A rapid review exploring nurse‐led memory clinics

Luck, Kerrie E.; Doucet, Shelley

doi:10.1002/nop2.688

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…Costs and workforce are considerations if potential for universal accessibility is a desired characteristic of the dementia support model. Innovations in this regard include nurse led memory clinics [55 ▪ ] and task-shifting of care management from general practitioners to practice nurses [56]. The model of dementia support also needs to be sufficiently flexible to incorporate new dementia medications and psychosocial interventions as evidence for these emerges.…”

Section: Future Models Of Support For People Living With Dementiamentioning

confidence: 99%

Further development needed: models of post-diagnostic support for people with dementia

Low

Gresham

Phillipson

2022

Current Opinion in Psychiatry

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Purpose of reviewThere is increasing recognition of a service gap immediately after diagnosis for people with dementia and carers. This narrative review of models of post-diagnostic support focuses on recent developments and offers suggestions for future development. We present the current evidence for these models and consider the service components they provide against the recommendations of clinical guidelines and principles underpinning ideal post-diagnostic support. Recent findingsModels of post-diagnostic support include a short-term support worker, ongoing support worker, centre-based support, primary care management, and specialist dementia clinics. Of these, specialist dementia clinics that include ongoing support workers provide most components of an ideal and timely post-diagnostic support framework, but may be more costly to implement universally. The greatest research evidence is for the benefits of long-term support models, specifically case management, though this does not necessarily include medical care or nonpharmacological interventions. There is sparce evidence for the benefits of short-term support worker models such as dementia advisers for people with dementia and carers. SummaryFurther development is needed to create whole-system models of dementia support which meet the needs of people with dementia and their carers, are timely, accessible and equitable, and can be implemented universally.

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Section: Future Models Of Support For People Living With Dementiamentioning

confidence: 99%

Further development needed: models of post-diagnostic support for people with dementia

Low

Gresham

Phillipson

2022

Current Opinion in Psychiatry

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“…Although several strengths of nurse‐led clinics were reported, there is limited information about the adherence of clients to the nurses' advice after attending cognitive services (Emrich‐Mills et al, 2019). To address this issue and ensure that people with dementia can gain timely access to diagnostic and postdiagnostic care, it is necessary to understand the predictors of client adherence (Luck & Doucet, 2021). In this study, the intention is to fill in a knowledge gap and identify predictors of clients' adherence to nursing recommendations after attending the cognitive assessment service in a nurse‐led clinic and to understand their level of satisfaction with the service.…”

Section: Introductionmentioning

confidence: 99%

The utilization of a nurse‐led clinic by older people with cognitive complaints: Do they follow our advice?

Kor

Kwan

Cheung

et al. 2022

Int J of Nursing Practice

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Aim: Cognitive assessment services were found to be beneficial to older people with cognitive complaints but information is limited on adherence to the recommendations provided. This study aimed to identify predictors of clients' adherence to nursing recommendations after attending a community-based nurse-led cognitive assessment service in Hong Kong.Methods: A cross-sectional design was adopted. We analysed a dataset routinely collected from clients attending the services between January 2012 and January 2018.Multiple regression analyses were conducted to identify predictors (demographics, functional health status and cognitive performance) of the clients' adherence. Their satisfaction with the services was also examined.Results: Two hundred and twenty-three clients attended the clinic. Of the 133 who completed the telephone follow-up at the 6 months postconsultation, 44.1% did not adhere to the recommendations. Clients with a higher Clinical Dementia Rating (OR = 4.17), lower Clock Drawing Test score (OR = 1.13) and lower education level (OR = 0.91) were found to be less likely to adhere to the nursing recommendations. were satisfied with the overall services. Conclusion:Cognitive assessment services in nurse-led clinics could provide a selfreferred service for older people with cognitive complaints. However, low adherence to nursing recommendations was found among clients with poorer cognitive functions and lower education levels.

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Evaluation of the Clinical Effects of Insomnia and Excessive Daytime Sleepiness in Older Adults

Okudur¹,

Soysal²,

Smıth³

et al. 2021

Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi

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Background: Insomnia and excessive daytime sleepiness (EDS) are common sleep disorders in older adults. Both are associated with numerous adverse health conditions. Objectives: The aim of our study is to evaluate the effects of insomnia and/or EDS on functionality, gaitbalance functions, cognition, mood, falls and fear of falling (FoF) in older adults, to determine its importance in terms of nursing practice and to raise awareness on the subject. Methods: A cross-sectional study design was used. A total of 661 outpatients were included, aged ≥ 65 years. All patients underwent comprehensive geriatric assessment. Comorbidities, falls in the last year and drugs used were recorded. The Falls Efficacy Scale-International (FES-I) was used to determine and classify FoF, Mini-Mental State Exam (MMSE) for neurocognitive evaluation, and Basic Activities of Daily Living Scale (BADL) and Instrumental Activities of Daily Living (IADL) scales were used to evaluate activities of daily living. Insomnia Severity Index (ISI) with scores of ≥ 8 points indicated insomnia, and the Epworth Sleepiness Scale score of ≥ 11 points indicated EDS. Results: The mean age was 77.78 ± 7.73 years. The prevalences of EDS, insomnia, and EDS and insomnia were 5.45%, 50.38%, and 12.56%, respectively. As a result of bivariate and multivariate logistic regression analysis, there was a significant relationship between EDS and insomnia with moderate and high FoF (OR=2.24, 95% CI: 1.74 to 2.89), polypharmacy (OR=1.20, 95% CI: 1.09 to 1.30), BADL (OR=0.94, 95% CI: 0.93 to 0.96), IADL (OR=0.87, 95% CI: 0.84 to 0.91) and MMSE (OR=0.91, 95% CI: 0.86 to 0.98) (p<.05). Conclusions: There is a close relationship between EDS and insomnia and FoF, polypharmacy, activities of daily living and cognition in older adults. It can be recommended that healthcare professionals who are working with older adults, should consider these parameters when evaluating the area of sleeping.

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A rapid review exploring nurse‐led memory clinics

Cited by 3 publications

References 47 publications

Further development needed: models of post-diagnostic support for people with dementia

Further development needed: models of post-diagnostic support for people with dementia

The utilization of a nurse‐led clinic by older people with cognitive complaints: Do they follow our advice?

Evaluation of the Clinical Effects of Insomnia and Excessive Daytime Sleepiness in Older Adults

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