August dementia current awareness by Musgrove Park Hospital Library

Library Service Musgrove Park Academy

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 3 August 2015

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

Books

UpToDate & DynaMed

Dementia in the News

Reports, publications and resources

Topic Alerts and Updates

Twitter

Training & Networking Opportunities, Conferences, Events

Literature search service

Training and Athens

Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433) Fax: 01823 34 (2434) 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: Transforming nursing home-based day care for people with dementia into socially integrated community day care: Process analysis of the transition of six day care centres. Citation: International Journal of Nursing Studies, 01 August 2015, vol./is. 52/8(1310-1322), 00207489 Author(s): van Haeften-van Dijk, A. M., Meiland, F. J. M., van Mierlo, L. D., Drรถes, R. M. Abstract: Background: The community-based Meeting Centres Support Programme for people with dementia and their carers has been proven more effective in influencing behaviour and mood problems of people with dementia and improving sense of competence of carers compared to nursing home-based day care centres for people with dementia. Six Dutch nursing home-based day care centres were transformed into Community-based day care centres with carer support, according to this Meeting Centres model. Objectives: To determine which factors facilitate or impede the transition to Community-based day care. Design: A process evaluation was conducted with a qualitative study design. Settings: Six nursing home-based day care centres transformed into Community-based day care centres for people with dementia and their carers. Study participants: Stakeholders (n = 40) that were involved during the transition. Methods: Factors that facilitated or impeded the transition were traced by means of (audiotaped and transcribed) interviews with stakeholders and document analysis. All data were coded by two independent researchers and analyzed using thematic analysis based on the Theoretical framework of adaptive implementation. Results: Six nursing home-based day care centres successfully made the transition to Community-based day care with carer support. Success factors for the start of the project were: the innovation being in line with the current trend towards more outpatient care and having motivated pioneers responsible for the execution of the transition. Barriers were difficulties reaching/recruiting the target group (people with dementia and carers), inflexible staff and little or no experience with collaboration with community-based care and welfare organizations. Facilitating factors during the implementation phase were: finding a suitable location in the community, positive changes in staff attitude and adoption of the new vision, and good cooperation with care and welfare organizations. Barriers were insufficient involvement of, and support from the managers of the responsible organizations, and communication problems with referrers of other organizations, including the GPs and case managers. Conclusions: The transition from nursing home-based psychogeriatric day care support to a community-based combined support programme for people with dementia and their informal carer is shown to be feasible. Successful implementation of this community-based combined support programme requires -- besides motivated pioneers, a change in staff attitude and working style, a suitable pleasant location and collaboration with other care and welfare organizations -- special attention for effective communication with the target user group and the referrers, and also how the management of the pioneer organizations can facilitate the staff during the transition process.

___________________________________________________________________________ Title: Emotional evaluation and memory in behavioral variant frontotemporal dementia. Citation: Neurocase (Psychology Press), 01 August 2015, vol./is. 21/4(429-437), 13554794 Author(s): St Jacques, Peggy L, Grady, Cheryl, Davidson, Patrick S R, Chow, Tiffany W

Abstract: Behavioral variant frontotemporal dementia (bvFTD) affects emotional evaluation, but less is known regarding the patients' ability to remember emotional stimuli. Here, bvFTD patients and agematched controls studied positive, negative, and neutral pictures followed by a recognition memory test. Compared to controls, bvFTD patients showed a reduction in emotional evaluation of negative scenes, but not of positive or neutral scenes. Additionally, the patients showed an overall reduction in recognition memory accuracy, due to impaired recollection in the face of relatively preserved familiarity. These results show that bvFTD reduces the emotional evaluation of negative scenes and impairs overall recognition memory accuracy and recollection. ______________________________________________________________________________ Title: Improving response inhibition systems in frontotemporal dementia with citalopram. Citation: Brain: A Journal of Neurology, 01 July 2015, vol./is. 138/Pt 7(1961-1975), 00068950 Author(s): Hughes, Laura E, Rittman, Timothy, Regenthal, Ralf, Robbins, Trevor W, Rowe, James B Full text: Available Highwire Press at Brain ________________________________________________________________________________ Title: Mild chronic kidney disease is associated with cognitive function in patients presenting at a memory clinic. Citation: International Journal of Geriatric Psychiatry, 01 July 2015, vol./is. 30/7(758-765), 08856230 Author(s): Romijn, Marloes D M, van Marum, Rob J, Emmelot-Vonk, Mariëlle H, Verhaar, Harald J J, Koek, Huiberdina L Abstract: OBJECTIVE: In dialysis-dependent and severe chronic kidney disease (CKD) patients, cognitive impairment is found in 16-29%. In community-dwelling population without dementia mixed results have been observed. We investigated the relationship between renal function and cognition in patients from a memory clinic. METHODS: We performed a cross-sectional study of consecutive patients from a memory clinic between 2005 and 2009. Renal function was estimated with the Modification of Diet in Renal Diseases (MDRD) and Cockcroft-Gault (CG) formulas, and categorized into ordinal groups: reference >=60 ml/min/1.73 m(2) , mild CKD 45-59 ml/min/1.73 m(2) and moderate CKD <45 ml/min/1.73 m(2) . Cognitive function was dichotomized (Mini-Mental State Examination (MMSE) >=24 vs. <24). We performed multiple logistic regression analyses with adjustment for potential confounders. RESULTS: The cohort comprised 581 patients (mean age 77 ± 10 years). With the MDRD, there were 74 (12%) cases with moderate CKD and 108 (18%) with mild CKD. With the CG, these prevalences were 144 (30%) and 130 (27%). In mild CKD patients, a significant relationship was found between cognitive function and CKD according to the MDRDformula [adjusted OR 2.10; 95%CI 1.09-4.05]. In moderate CKD patients, no significant adjusted associations were found. In patients without dementia, significant adjusted associations were found between CKD and MMSE (MDRD: mild CKD [OR 5.09; 95%CI 1.17-22.14] and moderate CKD [OR 5.03; 95%CI 1.10-22.98]; CG: mild CKD [OR 6.16; 95%CI 1.17-32.50] and moderate CKD [OR 5.60; 95%CI 1.01-30.91]). CONCLUSION: This study showed a significant association between mild CKD and impaired cognitive function in patients from a memory clinic, especially in patients without dementia. Copyright © 2014 John Wiley & Sons, Ltd. ________________________________________________________________________________ Title: Characteristics of the relationship that develops from nurse-caregiver communication during telecare. Citation: Journal of Clinical Nursing, 01 July 2015, vol./is. 24/13/14(1995-2004), 09621067 Author(s): Solli, Hilde, Hvalvik, Sigrun, Bjørk, Ida Torunn, Hellesø, Ragnhild Abstract: Aims and objectives To explore the relationship between nurses and caregivers using a

web camera and web forum as the communication methods. Background In Norway and other European countries, there is an increased focus on ageing at home, which is aided by technology, as well as formal and informal care. The literature reveals that caregivers endure physical and mental burdens. With computer-mediated communication, such as telecare, it is possible for nurses to provide supportive care to caregivers in their homes. Design An explorative design using qualitative content analysis. Method Six nurses and nine caregivers with residential spouses suffering from stroke or dementia were interviewed two times over a six-month period. Results The nurses responded dynamically to the information they received and helped to empower the individual caregivers and to strengthen the interpersonal relationships between the caregivers. While some participants thought that meeting in a virtual room was close and intimate, others wanted to maintain a certain distance. The participants' altered their roles as the masters and receivers of knowledge and experience; this variation was based on a relationship in which mutual respect for one another and an interest in learning from one another allowed them to work together as partners to demonstrate the system and to follow-up with new caregivers. Conclusions The flexibility of the service allows the possibility of engaging in a close, or to some extent, a more distant relationship, depending on the participants' attitudes towards using this type of service. Relevance to clinical practice Nurses can provide close care, support and information to caregivers who endeavour to master their everyday lives together with their sick spouses. The support seems to help the caregivers cope with their own physical and emotional problems. _______________________________________________________________________________ Title: Apraxia profile differentiates behavioural variant frontotemporal from Alzheimer's dementia in mild disease stages. Citation: Journal of Neurology, Neurosurgery & Psychiatry, 01 July 2015, vol./is. 86/7(809-815), 00223050 Author(s): Johnen, Andreas, Tokaj, Amelie, Kirschner, Anne, Wiendl, Heinz, Lueg, Gero, Duning, Thomas, Lohmann, Hubertus Full text: Available Highwire Press at Journal of neurology, neurosurgery, and psychiatry ___________________________________________________________________________ Title: Oral mixing ability and cognition in elderly persons with dementia: A cross-sectional study. Citation: Journal of Oral Rehabilitation, 01 July 2015, vol./is. 42/7(481-486), 0305182X Author(s): Weijenberg, R. A. F., Lobbezoo, F., Visscher, C. M., Scherder, E. J. A. Abstract: Masticatory performance has been positively associated with cognitive ability in both animals and healthy humans. We hypothesised that there would also be a positive correlation between masticatory performance and cognition in older persons suffering from dementia. Older persons suffering from dementia ( n = 114) and receiving institutionalised care were studied in a cross-sectional design. The assessments included masticatory performance, which was measured objectively with a two-colour gum mixing ability test, and cognition, which was assessed with a multidomain neuropsychological test battery. Significant relationships were observed between masticatory performance and general cognition and between masticatory performance and verbal fluency. Hierarchical regression analysis revealed that the correlation with general cognition was influenced by the scores for dependency in activities of daily living. The association between verbal fluency and masticatory performance was not significantly affected by secondary variables. An unexpected limitation of this study was the high dropout rate for the mixing ability test. The clinical implications of these findings are profound; care professionals should endeavour to maintain and stimulate mastication in older persons with dementia in an attempt to preserve cognition. ________________________________________________________________________________ Title: High Incidence of Dementia Conversion than Stroke Recurrence in Poststroke Patients of

Late Elder Society. Citation: Journal of Stroke & Cerebrovascular Diseases, 01 July 2015, vol./is. 24/7(1621-1628), 10523057 Author(s): Nakano, Yumiko, Deguchi, Kentaro, Yamashita, Toru, Morihara, Ryuta, Matsuzono, Kosuke, Kawahara, Yuko, Sato, Kota, Kono, Syoichiro, Hishikawa, Nozomi, Ohta, Yasuyuki, Higashi, Yasuto, Takao, Yoshiki, Abe, Koji Abstract: BACKGROUND: This study investigated the incidence of current poststroke dementia (PSD), the annual conversion ratio into PSD, and the risk factors for conversion. METHODS: In a 4.8year follow-up period, 112 poststroke patients (ischemic stroke and intracerebral hemorrhage) were retrospectively investigated in cognitive examinations. They were categorized into 3 subgroups: converters into PSD, nonconverters who maintained their normal cognitive functions, and reverters who recovered to the normal mentality range. The clinical and demographic characteristics of these 3 subgroups were analyzed. RESULTS: Among all 112 poststroke patients (61.6% male, 73.6 ± 10.4 years old), 16.1% had PSD. During the follow-up period, a part of the normal baseline mentality group (83.9% of 112 original patients) newly developed PSD (subdivided into converters) with an annual conversion rate of 7.6%. The reversion rate from the baseline PSD group was 11.3%. There were significant differences in age (P < .05), baseline mini-mental state examination scores (P < .05), body mass index (P < .05), and periventricular and deep white matter hyperintensity grades (P < .05 and P = .01, respectively) between converters and nonconverters. The annual rate of stroke recurrence was only 2.2% in all stroke subtypes. CONCLUSIONS: In comparison with stroke recurrence (2.2%), 7.6% of the annual PSD conversion rate was very high. Therefore, prevention of direct conversion into PSD without stroke recurrence may be another important aspect of poststroke clinics, especially in late elder society. ________________________________________________________________________________ Title: Markers of Impaired Decision Making in Nursing Home Residents: Assessment by Nursing Home Staff in a Population-Based Study. Citation: Journal of the American Medical Directors Association, 01 July 2015, vol./is. 16/7(563-567), 15258610 Author(s): Fain, Kevin M., Rosenberg, Paul B., Pirard, Sandrine, Bogunovic, Olivera, Spira, Adam P. Abstract: Introduction Many nursing home residents have cognitive impairment that affects their decision making. In order to identify potential markers of impaired decision making, we investigated the association between a range of nursing home resident characteristics and impaired decision making in a population-based sample. Methods Participants were 13,013 residents in the 2004 National Nursing Home Survey. We used logistic regression to determine the association between resident characteristics (ie, gender, age, race, mood, recent pain, falls, fractures, or hospitalizations, length of stay, number of activities of daily living (ADL) requiring help, and diagnoses of dementia, anxiety disorders, and depression) and impaired (vs independent) decision making. Results After controlling for depression and anxiety diagnoses, as well as gender, age, race, and recent hospitalization or pain, characteristics associated with impaired decision making included depressed, sad, or anxious mood [“mild” odds ratio (OR) = 1.39, 95% confidence interval (CI) = 1.23–1.58; “severe” OR = 2.69, 95% CI = 2.27–3.20); diagnosed dementia or living on a dementia hall (OR = 5.07, 95% CI = 4.52–5.67); number of ADL requiring assistance (with 5 ADL, OR = 10.69, 95% CI = 6.82–16.75); length of nursing home stay [101–365 days (OR = 1.60, 95% CI = 1.36–1.89); 366 days2 years (OR = 1.60, 95% CI = 1.34–1.90); >2 years (OR = 2.25, 95% CI = 1.92–2.63)]; and history of falls or fractures in the last 6 months (OR = 1.19, 95% CI = 1.07–1.32)]. Residents reporting pain in the last week were less likely to have impaired decision making (OR = 0.58, 95% CI = 0.52–0.66). Conclusions We found several independent markers of impaired decision making in nursing home residents, including depressed, sad, or anxious mood (independent of depression or anxiety

diagnosis); dementia; and greater need for ADL assistance. Some of these factors, in particular mood, are modifiable and addressing them may help improve decision making. These markers should be explored further to help identify residents with impaired decision making. ________________________________________________________________________________ Title: Medication Use Among Nursing Home Residents With Severe Dementia: Identifying Categories of Appropriateness and Elements of a Successful Intervention. Citation: Journal of the American Medical Directors Association, 01 July 2015, vol./is. 16/7(0-56626), 15258610 Author(s): Kröger, Edeltraut, Wilchesky, Machelle, Marcotte, Martine, Voyer, Philippe, Morin, Michèle, Champoux, Nathalie, Monette, Johanne, Aubin, Michèle, Durand, Pierre J., Verreault, René, Arcand, Marcel Abstract: Background Seniors with severe dementia residing in nursing homes (NHs) frequently receive large numbers of medications. With disease progression, the medications' harm-benefit ratio changes and they need to be reviewed, adjusted, or discontinued. Evidence on successful interventions to optimize medication use among these residents is lacking. Objectives The objective of the study was to identify categories of appropriateness for medications as well as successful interventions or elements thereof to improve medication use in NH residents with severe dementia, suitable for use in Canada. Methods A scoping literature review was performed to identify criteria and categories of appropriateness of medications for these residents as well as elements of successful interventions to optimize medication use. A 15-member multidisciplinary Delphi panel was convened to evaluate the applicability of these findings for NHs in a Canadian province. Results The scoping review identified 1 study presenting categories of appropriateness specific to residents with severe dementia and 35 interventions aimed at reducing drug-drug interactions, inappropriate use of specific drug classes, inappropriate drug use overall, or polypharmacy. Regarding appropriateness, the Delphi panel agreed on the categorization of 63 medications or medication classes as “generally,” “sometimes,” or “rarely appropriate.” The main elements of interventions successful in improving appropriate medication use in NH residents with dementia also were approved by the Delphi panel (ie, medication reviews using criteria of appropriateness, educational and training sessions, and interdisciplinary case conferences). Conclusions These results may be used to develop an intervention to optimize medication use in NH residents with severe dementia. ________________________________________________________________________________ Title: Circulating Proteomic Signatures of Chronological Age. Citation: Journals of Gerontology Series A: Biological Sciences & Medical Sciences, 01 July 2015, vol./is. 70/7(809-816), 10795006 Author(s): Menni, Cristina, Kiddle, Steven J, Mangino, Massimo, Viñuela, Ana, Psatha, Maria, Steves, Claire, Sattlecker, Martina, Buil, Alfonso, Newhouse, Stephen, Nelson, Sally, Williams, Stephen, Voyle, Nicola, Soininen, Hilkka, Kloszewska, Iwona, Mecocci, Patrizia, Tsolaki, Magda, Vellas, Bruno, Lovestone, Simon, Spector, Tim D, Dobson, Richard, Valdes, Ana M Abstract: To elucidate the proteomic features of aging in plasma, the subproteome targeted by the SOMAscan assay was profiled in blood samples from 202 females from the TwinsUK cohort. Findings were replicated in 677 independent individuals from the AddNeuroMed, Alzheimer's Research UK, and Dementia Case Registry cohorts. Results were further validated using RNAseq data from whole blood in TwinsUK and the most significant proteins were tested for association with aging-related phenotypes after adjustment for age. Eleven proteins were associated with chronological age and were replicated at protein level in an independent population. These were further investigated at gene expression level in 384 females from the TwinsUK cohort. The two most strongly associated proteins were chordin-like protein 1 (meta-analysis [beta] [SE] = 0.013 [0.001], p = 3.66 x 10(-46)) and

pleiotrophin (0.012 [0.005], p = 3.88 x 10(-41)). Chordin-like protein 1 was also significantly correlated with birthweight (0.06 [0.02], p = 0.005) and with the individual Framingham 10-years cardiovascular risk scores in TwinsUK (0.71 [0.18], p = 9.9 x 10(-5)). Pleiotrophin is a secreted growth factor with a plethora of functions in multiple tissues and known to be a marker for cardiovascular risk and osteoporosis. Our study highlights the importance of proteomics to identify some molecular mechanisms involved in human health and aging. ________________________________________________________________________________ Title: Companionship, intimacy and sexual expression in dementia. Citation: Nursing & Residential Care, 01 July 2015, vol./is. 17/7(390-392), 14659301 Author(s): Mendes, Aysha Full text: Available EBSCOhost at Nursing & residential care : the monthly journal for care assistants, nurses and managers working in health and social care ________________________________________________________________________________ Title: INTRODUCTION TO THE TRANSFORMING DEMENTIA CARE IN HOSPITALS SERIES. Citation: Nursing Older People, 01 July 2015, vol./is. 27/6(17-24), 14720795 Author(s): Evans, Simon, Brooker, Dawn, Thompson, Rachel, Bray, Jennifer, Milosevic, Srah, Bruce, Mary, Carter, Christine _____________________________________________________________________________ Title: Does Stroke Contribute to Racial Differences in Cognitive Decline? Citation: Stroke (00392499), 01 July 2015, vol./is. 46/7(1897-1902), 00392499 Author(s): Levine, Deborah A, Kabeto, Mohammed, Langa, Kenneth M, Lisabeth, Lynda D, Rogers, Mary A M, Galecki, Andrzej T Abstract: BACKGROUND AND PURPOSE: It is unknown whether blacks' elevated risk of dementia is because of racial differences in acute stroke, the impact of stroke on cognitive health, or other factors. We investigated whether racial differences in cognitive decline are explained by differences in the frequency or impact of incident stroke between blacks and whites, controlling for baseline cognition. METHODS: Among 4908 black and white participants aged >=65 years free of stroke and cognitive impairment in the nationally representative Health and Retirement Study with linked Medicare data (1998-2010), we examined longitudinal changes in global cognition (modified version of the Telephone Interview for Cognitive Status) by race, before and after adjusting for timedependent incident stroke followed by a race-by-incident stroke interaction term, using linear mixedeffects models that included fixed effects of participant demographics, clinical factors, and cognition, and random effects for intercept and slope for time. RESULTS: We identified 34 of 453 (7.5%) blacks and 300 of 4455 (6.7%) whites with incident stroke over a mean (SD) of 4.1 (1.9) years of follow-up (P=0.53). Blacks had greater cognitive decline than whites (adjusted difference in modified version of the Telephone Interview for Cognitive Status score, 1.47 points; 95% confidence interval, 1.21 to 1.73 points). With further adjustment for cumulative incidence of stroke, the black-white difference in cognitive decline persisted. Incident stroke was associated with a decrease in global cognition (1.21 points; P<0.001) corresponding to ~=7.9 years of cognitive aging. The effect of incident stroke on cognition did not statistically differ by race (P=0.52). CONCLUSIONS: In this population-based cohort of older adults, incident stroke did not explain black-white differences in cognitive decline or impact cognition differently by race. Full text: Available Ovid online collection at Stroke

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.

Dementia: The One Stop Guide June Andrews 2015 London: Profile Books From the back of the book: With clear and sensible information about recognising symptoms, getting help, managing financially, staying at home, treatment, being a carer and staying positive, this guide will help families and professionals affected by dementia to make sure that people with dementia can stay well and happy as long as possible.

Still Alice Lisa Genova 2009 London: Simon & Schuster From the back of the book: When Alice finds herself in the rapidly downward spiral of Alzheimerâ&#x20AC;&#x2122;s disease she is just fifty years old. A university professor, wife, and mother of three, she still has books to write, places to see, grandchildren to meet. But when she canâ&#x20AC;&#x2122;t remember how to make her famous Christmas pudding, when she gets lost in her own back yard, when she fails to recognise her actress daughter after a superb performance, she comes up with a plan. But can she see it through? Should she see it through? Losing her yesterdays, living for each day, her short-term memory is hanging on by a couple of frayed threads.

UPTODATE & DYNAMED BACK TO TOP What’s new from our clinical decision-making tools on the topic of dementia. UpToDate DynaMed Please contact library staff for details on how to access these resources; you will need an Athens password if accessing from home.

DEMENTIA IN THE NEWS BACK TO TOP BBC News Early signs that drug 'may delay Alzheimer's decline'

REPORTS, PUBLICATIONS AND RESOURCES BACK TO TOP NICE Pathway on Dementia SCIE (Social Care Institute for Excellence) Dementia Gateway

Alzheimer’s Society 4 Annual Report Dementia 2015: aiming higher to transform lives This report looks at the quality of life for people with dementia in England. It contains the results of the Society’s annual survey of people with dementia and their carers and an assessment of what is currently in place and needs to be done to improve dementia care and support in England over the next five years. It makes practical recommendations.

TOPIC ALERTS AND UPDATES BACK TO TOP ABSTRACTS AVAILABLE VIA LINKS BELOW- FOR FULL-TEXT PLEASE ASK LIBRARY STAFF Medscape Topic Alerts The use and misuse of short cognitive tests in the diagnosis of dementia- J Neurol Neurosurg Psychiatry. 2015;86(6):680-685 Progress of diabetic severity and risk of dementia- J Clin Endocrinol Metab. Published online July 9, 2015 Solanezumab shows potential disease-modifying effect in Alzheimer’s Disease Driving errors in persons with dementia- Journal of the American Geriatrics Society,2015; 63 (7): 1373-1380 Elsevier Practice Updates Longitudinal Cerebrospinal Fluid Biomarker Changes in Preclinical Alzheimer Disease During Middle Age- JAMA Neurol. Published online July 06, 2015

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 th

10 UK Dementia Congress Alzheimer’s Association International Conference 2015

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 attached 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.

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.