Medicines management for people with dementia

Mitchell, Gary; Rooney, Shauna; Sheeran, Colin; Strain, Joanne

doi:10.7748/ns.2019.e11079

Cited by 4 publications

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This low adherence may be associated with the prescription of higher number of specific drugs (e.g., acetylcholinesterase inhibitors, NMDA receptor antagonists) and polymedication with the subsequent potential greater incidence of adverse effects ( 40 ). Both scenarios together with impaired cognitive function ( 41 , 42 ) have been shown to be factors for non-adherence to treatment ( 20 , 43 , 44 ). On the other hand, another review ( 37 ) focused on the main barriers to adherence in patients with cognitive impairment, regardless the degree of impairment, and the interventions aimed to improve treatment adherence.…”

Section: Discussionmentioning

confidence: 99%

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Muñoz-Contreras

Segarra

López-Román

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundAlzheimer's disease (AD) and other dementia patients may have severe difficulties to ensure medication adherence due to their generally advanced age, polymedicated and multi-pathological situations as well as certain degree of cognitive impairment. Thus, the role of patient caregivers becomes crucial to warrantee treatment compliance.PurposeTo assess the factors associated to patients and caregivers on medication adherence of patients with AD and other types of dementia as well as the degree of caregiver satisfaction with respect to treatment.MethodsAn observational, descriptive, cross-sectional study among the caregivers of 100 patients with AD and other types of dementia of the “Cartagena and Region Association of Relatives of Patients with Alzheimer's Disease and other Neurodegenerative Diseases” was conducted to assess patient and caregiver factors that influence medication adherence evaluated with the Morisky-Green-Levine test.ResultsOverall, adherence to treatment was 71%, with similar proportions between male and female patients. Greater adherence was found in married or widowed patients (49.3%), first degree (85.9%) or female (81.7%) caregivers but lower in AD patients (75.9%). Multivariate analysis showed a statistically significant positive association between non-adherence and male sex of the caregiver (OR 3.512 [95%IC 1.124–10.973]), dementia (OR 3.065 [95%IC 1.019–9.219]), type of caregiver (non-first-degree relative) (OR 0.325 [95%IC 0.054–0.672]) and civil status of the patient (OR 2.011 [95%IC 1.155–3.501]) favorable for married or widowed patients. No or week association was found with gender, age, education level, number of drugs used or polymedicated status of the patient. Caregivers considered the use (90%) and administration (91%) of the treatment easy or very easy and rarely interfered with their daily life, especially for female caregivers (p = 0.016). Finally, 71% indicated that they were satisfied or very satisfied with the treatment received by the patient.ConclusionsCaregivers influence therapeutic management with predictors for improved adherence including female gender and first-degree kinship, together with patient's marital status. Thus, training caregivers about the disease and the importance of medication adherence in AD patients may ensure optimal treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Muñoz-Contreras

Segarra

López-Román

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

Is deception defensible in dementia care? A care ethics perspective

2022

View full text Add to dashboard Cite

Deception is common in dementia care, although its moral legitimacy is questionable. This paper conceptually clarifies when does dementia care involve deception and argues that care ethics is an appropriate ethical framework to guide dementia care compared with the mainstream ethical theories that emphasize abilities. From a perspective of care ethics, this paper claims that morally defensible deception is context-specific, embodied as a caring process that needs to be identified through instant, creative and interactive care procedures. According to this argument, it further analyses and concludes the moral rationality of deception in five common cases. While deception is morally justified in many situations, another concern is that it is usually not the last resort but a means of convenience. As the ability to interact, autonomy and dignity of persons with dementia (PWDs) are generally ignored; nurses need more training and education to master the essential procedures to ensure that the value of authenticity and autonomy is maintained and considered throughout dementia care.

show abstract

Therapeutic Doll Interventions for People Living with Dementia in Care Homes: A Scoping Review

Henderson,

McConnell,

Mitchell

2024

Nursing Reports

View full text Add to dashboard Cite

Doll therapy is a psychosocial intervention that has been commonly used within dementia care for many decades. The practice of doll therapy involves supporting people with dementia to engage with a therapeutic doll and this has been associated with positive changes in a person’s wellbeing and behavior. While there have been several systematic reviews that have focused on behavioral outcomes, limited reviews have explored the broader psychosocial outcomes associated with doll therapy in care home settings. A scoping review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). Four electronic databases were searched systematically (CINAHL Plus, Medline, PsycINFO, and PubMed). Twelve primary research studies from the past ten years (2013–2023) were included in this review. Primary data were synthesized using a narrative synthesis methodology. The three main themes from this review relate to a reduction in levels of behavioral and psychological symptoms of dementia (BPSD), increased communication skills, and a reduction in caregiver distress. Doll therapy has the potential to be an effective person-centered intervention that can enhance quality of life for people living with dementia in care home settings.

show abstract

Medicines management for people with dementia

Cited by 4 publications

References 22 publications

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Role of caregivers on medication adherence management in polymedicated patients with Alzheimer's disease or other types of dementia

Is deception defensible in dementia care? A care ethics perspective

Therapeutic Doll Interventions for People Living with Dementia in Care Homes: A Scoping Review

Contact Info

Product

Resources

About