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Staff Perceptions Of Quality Interactions In Dementia Care, Rebecka A. Schultz Dec 2019

Staff Perceptions Of Quality Interactions In Dementia Care, Rebecka A. Schultz

All Graduate Theses and Dissertations

The national aging trend suggests that population of those aged 65 and older will reach 83.7 million by the year 2050. With increasing age comes the growing possibility of one getting some form of dementia. The Alzheimer’s Association expects the number of American’s with dementia to triple from the reported 5 million cases in 2014 by 2050. With a rise in this cognitively impaired population there is reason to look closely at the needs of persons with dementia living in residential facilities and whether or not they are being met. The main focus of residential facilities is ...


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 ...


Activities And Quality Of Life For Persons With Dementia, Cassidy Rose May 2017

Activities And Quality Of Life For Persons With Dementia, Cassidy Rose

All Graduate Theses and Dissertations

This study was conducted to better understand how activities may impact quality of life on dementia care units. Researchers observed dementia care units, and looked into how different activity types impacted emotional affect in the person with dementia, and how they elicited different levels of positive staff interaction. Results indicated that there were significantly higher levels of positive affect from participants on certain activity types, compared to no activity. Activities that had high levels of staff to client interactions had more positive affective outcomes. Researchers concluded that quality activities should consider the environment, staff ratio, staff communication and interaction, engagement ...


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 ...


Staff Interactions And Affect In Persons With Dementia: An Observational Study Of A Memory Care Unit, Keirstin V. Meyer May 2016

Staff Interactions And Affect In Persons With Dementia: An Observational Study Of A Memory Care Unit, Keirstin V. Meyer

All Graduate Theses and Dissertations

By the year 2050 it is expected that the number of older adults living with dementia will triple. With 42% of persons with dementia living in residential care, it is vital that we better understand how to maintain high psychosocial well-being for this population, in this setting. The objective of this study was to better understand psychosocial well-being in persons with dementia. The research team observed affect in clients with dementia (n = 22), as well as staff interactions with clients in a residential memory care unit for a total of 6999 minutes. The first purpose was to examine overall proportions ...


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 ...


Dementia Caregiver Personality Traits And Coping Strategies: Association With Care Recipient Outcomes, Christine M. Snyder May 2015

Dementia Caregiver Personality Traits And Coping Strategies: Association With Care Recipient Outcomes, Christine M. Snyder

All Graduate Theses and Dissertations

Using extant data from the Cache County Dementia Progression Study, this study examined the association of dementia caregivers’ personality traits (as assessed by the NEO Personality Inventory/Five Factor Inventory) and use of coping strategies (as reported on the Ways of Coping Checklist) with their care recipients’ outcomes including time to developing severe dementia, being institutionalized, and mortality. Up to 244 dyads of individuals with dementia and a primary caregiver were followed for a maximum of fifteen semi-annual visits, during which time information was collected on other potential caregiver and care recipient factors. The caregiver covariates analyzed in models included ...


The Role Of Medical Comorbidities On The Risk For Severe Dementia, Institutionalization, And Death In Alzheimer's Disease: A Population Study In Cache County, Utah, Mac J. Gilbert May 2015

The Role Of Medical Comorbidities On The Risk For Severe Dementia, Institutionalization, And Death In Alzheimer's Disease: A Population Study In Cache County, Utah, Mac J. Gilbert

All Graduate Theses and Dissertations

Alzheimer’s disease is a progressive disease that impairs cognitive and functional abilities. Currently, there is no cure and it is estimated there will be 81 million cases of Alzheimer’s disease by 2040. Life for the individual with Alzheimer’s disease, and their family, changes drastically when the affected individual experiences significant impairments in cognitive or functional ability (severe dementia), is placed in a skilled nursing home facility (institutionalization), or passes away (death). Until a cure is discovered, it will be important to identify modifiable factors that influence progression to severe dementia, institutionalization, and death. Three hundred thirty-five participants ...


The Influence Of Widowhood And Sociodemographic Moderators On Dementia And Alzheimer's Disease Risk, Daniel Joseph Hatch May 2013

The Influence Of Widowhood And Sociodemographic Moderators On Dementia And Alzheimer's Disease Risk, Daniel Joseph Hatch

All Graduate Theses and Dissertations

Dementia and Alzheimer's disease (AD) are highly debilitating conditions that afflict millions of elderly persons. In recent decades, biological evidence has implicated chronic stress in the etiology of these conditions. As a result, the relationship between widowhood, one of the most stressful life events, and dementia and AD has also received attention. However, studies are mixed regarding this association, and few have investigated whether this relationship is moderated by the context surrounding widowhood. This study extends this literature by investigating whether widowhood increases risk for dementia and AD and whether this risk is moderated by contextual factors including age ...


Numerical Quantity Estimation In The Elderly, With And Without Cognitive Impairment, Brett Bradley Campbell May 2013

Numerical Quantity Estimation In The Elderly, With And Without Cognitive Impairment, Brett Bradley Campbell

Undergraduate Honors Capstone Projects

This study examined mental representation of numerical quantity in 25 elderly participants with varying degrees of cognitive impairment. An analogue number-line task has been used in research of mental representation of numerical quantity in children, but little of such research has been done in elderly populations. This research also examined the clinical utility of this number-line task as a diagnostic tool for dementia and cognitive impairment in old age.


Relationship Between Occupational Complexity And Dementia Risk In Late Life: A Population Study, Daylee Rose Greene May 2013

Relationship Between Occupational Complexity And Dementia Risk In Late Life: A Population Study, Daylee Rose Greene

All Graduate Theses and Dissertations

According to cognitive reserve theory, challenging and/or stimulating cognitive activities can build a theoretical reserve, which may lead to a delay in the clinical expression of dementia and/or Alzheimer's Disease. These cognitively stimulating activities are thought to build cognitive strategies and neural pathways that are more efficient, enabling the individual to live symptom-free for a longer period of time. One mechanism through which cognitive reserve can be built is by participating in an occupation high in cognitive complexity. When individuals hold an occupation that is high in complexity, they may build their cognitive reserve in such a ...


Does Non-Steroidal Anti-Inflammatory Drug (Nsaid) Use Affect Dementia Progression And Survival Rates In Alzheimer's Disease? The Cache County Study, Trevor R. Buckley Dec 2011

Does Non-Steroidal Anti-Inflammatory Drug (Nsaid) Use Affect Dementia Progression And Survival Rates In Alzheimer's Disease? The Cache County Study, Trevor R. Buckley

All Graduate Theses and Dissertations

Alzheimer's disease (AD) has multiple factors that contribute to the disease process. Among these is a state of chronic inflammation that is endured by the brain during the aging process. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreases the amount of neuroinflammation sustained by the brain, and greater levels of NSAID use have been demonstrated to be associated with decreased probability of developing AD. This study looked at whether greater rates of NSAID use were also associated with decreased rates of cognitive and funtional decline and survival in a population-based sample of persons with AD.


Factors Moderating The Association Between Multiple Rating Sources Of Geriatric Depression: Self, Informant, And Physician, Daniel J. Hatch May 2011

Factors Moderating The Association Between Multiple Rating Sources Of Geriatric Depression: Self, Informant, And Physician, Daniel J. Hatch

All Graduate Theses and Dissertations

Late-life depression is a major public health concern, associated with poor health outcomes, including doubling of dementia risk. Psychiatric evaluation is impractical in large epidemiological studies, which instead typically rely on self/informant reports, which are subject to various biases (stigma, recall). Few studies have addressed level of agreement between sources. This study examined associations between these sources and assessed whether subject and informant variables moderated these associations. In a population-based study of dementia in Cache County, Utah (2002-5), 1,480 subjects completed an in-depth clinical assessment (CA). Major depression was assessed via the self-report Patient Health Questionnaire-9 (PHQ-9) and ...


Lifestyle Behaviors And Cognitive Status In A Community Sample Of Older Adults, Heeyoung Smith May 2011

Lifestyle Behaviors And Cognitive Status In A Community Sample Of Older Adults, Heeyoung Smith

All Graduate Theses and Dissertations

Lifestyle behaviors have been associated with better cognitive status and reduced risk of dementia. However, only individual or combinations of a few lifestyle behaviors have been studied. The present study examines the association between lifestyle behaviors and cognitive status in older adults including six lifestyle behaviors: cognitive activities, social activities, physical activities, religious involvement, diet, and alcohol consumption.

The study population is a sample of 1,216 community-dwelling men and women age 65 years and older from Cache County, Utah. The present study is conducted using the extant data from the Cache County Study on Memory Health and Aging (CCSMHA ...