April dementia current awareness by Musgrove Park Hospital Library

Library Services Musgrove Park and Somerset Partnership

Current Awareness Dementia This monthly Current Awareness Bulletin is produced by the Library, Musgrove Park Academy to provide staff with a range of dementia-related resources to support practice. It includes recently published guidelines and research articles, news and policy items.

This guide provides a selection of resources relevant to the subject area and is not intended to be a comprehensive list. All websites have been evaluated and details are correct at the time of publications. Details correct at time of going to print. Please note that resources are continuously updated. For further help or guidance, please contact a member of library staff.

This guide has been compiled by: Jess Pawley Senior Library Assistant Musgrove Park Hospital Library Service jessica.pawley@tst.nhs.uk Issue 10 April 2016

Contents Click on a section title to navigate contents Page Recent journal articles

Reports, publications and resources

Topic Alerts and Updates Twitter

Training & Networking Opportunities, Conferences, Events

Literature search service

Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433)

Email: library@tst.nhs.uk Blog: http://librarymph.wordpress.com @musgrovesompar

RECENT JOURNAL ARTICLES BACK TO TOP This is a list of journal articles on the topic of dementia. Some articles are available in the library or on-line via an OpenAthens password by following the full-text link. If you would like an article which is not available as full-text then please contact library staff. Please note that abstracts are not always available for all articles. Title: Neuropathological relationship between major depression and dementia: A hypothetical model and review. Citation: Progress in neuro-psychopharmacology & biological psychiatry, Jun 2016, vol. 67, p. 51-57, 1878-4216 (June 3, 2016) Author(s): Kim, Helena Kyunghee, Nunes, Paula Villela, Oliveira, Katia C, Young, L Trevor, Lafer, Beny Abstract: Major depression (MDD) is a chronic psychiatric condition in which patients often show increasing cognitive impairment with recurring episodes. Neurodegeneration may play an important component in the pathogenesis of MDD associated with cognitive complaints. In agreement with this, patients with MDD show decreased brain volumes in areas implicated in emotional regulation and cognition, neuronal and glial cell death as well as activation of various pathways that can contribute to cell death. Therefore, the aim of this review is to provide an integrative overview of potential contributing factors to neurodegeneration in MDD. Studies have reported increased neuronal and glial cell death in the frontal cortex, amygdala, and hippocampus of patients with MDD. This may be due to decreased neurogenesis from lower levels of brain-derived neurotrophic factor (BDNF), excitotoxicity from increased glutamate signaling, and lower levels of gamma-aminobutyric acid (GABA) signaling. In addition, mitochondrial dysfunction and oxidative stress are found in similar brain areas where evidence of excitotoxicity has been reported. Also, levels of antioxidant enzymes were reported to be increased in patients with MDD. Inflammation may also be a contributing factor, as levels of inflammatory cytokines were reported to be increased in the prefrontal cortex of patients with MDD. While preliminary, studies have also reported neuropathological alterations in patients with MDD. Together, these studies suggest that lower BDNF levels, mitochondrial dysfunction, oxidative stress, inflammation and excitotoxicity may be contributing to neuronal and glial cell death in MDD, leading to decreased brain volume and cognitive dysfunction with multiple recurrent episodes. This highlights the need to identify specific pathways involved in neurodegeneration in MDD, which may elucidate targets that can be treated to ameliorate the effects of disease progression in this disorder. Copyright ÂŠ 2016 Elsevier Inc. All rights reserved.

________________________________________________________________________________ Title: The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature. Citation: Aging & mental health, May 2016, vol. 20, no. 5, p. 450-462, 1364-6915 (May 2016) Author(s): Tretteteig, Signe, Vatne, Solfrid, Rokstad, Anne Marie Mork Abstract: Day care centres (DCC) for people with dementia (PWD) have received increased attention recently, due to a shift in policy from the use of residential care towards home-based services. The aim of this study is to provide an extended understanding of the influence of DCCs on family caregivers (FCs).

An integrative review including 19 studies was used: qualitative (n = 2), quantitative non-randomised (n = 8), quantitative descriptive studies (n = 7), and with mixed-method design (n = 2). The quality of the studies was evaluated by the mixed-methods appraisal tool (MMAT). FC experienced the DCC both as a respite service, and to some extent as a support service, improving their competence in caring for the PWD. The quality of the DCC influenced its use, and the FC's motivation to care for the PWD. FC's gender, role, individual needs, PWD behavioural problems and need for assistance played an important role. As a respite and support service, DCCs have the potential to give FCs a feeling of safety and relief, reduce the caregiver's burden, and increase their motivation towards their role as caregivers. These outcomes depend on the quality of treatment, and how the service meets the FC's needs for flexibility, support, information, and responsibility sharing. ________________________________________________________________________________ Title: Couples' shared experiences of dementia: a meta-synthesis of the impact upon relationships and couplehood. Citation: Aging & mental health, May 2016, vol. 20, no. 5, p. 463-473, 1364-6915 (May 2016) Author(s): Wadham, Olivia, Simpson, Jane, Rust, Jonathan, Murray, Craig Abstract: There is a growing recognition of dementia as a condition that affects both members of a couple individually while also influencing the relational bond between them. This is an area which potentially has important service implications. Accordingly, the aim of this review was to elaborate the experience of dementia on partner/spousal relationships through a synthesis of pertinent qualitative literature. A systematic literature search for qualitative research papers was undertaken in November 2013. Five databases (Academic Search Complete, CINAHL, MEDLINE, PsycARTICLES and PsycINFO) were searched using terms for dementia, partner and qualitative data analysis. Meta-synthesis was conducted on the data within the found papers. A line-of-argument synthesis of 10 studies yielded four overarching themes, which highlight couples' efforts to maintain their sense of togetherness; shifts in balance and power within their relationship which can impact upon both partners' sense of identity; the empathy and sensitive attunement between couples as they work to protect each other's sense of role and identity; and the resilience couples demonstrate in the face of great fear, uncertainty and hopelessness. Findings have important implications for both research and practice, particularly the need for services to support couples' efforts to enhance couplehood in spite of dementia. Ultimately, this review adds further weight to arguments to refocus dementia care on relationships in addition to individuals. ________________________________________________________________________________ Title: Dementia worry and its relationship to dementia exposure, psychological factors, and subjective memory concerns. Citation: Applied neuropsychology. Adult, May 2016, vol. 23, no. 3, p. 196-204, 2327-9109 (2016 May-Jun) Author(s): Kinzer, Adrianna, Suhr, Julie A Abstract: With increased societal awareness of dementia, older adults show increased concern about developing dementia, leading to misidentification of aging-related cognitive glitches as signs of dementia. While some researchers have suggested self-reported cognitive concerns accurately identify older adults with early signs of dementia, there is evidence that subjective cognitive decline is

not associated with objective cognitive performance and instead reflects psychological factors consistent with models of health anxiety, including dementia worry. We examined the construct of dementia worry and its relationship to subjective memory concerns in 100 older adults (Mage = 69 years) without signs of dementia, using a recently developed measure of dementia worry. Consistent with hypotheses, dementia worry was related to exposure to dementia, having a high number of depressive or general worry symptoms, and having more memory concerns. Exposure to dementia moderated the relationship of dementia worry to depression and general worry. Furthermore, dementia worry moderated the relationship of objective memory impairment to subjective memory ratings. The results provide further evidence of the role of psychological factors such as dementia worry in subjective memory report and emphasize the need for objective cognitive testing before making determinations about dementia in older adults expressing memory concerns. ________________________________________________________________________________ Title: Effects of psychosocial interventions on self-efficacy of dementia caregivers: a literature review. Citation: International Journal of Geriatric Psychiatry, 2016, vol./is. 31/5(475-493), 08856230 Author(s): Tang, Wai Kit, Chan, Chung Yan Joanne Abstract: Introduction: Self-efficacy plays an important role in mediating stressors and physical and psychological outcomes in dementia caregiving.Objectives: This literature review aims to identify, summarize, and critically appraise current evidence on the psychosocial interventions used for enhancing the self-efficacy of caregivers of patients with dementia (PWD).Methods: A database search from two major web gateways was conducted to identify relevant research articles with an intervention for caregivers of patients with any type of dementia that included self-efficacy as an outcome measure.Results: A total of 14 studies met the criteria. The key findings and characteristics of the interventions were summarized and analyzed. The results showed that caregivers' self-efficacy and other aspects could be improved by psychosocial interventions. Conclusion: The efficacy of the interventions for self-efficacy and other outcomes for caregivers and PWD were explored. Recommendations on the effects and significance of various psychosocial interventions for caregivers of PWD in enhancing self-efficacy were discussed. Copyright © 2015 John Wiley & Sons, Ltd. ________________________________________________________________________________ Title: Social health and dementia: the power of human capabilities. Citation: International Psychogeriatrics, 2016, vol./is. 28/5(701-703), 10416102 Author(s): Vernooij-Dassen, Myrra, Jeon, Yun-Hee Abstract: No breakthrough has been made in dementia research to find a cure in the last century (Selkoe, 2012), but a great deal of progress has been made in the description of pathology. The damage caused by this multifaceted “disease” has been described in terms of its physical, neuropsychological, and social manifestations at an individual level but also its societal impact at large, often in financial terms. ________________________________________________________________________________ Title: Group and individual cognitive therapies in Alzheimer's disease: the ETNA3 randomized trial. Citation: International Psychogeriatrics, 2016, vol./is. 28/5(707-717), 10416102 Author(s): Amieva, Hélène, Robert, Philippe H., Grandoulier, Anne-Sophie, Meillon, Céline, De

Rotrou, Jocelyne, Andrieu, Sandrine, Berr, Claudine, Desgranges, Béatrice, Dubois, Bruno, Girtanner, Chantal, Joël, Marie-Eve, Lavallart, Benoit, Nourhashemi, Fati, Pasquier, Florence, Rainfray, Muriel, Touchon, Jacques, Chêne, Geneviève, Dartigues, Jean-François, Amieva, Hélène, Meillon, Céline Abstract: Background: Although non-drug interventions are widely used in patients with Alzheimer's disease, few large scale randomized trials involving a long-term intervention and several cognitiveoriented approaches have been carried out. ETNA3 trial compares the effect of cognitive training, reminiscence therapy, and an individualized cognitive rehabilitation program in Alzheimer's disease to usual care.Methods: This is a multicenter (40 French clinical sites) randomized, parallel-group trial, with a two-year follow-up comparing groups receiving standardized programs of cognitive training (group sessions), reminiscence therapy (group sessions), individualized cognitive rehabilitation program (individual sessions), and usual care (reference group). Six hundred fifty-three outpatients with Alzheimer's disease were recruited. The primary efficacy outcome was the rate of survival without moderately severe to severe dementia at two years. Secondary outcomes were cognitive impairment, functional disability, behavioral disturbance, apathy, quality of life, depression, caregiver's burden, and resource utilization.Results: No impact on the primary efficacy measure was evidenced. For the two group interventions (i.e. cognitive training and reminiscence), none of the secondary outcomes differed from usual care. The larger effect was seen with individualized cognitive rehabilitation in which significantly lower functional disability and a six-month delay in institutionalization at two years were evidenced.Conclusions: These findings challenge current management practices of Alzheimer's patients. While cognitive-oriented group therapies have gained popularity, this trial does not show improvement for the patients. The individualized cognitive rehabilitation intervention provided clinically significant results. Individual interventions should be considered to delay institutionalization in Alzheimer's disease. ________________________________________________________________________________ Title: A pilot randomized controlled trial of a self-management group intervention for people with early-stage dementia (The SMART study). Citation: International Psychogeriatrics, 2016, vol./is. 28/5(787-800), 10416102 Author(s): Quinn, Catherine, Toms, Gill, Jones, Carys, Brand, Andrew, Edwards, Rhiannon Tudor, Sanders, Fiona, Clare, Linda Abstract: Background: Self-management equips people to manage the symptoms and lifestyle changes that occur in long-term health conditions; however, there is limited evidence about its effectiveness for people with early-stage dementia. This pilot randomized controlled trial (RCT) explored the feasibility of a self-management intervention for people with early-stage dementia. Methods: The participants were people with early-stage dementia (n = 24) and for each participant a caregiver also took part. Participants were randomly allocated to either an eight-week selfmanagement group intervention or treatment as usual (TAU). Assessments were conducted at baseline, three months and six months post-randomization by a researcher blind to group allocation. The primary outcome measure was self-efficacy score at three months.Results: Thirteen people with dementia were randomized to the intervention and 11 to TAU. Two groups were run, the first consisting of six people with dementia and the second of seven people with dementia. There was a small positive effect on self-efficacy with the intervention group showing gains in self-efficacy compared to the TAU group at three months (d = 0.35), and this was maintained at six months (d = 0.23). In terms of intervention acceptability, attrition was minimal, adherence was good, and satisfaction ratings were high. Feedback from participants was analyzed with content analysis. The

findings suggest the positive aspects of the intervention were that it fostered independence and reciprocity, promoted social support, offered information, and provided clinician support.Conclusions: This study has provided preliminary evidence that self-management may be beneficial for people with early-stage dementia. ________________________________________________________________________________ Title: Toward an evidence-based implementation model and checklist for personalized dementia care in the community. Citation: International Psychogeriatrics, 2016, vol./is. 28/5(801-813), 10416102 Author(s): Van Mierlo, L. D., Meiland, F. J. M., Van Hout, H. P. J., Drรถes, R. M., Drรถes, R M Abstract: Background: The aim was to develop an evidence-based model that focuses specifically on factors that enable the provision of personalized care to facilitate and promote the implementation of community-based personalized dementia care interventions. The model is based on our previous research and additional literature.Methods: The theoretical model of adaptive implementation was used as a framework to structure our model. Facilitators and barriers considered relevant for personalized care were extracted from our studies and additional literature, and were synthesized into the new evidence-based implementation model and checklist for personalized dementia care in the community.Results: Extraction of data led to a composition of an evidence-based model for the implementation of personalized psychosocial care interventions that incorporates core components of personalized care. The model addresses several issues, e.g. how personalized care interventions should be offered and to whom; whether these are able to adapt to personal characteristics and needs of clients and informal caregivers; and whether both organizational management and staff that provide the intervention support personalized care and are able to focus on providing individualized care.Conclusions: Our model provides a checklist for researchers, professional caregivers, and policy-makers who wish to develop, evaluate, or implement personalized care interventions. ________________________________________________________________________________ Title: Life after care: psychological adjustment to bereavement in family carers of people with dementia. Citation: International Psychogeriatrics, 2016, vol./is. 28/5(815-823), 10416102 Author(s): Vlachogianni, Aggeliki, Efthymiou, Areti, Potamianou, Dimitra, Sakka, Paraskevi, Orgeta, Vasiliki Abstract: Background: Despite well-documented evidence of the psychological effects of caring for a relative with dementia, little is known about the bereavement experiences of family carers. The aim of this study was to explore the key psychological changes associated with carers' adjustment to bereavement and "life after care."Methods: All carers taking part were recruited from a day care center, providing specialist services to people with dementia. We asked carers to describe the key changes associated with psychological adjustment to bereavement through semi-structured qualitative in-depth interviews. Strategies carers used to cope with and adapt to their new role were also explored. All data were thematically analysed.Results: Thirty-one carers were interviewed. The most frequent emotional reactions to bereavement were feelings of loneliness, loss, void, sadness, anger, and relief. Most carers were able to adapt to their new role, and engaging in pleasant activities was the most frequent strategy used to cope with loss and "life after care."Conclusions: Feelings of loneliness and loss are amongst the key emotional reactions shaping carers' adjustment to bereavement. Most carers are able to adapt to loss; however, a minority experience increased

psychological distress after the death of their loved one. A small percentage of carers continues caring for other dependants. Further research is required to identify how carers of people with dementia adapt to bereavement and how this increasing number of individuals can be best supported. ________________________________________________________________________________

BOOKS BACK TO TOP If you are unable to find a book, or require a book that is not on this list, please ask library staff who will be able to locate the book for you using interlibrary loan. Please note that some books detailed below may not be available in your local library and would need to be ordered for you. Some books from our electronic book collection- click on book cover and log in with your OpenAthens password to browse free online or to request access. Dementia: Comprehensive Principles and Practices Atri, A et al 2014

Dementia in Close-Up Bere Miesen 2016

From the back of the book: Dementia: Comprehensive Principles and Practice is a clinically-oriented book designed for clinicians, scientists, and other health professionals involved in the diagnosis, management, and investigation of disease states causing dementia. A "who's who" of internationally-recognized experts contribute chapters emphasizing a multidisciplinary approach to understanding dementia. The organization of the book takes an integrative approach by providing three major sections that (1) establish the neuroanatomical and cognitive framework underlying disorders of cognition, (2) provide fundamental as well as cutting-edge material covering specific diseases associated with dementia, and (3) discuss approaches to the diagnosis and treatment of dementing illnesses.

From the back of the book: Dementia in Close-Up is a clear and practical guide to dementia and the world of the dementia sufferer. Bere Miesen assumes no medical or specialist knowledge and uses first hand accounts and real-life examples to examiners on patterns of behaviour and responses of sufferers and their carers. He focuses on the complex and varied relationships between the sufferer, their family and professional carers, and explores the conflict that can sometimes be engendered by dependency, fear and sustained closeness. Going beyond the purely medical descriptions of dementia, Dementia in Close-Up strives to give families and health professionals the means to form caring and rewarding relationships and to help everyone involved.

Taunton and SomPar NHS staff - Have you visited the EBL eBook catalogue? Follow the links below and login via OpenAthens to read online books free for 5-10 minutes each day, send requests for eBook loans or purchase suggestions Taunton & Somerset eBook catalogue Somerset Partnership eBook catalogue About OpenAthens 9

GUIDELINES

NICE Guidelines NG22: Older people with social care needs and multiple long-term conditions- November 2015 NG16: Disability, dementia and frailty in later life- mid-life approaches to prevention- October 2015

UPTODATE & DYNAMED PLUS BACK TO TOP What’s new from our clinical decision-making tools on the topic of dementia. UpToDate Access for Musgrove Park Staff only DynaMed Plus Access for Somerset Partnership Staff only Please contact library staff for details on how to access these resources; you will need an Athens password.

DEMENTIA IN THE NEWS BACK TO TOP Behind the Headlines Gum disease linked to worsening dementia symptoms Memories ‘taken’ by Alzheimer’s could possibly be retrieved Spike in deaths ‘due to dementia and flu’

REPORTS, PUBLICATIONS AND RESOURCES BACK TO TOP NICE Pathway on Dementia NICE Pathway on Dementia, Disability and Frailty in Later Life: Mid-Life Approaches to Delay or Prevent Onset overview SCIE (Social Care Institute for Excellence) Dementia Gateway th

10 UK Dementia Congress 2015- slides and presentations from this year’s conference Improving Dementia Education and Awareness (IDEA)- Online resource created by the University of Nottingham, listing online courses, news, events and resources. Age UK- resource and information page on dementia. DEEP- the dementia engagement and empowerment project Prime Minister’s Challenge on Dementia 2020- Implementation plan The Prime Minister’s challenge on dementia 2020 set out more than 50 specific commitments that aim to make England the world-leader in dementia care, research and awareness by 2020. The implementation plan sets out how these commitments will be met. It sets out priority actions, and the organisation responsible, across 4 themes: risk reduction; health and care; awareness; and social action. Health matters: midlife approaches to reduce dementia risk This resource provides information on approaches to reducing the prevalence and incidence of dementia. It outlines key statistics about the characteristics of the population with dementia and the risk factors leading to dementia. Finally, it outlines the role that CCGs and local authorities can take in the prevention of dementia. Proton-pump inhibitors and risk of dementia In an article (Gomm et al, 2016) and associated editorial (Kuller, 2016) in JAMA Neurology, Gomm et al report on their investigation into the association of PPI use with an increased risk of dementia in the elderly. The hypothesis behind a causal link between PPI use and dementia comes from evidence from animal studies that PPIs may increase the levels of Aβ in the brain, which are a major pathological sign of Alzheimer’s disease. There is also evidence that use of PPIs is associated with Vitamin B deficiency, which has also been linked to cognitive decline. Impact of young onset dementia on informal caregivers compared with late onset dementia We know a lot about the long term consequences for family carers of supporting someone with dementia. Much of this research is cross-sectional, meaning that we only have a snapshot of how carers are managing. However, results from studies in which participants have been followed up over time (for example, Mahoney et al., 2005, Schulz et al., 2010) indicate that there is a ‘wear and tear’ effect whereby carers experience greater stress as time goes on and as the person for whom they

care needs more support. This can lead to them finding it more difficult to cope with some aspects of caring than they did previously. Statins for dementia prevention: well-tolerated, but Cochrane highlight lack of evidence Statins in particular have been named as a â&#x20AC;&#x2DC;culpritâ&#x20AC;&#x2122; who, if overprescribed, can have possible adverse effects. In this recent Cochrane systematic review by McGuinness and colleagues, the efficacy and safety of statins is considered, in their potential role as preventative drugs for dementia. Dementia advisers survey A survey into the provision of dementia adviser services in clinical commissioning groups and local authorities in England. Virtual reality pilot for people with dementia in Salford Salford residents with dementia are taking part in a virtual reality rehabilitation pilot. Local brain injury charity Basic has installed a virtual reality system that allows people to take part in life-sized interactive games and activities, exposing them to environments that are physically challenging without putting them in any real danger. The 12 month pilot called Virtual Adventures is funded by NHS Salford CCG. Improving Care for People with Advanced Dementia Greenwich & Bexley Community Hospice are working with the Oxleas Advanced Dementia Service to improve care for people with advanced dementia. Supported by a grant from the St James Place Foundation, we have seconded a Palliative Care Clinical Nurse Specialist to a new 2 1/2 day a week role specifically supporting people with advanced dementia.

TOPIC ALERTS AND UPDATES BACK TO TOP ABSTRACTS AVAILABLE VIA LINKS BELOW- FOR FULL-TEXT PLEASE ASK LIBRARY STAFF

A two decade dementia incidence comparison from the Cognitive Function and Ageing Studies I and II Nature Communications, E-pub ahead of print, Published 19 April 2016 FREE FULL TEXT IL-33 ameliorates Alzheimer’s disease-like pathology and cognitive decline Proceedings of the National Academy of Sciences of the USA 2016 ; published ahead of print April 18, 2016 FREE FULL TEXT

NHS Evidence Defeating Alzheimer's disease and other dementias: a priority for European science and society Lancet Neurology Volume 15, No. 5, p455–532, April 2016 Dementia-specific quality of life instruments: a conceptual analysis Int Psychogeriatr. 2016 Mar 22:1-18. [Epub ahead of print]

Elsevier Practice Updates The frontotemporal dementia-motor neuron disease continuum Lancet Published Online: 14 March 2016 Medscape Topic Alerts Microbes and Alzheimer’s disease Journal of Alzheimer's Disease, vol. 51, no. 4, pp. 979-984, 2016 FREE FULL TEXT

TRIP Database A Systematic Review and Meta-Analysis of the Association between Helicobacterpylori Infection and Dementia J Alzheimers Dis. 2016 Apr 15. [Epub ahead of print] Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials J Alzheimers Dis. 2016 Apr 8. [Epub ahead of print]

How do staff influence the quality of long-term dementia care and the lives of residents? A systematic review of the evidence Int Psychogeriatr. 2016 Apr 15:1-19. [Epub ahead of print] Psychosocial interventions for people with young onset dementia and their carers: a systematic review Int Psychogeriatr. 2016 Apr 13:1-14. [Epub ahead of print] Quality of life in young onset dementia: an updated systematic review. Trends Psychiatry Psychother. 2016 Mar;38(1):6-13. FREE FULL TEXT

Medline Plus Longitudinal Relationships between Caloric Expenditure and Gray Matter in the Cardiovascular Health Study. J Alzheimers Dis. 2016 Mar 11. [Epub ahead of print] FREE FULL TEXT Risk of Cerebral Venous Thrombosis in Obese Women JAMA Neurol. 2016 Mar 14. doi: 10.1001/jamaneurol.2016.0001. [Epub ahead of print]

TWITTER BACK TO TOP The latest from popular Twitter pages dedicated to dementia: Dementia UK @DementiaUK Alzheimer’s Society @alzheimerssoc Dementia Today @DementiaToday Dementia Friends @DementiaFriends

TRAINING & NETWORKING OPPORTUNITIES, CONFERENCES, EVENTS BACK TO TOP

Alzheimer’s Society Training and resources Dementia training for care providers Health Education England Dementia awareness training RCN Ongoing work at the RCN on dementia care Online learning Caring for people with dementia in the general hospital – Communication http://sonet.nottingham.ac.uk/rlos/mentalhealth/communication/ Caring for people with dementia in the general hospital - Dementia and Cognitive Loss http://sonet.nottingham.ac.uk/rlos/mentalhealth/dementia_hospital/ Caring for people with dementia in the general hospital - Person-centred dementia care http://sonet.nottingham.ac.uk/rlos/mentalhealth/dementia_care/

Dementia: Quality of Care- 27 April 2016, Manchester Conference Centre th

SMI Alzheimer’s Conference- 10 & 11 May 2016, London th

The 2016 Alzheimer’s Disease Congress- 7 -9 June 2016, London

4 International Conference on Vascular Dementia- 30 June-2 th

July 2016, Valencia

Alzheimer’s Association International Conference- 24 -28 July 2016, Toronto th

5 International Conference on Alzheimer’s Disease and Dementia - 29 September-1 October 2016, London th

26 Alzheimer Europe Conference- 31 October-2

November 2016, Copenhagen

LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but haven’t got time to trawl the databases? Do you need a literature search carried out? Do you need to find evidence to support an improvement? Do you want to know how something has been done elsewhere and whether it worked?

Library staff provide a literature search service for busy clinicians who are pressed for time.

To request a search please complete and return the appropriate form, providing as much information as possible. Alternatively if you would like an assisted search training session, where we will sit down with you and go through the steps of a literature search, then please contact the library. Musgrove staff click here to access literature search form Somerset Partnership staff click here to access literature search form

TRAINING AND ATHENS BACK TO TOP Most electronic resources are available via an Athens password. You can register for this via the Library intranet page, or from home at www.swice.nhs.uk and following the link for Athens selfregistration. Please note that registering from home will take longer as it will need to be verified that you are NHS staff/student on placement. The library offers training on how to access and use Athens resources, as well as an introductory course on critical appraisal. You can book a course through the Learning and Development intranet page, or by contacting the library directly.