Evidence-informed Dementia Care – Issues and Challenges. Liz Mitchell Lecturer of Nursing University of Ulster 19 April 2012 [email protected] Topics. Context Understandings of dementia Research and best practice guidelines Issues and challenges.
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Lecturer of Nursing
University of Ulster
19 April 2012
Dementia will affect all of us:
Stage 2 - 2-5 years
Stage 3 – 1-2 years
A public health priority
EU projects to enhance the evidence base surrounding dementia:
National Dementia Strategies:
DHSSPS (2010) A partnership for Care:
The Northern Ireland Dementia Strategy - DHSSPS (2011)
Improving dementia services in Northern Ireland
All impact on the quality of life and cognitive functioning of older people, particularly those with dependency on others for care
(Kitwood and Bredin 1992, Kitwood 1997, Brooker 2007)
D - dementia
P - person’s personality or resources
B - Biography
H - physical health
NI - neurological impairment
SP - social psychology
Respect culture and beliefs -
The life the person lived -
Respect in your approach –
People with dementia:
Gault V, Porter WD, Flatt P, Holscher C (2010) Actions of exendin-4 therapy on cognitive function and hippocampal synaptic plasticity in mice fed a high-fat diet. International journal of obesity 34 (8). pp. 1341-1344.
Gengler S, McClean PL, McCurtin R, Holscher C (2012) Val(8)GLP-1 rescues synaptic plasticity and reduces dense core plaques in APP/PS1 mice. Neurology of Aging 33 (2). pp. 265-276.
Irwin N, Gault V, Flatt P (2010) Therapeutic potential of the original incretin hormone glucose-dependent insulinotropic polypeptide: diabetes, obesity, osteoporosis and Alzheimer's disease?. Expert opinion on investigational drugs 19 (9). pp. 1039-1048.
McCormack B, Yalden BJ (2010) Constructions of dignity: a pre-requisite for flourishing in the workplace?. International Journal of Older People Nursing 5 (2). pp. 137-147.
McCormack B, Dewing J, Breslin L, Coyne-Nevin A, Kennedy K, Manning M, Peelo-Kilroe L, Tobin C, Slater P (2010) Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people. International Journal of Older People Nursing 5 (2). pp. 93-107.
McCullagh PJ, Augusto J C, Zheng H, Mulvenna M, Wang HY, Carswell W, Wallace J, Martin S, Jeffers P (2011) Assisting People with Early Stage Dementia: Monitoring Wandering. In: Everyday technology for independence and care. (Eds: Gelderblom, GJ, Soede MA, Miesenberge K), IOS Press, Amsterdam, pp. 137-144. ISBN 978-1-60750-813-7.
Mitchell EA, McCance T (2010) Nurse-patient encounters in the hospital ward, from the perspectives of older persons: an analysis using the Authentic Consciousness Framework.International Journal of Nursing Older People 10.
Mulvenna M, Doyle L, Wright T, Zheng H, Topping P, Boyle K, Martin S (2011) Evaluation of card-based versus device-based reminiscing using photographic images. Journal of CyberTherapy & Rehabilitation 4 (1). pp. 57-66.
Ryan, AA (2010) Care provision for rural dwelling older people. International Journal of Older People Nursing 5 (3). pp. 191-192.
Scott A, Ryan AA, James, I, Mitchell EA (2010) Perceptions and implications of violence from care home residents with dementia: a review and commentary. International Journal of Older People 6. pp. 1-13.
Scott A, Ryan AA, James I, Mitchell EA (2011) Psychological trauma and fear for personal safety as a result of behaviours that challenge in dementia: The experiences of healthcare workers.Dementia 10. pp. 257-269.
Zheng H, Wang H, Jeffers P, Hoda N, Mulvenna M, Martin S, Carswell W, Augusto JC, Wallace J, McCullagh P, Taylor B, McSorley K (2011) Monitoring and visualising of night time activity patterns of people with early dementia. International Journal of Integrated Care, 1
An approach to practice established through the formation and fostering of therapeutic relationships between all care providers, service users and others significant to them in their lives.
It is underpinned by values of respect for persons, individual right to self determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development”.
Person-centred Nursing Framework (McCormack & McCance 2010)
How are older people:
For any health and social care professional, who works part of their time with people with dementia or their families.
Contact Seana Duggan, Course Director.