Abstract:
BACKGROUND:Seventy percent of people with advanced dementia live and die in care homes. Multisensory approaches, such as Namaste Care, have been developed to improve the quality of life and dying for people with advanced dementia but little is known about effectiveness or optimum delivery. The aim of this review was to develop an explanatory account of how the Namaste Care intervention might work, on what outcomes, and in what circumstances. METHODS:This is a realist review involving scoping of the literature and stakeholder interviews to develop theoretical explanations of how interventions might work, systematic searches of the evidence to test and develop the theories, and their validation with a purposive sample of stakeholders. Twenty stakeholders - user/patient representatives, dementia care providers, care home staff, researchers -took part in interviews and/or workshops. RESULTS:We included 85 papers. Eight focused on Namaste Care and the remainder on other types of sensory interventions such as music therapy or massage. We identified three context-mechanism-outcome configurations which together provide an explanatory account of what needs to be in place for Namaste Care to work for people living with advanced dementia. This includes: providing structured access to social and physical stimulation, equipping care home staff to cope effectively with complex behaviours and variable responses, and providing a framework for person-centred care. A key overarching theme concerned the importance of activities that enabled the development of moments of connection for people with advanced dementia. CONCLUSIONS:This realist review provides a coherent account of how Namaste Care, and other multisensory interventions might work. It provides practitioners and researchers with a framework to judge the feasibility and likely success of Namaste Care in long term settings. Key for staff and residents is that the intervention triggers feelings of familiarity, reassurance, engagement and connection. STUDY REGISTRATION:This study is registered as PROSPERO CRD42016047512.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Bunn F,Lynch J,Goodman C,Sharpe R,Walshe C,Preston N,Froggatt Kdoi
10.1186/s12877-018-0995-9subject
Has Abstractpub_date
2018-12-06 00:00:00pages
303issue
1issn
1471-2318pii
10.1186/s12877-018-0995-9journal_volume
18pub_type
杂志文章,评审相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:This study investigated the association between non-exercise based estimation of cardiorespiratory fitness (eCRF) and metabolic syndrome (Mets) in Korean adults aged 18 years and older (13,400 women and 9885 men). METHODS:Data from the 2008 and 2011 Korea National Health and Nutrition Examination Surveys IV...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01558-z
更新日期:2020-04-19 00:00:00
abstract:BACKGROUND:Interactive video games such as the Nintendo Wii Fit are increasingly used as a therapeutic tool in health and aged care settings however, their acceptability to older people is unclear. The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older ...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-64
更新日期:2011-10-20 00:00:00
abstract:BACKGROUND:An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recogn...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01534-7
更新日期:2020-04-10 00:00:00
abstract:BACKGROUNDS:Malnutrition has been shown to be associated with poor prognosis in older surgical patients. Several tools are available for detecting malnutrition. But little is known about their ability to assess risks of postoperative adverse outcomes. The study aimed to compare the ability of the Geriatric Nutritional ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1501-8
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:In line with a rapidly ageing global population, the rise in the frequency of falls will lead to increased healthcare and social care costs. This study will be one of the few randomized controlled trials evaluating a multifaceted falls intervention in a low-middle income, culturally-diverse older Asian commu...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-14-78
更新日期:2014-06-21 00:00:00
abstract:BACKGROUND:Risk prediction after myocardial infarction is often complex in older patients. The Global Registry of Acute Coronary Events (GRACE) model includes clinical parameters and age, but not frailty. We hypothesised that frailty would enhance the prognostic properties of GRACE. METHODS:We performed a prospective ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1500-9
更新日期:2020-03-13 00:00:00
abstract:BACKGROUND:Dementia is a care intensive disease, especially in the later stages, implying in many cases a substantial carer burden. This study assesses the use of formal and informal care resources among persons with dementia during the last month before nursing home admission. It also describes main providers of infor...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01703-8
更新日期:2020-08-18 00:00:00
abstract:BACKGROUND:Vascular risk factors increase the risk of Alzheimer's disease (AD), but there is limited evidence on whether comorbid vascular conditions and risk factors have an impact on disease progression. The aim of this study was to examine the association between vascular disease and vascular risk factors and progre...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0813-4
更新日期:2018-05-22 00:00:00
abstract:BACKGROUND:Increasing viscosity can reduce the risk of aspiration into the airway, but excessively thickened food may require more force and effort. We assumed that semi-solid foods with similar viscosities will behave differently in the oropharynx and there might exist the possibility that properties other than viscos...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01890-4
更新日期:2020-11-23 00:00:00
abstract:BACKGROUND:The prevalence of major depression (MD) according to population studies is the same for old (65 years and older) and younger adults. In contrast, an elevated proportion of old MD patients are hospitalized compared to younger adults with MD, indicating a need to expand the characteristics of old inpatients wi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0836-x
更新日期:2018-06-25 00:00:00
abstract:BACKGROUND:Older people living in nursing homes are at high risk of falling because of their general frailty and multiple pathologies. Prediction of falls might lead to an efficient allocation of preventive measures. Although several tools to assess the risk of falling have been developed, their impact on clinically re...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-5-14
更新日期:2005-11-10 00:00:00
abstract:BACKGROUND:Lack of physical activity (PA) is a recognised global public health problem, which is increasing in prevalence with a detrimental impact on the pattern of disease worldwide. In the UK, older adults comprise the most sedentary group, with only 57% of males and 52% of females aged 65-74 years and 43% of males ...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12877-019-1366-x
更新日期:2019-12-12 00:00:00
abstract:BACKGROUND:The family often takes care of an elderly person who suddenly becomes dependent. This greatly affects different aspects of the caregivers' lives. The aim of this study is to explore the initial experiences, during the first year of care, of persons who suddenly become caregivers for elderly dependent relativ...
journal_title:BMC geriatrics
pub_type: 杂志文章,meta分析
doi:10.1186/s12877-018-0922-0
更新日期:2018-09-25 00:00:00
abstract:BACKGROUND:Core outcome sets (COS) prioritise outcomes based on their importance to key stakeholders, reduce reporting bias and increase comparability across studies. The first phase of a COS study is to form a 'long-list' of outcomes. Key stakeholders then decide on their importance. COS reporting is described as subo...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1103-5
更新日期:2019-03-27 00:00:00
abstract:BACKGROUND:Valid estimates of health-related quality-of-life (HRQoL) are often difficult to obtain from persons with Alzheimer's disease (AD) and family caregiver proxies. To help assess whether the general public can serve as an alternate source of proxy HRQoL estimates in AD, we examined whether the general public ca...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0207-4
更新日期:2016-02-03 00:00:00
abstract:BACKGROUND:Point prevalence studies in care homes show a high use of antibiotics, especially to treat urinary tract infections (UTI). There is a lack of large studies presenting annual antibiotic prescription data in care homes compared to those not in care homes. This study aimed to describe the pattern of antibiotic ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0073-5
更新日期:2015-06-25 00:00:00
abstract:BACKGROUND:One of the most common uses of the Internet is to search for health-related information. Although scientific evidence pertaining to cognitive health promotion has expanded rapidly in recent years, it is unclear how much of this information has been made available to Internet users. Thus, the purpose of our s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0515-3
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:The incidence of community-acquired pneumonia (CAP) almost triples for older adults aged 65 years or older. In Canada, CAP is a leading cause of hospital admissions and mortality. Although CAP is very prevalent, complications due to CAP may be reduced with the pneumococcal polysaccharide vaccine (PPV). The p...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-10-44
更新日期:2010-06-30 00:00:00
abstract:BACKGROUND:Balance control, and specifically balance reactive responses that contribute to maintaining balance when balance is lost unexpectedly, is impaired in older people. This leads to an increased fall risk and injurious falls. Improving balance reactive responses is one of the goals in fall-prevention training pr...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-021-02015-1
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Physical activity is of vital importance to older peoples' health. Physical activity intervention studies with older people often have low recruitment, yet little is known about non-participants. METHODS:Patients aged 60-74 years from three UK general practices were invited to participate in a nurse-support...
journal_title:BMC geriatrics
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2318-14-46
更新日期:2014-04-12 00:00:00
abstract:BACKGROUND:International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve the care for older ED patients and especially prevent unplanned ED readmissions, the URGENT care mode...
journal_title:BMC geriatrics
pub_type: 临床试验,杂志文章
doi:10.1186/s12877-018-0933-x
更新日期:2018-10-16 00:00:00
abstract:BACKGROUND:Venous thromboembolic events (VTE), including deep venous thrombosis and pulmonary embolism, are common in older age. It has been suggested that statins might reduce the risk of VTE however positive results from studies of middle aged subjects may not be generalisable to elderly people. We aimed to determine...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-8
更新日期:2011-02-22 00:00:00
abstract:BACKGROUND:The aim of the present paper is to assess the gait pattern of patients with Peripheral Artery Disease (PAD). A more specific aim is to compare the gait pattern of PAD patients before and after the appearance of intermittent claudication symptoms. METHODS:The study involved 34 PAD patients with a claudicatio...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0727-1
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:Dementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut mi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01644-2
更新日期:2020-07-20 00:00:00
abstract:BACKGROUND:There is a need for more observational studies across different clinical settings to better understand the epidemiology of the novel COVID-19 infection. Evidence on clinical characteristics of COVID-19 infection is scarce in secondary care settings in Western populations. METHODS:We describe the clinical ch...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01803-5
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:It is well known that females generally live longer than males, but women tend to suffer from more illnesses and limitations than men do, also for dementia. However, limited empirical evidence is available why this 'male-female health-survival paradox' is observed. This study aimed to investigate factors whi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01990-1
更新日期:2021-01-10 00:00:00
abstract:BACKGROUND:Functional decline is associated with increased risk of mortality in geriatric patients. Assessment of activities of daily living (ADL) with the Barthel Index (BI) at admission was studied as a predictor of survival in older patients admitted to an acute geriatric unit. METHODS:All first admissions of patie...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-12-32
更新日期:2012-06-25 00:00:00
abstract:BACKGROUND:There are knowledge gaps about the life situation for people ageing with Parkinson's disease (PD), with virtually no understanding of home and health dynamics. Therefore, the aim of the present study was to explore the association between aspects of health and objective as well as perceived housing in people...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0319-x
更新日期:2016-07-27 00:00:00
abstract:BACKGROUND:Alzheimer's disease (AD) is common among older adults and leads to significant disability. Volatile anesthetic gases administered during general anesthesia (GA) have been hypothesized to be a risk factor for the development of AD. The objective of this study is to systematically review the association betwee...
journal_title:BMC geriatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1471-2318-11-83
更新日期:2011-12-14 00:00:00
abstract:BACKGROUND:In the 1990s, epidemiological studies estimated the prevalence of stroke caused by atrial fibrillation (AF) at about 15 %. Given the aging population, there is a rise in the number of AF patients. AF prevention guidelines based on clinical practice and the literature have been published and updated since 200...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0067-3
更新日期:2015-06-11 00:00:00