A5054103659- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Migration, Aging, and Tourism Studies
- Intergenerational Family Dynamics and Caregiving
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Health disparities and outcomes
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Schizophrenia research and treatment
- Pharmaceutical Practices and Patient Outcomes
- Aging, Elder Care, and Social Issues
- Humor Studies and Applications
- Child Nutrition and Feeding Issues
- Parkinson's Disease Mechanisms and Treatments
- Mental Health and Patient Involvement
- Healthcare innovation and challenges
- Interprofessional Education and Collaboration
- Cerebral Palsy and Movement Disorders
- Alzheimer's disease research and treatments
- Medication Adherence and Compliance
- Mental Health Treatment and Access
- Retirement, Disability, and Employment
UNSW Sydney
2014-2024
ARC Centre of Excellence in Synthetic Biology
2017-2022
Dementia Collaborative Research Centres
2014-2020
The University of Notre Dame Australia
2019
University of Technology Sydney
2007-2016
Prince of Wales Hospital
2010-2014
University of Wollongong
2010
The University of Sydney
2010
South Eastern Sydney Local Health District
2002-2010
Abstract Background The World Health Organization has proposed a model of healthy aging built around the concept functional ability, comprising an individual’s intrinsic capacity, physical and social environment they occupy, interactions between two. However, these constructs have been poorly defined. We examined structure capacity in representative sample Chinese population aged 60 years older assessed its value predicting declining performance instrumental activities daily living (IADLs)...
While there is considerable evidence on the impact of specific design features problems associated with dementia, link between quality built environment and life people dementia largely unexplored. This study explored environmental personal characteristics that are in living residential aged care. Data were obtained from 275 residents 35 care homes analysed using linear regression. The was significantly resident measured by global self-report. Environmental ratings not proxy or detailed...
ABSTRACT Background: There is good evidence of the positive effects person-centered care (PCC) on agitation in dementia. We hypothesized that a environment (PCE) would achieve similar outcomes by focusing environmental stimuli, and there be enhanced combining PCC PCE. Methods: 38 Australian residential aged homes with scope for improvement both PCE were stratified, then randomized to one four intervention groups: (1) PCC; (2) PCE; (3) +PCE; (4) no intervention. People dementia, over 60 years...
Introduction Cholinesterase inhibitors (ChEIs) and memantine are medications used to treat the symptoms of specific types dementia. Their benefits harms can change over time, particularly during long term use. Therefore, appropriate use ChEIs involves both prescribing these individuals who likely benefit, deprescribing (withdrawing) them from when risks outweigh benefits. We recently developed an evidence-based clinical practice guideline for memantine, using robust international development...
ABSTRACT Background: Depression is a common psychiatric disorder in older people. The study aimed to examine the screening accuracy of Geriatric Scale (GDS) and Collateral Source version (CS-GDS) nursing home setting. Methods: Eighty-eight residents from 14 homes were assessed for depression using GDS CS-GDS, validated against clinician diagnosed Semi-structured Clinical Diagnostic Interview DSM-IV-TR Axis I Disorders (SCID) without dementia Provisional Criteria Alzheimer Disease (PDCdAD)...
The quality of care for people with dementia in homes is concern. Interventions that can improve outcomes are required.To investigate the clinical effectiveness and cost-effectiveness Dementia Care Mapping™ (DCM) reducing agitation improving living homes, versus usual care.A pragmatic, cluster randomised controlled trial an open-cohort design, follow-up at 6 16 months, integrated analysis process evaluation. Clusters were not blinded to allocation. primary end point was completed by staff...
Dementia Care Mapping (DCM) is increasingly being promoted world-wide as a useful approach in assisting staff to improve the well-being of residents with dementia. While DCM employed an outcome measure and process assist quality care, it has not been subject rigorous scrutiny controlled trial establish its efficacy measure, or intervention. In 2005 authors were awarded Australian Health Minister's Grant conduct randomised control 15 residential dementia care units across city Sydney,...
Maintaining the health and well-being of family carers people with dementia is vital, given their potential for experiencing burden associated role. The study aimed to help develop self-efficacy, be less hassled by caring role improve goal-directed behaviour, participating in an eight module carer coaching program.The used mixed methods a pre/post-test/follow-up design over 24 months, assignment consented either individualised (n = 16) or group 32), usual support services 43), depending on...
Up to 90 % of people living with dementia in care homes experience one or more behaviours that staff may describe as challenging support (BSC). Of these agitation is the most common and difficult manage. The presence associated fewer visits from relatives, poorer quality life social isolation. It recommended treated through psychosocial interventions. Dementia Care Mapping™ (DCM™) an established, widely used observational tool practice development cycle, for ensuring a systematic approach...
Introduction Antipsychotic medications are commonly used to manage behavioural and psychological symptoms of dementia despite their side effects harms. While the Halting Use in Long‐Term care (HALT) deprescribing trial was successful at reducing antipsychotic use, 19% participants had antipsychotics represcribed or never reached a dose zero. The aim this study investigate reasons for represcription medication factors associated with ongoing relating staff requests perceived changes....
Background. Investigating older acutely ill hospitalized patients’ nursing needs and quality of care is paramount, given the growing pressure on nurses to provide increasingly intensive levels a population while at same time working with reduced staffing levels. Aims. The aims this study were determine: (1) important aspects as perceived by patients, their family member/carer who observed during hospitalization, nurses; (2) satisfaction family/carers received; (3) mismatches between...
ABSTRACT Background: Inappropriate use of antipsychotic medications to manage Behavioral and Psychological Symptoms Dementia (BPSD) continues despite revised guidelines evidence for the associated risks side effects. The aim Halting Antipsychotic Use in Long-Term care (HALT) project is identify residents long-term (LTC) facilities on medications, undertake an intervention deprescribe (or cease) these medicines improve non-pharmacological behavior management. Methods: LTC will be recruited...
Antipsychotic and other tranquilising medicines are prescribed to help care staff manages behaviour in one-quarter of older people living Australian long-term homes. While these pose significant health risks, particularly for with dementia, reliance on their use occurs when not educated respond resident using nonpharmacological approaches. The Halting Long-Term (HALT) single-arm study was undertaken address this issue 139 60 years over behaviours concern 24 A train-the-trainer approach...
ABSTRACT Objectives: Use of antipsychotic drugs in long-term aged care (LTC) is prevalent and commonly exceeds the recommended duration, but contributors to this problem are not well understood. The objective study provide a snapshot features prolonged use medications (>12 weeks) among sample LTC residents. Design: We present retrospective baseline data collected for Australian Halting Antipsychotic Long-Term Care (HALT) single-arm longitudinal deprescribing trial. Setting: Twenty-four...
gallagher r, warwick m, chenoweth l, stein‐parbury j & milton‐wildey k (2011) Journal of Nursing and Healthcare Chronic Illness 3 , 30–40 Medication knowledge, adherence predictors among people with heart failure chronic obstructive pulmonary disease Background. Although medicines are a key component in the self‐management illness, lack is common problem. Aim. To describe medication relation to Multidimensional Adherence Model older adults illness. Method. During home interview, we...
ABSTRACT Purpose: Literature suggests that quality of life (QOL), care (QOC) and Behavioural Psychological Symptoms Dementia (BPSD) can be improved by relatively simple inexpensive person‐centred approaches to nursing practices (PCC) modifications physical environment (PCE). Most research on this topic is observational few randomised controlled trials have included an economic evaluation PCC PCE together. The PerCEN study aims confirm the value evidence‐based evaluating efficacy cost...
ABSTRACT Background: Dementia is a chronic illness without cure or effective treatment, which results in declining mental and physical function assistance from others to manage activities of daily living. Many people with dementia live long term care facilities, yet research into their quality life (QoL) was rare until the last decade. Previous studies failed incorporate important variables related facility provision look closely at lives residents. This paper presents protocol for...