September dementia current awareness[2]

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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 4 September 2015

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

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Books

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Cochrane Systematic Reviews

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UpToDate & DynaMed

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Dementia in the News

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Reports, publications and resources

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Topic Alerts and Updates

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Twitter

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Training & Networking Opportunities, Conferences, Events

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Literature search service

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Training and Athens

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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

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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: Neuroticism scores increase with late-life cognitive decline Citation: International Journal of Geriatric Psychiatry, September 2015, vol./is. 30/9(985-993), 08856230;1099-1166 (01 Sep 2015) Author(s): Waggel S.E., Lipnicki D.M., Delbaere K., Kochan N.A., Draper B., Andrews G., Sachdev P.S., Brodaty H. Abstract: Objective Neuroticism has been reported as both a risk factor for cognitive decline and a characteristic that increases in parallel with the development of mild cognitive impairment (MCI) and dementia. However, the evidence for these associations is inconclusive, and whether effects are stronger for particular cognitive domains is unknown. We investigated these issues and determined if associations differ among different components of neuroticism. Methods A neuroticism scale (NEOFFI) and neuropsychological test battery were administered to 603 older adults without dementia, with 493 of these reassessed two years later. Diagnoses of MCI and dementia (at follow-up) were made, and global cognition and performance in six cognitive domains quantified. The neuroticism components were negative affect, self-reproach, and proneness to psychological distress. Results For the whole sample, neuroticism scores remained stable between baseline (15.3+/-7.0) and follow-up (15.5+/-7.0), as did all neuroticism component scores. However, there were declines in global cognition (p<0.05) and particular cognitive domains (p<0.001). Higher neuroticism was associated with poorer cognition cross-sectionally (p<0.01), but did not predict cognitive decline. For 43 participants who developed incident MCI or dementia, there were increases in neuroticism (15.3+/-6.4 to 17.1+/-8.3, p<0.05) and negative affect (p<0.05). Declines in all cognitive measures except executive function were associated with increases in neuroticism and component scores (p<0.05). Conclusions Late-life cognitive decline is associated with an increase in neuroticism scores. However, associations vary between different cognitive domains and components of neuroticism. An increase in neuroticism or negative affect scores may be a sign of MCI or dementia. Title: A pilot randomized controlled trial evaluating an integrated treatment of rivastigmine transdermal patch and cognitive stimulation in patients with Alzheimer's disease Citation: International Journal of Geriatric Psychiatry, September 2015, vol./is. 30/9(965-975), 08856230;1099-1166 (01 Sep 2015) Author(s): D'Onofrio G., Sancarlo D., Addante F., Ciccone F., Cascavilla L., Paris F., Elia A.C., Nuzzaci C., Picoco M., Greco A., Panza F., Pilotto A. Abstract: Objective To evaluate in a pilot single-blind randomized controlled clinical trial the efficacy of an integrated treatment with rivastigmine transdermal patch (RTP) and cognitive stimulation (CS) in Alzheimer's disease (AD) patients at 6-month follow-up. Methods We enrolled 90 patients with an age >65years admitted to the outpatient Alzheimer's Evaluation Unit with diagnosis of AD. Patients were randomized to enter in the Group-1 (RTP+CS) or in the Group-2 (RTP). All patients at baseline and after 6months were evaluated with the following tools: Mini Mental State Examination (MMSE), Clinical Dementia Rating (CDR), Hamilton Rating Scale for Depression (HAM-D), Geriatric Depression Scale (GDS-15), Neuropsychiatric Inventory (NPI), Neuropsychiatric Inventory-Distress (NPI-D), and a standardized Comprehensive Geriatric Assessment, including also activities of daily

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living (ADL), instrumental activities of daily living (IADL), and the Mini Nutritional Assessment (MNA). Mortality risk was assessed using the Multidimensional Prognostic Index (MPI). Results At baseline no significant difference was shown between the two groups. After 6months of follow-up, there were significant differences between Group-1 and Group-2 in: MMSE: +6.39% vs. +2.69%, CDR: +6.92% vs. +1.54%, HDRS-D=-60.7% vs. -45.8%, GDS: -60.9% vs. -7.3%, NPI: -55.2% vs. -32.7%%, NPI-D: 55.1% vs. -18.6%, ADL: +13.88% vs. +5.95%, IADL: +67.59% vs. +18.28%, MNA: +12.02% vs. +5.91%, and MPI: -29.03% vs. -12.90%. Conclusion The integrated treatment of RTP with CS in AD patients for 6months improved significantly cognition, depressive and neuropsychiatric symptoms, functional status, and mortality risk in comparison with a group of AD patients receiving only RTP. Title: Caregiver burden characterization in patients with Alzheimer's disease or vascular dementia Citation: International Journal of Geriatric Psychiatry, September 2015, vol./is. 30/9(891-899), 08856230;1099-1166 (01 Sep 2015) Author(s): D'Onofrio G., Sancarlo D., Addante F., Ciccone F., Cascavilla L., Paris F., Picoco M., Nuzzaci C., Elia A.C., Greco A., Chiarini R., Panza F., Pilotto A. Abstract: Objective To characterize the differences of caregiver burden in patients with Alzheimer's disease (AD) and vascular dementia (VaD) in order to improve the care counselling and management plan. Methods We included 506 patients consecutively attending the Alzheimer's Evaluation Unit of a Geriatric Unit, evaluated with Mini Mental State Examination (MMSE), Clinical Dementia Rating (CDR), Hamilton Rating Scale for Depression, and Neuropsychiatric Inventory. To all caregivers were administered the Caregiver Burden Inventory (CBI), a 24-item multidimensional questionnaire in which 5 subscales explore 5 dimensions of caregiver burden: (1) CBI-Objective; (2) CBIDevelopmental; (3) CBI-Physical; (4) CBI-Social; and (5) CBI-Emotional. Results The present study included, respectively, 253AD patients and 253 VaD patients. AD patients at baseline showed a significantly higher instruction level (p<.0001), higher grade of cognitive impairment (MMSE, p<.0001), and increased severity stage of dementia (CDR, p<.0001) than VaD patients. AD caregivers, mainly females (p=0.010), devoted significantly more length of time care (in months, p=0.010) and time of daily care (in hours, p=0.011) and showed a significantly higher burden level in CBI-Objective (p=0.047), CBI-Physical (p<.0001), CBI-Social (p=0.003), CBI-Emotional (p<.0001), and CBI-total score (p<.0001), than VaD caregivers. In both caregiver groups, a higher presence of spouses and sons (p<.0001) compared to other relatives was observed. AD caregiver burden showed a significant association with sex of caregivers and length of time care in months. Conclusions AD caregivers showed a higher burden level than VaD caregivers, and this appeared to be associated with sex and length of time care. Title: Cognitive Profile of C9orf72 in Frontotemporal Dementia and Amyotrophic Lateral Sclerosis Citation: Current Neurology and Neuroscience Reports, September 2015, vol./is. 15/9, 15284042;1534-6293 (25 Sep 2015) Author(s): Patel A.N., Sampson J.B. Abstract: This review article focuses on the cognitive profile associated with the C9orf72 gene with GGGGCC (G<inf>4</inf>C<inf>2</inf>) hexanucleotide repeat expansions that is commonly found in both familial and sporadic forms of frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) in order to aid clinicians in the screening process. In this growing clinical continuum between FTD and ALS, understanding and recognizing a neurocognitive profile is important for diagnosis. Key features of this profile include executive dysfunction with memory impairment and language deficits as the disease progresses. Behaviorally, patients are prone to disinhibition, apathy, and psychosis. With the discovery of this mutation, studies have begun to characterize the different phenotypes associated

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with this mutation in terms of epidemiology, clinical presentation, imaging, and pathology. Greater awareness and increased surveillance for this mutation will benefit patients and their families in terms of access to genetic counseling, research studies, and improved understanding of the disease process. Title: Multi-resolution statistical analysis of brain connectivity graphs in preclinical Alzheimer's disease Citation: NeuroImage, September 2015, vol./is. 118/(103-117), 1053-8119;1095-9572 (September 01, 2015) Author(s): Kim W.H., Adluru N., Chung M.K., Okonkwo O.C., Johnson S.C., B. Bendlin B., Singh V. Abstract: There is significant interest, both from basic and applied research perspectives, in understanding how structural/functional connectivity changes can explain behavioral symptoms and predict decline in neurodegenerative diseases such as Alzheimer's disease (AD). The first step in most such analyses is to encode the connectivity information as a graph; then, one may perform statistical inference on various 'global' graph theoretic summary measures (e.g., modularity, graph diameter) and/or at the level of individual edges (or connections). For AD in particular, clear differences in connectivity at the dementia stage of the disease (relative to healthy controls) have been identified. Despite such findings, AD-related connectivity changes in preclinical disease remain poorly characterized. Such preclinical datasets are typically smaller and group differences are weaker. In this paper, we propose a new multi-resolution method for performing statistical analysis of connectivity networks/graphs derived from neuroimaging data. At the high level, the method occupies the middle ground between the two contrasts - that is, to analyze global graph summary measures (global) or connectivity strengths or correlations for individual edges similar to voxel based analysis (local). Instead, our strategy derives a Wavelet representation at each primitive (connection edge) which captures the graph context at multiple resolutions. We provide extensive empirical evidence of how this framework offers improved statistical power by analyzing two distinct AD datasets. Here, connectivity is derived from diffusion tensor magnetic resonance images by running a tractography routine. We first present results showing significant connectivity differences between AD patients and controls that were not evident using standard approaches. Later, we show results on populations that are not diagnosed with AD but have a positive family history risk of AD where our algorithm helps in identifying potentially subtle differences between patient groups. We also give an easy to deploy open source implementation of the algorithm for use within studies of connectivity in AD and other neurodegenerative disorders. Title: Feasibility study of the BrightBrainer integrative cognitive rehabilitation system for elderly with dementia. Citation: Disability & Rehabilitation: Assistive Technology, 01 September 2015, vol./is. 10/5(421432), 17483107 Author(s): Burdea, Grigore, Polistico, Kevin, Krishnamoorthy, Amalan, House, Gregory, Rethage, Dario, Hundal, Jasdeep, Damiani, Frank, Pollack, Simcha Abstract: Purpose: To describe the development of BrightBrainer integrative cognitive rehabilitation system and determine clinical feasibility with nursing home-bound dementia patients. Method: BrightBrainer cognitive rehabilitation simulations were first played uni-manually, then bimanually. Participants sat in front of a laptop and interacted through a game controller that measured hand movements in 3D, as well as flexion of both index fingers. Interactive serious games were designed to improve basic and complex attention (concentration, short-term memory, dual tasking), memory recall, executive functioning and emotional well-being. Individual simulations adapted automatically to each participant's level of motor functioning. The system underwent feasibility trials spanning 16 sessions over 8 weeks. Participants were evaluated pre- and post-intervention, using standardized neuropsychological measures. Computerized measures of movement repetitions and task performance were stored on a remote server. Results: Group analysis for 10 participants showed statistically significant improvement in decision making ( p < 0.01), with trend improvements in

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depression ( p < 0.056). Improvements were also seen in processing speed ( p < 0.13) and auditory attention ( p < 0.17); however, these were not statistically significant (partly attributable to the modest sample size). Eight of nine neuropsychological tests showed changes in the improvement direction indicating an effective rehabilitation ( p < 0.01). BrightBrainer technology was well tolerated with mean satisfaction ratings of 4.9/5.0 across participants. Conclusions: Preliminary findings demonstrate utility within an advanced dementia population, suggesting that it will be beneficial to evaluate BrightBrainer through controlled clinical trials and to investigate its application in other clinical populations. Title: How individuals with dementia in nursing homes maintain their dignity through life storytelling - a case study. Citation: Journal of Clinical Nursing, 01 August 2015, vol./is. 24/15/16(2323-2330), 09621067 Author(s): Heggestad, Anne Kari Tolo, Sletteb, 킬hild Abstract: Aims and objectives The aim of this article was to present and discuss findings on what individuals with dementia do by themselves to maintain or promote their dignity of identity when they live in a nursing home. Background The majority of residents living in Norwegian nursing homes suffer from dementia. Individuals who suffer from dementia are particularly vulnerable, and their dignity of identity is at risk. It is therefore of great importance to explore how we can maintain their dignity of identity. Design The study builds on a phenomenological and hermeneutic design. Methods The article reports three cases or life stories based on participant observation in two different nursing homes and interviews with five residents with dementia living in these nursing homes. Fifteen residents with dementia from these nursing home wards were included in the overall study. Results Individuals with dementia living in nursing homes may use life storytelling or narratives to manage chaos and to find safety in their lives. Storytelling is also used as a way to present and maintain identity. We can see this as a way of maintaining dignity of identity or social dignity. Conclusion Life storytelling can be seen as an important way of preserving dignity for people with dementia. It is of great importance that health care professionals are open to and listen to the life stories people with dementia tell. Relevance to clinical practice As nurses we have an obligation to ensure that dignity is enhanced in care for people with dementia. Knowledge about how residents with dementia use life storytelling as a way to maintain dignity is therefore of great importance to health care workers in nursing homes. Title: Evaluation of a workplace engagement project for people with younger onset dementia. Citation: Journal of Clinical Nursing, 01 August 2015, vol./is. 24/15/16(2331-2339), 09621067 Author(s): Robertson, Jacinta, Evans, David Abstract: Aims and Objectives In 2011, a workplace project was established to provide a small group of people who had younger onset dementia with the opportunity to return to the workplace. The project sought to explore the feasibility and safety of engaging these younger people in workplace activities if an appropriate framework of support was provided. Background Opportunities to engage in meaningful activities are quite limited for younger people with dementia because services are targeted at an older client population. Design A qualitative exploratory approach was used for the project evaluation. Method Participants were people who were 65 years or younger and had a diagnosis of dementia. They attended a large metropolitan hardware store one day per week and worked beside a store employee for a four hour work shift. Evaluation of the project included observation of participant's engagement in the workplace, adverse events and a qualitative analysis that used participant-nominated good project outcomes. Results Nine people with a mean age of 588 years participated in the project. Six of these participants have been engaged at the workplace for more than two years. All participants were able to gain the skills needed to complete their respective work duties. Participants initially assisted with simple work tasks, but over time, they were able to expand their range of duties to include more complex activities such as customer sales. Participants achieved their nominated good outcomes of improved well-being, engaging in worthwhile activities, contributing to society and socialisation. Conclusion The evaluation has shown that this workplace programme is a viable model of engagement for younger people with dementia. Relevance to clinical practice This evaluation offers a practical demonstration that it is feasible and safe to provide opportunities for younger people with dementia to engage in meaningful activities in the community if appropriate support is provided.

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Title: Dysphagia in Dementia: Influence of Dementia Severity and Food Texture on the Prevalence of Aspiration and Latency to Swallow in Hospitalized Geriatric Patients. Citation: Journal of the American Medical Directors Association, 01 August 2015, vol./is. 16/8(697701), 15258610 Author(s): R��r, Alexander, Pfeil, Silke, Lessmann, Hendrik, H��, Jrgen, Befahr, Alina, von Renteln-Kruse, Wolfgang Abstract: Objectives To evaluate influences of disease severity and food texture on prevalence and type of dysphagia in hospitalized geriatric patients. Design We screened for dysphagia in 161 geriatric inpatients with different forms of dementia and 30 control patients. Measurements Signs of aspiration were registered with 3 different food consistencies (water, apple puree, and slice of an apple) and the latency until the first swallow was documented. Setting Geriatric department of an academic teaching hospital in Hamburg, Germany. Results Compared with the controls, patients with dementia more often showed signs of aspiration. In the patients with dementia, signs of aspiration occurred more frequently with water (35.6%) than with a slice of an apple (15.1%) or apple puree (6.3%). We observed an inverse relationship between Mini-Mental State Examination score level and the suspected rate of aspiration, as well as with the length of latency until the first swallow of puree. Conclusions The prevalence of dysphagia is high in patients with dementia, especially in patients with moderate to severe cognitive impairment. The relationships observed in this study encourage screening for dysphagia and adapting meal consistencies to prevent aspiration in patients with dementia. Title: Diagnosis and support for younger people with dementia. Citation: Nursing Standard, 22 July 2015, vol./is. 29/47(36-40), 00296570 Author(s): Hayo, H. Title: Managing Urinary Incontinence in Patients with Dementia: Pharmacological Treatment Options and Considerations. Citation: Drugs & Aging, 01 July 2015, vol./is. 32/7(559-567), 1170229X Author(s): Orme, Susie, Morris, Vikky, Gibson, William, Wagg, Adrian Abstract: Urinary incontinence and lower urinary tract symptoms are highly prevalent in late life and are strongly associated with dementia and frailty. Incontinence is extremely common among those living in long-term care and is most commonly due to urgency incontinence. Although national and international guidelines for continence care exist, they often fail to consider the complex comorbidity found in patients with dementia and are often not followed; continence practices in long-term care may promote rather than prevent incontinence. The majority of those with dementia living in the community can be managed successfully with standard treatments, both pharmacological and nonpharmacological; the expectations and aims of treatment of both the patient and their caregivers should be considered. A dementia diagnosis does not preclude management of incontinence, but treatment options may be more limited in those with advanced dementia who are unable to retain information and modify behaviors. High-quality data to guide the choice of pharmacological agent in those with dementia are lacking. Oxybutynin has been shown to have significant adverse cognitive effects, but data to support the use of trospium, solifenacin, darifenacin, and fesoterodine are limited. No data are available for mirabegron. Neither age, frailty, nor dementia should be considered a barrier to pharmacological management, but consideration should be given to the total anticholinergic load. Evidence to guide the treatment of incontinence in this vulnerable patient group is scarce, and available guidelines adapted for each individual's situation should be applied.

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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.

E-Book: Treatment for dementia: learning from breakthroughs for other conditions Download here

COCHRANE SYSTEMATIC REVIEWS BACK TO TOP Protocols for August 2015 Intravenous immunoglobulin for Alzheimer’s disease

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.

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DEMENTIA IN THE NEWS BACK TO TOP BBC News Dementia research boosted by surge in volunteers Dementia levels ‘are stabilising’, references Lancet Neurology article

REPORTS, PUBLICATIONS AND RESOURCES BACK TO TOP NICE Pathway on Dementia SCIE (Social Care Institute for Excellence) Dementia Gateway BMJ Blog: There is no dementia wonder cure th

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. Dementia: thousands volunteer for research The Department of Health has reported that the Government’sambition to find cure for dementia by 2025 has beenboosted by large rise in people volunteering to take part in research studies. During the last year almost 22,000 people have taken part in research studies to tackle the condition a 60% rise according to figures published by the National Institute for Health Research (NIHR). Research projects include testing whether antibiotics slow cognitive decline, investigating the role of the immune system in dementia, identifying genetic risk factors and improving end of life care for people with dementia. Dementia: data collection The Health and Social Care Information Centre (HSCIC) has issued a Data Provision Notice to general practices in England advising them of its intention to collect aggregated dementia data on the number of diagnoses made, broken down by age and gender. The data will support better care for people with dementia. CCGs will have received a letter with additional information on the collection. Shaping the UK’s dementia care policy MRC research has helped to shape the UK’s national care policy for dementia by establishing dementia prevalence, determining risk factors and identifying that patients often experience long delays before diagnosis.

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CBT for anxiety in dementia We are now facing a rapid increase of the ageing population across all societies. Although in the last decades, mental disorders in older adults received little attention due to the fact that usually health problems encountered by elders were considered a direct consequence of their age, there is now a great need for evidence-based interventions directed at older people. German lessons for dementia care mapping in England? Now in its 8th version, Dementia Care Mapping is fully developed and has been trialed in three international studies, all of which show inconsistent evidence as to the effectiveness of DCM. That’s why the German team around Martin Dichter from the German Centre for Neurodegenerative Diseases in Witten has tested the DCM in German nursing homes in the quasi-experimental trial explored here.

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

Temporal course and pathologic basis of unawareness of memory loss in dementia Neurology, Published online before print August 26, 2015

Medscape Topic Alerts Weight loss associated with cholinesterase inhibitors in individuals with dementia in a national healthcare system published online August 3 in Journal of the American Geriatrics Society. Characterizing apolipoprotein E e4 carriers and noncarriers with the clinical diagnosis of mild to moderate Alzheimer dementia and minimal beta-amyloid peptide plaques JAMA Neurol. Published online August 24, 2015.

Elsevier Practice Updates Prevention of sporadic Alzheimer’s disease: lessons learned from clinical trials and future directions Lancet Neurol 2015 Sep 01;14(9)926-944, S Andrieu, N Coley, S Lovestone, PS Aisen, B Vellas Progression of mild cognitive impairment to dementia due to AD in clinical settings Neurology 2015 Jul 28;85(4)331-338, K Tifratene, P Robert, A Metelkina, C Pradier, JF Dartigues Oculo-visual changes and clinical considerations affecting older patients with dementia Ophthalmic Physiol Opt 2015 Jul 01;35(4)352-376, R Armstrong, H Kergoat

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TRIP Database Resting state in Parkinson’s disease dementia and dementia with Lewy bodies: commonalities and differences Int J Geriatr Psychiatry. 2015 Aug 13.[Epub ahead of print] The interface between delirium and dementia in elderly adults Lancet Neurol. 2015 Aug;14(8):823-32 [Epub ahead of print] Impact of inappropriate drug use on hospitalizations, mortality, and costs in older persons and persons with dementia: findings from the SNAC study FREE FULL TEXT Drugs Aging. 2015 Aug 1 [Epub ahead of print] Screening of dementia genes by whole-exome sequencing in early-onset Alzheimer disease: input and lessons Eur J Hum Genet. 2015 Aug 5 [Epub ahead of print] Optimizing eating performance for long-term care residents with dementia: testing the impact of function-focused care for cognitively impaired J Am Med Dir Assoc. 2015 Aug 5 [Epub ahead of print] Advance care planning in nursing home patients with dementia: a qualitative interview study among family and professional caregivers J Am Med Dir Assoc. 2015 Aug 5 [Epub ahead of print] Cerebrospinal fluid patterns and the risk of future dementia in early, incident Parkinson disease JAMA Neurol. 2015 Aug 10 [Epub ahead of print] Use of anti-dementia drugs in home care and residential care and associations with neuropsychiatric symptoms: a cross-sectional study FREE FULL TEXT BMC Geriatr. 2015 Aug 13;15(1):100 Obstructive sleep apnoea and dementia: is there a link? Int J Geriatr Psychiatry. 2015 Aug 12 [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

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TRAINING & NETWORKING OPPORTUNITIES, CONFERENCES, EVENTS BACK TO TOP World Alzheimer’s Month- September 2015

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

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.

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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.

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