Extra care housing vs nursing homes for disabled older people

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In her exploration of a Canadian study into extra care housing for older disabled people, Jo Moriatry gives a critical view of the research and offers some insights into what it means for the UK policy and practice context.

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Medication in advanced dementia: how can we judge what is appropriate?

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Caroline Struthers appraises a recent US cross-sectional study of the use of medications of “questionable benefit” in nursing home residents with advanced dementia. She concludes that all medications are of questionable value if they have side effects which might have a negative impact on quality of life or are likely to cause harm.

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E-cigarettes and youth: are e-cigs encouraging more use of conventional cigarettes?

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Matt Field reviews the recent cross-sectional survey of e-cigarettes and conventional cigarette use in US adolescents, which found that E-Cig users were more likely to also smoke regular cigarettes than non-users. Does this mean that E-cigarettes encourage the use of conventional cigarettes?

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Be nice to patients and they will get better? Therapeutic alliance and service user satisfaction

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John Baker reviews a recent cross-sectional study of the relationship between therapeutic alliance and service user satisfaction in mental health inpatient wards and crisis house alternatives.

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Childhood abuse and adverse life events interact synergistically to produce a high risk for psychotic experiences

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This recent study concludes that childhood abuse creates an enduring vulnerability to psychosis that is realised in the event of exposure to further stressors and risk factors, such as separation, bereavement, or being involved in an accident or physical attack.

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Financial incentives don’t increase depression screening for patients with chronic illness

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The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]

35% of people with learning disabilities in Australian city prescribed psychotropic medications

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It is estimated that in UK, up to 200,000 people with learning disabilities are given anti-psychotic drugs, which can have powerful side effects, like risk of weight gain, impotence and strain to the cardiovascular system, and with little evidence of their efficacy in treating challenging behaviour. There are equal concerns about the use of anti-convulsant [read the full story…]

Exposure to aggression affects staff emotional well being in Canadian study

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We have posted a number of times about staff burnout and the factors impacting on this, where previous studies have shown an assoication between stress, burnout and exposure to aggressive behaviours. The authors of this Canadian study were concerned that these previous attempts to study the issue were based on small samples and that there [read the full story…]

The links between passive smoking and dementia: findings from a new cross-sectional study

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Over 1 billion people on Earth smoke tobacco. WHO figures tell us that 80% of the smoking population live in low-middle income countries, most of which are not protected by any kind of smoke-free public health legislation. China is a particular black-spot in this regard. It has the largest tobacco smoking population in the world [read the full story…]

Adolescent girls are less satisfied with their bodies compared to boys, according to Finnish cohort study

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It’s hardly surprising that teenage girls and boys express dissatisfaction with their bodies. The vast majority of TV, magazine, billboard and Internet images of the human body present a wholly unrealistic and unattainable version of the male and female physique. Young people cannot help but compare themselves to these standards and feel that they come [read the full story…]