February 26, 2017

We need to improve multicultural care in residential care homes - healthcare professional

These resources are available for loan to members of AANSW - if you would like to reserve them please email the Library on nsw.library@alzheimers.org.au
bfn Michelle 

Dementia, culture and ethnicity : issues for all

This book explores the relationship between dementia, culture and ethnicity, looking at the latest evidence and research to determine the impact of diversity on dementia care services. By examining the key issues and providing suggestions for change, this book shows how dementia professionals can provide culturally appropriate care for all.
With contributions from experienced dementia practitioners and care researchers, this book examines the impact of culture and ethnicity on the experience of dementia and on the provision of support and services, both in general terms and in relation to specific minority ethnic communities.

Culturally and Linguistically Diverse Communities : Dementia Care Pathways Quick Reference Cards

super fast and easy to use these 18 col. cards cover : vision--  prior to meeting client --  client engagement --  culturally appropriate history taking --  assessment tools --  goal setting and care planning --  monitoring and review --  exit planning --  diversity conceptual model

RUDAS DVD guide to administration and scoring and CD of supplementary information 

As people age they increase the likelihood that they will suffer some form of dementa. With the increasing availability of services and medications it is important to be able to screen for the presence of cognitive impairment, so that it might be addressed from an earlier stage. In order to do this, doctors employ a variety of ‘screening tools’, the most common of which has been the Folstein Mini- Mental State Examination (MMSE). In Australia a significant and ever growing proportion of the elderly population are overseas born with English as a second language. Unfortunately this can make the MMSE difficult to use as many of the concepts do not easily translate into other languages. In the South West of Sydney a group of dedicated health workers have developed a new tool: the Rowland Universal Dementia Assessment Scale – (RUDAS).

The Validity of the Rowland Universal Dementia Assessment Scale (RUDAS) in a Multicultural Cohort of Community-dwelling Older Persons With Early DementiaThe 6-item Rowland Universal Dementia Assessment Scale (RUDAS) is a simple, portable multicultural scale for detecting dementia. Items address executive function, praxis, gnosis, recent memory, and category fluency. It can be directly translated to other languages, without the need to change the structure or the format of any item. The RUDAS was administered to 151 consecutive, consenting, culturally diverse community-dwelling subjects of mean age 77 years, 72% of whom had an informant. Subjects were recruited from various clinics and healthcare programs. All were evaluated for cognitive impairment in a blinded manner by experienced clinicians in geriatric medicine. According to Diagnostic and Statistical Manual of Mental Disorder-IV criteria, 40% of the subjects were normal, 22% had cognitive impairment (not otherwise specified), and 38% had dementia; 84% of whom had questionable or mild dementia. In the primary analysis (normal subjects vs. those with definite dementia), the RUDAS accurately identified dementia, with an area under the receiver operating characteristic curve of 0.94 (95% confidence interval, 0.88-0.97); at the published cut point of less than 23/30, the positive likelihood ratio (LR) for dementia diagnosis was 8.77, and the negative likelihood ratio was 0.14. Additional analyses showed that the RUDAS performed less well when subjects with cognitive impairment (not dementia) were included. In all logistic regression models, the RUDAS was an independent predictor of dementia (odds ratio 0.64, 95% confidence interval, 0.52-0.79, primary analysis model), after adjusting for age, sex, years of education, and cultural diversity, none of which were independent predictors. Further studies are needed across the full spectrum of early dementia syndromes, and in additional ethnic minority groups. P124-129,

A handbook for cultural engagement with older men

Why is involving more men in the arts important? Well, everyone has a right to participate in the arts and we should be trying to remove any barriers, perceived or real, to that participation. Secondly, I vividly remember seeing some documentary footage filmed in the Fifties. In it two groups of five year olds, one of girls and the other of boys, were filmed playing with toys. The girls, barely looking at the toys, immediately asked each others’ names and began socialising. The boys, without really even looking at each other, straight away started constructing rules for a competitive game. Those boys are now in their sixties. Research has recently proved the devastating effects on health and well-being of social isolation and that is worst among older men. The arts have a great ability to tackle loneliness, as well as give meaning and pleasure. I commend this important guide to you. DAVID CUTLER — THE BARING FOUNDATION

Creating culturally appropriate outside spaces and experiences for people with dementia : using nature and the outdoors in person-centred care

Demonstrating that it is essential to be sensitive to the cultural backgrounds of people with dementia in order to provide truly person-centred care, this book shows that it is possible to create culturally appropriate outdoor spaces and experiences that resonate with people with dementia on a fundamental level and are a source of comfort and wellbeing.

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