The national dementia strategy in Japan

Arai, Yasuhiko; Arai, Asuna; Mizuno, Y.

doi:10.1002/gps.2589

Cited by 12 publications

(25 citation statements)

References 5 publications

(3 reference statements)

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“…Elder abuse, another negative outcome of caregiving, is a focus of increasing concern (Sasaki et al, ), and detection at an early stage is an urgent priority recently incorporated into the Japanese National Dementia Strategy (originally established in 2008 [Arai et al, ]). However, asking about abuse is awkward for clinicians and uncomfortable for caregivers, who may underreport abuse because of embarrassment.…”

mentioning

confidence: 99%

Potentially harmful behavior by caregivers may be predicted by a caregiver burden scale

Arai

Noguchi

Zarit

2017

Int J Geriat Psychiatry

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confidence: 99%

Potentially harmful behavior by caregivers may be predicted by a caregiver burden scale

Arai

Noguchi

Zarit

2017

Int J Geriat Psychiatry

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“…The challenge of dementia is well documented (Arai, et al, 2010;Banerjee, 2010) and the financial cost to society is not in doubt but the human cost on those living with dementia, on those who care for them, on those who work with them and on their family members, is equally high (Cuijpers, 2005;Pinquart and Sorenson, 2003). As dementia develops, a wide range of mental abilities gradually diminish and memory loss, inability to carry out basic tasks, changes in personality and behaviour, increased levels of agitation and sometimes aggression often become more apparent.…”

Section: Introductionmentioning

confidence: 99%

Exploring the impact of music concerts in promoting well-being in dementia care

Shibazaki

Marshall

2015

Aging & Mental Health

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Objectives: This study explores the specific effects of live music concerts on the clients with dementia, their families and nursing staff / caregivers. Methods:Researchers attended 22 concerts in care facilities in England and Japan. Interviews were carried out with clients with dementia, nursing staff and family members. Observations were also carried out before, during and after the concerts. All observations were recorded in field notes. Results:The effect of the concerts in both countries were seen to be beneficial to all clients and nursing staff, whether or not they attended the concert. Interviews with clients with mild to mid-stage dementia, noted increased levels of cooperation, interaction and conversation. Those with final stage or advanced dementia exhibited decreased levels of agitation and anti social behaviour. Staff members reported increased levels of care, cooperation and opportunities for assessment. Family members noted an increase in the levels of wellbeing in their partner / parent as well as in themselves.The study also suggested that a knowledge of musical components, an awareness of the rules of music and specific musical preferences appear to remain well beyond the time when other cognitive skills and abilities have disappeared.Conclusions: This initial study provided some further indication in terms of the uses of music as a non pharmacological intervention for those living with all stages of dementia. These included opportunities for assessment of physical abilities as well as facilitating an increasing level of care.

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“…This drive toward earlier diagnosis and intervention has been accompanied by a debate about the value of arriving at a diagnosis of dementia earlier in the disease process [27, 40–42]. Several studies reported evidence that supports a possible beneficial effect of early and accurate diagnosis [27, 28, 40].…”

Section: Introductionmentioning

confidence: 99%

Validity of screening instruments for the detection of dementia and mild cognitive impairment in hospital inpatients: A systematic review of diagnostic accuracy studies

et al. 2019

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Introduction As the population ages, Alzheimer's disease and other subtypes of dementia are becoming increasingly prevalent. However, in recent years, diagnosis has often been delayed or not made at all. Thus, improving the rate of diagnosis has become an integral part of national dementia strategies. Although screening for dementia remains controversial, the case is strong for screening for dementia and other forms of cognitive impairment in hospital inpatients. For this reason, the objective of this systematic review was to provide clinicians, who wish to implement screening, an up-to-date choice of cognitive tests with the most extensive evidence base for the use in elective hospital inpatients. Methods For this systematic review, PubMed, PsycINFO and Cochrane Library were searched by using a multi-concept search strategy. The databases were accessed on April 10, 2019. All cross-sectional studies that utilized brief, multi-domain cognitive tests as index test and a reference standard diagnosis of dementia or mild cognitive impairment as comparator were included. Only studies conducted in the hospital setting, sampling from unselected, elective inpatients older than 64 were considered. Results Six studies met the inclusion criteria, with a total of 2112 participants. Diagnostic accuracy data for the Six-Item Cognitive Impairment Test, Cognitive Performance Scale, Clock-Drawing Test, Mini-Mental Status Examination, and Time & Change test were extracted and descriptively analyzed. Clinical and methodological heterogeneity between the studies precluded performing a meta-analysis. Discussion This review found only a small number of instruments and was not able to recommend a single best instrument for use in a hospital setting. Although it was not possible to estimate the pooled operating characteristics, the included description of instrument characteristics, the descriptive analysis of performance measures, and the critical evaluation of the reporting studies may contribute to clinician's choice of the screening instrument that fits best their purpose.

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The national dementia strategy in Japan

Cited by 12 publications

References 5 publications

Potentially harmful behavior by caregivers may be predicted by a caregiver burden scale

Potentially harmful behavior by caregivers may be predicted by a caregiver burden scale

Exploring the impact of music concerts in promoting well-being in dementia care

Validity of screening instruments for the detection of dementia and mild cognitive impairment in hospital inpatients: A systematic review of diagnostic accuracy studies

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