Publications by authors named "Brian M Draper"
Young Onset Dementia in New South Wales, Australia in 1891: What has Changed Since Then?
Int J Geriatr Psychiatry
September 2024
Article Synopsis
- The study investigated the prevalence and types of young onset dementia (YOD) in New South Wales, Australia, in 1891, comparing it to 21st-century data to aid future healthcare planning.
- A total of 161 potential dementia cases were reviewed, with 123 diagnosed as 'probable' dementia, primarily affecting males, and the most common type being 'unspecified dementia.'
- Key clinical symptoms included neurological signs, psychosis, and agitation, with a significant number of cases either dying in the hospital or being transferred to long-term care facilities.
Article Synopsis
- The study aimed to evaluate the impact of individual sessions with a robotic seal named PARO on emotional and behavioral symptoms of dementia in long-term care residents, compared to a look-alike toy and standard care.
- Conducted in 28 care facilities in South-East Queensland, Australia, the trial involved 415 participants aged 60 and older diagnosed with dementia, using a randomized controlled design for three groups.
- Results indicated that participants interacting with PARO exhibited significantly higher verbal and visual engagement, and both PARO and the plush toy led to greater improvements in reducing negative mood compared to usual care.
About 9% of Australians aged 65 years and over have a diagnosis of dementia. Clinical practice guidelines aim to enhance research translation by synthesising recent evidence for health and aged care professionals. New clinical practice guidelines and principles of care for people with dementia detail the optimal diagnosis and management in community, residential and hospital settings.
View Article and Find Full Text PDFObjectives: Psychological effects of supporting someone with mild cognitive impairment (MCI) are often overlooked. We aimed to establish correlates of psychological distress in study partners of individuals with and without nonclinical MCI.
Methods: Demographic, psychosocial and health measures were obtained cross-sectionally from 714 participants (39% MCI) and study partners of a longitudinal community-based study on cognitive aging.
Objectives: To describe the needs of patients aged 50 years and over with chronic mental illness being case managed within a public mental health service, and to determine factors that influence these needs.
Method: Patients were recruited from community-based Adult Mental Health (AMH) teams and Specialist Mental Health Services for Older People (SMHSOP) teams. Eligibility criteria included a diagnosis of schizophrenia or mood disorder.
People with dementia usually experience behavioural and psychological symptoms of dementia (BPSD) during the course of their illness. Currently, in Australia, there is a lack of comprehensive planning for managing and preventing BPSD, and the resources required for optimal care are inadequate and unevenly distributed. We propose a seven-tiered model of service delivery based on severity and prevalence of BPSD, ranging from no dementia through tiers of increasingly severe behavioural disturbance to the propensity for extreme violence in a small number of individuals.
View Article and Find Full Text PDFObjective: To compare the outcomes of 3 interventions for the management of dementia complicated by depression or psychosis: psychogeriatric case management, general practitioners with specialist psychogeriatric consultation, and standard care for nursing home residents.
Method: The sample for this 12-week randomized controlled trial consisted of 86 subjects with dementia from 11 Sydney, Australia, nursing homes, of whom 34 had depression, 33 had depression and psychosis, and 19 had psychosis. All participants received full psychiatric assessments and physical examinations.