Inappropriate use of antipsychotics to treat behavioural and psychological symptoms of dementia is likely to be more prevalent in care homes and low-income households

Antipsychotics were discovered as an effective treatment for schizophrenia in the 1950s, but their use was expanded despite lack of supporting evidence, to treat other patient groups.  This included treating aggression, agitation and other behavioural and psychological symptoms of dementia (BPSD). There is evidence that these distressing symptoms can often [read the full story...]

The cardiovascular safety of dementia medications: a cross national study

Two of the most widely available medicines for dementia in the UK are cholinesterase inhibitors and a N-methyl-D-aspartate (NMDA) receptor antagonists (NHS, 2013).  Both drugs are popular because they have been found to lead to improvements in dementia symptoms (Raina 2008). However, some have raised concerns about the safety for [read the full story...]

Short-term recovery from mild cognitive impairment is possible, but an increased risk of further cognitive decline remains

The symptoms of mild cognitive impairment (MCI) include problems with cognitive functioning such as day-to-day memory. In some individuals it is the first sign of dementia, whereas in others it may be due to resolvable factors such as being the side-effect of medication (Alzheimer’s Society, 2012). At present it is [read the full story...]

Depression and bipolar disorder linked to an increased risk of developing dementia, says systematic review

Dementia and affective disorders (such as depression and bipolar disorder) are usually considered to be completely unrelated afflictions. Yet a number of recent studies have suggested that the risk of developing dementia in later life may be increased for those who have had an affective disorder. A number of systematic [read the full story...]

NICE publish dementia commissioning guide: practical advice for commissioners

NICE have published a new guide to help commissioners provide evidence-based care for people with dementia. Providing care for our ageing population seems not to have been out of the news in recent years and rightly so, especially as the headline stories are frequently not positive. A recent Care Quality [read the full story...]

New RCT says antidepressants should not be used when treating depression in dementia

Dementia is one of the most common and serious disorders in later life. It places a considerable burden on the health care system, individuals and especially unpaid carers. Depression is common among people with dementia and causes additional distress to affected individuals and their social circle. Research into the treatment [read the full story...]

Non-drug treatments delivered by family carers can improve neuropsychiatric symptoms in people with dementia

About three-quarters of people with dementia are affected by neuropsychiatric symptoms (NPS). This is a broad group of symptoms including depression, sleep problems, apathy, psychosis and aggression. Of course, many people with dementia still live at home and are cared for by their spouse or other primary carer. These neuropsychiatric symptoms [read the full story...]

Cerebrolysin is a promising treatment for vascular dementia, but more research is needed, according to new Cochrane review

Vascular dementia is the second most common type of dementia after Alzheimer’s disease. It’s caused by damage to the network of blood vessels supplying the brain. Some symptoms are similar to those associated with Alzheimer’s and stroke, but in particular people with vascular dementia often experience difficulty thinking quickly, concentrating [read the full story...]

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

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 [read the full story...]

Making hospitals dementia-friendly: new report from the King's Fund

It’s estimated that around one quarter of patients in general hospitals in England have cognitive problems or dementia. Visiting hospital can be a frightening experience and levels of anxiety are only heightened by the visuospatial problems that often affect people with dementia. As part of the National Dementia Strategy, the [read the full story...]

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