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Abuse of Older People with Dementia: A Review

Downes, C., Fealy, G., Phelan, A., Donnelly, N., Lafferty, A
NCPOP
2013

This review of literature has collated, analysed and summarised published literature on abuse of community-dwelling older people with dementia, in order to inform future research in this area.

The review clearly describes the research design and gives an overview of the studies included in the review. It reports on the findings of its review of the published evidence under the following headings:  prevalence of elder abuse of people with dementia; risk factors and correlates of elder abuse of people with dementia; perpetrators of elder abuse of people with dementia; recognising elder abuse of people with dementia; and strategies and interventions for preventing and managing elder abuse of people with dementia.

Attitudes to and Knowledge of Dementia in Northern Ireland

Dowds, L., MCPARLAND, P., DEVINE, P., Gray, A.M.
ARK NI
2010

This report provides findings from a survey of the general public in Northern Ireland which explored attitudes to and knowledge of dementia.

The survey was carried out as part of the 2010 Northern Ireland Life and Times Survey (NILT) and the findings are reported under four headings: knowledge of dementia; perceptions of people with dementia; attitudes towards people with dementia; and capacity for independent living (as perceived by the public). The findings indicate that while there is a reasonable knowledge of dementia among the general public in NI, there are significant gaps in their knowledge. Stigmatising attitudes to people with dementia are common and there is little belief in the capacity of people with dementia to live independent lives. 

Low Expectations: Attitudes on Choice, Care and Community for People with Dementia in Care Homes

Quince, C.
Alzheimer’s Society (UK)
2013

This report documents the experiences of people with dementia living in care homes and the views of the public on care homes.

Three questionnaires were developed and the results used to inform the report: one for family members of people with dementia in care homes, one for staff in care homes in England, Wales and NI and one for people with dementia living in a care homes. The findings are supplemented with data from a 2012 YouGov poll on the attitudes of the general public to dementia and care homes. The report found that there were low expectations of the quality of life for those living with dementia in care homes across all groups surveyed, with a high percentage of adults expressing fear about potentially living in a care home in the future. It suggests more needs to be done to support people with dementia in the community and to promote choice and quality in care homes. While a high percentage of family carers rated the quality of care for the person with dementia as good, a lower percentage rated their quality of life as good. The overarching recommendation of the report is for government and the care sector to co-operate to improve public understanding of the potential for people with dementia to lead a good life in care homes, to challenge perceptions of poor practice, and promote care homes as appropriate places to care for people with dementia.

Living With Dementia’: Implications for the National Dementia Strategy: Summary of Roundtable Discussions Submitted to the National Dementia Strategy Working Group

Alzheimer’s Society
Alzheimer Society of Ireland
2013

The fourth Alzheimer Society of Ireland publication reports on two roundtable discussions organised by the Alzheimer Society of Ireland, which provided an opportunity for the National Dementia Strategy Working Group and Department of Health officials to meet with people with dementia and carers a

nd get their input on priority areas earmarked for inclusion in the strategy. The roundtables were structured around three themes: the role of the GP; community services; and dementia awareness and education. The report summarises the discussions points and key messages under each heading. 

Multidisciplinary Clinicians Roundtable on the National Dementia Strategy

Alzheimer’s Society
Alzheimer Society of Ireland
2013

The third Alzheimer Society of Ireland publication is a report summarising a roundtable discussion involving healthcare professionals from multidisciplinary backgrounds including occupational therapy, social work, physiotherapy, speech and language therapy and nursing.

The themes used to structure the roundtable discussion were grounded in each of the five disciplinary areas: non-pharmacological interventions and behaviours that challenge (occupational therapy); improving Communication (speech and language therapy); physical activity for health and wellbeing (physiotherapy); A Social Work Perspective (social work); and the registered nurse’s contribution to person centred care (nursing).  As with the previous roundtable discussion, the report concludes with a set of suggestions as to how multidisciplinary clinicians can influence the development of the Irish National Dementia Strategy.  

Clinicians’ Roundtable on the National Dementia Strategy ReportClinicians’ Roundtable on the National Dementia Strategy Report

Alzheimer’s Society
Alzheimer Society of Ireland
2013

The second Alzheimer Society of Ireland publication is a report summarising a roundtable discussion involving health care professionals from the four areas of Old Age Psychiatry, Geriatric Medicine, Neurology and Psychology.

Facilitated by the Alzheimer Society of Ireland, the roundtable discussion brought together participants to share their expertise and discuss core clinical elements of the upcoming Irish National Dementia Strategy. The discussion centred on three key themes: Clinical Leadership and Developing a Dementia Register; People with Younger Onset Dementia; and Early Diagnosis and Memory Clinics/Services. A set of further actions needed to move the issues discussed forward is also included. 

National Strategy on Dementia: Summary of Consultation Process

Department of Health
Department of Health
2012

Following the assembly of the evidence into the research review described above, the Department of Health embarked on a public consultation process which commenced on 4 July and concluded on 31 August 2012.

The Department of Health invited submissions and used the research review as a basis for developing a questionnaire used in its public consultation. It received 73 responses and the core messages contained in the submissions and completed questionnaires are summarised in this report.  

A National Dementia Strategy for Ireland: Signposting the Possibilities: A Clinician’s Perspective

O’Connell. H.
Alzheimer Society of Ireland
2012

This first of four publications in this section from the Alzheimer Society of Ireland is written by O’Connell (2012) who outlines key directions from the clinician’s perspective to be taken in ROI’s National Dementia Strategy including an emphasis on prevention, early diagnosis and access to the

best available treatments. He acknowledges that people with dementia may have different priorities to clinicians and healthcare professionals and that it is important that the voice of the person with dementia is heard. Following a brief review of national dementia strategies in other countries, O’Connell outlines what he believes should be included in the Irish National Dementia Strategy. 

Creating Excellence in Dementia Care: A Research Review for Ireland’s National Dementia Strategy

CAHILL, S., O’Shea, E., PIERCE, M.
ICSG, Living with Dementia
2011

An extensive research review was undertaken by Cahill, O’Shea and Pierce (2011a), which provided updated estimates of the number of people with dementia in ROI in 2006 and projections of future numbers in 2041.

It estimated the social and economic costs of dementia to be €1.69bn per annum, a large proportion of those costs falling on informal caregivers. It reviewed the current and future availability of services for people with dementia, looked at what other countries are doing and what lessons can be learned from them. The findings of this research review were distilled into a shorter report aimed at the general public (Cahill, O’Shea and Pierce, 2011b). 

Focus on Dementia

CARDI
CARDI
2010

In 2010, CARDI provided an update on policy around dementia in ROI and NI, at a time that commitments had been made to developing national dementia strategies in both jurisdictions.

The briefing paper also drew attention to the relatively low level of funding for research on dementia in comparison to other chronic conditions and makes the case for the promised national dementia strategies in ROI and NI to be used as channels for promoting research on dementia, as has been done in other countries.    

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