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Biomedical subjects

J Keady

Publications and source records attributed to J Keady.

At least 37 records · Page 2Linked to original sources
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IMMEL: assessing coping responses in the early stages of dementia.

A sufferer's perspective on ways of coping with the initial and evolving impact of dementia is a largely unexplored area of theory and practice. This article, the first of two parts, outlines the development of a new instrument: the Index for Managing Memory Loss (IMMEL), which considers the early sufferer's response to the experience of dementia and can be used to assist practitioners assess individuals' coping strategies. Some additional avenues for professional intervention are also suggested.

Adaptation, Psychological↗
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IMMEL. 2: Working to augment coping responses in early dementia.

People in the early stages of dementia have support needs that are often not fully addressed. This article, the second of two parts, suggests that early intervention by practitioners, coupled with the use of appropriate assessment instruments, could make a significant contribution to improving sufferers' quality of life.

Adaptation, Psychological↗
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The biology of Alzheimer's disease: 1.

This article, the first of two parts, attempts to take dementia care back to its foundations by informing nursing practice of the biology and degenerative effects on the brain of Alzheimer's disease, the most prevalent form of dementia. This biological understanding will then be used to illustrate the effect on the emotional, perceptual, behavioural and social world of the individual sufferer and will be selectively applied to inform nursing practice. Studying the biological process of AD is not easy, but an understanding is essential if a comprehensive and holistic stance is to be adopted by clinical nurse practitioners. These articles will also address the medical definitions of dementia, the onset and spread of neuritic plaques and neurofibrillary tangles, and the genetic and aluminium components, and will compare the impact of AD on brain structure and function with that of the normal ageing brain. At the conclusion of the second article, future prospects and the nursing response will be considered.

Aging↗
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The biology of Alzheimer's disease: 2.

In this article, the second of two parts, the authors continue their review of the biological processes of Alzheimer's disease and the implications for nursing practice. A glossary of terms can be found in the first article (Vol 5(3): 162-7). This article considers the function of the subcortical area of the brain and explores its effects on the world of the person with Alzheimer's disease. Nursing responses are also discussed.

Aluminum↗
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The biology of dementia due to Parkinson's disease.

This article is one of a series focusing on dementias due to an underlying biological factor. The reader should refer to the previous articles in the series (Delieu and Keady, 1996a,b). This article focuses on the normal structures within the brain which are involved in motor control and describes what occurs when this system is disrupted by an inappropriate reduction in the neurotransmitter dopamine. In time, this reduction in dopamine may have deleterious effects on other neuronal systems within the central nervous system, namely the diminished acetylcholine neurones which may lead to a dementional state. Possible causes of Parkinson's disease are discussed and some treatments briefly outlined.

Adult↗
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The DIAL-log study 1: Profiling the experience of people with dementia.

Between July 1996 and December 1997 telephone helpline staff from the Alzheimer's Disease Society (ADS) in London, and six participating ADS regions in England and one in Northern Ireland, documented calls from people with dementia who contacted the service. Each call was recorded as soon as practicable after its completion on a Dementia Information and Advice Line (DIAL) log form (DIAL-log). Sixty-four calls were recorded in this way and 62 completed DIAL-logs were included in the study findings. Analysis of the data was undertaken via SPSS 6.1 for Windows. This article, the first of two, introduces the background to the study and notes that callers reported memory loss and forgetfulness as the most frequently noticed first signs of dementia. The study aims and limitations are also outlined in this first article. The second article will detail the main findings and the challenges that the DIAL-log study may provide for future dementia care practice and research.

Adaptation, Psychological↗
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The DIAL-log study. 2: Support in the early stages of dementia.

In the previous article (Vol 8(6): 387-93) the background information and study aims/limitations of the Dementia Information and Advice Lines (DIAL-log) project were outlined. This article introduces the main findings of the project and suggests that the transition into dementia is experienced through rising degrees of uncertainty and anxiety. People with the early experience of dementia also requested strategies for coping with memory loss and uncertainty over the meaning and purpose of memory testing. Building on the main findings of the project, the article concludes with a five-stage framework to help shape future research and service support.

Adaptation, Psychological↗
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Turning the tide.

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Aged↗
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Focus on assessment.

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Geriatric Assessment↗
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A change of FOCUS.

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Aged↗
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Dementia: a matter of concern.

At RCN Congress in May, the Mental Health and Older People Forum opened a discussion on how the definition of 'serious and enduring mental health needs' affects services to people with dementia. Forum Chair John Keady highlights some of the issues presented.

Aged↗