By improving dementia diagnosis rates nurses can make a difference to people's lives

The national target of a 66.7% dementia diagnosis rate was set in 2015, rising to 68% by 2019. The effect of COVID-19 and increasing estimated prevalence saw the overall national dementia diagnosis rate decline to 62% of people aged 65 years and over in February 2023 (NHS Digital 2023).

Caring for a person with dementia during the COVID-19 pandemic: a qualitative study with family care-givers

The aim of this study was to explore the experience of family care-givers of people with dementia during the COVID-19 pandemic in the Veneto region of Italy to understand how and to what extent the emergency has affected care-givers' lives and care routines. Twenty adult children of an ill person were interviewed via phone and video call, in adherence with the restrictions against COVID-19. Thematic analysis showed five main themes: the care-giver's experience, the care recipient's experience, relationships with care recipients, changes in the care routine and resources. Results pointed out that the time needed in the care routine and everyday activities increased during the pandemic, together with the need to find alternatives to physical activity at home. Depending on one's personal experience of COVID-19 and approach to preventive rules, the availability of resources, and formal and informal support, three main approaches to care were identified: apprehensive, mindful and fatalistic ones. The pandemic amplified the differences among these already-existing approaches to care as well as the typical challenges and difficulties experienced by family care-givers, and it resulted in an increased burden connected to practical difficulties, emotional stress and difficulties in reaching for help. These results underline the importance of strengthening the external support network for older people to help family care-givers, especially during emergencies.

A Critical Study on the Impact of Dementia on Older People Undergoing Treatment in Care Homes.

Maximum healthcare needs for older people are complex due to diseases, comorbidities, or disabilities, including long-term or mental and physical health issues. Various residential and nursing care homes help care for older people, especially those with special medical needs. Among these special medical needs, dementia is one medical condition requiring exceptional care for the affected to prevent adverse effects of the situation they usually encounter. Dementia is a health condition that involves impairments to memory and thinking due to any injury or disease-causing damage to the brain. Older people suffer from different diseases, which cause cognitive disability and long-term ailments and directly affect patients' quality of life. Given the cognitive impairment dementia causes to older people, it is difficult for the care providers to accurately assess the impact on every individual to formulate a person-centered care plan. During the COVID-19 pandemic, due to administrative restrictions on social distancing to prevent transmission of this disease, caregivers and elderly persons feel tremendous mental stress, further aggravating their problems because of loneliness. Thus, there is a requirement to do the study and analyze the effects on older people to provide quality and person-centered care. Due to the above factors as significant challenges in the current context, there is an ardent need for the results of variegated studies besides a thorough analysis of available literature analyzed to provide proper evidence to the care providers. It will pave the way for understanding the actual impact of the condition in its natural context. In this regard, a literature review and the results of the studies are discussed. This research brings into the limelight all those factors in the context of previous studies and data analysis of the current situation.

Growing as a Caregiver: Delivering Online Support Program for Informal Caregivers of Dementia Patients During the COVID-19 Pandemic

The outbreak of the COVID-19 has brought unprecedented challenges for people’s daily life, including family caregivers of older adults with dementia. In addition to the multiple difficulties for daily life and health management, in-person services and support programs for cognitive impairment patients and their caregivers have been called a halt due to frequent quarantine requirements. This pilot study examined a Tele-Savvy Caregiver Program (TSCP) provided by six pairs of undergraduate social work students for 36 informal caregivers of dementia patients. In-depth interviews were used to identify the outcome and feedback from both service recipients and service providers of the online intervention program. Results showed that the program significantly reduced the caregivers’ emotional burden by increasing their disease literacy, reflecting caregiver roles, obtaining stress relief techniques, gaining strengths perspective, establishing social support networks, and reducing stigma. The online intervention experience also improved the social work students as service providers’ disease literacy, practice skills, critical thinking, self-esteem and professional confidence, and sense of social responsibility. This study illustrated that social service and support could be delivered online for caregivers of dementia patients during this challenging pandemic time. Meanwhile, the online intervention program could contribute to a meaningful learning experiences for undergraduate social work students. Therefore, the expanding of this online intervention program in larger population might benefit more needy groups. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

ASSOCIATION OF DEMENTIA AND OUTCOMES AMONG HOSPITALIZED COVID-19 PATIENTS

We grouped in-patients who had ICD-10 codes (F03.90/F01/G31.09) for dementia with age and gender (1:2) matched patients without a dementia diagnosis. In logistic regression analysis, dementia patients had no difference in mortality- OR= 1.0 (95% CI 0.86-1.17), but ICU admissions were significantly lower, OR= 0.58 (95% CI 0.51-0.66). B Conclusions: b Based on our findings, though dementia patients have higher unadjusted hospital mortality compared to non-dementia patients, in logistic regression analysis, there was no difference in hospital mortality. [Extracted from the article] Copyright of Critical Care Medicine is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)