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Defisiensi Riboflavin Dan Demensia Pada Usia Lanjut, Idral Purnakarya

Kesmas

Demensia Alzheimer menempati urutan kesembilan penyebab kematian di Amerika Serikat. Demensia adalah kondisi yang sering dialami yang berhubungan dengan berbagai faktor dan gaya hidup terutama diet. Penelitian ini bertujuan untuk mengetahui hubungan defisiensi asupan riboflavin (vitamin B12) dengan demensia pada usia lanjut (usila). Penelitian ini menggunakan desain studi cross sectional dan dilaksanakan pada bulan September 2007 sampai dengan Januari 2008. Sampel penelitian adalah 141 lansia berumur lebih dari sama dengan 60 tahun yang diambil secara purposive sampling. Demensia diukur menggunakan kuesioner MMSE (² 24, skor maksimum 30) dan asupan riboflavin diukur menggunakan form Semi Quantitative – FFQ. Penelitian ini memperlihatkan …

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, Spring 1920 to Summer 2023

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. Linear mixed models failed to …

Outcomes Of Family Involvement In Care Intervention For Caregivers Of Individuals With Dementia, Meridean Maas, D. Reed, M. Park, Janet Specht, D. Schutte, Lisa Skemp Kelley, Elizabeth Swanson, Toni Tripp-Reimer, Kathleen Buckwalter

Elizabeth A. Swanson

BACKGROUND: Despite the increasing number of individuals with dementia relocated from caregiving at home to a nursing home, there is only a small body of literature examining the influence of institutional family-oriented practices on family member perceptions of care and family-staff relationships. OBJECTIVE: The study tested the effects of the Family Involvement in Care partnership intervention on family members' perceptions of their caregiving role, relationships with staff, and satisfaction with the care of relatives with dementia residing in special care units as well as the effects on staff attitudes toward families and staff satisfaction with a caregiving role. METHODS: A …

Family Visitation On Special Care Units, Lisa Skemp Kelley, Elizabeth Swanson, Meridean Maas, Toni Tripp-Reimer

Elizabeth A. Swanson

With placement of a family member with Alzheimer's disease on a SCU, the family does not relinquish the caregiving role, rather they take on different roles in relation to the residents. Family visitation of the residents on the SCU is an integral part of family involvement in care of individuals with Alzheimer's disease, as well as SCU functioning. Within the context of changing relationships with the residents, family members visited the residents as a sense of duty to "be faithful," to monitor care by "being their eyes and ears," and to foster a sense of family through ongoing relationships and …

Living With Alzheimer’S Disease: A Study Of Adult Day Health Services In Massachusetts, Nina M. Silverstein, Cathy M. Wong, Kristen E. Brueck

Nina Silverstein

The role of adult day health care (ADHC) is gaining increased attention as the nation prepares for the large cohort of baby boomers entering their later years. Many boomers are aging with physical and cognitive impairments, including Alzheimer's disease and related dementias. Projections indicate that Massachusetts, along with the nation as a whole, is experiencing an increasing rate of older persons as baby boomers enter late-life. The Commonwealth can expect that persons with Alzheimer's disease and their care partners will need community-based services that are specifically designed for adults with cognitive impairments. However, a report by the Robert Wood Johnson …

Chronic Disease Self-Management Programs: Relevance For Persons With Dementia, Nina M. Silverstein, Alison S. Gottlieb

Nina Silverstein

The context for this study is the work of the Healthy Brain Initiative. The CDC has established a cooperative agreement with the Alzheimer’s Association to develop and implement a multifaceted approach to look at cognitive health as a public health issue. Late in 2010, the Association commissioned a review of the major chronic disease prevention programs from a systems approach to begin to understand the source of findings that Medicare beneficiaries with Alzheimer’s and related disorders are much higher cost than those simply with a single chronic disease and no AD. This led to the conclusion that Chronic Disease Self‐Management …

A Pilot Study Of Immune And Mood Outcomes Of A Community-Based Intervention For Dementia Caregivers: The Plst Intervention, L. Garand, Kathleen Buckwalter, D. Lubaroff, Toni Tripp-Reimer, Rita Frantz, T. Ansley

Rita A. Frantz

Providing care to a family member with dementia is conceptualized as a chronic stressor with adverse psychological and physical effects. The purpose of this pilot study was to evaluate mood and immune outcomes of caregivers exposed to a community-based psychoeducational nursing intervention based on the progressively lowered stress threshold (PLST) model. The PLST intervention is designed to strengthen the psychological resources of dementia caregivers by teaching methods of preventing and/or managing behavioral problems exhibited by the person with dementia. Mood and immune outcomes were compared between caregivers randomly assigned to receive either the PLST or a comparison intervention. Results of …

Prevalence And Incidence Rates Of Dementia And Cognitive Impairment No Dementia In The Mexican Population: Data From The Mexican Health And Aging Study, Silvia Mejía-Arango, Luis Miguel Gutierrez

School of Medicine Publications and Presentations

Objective

To estimate the prevalence and incidence of dementia and cognitive impairment without dementia (CIND) in the Mexican population.

Methods

The MHAS study is a prospective panel study of health and aging in Mexico with 7,000 elders that represent 8 million subjects nationally. Using measurements of cognition and activities of daily living of dementia cases and CIND were identified at baseline and follow up. Overall incidence rates and specific rates for sex, age and education were calculated.

Results

Prevalence was 6.1% and 28.7% for dementia and CIND, respectively. Incidence rates were 27.3 per 1,000 person-years for dementia and 223 per …

Persons With Dementia Missing In The Community: Is It Wandering Or Something Unique?, Meredeth Rowe, Sydney S. Vandeveer, Catherine Greenblum, Cassandra N. List, Rachael M. Fernandez, Natalie E. Mixson, Hyo C. Ahn

Nursing Faculty Publications

Background: At some point in the disease process many persons with dementia (PWD) will have a missing incident and be unable to safely return to their care setting. In previous research studies, researchers have begun to question whether this phenomenon should continue to be called wandering since the antecedents and characteristics of a missing incident are dissimilar to accepted definitions of wandering in dementia. The purpose of this study was to confirm previous findings regarding the antecedents and characteristics of missing incidents, understand the differences between those found dead and alive, and compare the characteristics of a missing incident to …

Neuropsychological And Neurophysiological Effects Of Low-Intensity Strengthening Exercise On Cognition, Vadim V. Yerokhin

Honors Theses

With the growing aging population, it’s becoming increasingly important to find ways to either deter or prevent dementia. To date, most research has concentrated on the effects of aerobic exercise on cognition. Unfortunately, a large portion of older adults are often contraindicated to perform aerobic exercise due to different risk factors, which increase with age. Alas, alternate ways of exercise are necessary. Low-intensity strengthening exercise is a type of exercise aimed at improving balance and strengthening muscles without requiring one to overstrain. The current 11-week long exercise study test neuropsychological effects of exercise with a neuropsychological battery and neurophysiological effects …

Chronic Disease Self-Management Programs: Relevance For Persons With Dementia, Nina M. Silverstein, Alison S. Gottlieb

Gerontology Institute Publications

The context for this study is the work of the Healthy Brain Initiative. The CDC has established a cooperative agreement with the Alzheimer’s Association to develop and implement a multifaceted approach to look at cognitive health as a public health issue. Late in 2010, the Association commissioned a review of the major chronic disease prevention programs from a systems approach to begin to understand the source of findings that Medicare beneficiaries with Alzheimer’s and related disorders are much higher cost than those simply with a single chronic disease and no AD. This led to the conclusion that Chronic Disease Self‐Management …

Standing In The Gap: The Primary Care Physician And Alzheimer’S Disease, Shirley M. Neitch

Internal Medicine

There is a huge volume of information recently published about Alzheimer’s disease, but most of it is not targeted to the average busy primary care physician, even though these PCPs are providing the bulk of care to patients with dementia. This paper is a succinct clinical review of the current state of diagnosis and treatment of Alzheimer’s disease, including citations of resources for physicians and caregivers.

Driving Assessment Results In Patients With A Diagnosis Of Dementia, Shirley M. Neitch, Guillermo Madero, Shawn Maynard

Internal Medicine

Primary care physicians are frequently involved in cases in which they must decide if a patient with dementia should stop driving. The decision is complex, and there are no firm clinical guidelines available. We examined the results of a number of patients who have undergone assessment in our Driving Assessment Clinic, to determine if any of our findings correlated with the diagnosis of dementia. If any associations exist, recommendations may be possible to assist PCPs in making the decision to have patients stop driving, even if full formal testing cannot be done.

Assessment Of Occupational Competence In Dementia: Identifying Key Components Of Cognitive Competence And Examining Validity Of The Cognitive Competency Test, Briana M. Zur

Electronic Thesis and Dissertation Repository

Considering the links between dementia and everyday living, occupational therapists are called upon to make recommendations regarding appropriate living arrangements for persons with dementia. Re-framed as occupational competence, this is often accomplished by an evaluation of cognitive competence. Within the context of an aging population, a key question is how to best inform decisions regarding occupational competence, using cognitive competence as an indicator. The Cognitive Competency Test (CCT) is a tool used to evaluate cognitive competence and inform judgments about occupational competence in individuals with dementia. This thesis incorporates two studies that identified cognitive components that predict occupational competence in …

Are Scores On The Ppt Useful In Determination Of Risk Of Future Falls In Individuals With Dementia?, Mary K. Farrell, Richard A. Rutt, Michelle M. Lusardi, Ann K. Williams

All PTHMS Faculty Publications

Individuals with dementia or Alzheimer’s disease (AD), exhibit both a progressive decline in cognitive function and accumulating difficulty with physical function.¹ As cognitive impairment begins, individuals will initially demonstrate difficulties with short-term memory and with instrumental activities of daily living. As the dementia progresses, individuals will increasingly demonstrate difficulties with long-term memory, communication, and basic activities of daily living.

Caregiving Styles: A Typology Of Cognitive And Behavioral Processes Associated With Caring For A Family Member With Dementia, Mary A. Corcoran

Clinical Research and Leadership Faculty Posters and Presentations

This grounded theory study describes a typology of caregiving styles relevant to family members of an individual with ADRD, where caregiving style is defined as a culturally-based pattern in thinking and action. The goal of this study was to characterize the relationship between caregiver intentions and care strategies.

Alzheimer’S Disease, Carol Watwood

DLPS Faculty Publications

Alzheimer’s disease is a common health issue mostly found in elderly persons. An overview of the disease and a list of reliable Web-based information sources suitable for a general audience are presented.

Dementia, Stigma And Intentions To Help-Seek: A Pilot Study Of Australian Adults 40 To 65 Years, Lyn Phillipson, C Magee, Sandra C. Jones, S Reis, E Skladzien

Faculty of Health and Behavioural Sciences - Papers (Archive)

Stigma (prejudice or negative stereotypes associated with personal attributes such the presence of ill health or disease) is an important concept as it has the potential to adversely impact on social exclusion, help seeking behaviours and the utilisation of health and social services. Whilst limited international research suggests that there may be stigma associated with dementia, this paper presents results from the first comprehensive study to explore stigma towards dementia in Australia. Results from an online survey of Australian adults (45-60 years) outline the nature and presence of negative attitudes or stereotypes towards dementia and people living with dementia, and …

Why Caregivers Of People With Dementia Don't Utilise Out-Of-Home Respite Services, L Phillipson, S C. Jones, C Magee

Faculty of Health and Behavioural Sciences - Papers (Archive)

Carers of people with dementia consistently report an unmet need for respite. Despite this, the overall proportion of carers who utilise available day centre, in-home and residential respite programs tends to be low and, even then, use is often delayed and only at very low intensities. In order to support carers in appropriate and supportive use of respite services, program planners and service providers need a good understanding of the factors influencing use and non-use of respite services. With this in mind, a community based survey of 152 help-seeking caregivers of people with dementia (NSW, Australia) was undertaken to establish …

Explaining Social Exclusion In Alcolhol-Related Dementia: A Literature Review, Renee Brighton, Victoria Traynor, Janette Curtis

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Dementia And Retirement From Driving: People With Dementia And Their Carers Critique Available Tools, Catherine Andrew, Victoria Traynor, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Introduction: - Discuss current thinking about the role of practitioners in supporting a person with dementia to consider retirement from driving - Highlight findings from a research project involving drivers over 55 and people with dementia about what support they consider helpful in considering retirement from driving

Explaining Social Exclusion In Alcohol-Related Dementia: A Literature Review, Renee Brighton, Janette Curtis, Victoria Traynor

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: The purpose of our project is to explore the lived experience of people with alcohol-related dementia and their carers to explain the impact of social exclusion. The literature review has been completed. The empirical study will be a qualitative study using narrative storylines (Keady et al., 2009) to understand the Australian experience of alcohol-related dementia. Methods: Academic and publishers’ databases (CINAHL, ScienceDirect, Wiley Interscience and SAGE) were searched using the terms: ‘alcohol-related dementia’, ‘diagnosis’, ‘carer’, ‘services’, ‘treatment’ and ‘stigma’. Snowballing techniques were also used to source papers and Google Scholar for grey literature. Findings: A total of 35 articles …

Literature Review: Understanding Nursing Competence In Dementia Care, Victoria Traynor, Kumiyo Inoue, Patrick A. Crookes

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aims and objectives. The aim of this study was to review dementia nursing competencies. The objectives were to explain the relevancy of dementia competencies across care settings and levels of practice. Background. Dementia is strongly associated with increasing age and as the world population ages there is an imperative to ensure the healthcare workforce is fully equipped to meet the needs of people with dementia and their carers. Design. A literature review study addressed the research aim and objectives. Method. Literature sources were (i) academic databases, (ii) the internet and (iii) snowballing. Search terms were 'dementia', 'care …

The Lived Experience Of Young-Onset Dementia, Debra A. Hunt

Electronic Theses and Dissertations

The lived experiences of dementia in older persons have been well studied, but the unique experiences of persons between ages 35 and 65 years who are living with young-onset dementia have not been closely examined. The purpose of the research was to explore the experiences of middle-aged individuals living with young-onset dementia. Van Manen‘s (1990) approach to interpretive phenomenological inquiry was used to answer the research question. Purposive sampling was used to recruit 9 people between 42 to 61 years of age who had received a formal diagnosis of mild or early-stage dementia. Participants were prescreened for the ability to …

Time Of Day Effects On Language Discourse In Healthy Aging And Dementia, Amanda L. Stead

LSU Doctoral Dissertations

This study’s purpose was to investigate whether language discourse follows a diurnal pattern across one 10-hour day in normal healthy aging individuals (NHA) and individuals with mild to moderate Alzheimer’s disease. Ten healthy older adults; and ten older adults clinically labeled with probable Alzheimer’s disease were recruited for this study. Measurements of procedural language, narrative language, and cognition, the Benton Judgment of Line Orientation (BJLO), were collected across one day at 9:00am, 12:00pm, 3:00 pm, and 6:00pm. Language samples were evaluated for linguistic variables to evaluate the quantity and quality of the discourse samples. Results indicated that the two groups …

Caregiving Styles: A Cognitive And Behavioral Typology Associated With Dementia Family Caregiving, Mary Corcoran

Mary A Corcoran

Purpose: An increasing number of elderly individuals

are diagnosed with Alzheimer’s disease and

related disorders (ADRD), many of whom receive

daily caregiving from spouse or adult child. Caregiving

is a “cultural activity,” and as such it is strongly

influenced by sociocultural beliefs about caregiving

and how it should be enacted. Understanding this

thinking–action process has important implications

for future research and service. Reasoned action theory

provides empirical evidence that attitudes and

beliefs, as they are influenced by the social environment,

predict intentions to act. In turn, behavioral

intentions can reliably predict behaviors. This

grounded theory study describes a typology of …

Care And Outcomes In Patients With Ischemic Stroke With And Without Preexisting Dementia, Gustavo Saposnik

Gustavo Saposnik

No abstract provided.