Psychogeriatric Assessment Scales

Jorm, A. F.; Mackinnon, Andrew; Henderson, A. S.; Scott, R.; Christensen, H.; Korten, A. E.; Cullen, J. S.; Mulligan, R.

doi:10.1037/t03172-000

Cited by 6 publications

(7 citation statements)

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“…During phase 3, experienced neuropsychiatrists conducted the following tests: psychiatric interviews and physical examinations using the Geriatric Depression Scale-Short Form, 5 the Psychogeriatric Assessment Scales, 6 and some tests used in the Japanese Alzheimer's Disease Neuroimaging Initiative. 7 In addition, we asked all participants to undergo electroencephalograms and magnetic resonance imaging of the brain.…”

Section: Methodsmentioning

confidence: 99%

Multicentre population‐based dementia prevalence survey in Japan: a preliminary report

Ikejima

Hisanaga²,

Meguro

et al. 2012

Psychogeriatrics

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Community-based surveys were performed in seven rural areas in Japan to investigate the prevalence of dementia and illnesses causing dementia. A total of 5431 elderly subjects were selected based on census data from 1 October 2009. In total, 3394 participants were examined (participation rate: 62.5%), and 768 dementia cases and 529 mild cognitive impairment cases were identified. Of the illnesses causing dementia, Alzheimer's disease was the most frequent (67.4%), followed by vascular dementia (18.9%), dementia with Lewy body disease (4.6%), mixed dementia (4.2%) and other illnesses. The prevalence of dementia according to 5-year age strata between 65 and 99 years was 5.8-77.7% among the participants. The prevalence of dementia in this study was higher than in previous reports in Japan and other countries. To verify the upward trend of dementia prevalence and its background factors, we have scheduled surveys for three other urban areas in 2011-2012.

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Section: Methodsmentioning

confidence: 99%

Multicentre population‐based dementia prevalence survey in Japan: a preliminary report

Ikejima

Hisanaga²,

Meguro

et al. 2012

Psychogeriatrics

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“…It contains 19 items scored on a three point scale; absent, mild/intermittent or severe, relating to symptoms experienced over the preceding week (AIHW, 2013). This was completed by the registered nurse on site. Cognitive capacity was determined using the Psychogeriatric Assessment Scales‐Cognitive Impairment Scale (PAS) (Jorm & Mackinnon, 2016) following completion by a facility Registered Nurse or Researcher at baseline. Cognitive capacity was subsequently grouped into four categories: 0–3.9 no impairment, 4–9.9 mild impairment, 10–15.9 moderate impairment and 16+ severe impairment based on the PAS score cut‐offs. Dementia diagnosis, mental health condition diagnoses, age and gender were also collected from the participant's eHealth records.…”

Section: Methodsmentioning

confidence: 99%

Frequency of changed behaviours in residential aged care and common mitigation strategies – A retrospective review of behavioural report logs

Brimelow

Beattie

Byrne

et al. 2022

Journal of Clinical Nursing

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Background Changed behaviours in residential aged care facilities (RACF) are frequently reported in the literature. How RACF staff routinely respond to these observed changed behaviours represents a significant gap. Objective To analyse the frequency of changed behaviour reported within RACF behavioural report logs and to ascertain how staff typically manage these behaviours. Methods Residents (N = 25) with varying levels of cognitive function were recruited from a 160 bed RACF in Queensland, Australia. A retrospective analysis of behavioural report logs was conducted to elucidate prevalence of reported changed behaviours as categorised by RACF staff. Thematic analysis of staff recorded behavioural mitigation strategies was used to categorise staff actions. A case analysis was also conducted to highlight the challenges faced by RACF staff managing persistent acute changed behaviours using identified common mitigation strategies. The STROBE guidelines were followed for reporting. Results There were 395 behaviours recorded in a two‐month period. Physical agitation, interfering while wandering, trying to get to inappropriate places, verbal refusal of care, physical aggression, and verbal disruption were most frequently reported by staff. Management strategies included redirection, PRN psychotropic medication, reassurance, routine care practices, offering of beverages, repositioning, and rarely analgesia. A 24‐h case analysis highlighted how staff utilised redirection and multiple doses of a PRN benzodiazepine with limited effectiveness. Conclusion This study reveals current mitigation strategies employed by RACF staff in response to acute changed behaviours often associated with dementia. Agitation and wandering are prevalent and are difficult for staff to manage effectively. Relevance to clinical practice This study highlights that careful consideration should be taken to avoid overuse of PRN benzodiazepines in management of changed behaviours. Short‐term mitigation strategies, such as redirection, may not be effective if underlying causes such as pain, physiological, mental, emotional, or social needs are not met. Patient and public contribution A RACF participated in project design and review.

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“…She lived in a not‐for profit, 100+ bed aged care home, in a mainstream area rather than a specialized dementia care unit. Connie met the following inclusion criteria: (1) resident in the care home for >4 weeks; (2) a score of ≥10/21 on the Psychogeriatric Assessment Scale—Cognitive Impairment Scale (Jorm & Mickinnon, ) indicating moderate to severe cognitive impairment; (3) a score of ≥11/30 on the care home's nutritional risk tool indicating moderate to high nutritional risk; (4) consent to participate; and (5) regular (at least every 2 weeks) contact with an adult family member over the three months prior to the study. Connie's family member was Bridget (pseudonym).…”

Section: Methodsmentioning

confidence: 99%

Best intentions or best practice? A case study of the nutritional needs and outcomes of a person with dementia living in a residential aged care home

Lea

Goldberg

Price

et al. 2018

Int J of Nursing Practice

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Psychogeriatric Assessment Scales

Cited by 6 publications

References 0 publications

Multicentre population‐based dementia prevalence survey in Japan: a preliminary report

Multicentre population‐based dementia prevalence survey in Japan: a preliminary report

Frequency of changed behaviours in residential aged care and common mitigation strategies – A retrospective review of behavioural report logs

Best intentions or best practice? A case study of the nutritional needs and outcomes of a person with dementia living in a residential aged care home

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