End-of-life care services are typically funded and delivered by a mix of organisations from the NHS, local authorities and the voluntary sector as well as by independent agencies and through individual means (informal or family carers). Given the growing complexity of and demands on end-of-life care services, commissioning in this area is likely to be [read the full story…]
Group music therapy may help reduce agitated behaviour in people with dementia
For many of us, music therapy represents a safe, cheap and enjoyable treatment option for older people living in care. A ‘no brainer’ for those responsible for the daily activities provided to keep care home residents active in body and mind. This small randomised controlled trial conducted by researchers from Taipei Medical University in Taiwan [read the full story…]
Updated booklets for patients, families and carers to mark National Dementia Awareness day
The Mental Health Foundation are marking the first National Dementia Awareness day by relaunching three of their patient information booklets that have recently been updated with the latest legislation and contacts. The booklets are all available as free PDF downloads from the Mental Health Foundation website and paper copies are available for a small fee. The [read the full story…]
World Alzheimer’s report highlights the importance of early diagnosis and intervention for dementia
This new 70-page report from Alzheimer’s Disease International warns that in countries such as England, 50-80% of dementia cases are not being recognised in primary care. It highlights the fallacy that as people get older they naturally have problems with their memory, and goes on to recommend that primary care staff who see people with [read the full story…]
Melissa aromatherapy only as good as placebo in treating agitation in people with Alzheimer’s disease
It has been widely reported that antipsychotics have been frequently used to treat the behavioural and psychological symptoms that affect people with dementia and that this course of action has resulted in an estimated 1,800 excess strokes and 1,600 excess deaths in the UK alone. This double-blind, parallel-group, placebo-controlled randomised trial looks at one of the [read the full story…]
Home based collaborative care reduces depression in elderly people with epilepsy
The PEARLS Program is a team-based approach, involving counsellors, psychiatrists and medical providers, designed to reduce depressive symptoms and improve quality of life in adults with epilepsy. It was developed by a team at the University of Washington and has been studied through two randomised controlled trials, the second of which measures the long-term benefits of [read the full story…]
Sertraline and mirtazapine do more harm than good for people with dementia and depression
Depression is common in patients with dementia and antidepressants are widely prescribed for this population although the evidence remains limited. This randomised controlled trial conducted by researchers at the Institute of Psychiatry in London and published in the Lancet, explored the safety and efficacy of two widely-used drugs (sertraline and mirtazapine) in patients with dementia and [read the full story…]
Problem-solving therapy beats supportive therapy at reducing disability in old people with depression and executive dysfunction
Older people who suffer from depression and executive dysfunction experience significant levels of disability and often don’t respond well to conventional drug treatments. This randomised controlled trial conducted by researchers from Weill Cornell Medical College in New York State, attempted to find out if problem-solving therapy is better than supportive therapy for reducing disability in older [read the full story…]
Treating pain in dementia reduces agitation and may help reduce unnecessary prescriptions of antipsychotics
Many people with dementia experience pain, but often find it difficult to communicate this to their carers and the pain is therefore manifested as agitation instead. A randomised controlled trial published in the British Medical Journal looks at a systematic approach to the treatment of pain, to see if it can reduce agitation in people with [read the full story…]
Oestrogen receptor variations linked with depression in later life
The hormone oestrogen could play an important role in late-life depression, according to new research published in the August issue of the British Journal of Psychiatry. Oestrogen is best known as one of the significant hormones in reproduction. It is also believed to have a part to play in mood and mental health, because of [read the full story…]