Oral Health should have same priority as general health in care homes says NICE

Quality of life measures are one way of finding out how people are feeling about and experiencing their new life in a care home.

This new guidance from NICE focuses on improving and maintaining residents’ day-to-day oral healthcare, ensuring staff are properly trained to confidently look after the oral health needs of residents, and there is adequate access to dental services when needed

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Long-term care placement for people with dementia

Mother and son

Clarissa Giebel reports on a systematic review and meta-analysis of factors predicting care placement of dementia sufferers into long-term care facilities.

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Impact of functional alterations on quality of life in Alzheimer disease

An older woman out shopping

Clarissa Giebel analyses a qualitative study of how functional alterations impact quality of life in Alzheimer disease.

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Commonly prescribed psychiatric drugs: do they work?


John Baker summarises a review of commonly prescribed medication that covers seven psychiatric drugs, including antidepressants, antipsychotics, benzodiazepines, amphetamines, methylphenidate and cholinesterase inhibitors.

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Cognitive tests for dementia: MMSE, Mini-Cog and ACE-R


Akshay Nair explores the results of a systematic review of cognitive tests for dementia and mild cognitive impairment, which focuses on the MMSE, Mini-Cog, ACE-R and MoCA instruments. Along the way he explains how diagnostic tests work and how sensitivity and specificity are useful measures to get your head around.

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Donepezil, nursing home placement and Alzheimer’s Disease


Caroline Struthers reports on the findings of a follow-up paper of the DOMINO-AD trial, which compares Donepezil and Memantine for Moderate to Severe Alzheimer’s Disease, and looks at the effects these two drugs have on nursing home placement.

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Can higher educational attainment help lower dementia risk?


Raluca Lucacel summarises a recent meta-analysis of prospective cohort studies, which investigates the dose-response between education and the risk of dementia.

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Dementia risk factors in people with mild cognitive impairment

People with a learning disability and family carers are able to talk about end-of-life care and healthcare professionals need to acknowledge and respect this expertise

Akshay Nair summarises a recent systematic review and meta-analysis of modifiable predictors of dementia in mild cognitive impairment. The meta-analysis finds that diabetes and the presence of any neuropsychiatric symptoms significantly predicted the conversion of mild cognitive impairment to dementia.

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Lifestyle changes for cognition and dementia: better than a new drug?


Should all molecular research institutes looking at neurodegenerative diseases be replaced by parks, playgrounds and cycle paths? Mark Horowitz highlights a recent systematic review of modifiable risk factors associated with cognition and dementia, which suggests that from a public health perspective, there may be some sense in this idea.

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Risk factors for dementia: separating the facts from the myths


We are grateful to Josephine Neale who has read the 104 page World Alzheimer Report 2014 and summarised it for us in this very readable blog. The report is a comprehensive analysis of the risk factors for dementia, which focuses on a range of protective and modifiable factors.

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