioning in older adults with prodromal dementia conditions. Therefore, we investigated metamemory accuracy in cognitively healthy older adults (HC) and those with subjective cognitive decline but intact ...


Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius Jan 2020

Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius

Walden Dissertations and Doctoral Studies

This study focused on the experience of probate attorneys with the lucid interval in contested will cases. There is a gap in the research for understanding the lucid interval for people who live with dementia. Dementia can affect the testamentary capacity (TC) of a testator who is signing a will because the testator may not understand all the property that is in their possession. This causes difficulties and conflict for families when a loved one dies. It can also cause the testator to be susceptible to undue influence. The present study analyzed data from interviews with 6 probate attorneys about ...


Functional Analysis In The Home Setting Of An Older Adult With Neurocognitive Disorder, Emily Norton Dec 2019

Functional Analysis In The Home Setting Of An Older Adult With Neurocognitive Disorder, Emily Norton

Master's Theses

Currently within the behavioral gerontology literature there are no published studies that include a functional assessment in the home setting. The primary goal of the present study was to address this gap by conducting a functional analysis on a challenging behavior of an older adult with neurocognitive disorder in the home. This study occurred in two phases. During phase one, researchers conducted an antecedent functional analysis on the bizarre speech of an 81-year-old female with suspected dementia across four conditions (television on, no interactions initiated; television on, interactions initiated; television off, no interactions initiated; television off, interactions initiated). Results from ...


Help-Seeking For Cognitive Impairment By The Patient : The Role Of Self-Compassion., Allison J. Midden Dec 2019

Help-Seeking For Cognitive Impairment By The Patient : The Role Of Self-Compassion., Allison J. Midden

Electronic Theses and Dissertations

Older adults represent one of the fastest growing population groups with estimates predicting global growth from 617 million in 2015 to 1.6 billion in 2050. As the aged population increases, incidence of Alzheimer’s disease (AD) and other dementias will also increase. Professionals agree that early intervention is essential for therapeutic and quality of life purposes. However, many older adults wait several months or years to seek medical help after first noticing signs of cognitive impairment. The present study seeks to identify the predictors of help-seeking for cognitive impairment by an individual for him/herself and the role that ...


The Impact Of A Multisensory Stimulation Environment Within A Memory Care Assisted Living Facility, Dana M. Prince Dec 2019

The Impact Of A Multisensory Stimulation Environment Within A Memory Care Assisted Living Facility, Dana M. Prince

Dissertations

The use of Multisensory Stimulation Environments (MSSE) has grown increasingly more common in the United States (U.S.) as a nonpharmacological intervention for Behavioral and Psychological Symptoms of Dementia (BPSD). However, typical MSSE designs require a secluded room isolated from outside stimulation and demand direct supervision from the care provider during treatment. Due to projected shortages in the clinical workforce and the population of older adults on the rise, a study was designed to reveal the effectiveness of an open-floorplan MSSE to reduce the demand of care providers during the use of the MSSE while allowing subjects diagnosed with dementia ...


The Utility Of Music-Based Interventions In Dementia Care, Adriana C. Doerr Aug 2019

The Utility Of Music-Based Interventions In Dementia Care, Adriana C. Doerr

Dissertations

While research has investigated the impact of music-based interventions on management of behavioral and psychological symptoms of dementia (BPSD), there is limited discussion of which music-based interventions are most effective for various levels of dementia severity, or of how to determine which music-based interventions are both accessible and feasible for caregivers and nursing staff. This review sought to identify the benefits of music-based interventions in dementia care within various domains of functioning and determine whether music-based interventions are effective for various levels of dementia severity. Peer-reviewed articles and studies that evaluated the effectiveness of various music interventions or demonstrated music ...


Dementia Caregiver Coping Strategies And Caregiver-Care Recipient Relationship Closeness: Associations With Care-Recipient Outcomes, Stephanie Behrensberg Aug 2019

Dementia Caregiver Coping Strategies And Caregiver-Care Recipient Relationship Closeness: Associations With Care-Recipient Outcomes, Stephanie Behrensberg

All Graduate Theses and Dissertations

This project used data from the Dementia Progression Study, a longitudinal, population-based study based out of Cache County, Utah. Statistical models were used to examine the association between caregiver factors, the care environment, and cognitive outcomes in persons with dementia. Mediational analyses were also used to examine if the care environment, inferred for nutritional status, engagement in physical and cognitively stimulating activities, mediated the relationship between the closeness/caregiver coping strategies and cognition in persons with dementia. Results showed that closer caregiver-care recipient relationships were associated with better nutritional status and more engagement in number of cognitively stimulating activities as ...


Assisting Elders With Dementia In Residential Settings Through Music Therapy: A Literature Review, Benjamin Burke May 2019

Assisting Elders With Dementia In Residential Settings Through Music Therapy: A Literature Review, Benjamin Burke

Expressive Therapies Capstone Theses

Dementia is one of the most prevalent diagnoses for elders causing strain and debilitation of their social, mental, physical, emotional, behavioral and psychological faculties. Due to the nature of this condition, treatments for dementia have been structured to aid and improve the well-being and quality of life for those afflicted. Some of the goals that assisted-living services establish include reducing anxiety, increasing levels of comfort, improving mood, memory care and bettering verbal processing. Music therapy has been an intervention that assists with establishing these goals and implementing strategies resulting in short-term and long-term effects for those receiving treatment for dementia ...


Executive Function Deficits In Patients With Mild Cognitive Impairment: Exploring The Impact Of Substance Use, William C. Dooley May 2019

Executive Function Deficits In Patients With Mild Cognitive Impairment: Exploring The Impact Of Substance Use, William C. Dooley

MSU Graduate Theses

Substance use is pervasive in the United States. With overdose deaths on the rise for the past decade, studies have examined the detrimental effects of a range of substances. Substance use has been shown to affect the domains of executive functioning, while diseases such as Human Immunodeficiency Virus (HIV) and Hepatitis-C (Hep-C) have been shown to increase the severity of these deficits when comorbid with substance use. Alzheimer’s Dementia (AD) also affects many of the same domains of executive functioning as substance use. However, because of the rapid degenerative nature of the disease, individuals clinically determined to have Mild ...


The Impact Caregiving And Decision-Making Has On Adult Sibling Relationships, Christina Vroman Jan 2019

The Impact Caregiving And Decision-Making Has On Adult Sibling Relationships, Christina Vroman

PCOM Psychology Dissertations

Dementia is characterized by a decrease in cognitive functioning, usually characterized by a progressive decline in brain function over time. As the condition progresses, individuals require more assistance from others in order to maintain their activities of daily, independent living and decision-making among other functions of life. The responsibility of caring for the aging population usually falls on adult children, which can cause stress and tension within the family dynamic. Adult siblings tend to believe that the responsibility of caregiving should be equally split among siblings (Amaro & Miller, 2016); however, it is often the case that one sibling takes on the majority ...


Medical Students' Knowledge, Confidence, And Empathy Towards Dementia And Caregiver Stress, Courtney Williamson Jan 2019

Medical Students' Knowledge, Confidence, And Empathy Towards Dementia And Caregiver Stress, Courtney Williamson

PCOM Psychology Dissertations

Early diagnosis of dementia and dementia-related illnesses provides increased time for treatment, which is aimed at maintaining patient function and delaying decline (Teel, 2004). Empirical studies have shown a decline in empathy during undergraduate and graduate medical education (Hojat et al., 2009). This study examines differences between 2nd and 4th year Doctor of Osteopathic Medicine (DO) students’ knowledge, empathy and confidence in working with individuals diagnosed with dementia and addressing caregiver stress. Students from Philadelphia College of Osteopathic Medicine and Rowan University School of Osteopathic Medicine completed an online survey which included the Knowledge in Dementia Scale (KIDE), Jefferson Scale ...


The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto Jan 2019

The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto

All Theses, Dissertations, and Other Capstone Projects

Barriers to effective and harmonious communication between caregivers and those affected with dementia are common and inevitable. An example of a common barrier is aphasia, which is a prevalent communication deficit associated with dementia. The social environment may further hinder harmonious communication through the use of well-intended, but ineffective speech patterns. Elderspeak (ES), which is infantilizing speech directed at older adults, is one such speech pattern that is commonly used in long-term care facilities (LTC) and is related to negative outcomes for older adults receiving it. Older adults with mild to moderate cognitive impairment who were residents at a LTC ...


Coping Methods Of Caregivers Dealing With Patients Suffering From Geriatric Dementia, Blessing Baridakara Deemua Jan 2019

Coping Methods Of Caregivers Dealing With Patients Suffering From Geriatric Dementia, Blessing Baridakara Deemua

Walden Dissertations and Doctoral Studies

Dementia is a neurological disorder primarily diagnosed in the geriatric population. A problem for paid caregivers of patients diagnosed with stage-4 dementia is that they may experience caregiving stress while rendering care. However, there was no research that described the lived experiences of paid caregivers. Caregiving stress can be accompanied by behaviors or comorbid conditions and specific symptoms of stress can have a differential wellness impact. This phenomenological study explored the lived experiences of paid caregivers of patients with dementia through Vroom's expectancy theory. Data were gathered through interpretative interviews from a sample of 10 to 15 purposefully selected ...


Ipad Use To Enhance Conversations Between Persons With Dementia And Their Family Caregivers, Kelsey Dynes Aug 2018

Ipad Use To Enhance Conversations Between Persons With Dementia And Their Family Caregivers, Kelsey Dynes

Electronic Thesis and Dissertation Repository

Electronic conversational memory notebooks, a more current application of previous hardcopy versions, consist of personally relevant photographs and accompanying sentences. The notebooks help persons with dementia access memories during conversations. Person-centred communication (PCC) recognizes the individual, accommodating for personal beliefs and intentions. The purpose of the current study was to determine whether persons with dementia and their family caregivers could be educated and trained to use PCC while using an iPad-based electronic conversational memory notebook. Seven persons with mild to moderate dementia and their family caregiver completed the six-week study. Participants were educated and trained to use PCC while conversing ...


Structural And Functional Brain Connectivity In Middle-Aged Carriers Of Risk Alleles For Alzheimer's Disease, Laura Korthauer Aug 2018

Structural And Functional Brain Connectivity In Middle-Aged Carriers Of Risk Alleles For Alzheimer's Disease, Laura Korthauer

Theses and Dissertations

Single nucleotide polymorphisms (SNPs) in APOE, COMT, BDNF, and KIBRA have been associated with age-related memory performance and executive functioning as well as risk for Alzheimer’s disease (AD). The purpose of the present investigation was to characterize differences in brain functional and structural integrity associated with these SNPs as potential endophenotypes of age-related cognitive decline. I focused my investigation on healthy, cognitively normal middle-aged adults, as disentangling the early effects of healthy versus pathological aging in this group may aid early detection and prevention of AD. The aims of the study were 1) to characterize SNP-related differences in functional ...


Art Therapy And The Person-Centered Approach: A Method For Breaking Down Creative Resistance With Dementia Patients, Kimberly Nelson May 2018

Art Therapy And The Person-Centered Approach: A Method For Breaking Down Creative Resistance With Dementia Patients, Kimberly Nelson

Expressive Therapies Capstone Theses

This Capstone explores the use of art therapy with a geriatric population on a psychiatric unit of a small, rural southern hospital. Most of the patients experience symptoms of dementia and are over the age of 55. Many patients presented with resistance to creative pursuits and this researcher utilized the person-centered approach to counter this “creative resistance”. In other words, the patients were met where they were at and accepted unconditionally, through empathy and congruence. The materials that were offered to this population were explored through the creative resistance as well, and a simple number two pencil produced successful results ...


The Impact Of Depressive Symptoms On Cognitive Decline And Risk For Dementia, Katheryn Conde May 2018

The Impact Of Depressive Symptoms On Cognitive Decline And Risk For Dementia, Katheryn Conde

Doctoral Dissertations

As of 2011, the life expectancy for Latinos in the U.S. was 81.6 years, which is higher compared to non-Hispanic Blacks (75.3 years), non-Hispanic Whites (79 years), and Hispanic Black populations (74.9 years; Arias, 2011; Arias, 2015). Latinos have higher age specific prevalence of dementia, which is higher than African Americans and non-Hispanic Whites (Gurland et al.,1999). Latinos experience Alzheimers disease symptoms 6.8 years earlier, with the average onset of 67.6 years which is younger than non-Hispanic Whites (73.1 years; Clark et al., 2005). Furthermore, older Latinos tend to experience depression at ...


Memory Complaint Profiles In Dementia Populations Utilizing The Memory Complaints Inventory, Becca N. Johnson May 2018

Memory Complaint Profiles In Dementia Populations Utilizing The Memory Complaints Inventory, Becca N. Johnson

MSU Graduate Theses

The Memory Complaints Inventory (MCI) is a self-report questionnaire developed by Paul Green to provide further effort-related evidence in neuropsychiatric practice. It is comprised of nine subscale scores, in addition to the imbedded Plausible and Implausible symptom validity scales. The current study utilized archival MCI scores in dementia populations to determine the presence of, and difference between, genuine memory impairment profiles in separate subgroups of cognitive impairment. The study sample consisted of 244 adults presenting to an outpatient neuropsychology practice for evaluation of memory impairment. The diagnostic categories of the sample consisted of Alzheimer’s Disease (n = 21), Vascular Dementia ...


The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace Jan 2018

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as ...


Prospective Studies Of Cardiovascular Risk Factors And Mild Cognitive Impairment, Kevin Sullivan Aug 2017

Prospective Studies Of Cardiovascular Risk Factors And Mild Cognitive Impairment, Kevin Sullivan

Electronic Theses and Dissertations

The association of cardiovascular risk factors including hypertension, diabetes, cholesterol, kidney function, and arterial stiffness with cognitive impairment in older adults is a well-studied phenomenon. However, there is considerably less evidence relating cardiovascular health specifically to a diagnosis of Mild Cognitive Impairment (MCI). As a precursor state of dementia, MCI is characterized by a decline in cognitive function from previous level, but not to the degree that activities of daily living are impaired. Not everyone who is diagnosed with MCI will eventually transition to dementia, but the transition rates are much higher compared to the general population (5-15% per year ...


Impact Of Antidementia Medications On Neuropsychiatric Symptoms And Informal Costs Of Caregiving In Dementia, Stephanie Behrens May 2017

Impact Of Antidementia Medications On Neuropsychiatric Symptoms And Informal Costs Of Caregiving In Dementia, Stephanie Behrens

All Graduate Theses and Dissertations

To date, the most common pharmacological treatments for dementia are cholinesterase inhibitors and N-methyl-D-aspartate receptor antagonists (antidementia medications), which are associated with a delay in the progression of the cognitive and functional symptoms. Studies of the effects of antidementia medications on neuropsychological symptoms (NPS) show varying results. Presence of NPS can also affect the amount of time caregivers spend with persons with dementia, which can affect informal costs of the condition. This project used extant data from the longitudinal, population-based Cache County Study on Memory and Aging (CCSMA) and the Dementia Progression Study (DPS), which included permanent residents aged ≥ 65 ...


Play It Again! Individualized Music Improves Social Interaction Of Women, But Not Men, With Dementia, Emily Farrer Jan 2017

Play It Again! Individualized Music Improves Social Interaction Of Women, But Not Men, With Dementia, Emily Farrer

Undergraduate Honors Thesis Collection

Dementia is tragic both for patients with the disease and for their family members. As this neurodegenerative disorder progresses, cognitive functions deteriorate, agitation and aggression increase, and mood worsens (McDermott, Orrell, et al., 2014; Spiro, 2010; Vasionyté & Madison, 2013). Non-pharmacological approaches, such as active music therapy or passive music listening, can be effective in reducing these symptoms. However, no past studies have examined how music listening affects the social interactions of patients with dementia. As such, this study examined whether nursing home residents with dementia are more engaged and interactive if they listen to individually selected music for 15 minutes ...


Modeling Of Biological Data Using Longitudinal Intraindividual Means Integrated With First And Second Power Time-Derivatives, Brandon Skylar Klinedinst Jan 2017

Modeling Of Biological Data Using Longitudinal Intraindividual Means Integrated With First And Second Power Time-Derivatives, Brandon Skylar Klinedinst

Graduate Theses and Dissertations

This thesis will elucidate a longitudinal approach using

intraindividual means, time-derivative values, and integration of

these numbers to strengthen investigations that use linear models.

This approach enhances the value of corrected responses and

strengthens the quality of inference derived from independent

variables upon dependent variables. Demonstration is given to

several relevant examples in life sciences. There is potential that

these efforts eventually contribute to biological study and the

accessibility of empirical study itself.


Addressing Cognitive Decline: Evaluating The Effects Of A Cognitive Training Program For Individuals With Mild To Moderate Cognitive Impairment, Katherine Ann Stypulkowski Jan 2017

Addressing Cognitive Decline: Evaluating The Effects Of A Cognitive Training Program For Individuals With Mild To Moderate Cognitive Impairment, Katherine Ann Stypulkowski

All Theses, Dissertations, and Other Capstone Projects

Cognitive training offers a nonpharmacological method for increasing or stabilizing cognitive functioning through the use of guided practice on a set of tasks designed to reflect particular cognitive functions, such as memory, attention, language, or executive function. The purpose of the current study was to evaluate the efficacy of a cognitive training program for individuals with mild to moderate cognitive impairment. Six participants who displayed mild to moderate cognitive impairment were recruited at a local care facility and participated in a cognitive training program that consisted of 24 sessions conducted over 12 weeks. At the request of the facility’s ...


Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow Jan 2017

Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow

Walden Dissertations and Doctoral Studies

Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during ...


Dementia In Prison: An Argument For Training Correctional Officers, Rachele Vogel Jul 2016

Dementia In Prison: An Argument For Training Correctional Officers, Rachele Vogel

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Dementia is a significant public health problem that is occurring behind bars. However, the number of inmates suffering from this disease is unknown (Feczko, 2014). Current research has exposed a serious gap in correctional health care for older adults, and correctional institutions are being encouraged to make changes to better address the needs of this population (Fellner, 2012; OIG, 2016; Williams, Stern, Mellow, Safer, & Greifinger, 2012b). The purpose of this paper is to bring awareness to the aging problem behind bars and respond to the identified need for additional training for custodial staff (correctional, parole, and probation officers). Training correctional ...


Examining The Effects Of Caregiver Coping Strategies On Care Recipient Outcomes, Joseph S. Wanzek May 2016

Examining The Effects Of Caregiver Coping Strategies On Care Recipient Outcomes, Joseph S. Wanzek

All Graduate Theses and Dissertations

Dementia is a progressive syndrome with declines in cognitive and functional abilities. As the world’s population becomes increasingly older, prevalence rates are expected to increase exponentially to over 80 million affected by the year 2040. Individuals with dementia and their caregivers experience various difficulties associated with progression that increases stress for both parties. Caregiving can be burdensome and caregivers may employ a number of strategies to manage problems as they arise. Renewed interest has been focused on the care environment as one way to modify dementia progression as caregivers can be an influential person in the care recipient’s ...


Five Degrees: A Short Story, Cassia E. Hinds Jan 2016

Five Degrees: A Short Story, Cassia E. Hinds

Honors Undergraduate Theses

An interwoven fiction piece representing four perspectives and its effects on self-awareness. The most effective way to blur the line of self in this structure is to braid the minds, voices, and stories, of each perspective. With a focal point where all the voices eventually drift to being the frame of the story, there will be a unique distance between the stories. This thesis explores the effects of different types of mental and physiological illnesses through fiction, highlighting the effect of perception on fact and the perspective of the mentally ill.


Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley Dec 2015

Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley

Dissertations

Difficulties in recognizing and remembering the names of individuals are a common behavioral symptom of major neurocognitive disorder. A number of behavioral strategies have been proposed to improve memory deficits, including spaced retrieval, an intervention that emphasizes delayed recall of target information. Unfortunately, many of the studies that report beneficial effects of spaced retrieval use a very limited range of outcome measures, thus calling into question the magnitude and generality of any reported memory improvement. This study reports on the impact of spaced retrieval using four older adults with cognitive impairment living in an assisted living facility. All participants demonstrated ...


Medication Non-Adherence In Community Dwelling Older Adults With Dementia: An Educational Intervention For Family Caregivers, Nika Renee George Jul 2015

Medication Non-Adherence In Community Dwelling Older Adults With Dementia: An Educational Intervention For Family Caregivers, Nika Renee George

Dissertations

Older adults with neurocognitive disorders are at high risk for medication non-adherence, while being vulnerable to great injury from regimen deviations. Informal caregivers often aid in healthcare management for these individuals. The current study compared the efficacy of two online health education interventions designed to increase caregiver health related knowledge for use with care recipients. Women (N=35) assisting a cognitively impaired older person with medications were randomly assigned to one of two online health education conditions (1) written materials and narrative vignettes depicting actors encountering common medication challenges or (2) written materials and didactic video clips of information from ...