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BPSD DIAGNOSTIC METHODS
BIOLOGICAL MARKERS PSYCHOSOCIAL INTERVENTIONS
CAPACITY SERVICE DELIVERY
CAREGIVER ISSUES SUBSTANCE ABUSE
DEMENTIA/ ALZHEIMER'S DISEASE SUICIDE
DEMENTIA WITH LEWY BODIES THERAPY/ COGNITIVE
DEMENTIA/ MILD COGNITIVE IMPAIRMENT THERAPY/ FAMILY OR GROUP
DEMENTIA/ YOUNG ONSET TREATMENT/ NON-PHARMACOLOGICAL
DEMENTIA/ OTHER OTHER
DEPRESSION  

 TOPIC: BPSD 

The diagnostic and treatment challenges of behavioral and psychological symptoms in Alzheimer’s disease; a qualitative study in memory clinic practice
 Presenter: Dr. Janne M. Papma
 Learning Objectives:

  • There are large differences between memory clinic physicians with regard to the recognition and diagnosis of behavorial and psychological symptoms (BPSD) in Alzheimer’s disease (AD) patients in the memory clinic, dependent upon knowledge on BPSD and the impact of BPSD, and attitudes considering the extent of memory clinic care.
  • Treatment or management of BPSD in AD in the memory clinic ranges from primarily treating ‘problematic’ behaviors with psychotropic drugs to using person-centered non-pharmacological approaches.
  • In an ideal world, memory clinic physicians collaborate with a team of psychiatrists, nurse practitioners, case managers or home care providers and GPs in order to improve the recognition and (non-pharmacological) treatment and care for AD patients with BPSD and their caregivers. Physicians differ in the role that they would like to take in this collaboration, either being a consultant or taking the lead

The effectiveness and safety of electroconvulsive therapy for treatment refractory agitation or aggression in major neurocognitive disorder
 Presenter: Dr. Robyn Waxman
Learning Objectives:

  • Review the Literature on the use of Electroconvulsive Therapy (ECT) in patients with major neurocognitive disorder
  • Discuss the findings of our prospective study using ECT for agitation and aggression in those with advanced major neurocognitive disorder with treatment-refractory neuropsychiatric symptoms and the risks and benefits of this intervention
  • Discuss the logistical process in providing and maintaining ECT for this treatment-refractory population

Prevalence of and factors related to eating problems in people with dementia
 Presenter: Ms. Hanxiao Wang
Learning Objectives:

  • In need of supervision is one of the most common eating-related problems in people with dementia, followed by swallowing problems.
  • History of stroke and severity of dementia are risk factors for swallowing problems in patients with dementia.
  • For patient with dementia, use of antipsychotics may protect against decline in table manners, but is a risk factor for decrease in appetite.

Residential aged care staff’s perception of and response to behavioral and psychological symptoms of dementia – a qualitative analysis of clinical care notes
 Presenter: Mr. Willem S. Eikelboom
 Learning Objectives:

  • To appreciate the use of electronic health records to obtain unique insight in the current care for BPSD in residential care. 
  • To learn that there are indications of underrecognition by care staff of especially internalizing BPSD among residents with dementia.
  • To evaluate how current non-pharmacological interventions and care programs can be improve based on this information.

What happens before, during and after crisis for someone with dementia living at home
 Presenter: Dr. Sabarigirivasan Muthukrishnan
Learning Objectives:

  • Up to date evidence base for crisis management of dementia in community
  • Key factors which helps to resolve dementia crisis in community
  • Practical clinical advise to avoid hospital admissions

 TOPIC: BIOLOGICAL MARKERS 

Loneliness and mortality in older adults and the role of depression
 Presenter: Ms. Natasja Schutter
 Learning Objectives:

  • To learn about the evidence for an association between loneliness and mortality in older adults
  • To gain insight in the possible pathways that play a role in this association
  • To learn what consequences these results have for clinical practice.

 TOPIC: CAPACITY 

Exploratory Study on Healthcare Decision-Making Capacity Assessment
 Presenter: Ana Saraiva Amaral
 Learning Objectives:

  • Describe the four abilities included in Appelbaum and Grisso model of decision-making capacity
  • Describe the focus group methodology
  • Identify the most frequent categories in content analysis

 TOPIC: CAREGIVER ISSUES 

Personal protective factors in personal growth for nursing  homes staff
 Presenter: Prof. Gema Perez-Rojo
Learning Objectives:

  • learn about protective factors in nursing home staff.
  • learn a strength approach is possible and not focused only on déficit model.
  • learn about key factors to develop intervention programs.

Quality of life in caregiver in a gender perspective
 Presenter: Dr. Heidi Bjørge
 Learning Objectives:

  • Female and male caregivers of family member with dementia face their caring experience differently which influence on their quality of life (QoL). Therefore, professionals should take gender specific needs expressed by the caregivers into account when planning interventions for them.
  • As female caregivers’ QoL is influenced by their feeling of social isolation, they would need time for leisure activities, while male caregivers would need assistance to deal with care receivers’ over involved attitude towards them. This may be achieved by organizing activities for the care recipient according to their needs – at home or in daycare centers.
  • After one year, their QoL decreased, more for male than female caregivers, while their level of depressive feelings, distress and perception of care receivers emotional over involvement remained unchanged. Actions for how to prevent depression or deal with depressive feelings in the caregivers might reduce the risk of decreased QoL. Information early in the course of dementia about the long-term negative consequences of caring might motivate caregivers to accept arrangements that enable them to continue a more independent life.

Enhancing communication between nursing staff and people with dementia, their informal carers and other involved professionals: development of tools
 Presenter: Dr. Henriëtte van der Roest
Learning Objectives:

  • Increase awareness about the importance of good communication between people with dementia, their informal carers and nursing staff, to provide person centered care for people with dementia.
  • Inform participants about the results of a Dutch study aimed at developing tools to support nursing staff to enhance communication with people with dementia, and share the most important components of these tools.
  • Inspire and inform participants about the used multicomponent approach to develop a practical guide and tools together with and for health care professionals.

A step forward understanding the burden on caregivers of older patients with Parkinson Disease – an ICF-based approach
 Presenter: Miss Marlene C. Neves Rosa
Learning Objectives:

  • To describe the main concerns in caregivers of patients with Parkinson Disease
  • To characterize the main symptoms of Parkinson Disease that influence burden perception in caregivers
  • To describe the most important ICF domains reported by caregivers of people with Parkinson Disease.

 TOPIC: DEMENTIA/ ALZHEIMER'S DISEASE 

Effects of transcranial direct current stimulation (tDCS) on cognitive function in Alzheimer’s dementia
 Presenter: Dr. Carol Sheei-Meei Wang
Learning Objectives:

  • The neuropathology of Alzheimer's disease and the disruption of the balance between long-term potentiation (LTP) and long-term depression (LTD) of neuronal cells and synaptic plasticity.
  • The association of tDCS and LTP and LTD
  • The effect of tDCS on Alzheimer's dementia

Level of engagement during an innovative therapy program in people with dementia – implementing Serious Traditional Multidimensional Games
 Presenter: Miss Marlene C. Neves Rosa
Learning Objectives:

  • To describe the index of success during implementation of traditional games in people with dementia
  • To critique and discuss the importance of meaning rehabilitation activities for people with dementia
  • To discuss engagement in a recreative therapy, according to disease severity.

Informal support for people with Alzheimer's disease and related dementia in rural Uganda: a qualitative study
 Presenter: Ms. Pia N. Nankinga


 TOPIC: DEMENTIA WITH LEWY BODIES 

Prevalence and clinical associations of tau in Lewy body dementias: a systematic review and meta-analysis
 Presenter: Dr. Kai Sin Chin
Learning Objectives:

  • Tau is a common co-pathology in Lewy body dementias.
  • The presence of tau pathology may affect clinical phenotype and diagnostic accuracy in people with Lewy body dementias.
  • Prospective longitudinal studies are required to understand cerebral multimorbidity in people with dementia.

Lewy Body Study: An Australian longitudinal biomarker study of dementia with Lewy bodies
 Presenter: Dr. Kai Sin Chin
Learning Objectives:

  • This is the first Australian longitudinal biomarker study in dementia with Lewy bodies (DLB).
  • There is significant overlap of AD-related proteinopathies in people with DLB.
  • Understanding the impact of multi-morbidity is essential in the development of effective treatment strategies.

 TOPIC: DEMENTIA/ MILD COGNITIVE IMPAIRMENT  

Behavioural markers of mild cognitive impairment: diagnostic value of eye-tracking study
 Presenter: Dr. Negin Chehrehnegar
Learning Objectives:

  • To clarify specific cognitive operators that are impaired in relation to executive function using saccadic eye movements and  compare them  with standardized neuropsychological tests in detecting preclinical AD.

Does one size fit all? Evaluating individual temporal associations between affect and cognitive function in older adults using a single-subject design
 Presenter: Ms. Alieke Tieks
Learning Objectives:

  • Being able to identify several theories about co-occurring depressive symptoms and cognitive impairments.
  • Get insight into the added value of using single-subject designs when addressing the co-occurrence of depressive symptoms and cognitive impairments.
  • Being able to describe how results from single-subject studies could be used in clinical practice.

 TOPIC: DEMENTIA/ YOUNG ONSET 

Present-mindedness in adaptation to living with young onset dementia
 Presenter: Prof. Jan R. Oyebode
 Learning Objectives:

  • To have greater theoretical understanding of the nature of emotional challenges posed by a diagnosis of young onset dementia
  • To gain awareness of how some with young onset dementia are able to adapt positively by making the most of the present, preserving a sense of self and living alongside their dementia
  • To know about the potential for fostering positive adaptation, through adoption of approaches that focus on developing acceptance, self-compassion and present-mindedness
     

The course and predictors of quality of life in nursing home residents with young-onset dementia
 Presenter: Ms. Lihui Pu
 Learning Objectives:

  • To understand the course of quality of life in nursing home residents living with young-onset dementia
  • To learn the predictors of the quality of life in nursing home residents living with young-onset dementia
  • To explore interventions to improve the quality of life in nursing home residents living with young-onset dementia
     

 TOPIC: DEMENTIA/ OTHER 

Association between quality of life and anxiety, depression, and comorbid anxiety and depression in people with dementia in nursing homes: A 12-month follow-up study 
 Presenter: Mrs. Alka Rani Goyal
Learning Objectives:

  • Anxiety and depression are highly prevalent among nursing home residents with dementia with many negative impacts such as increased behavioral problems and reduced quality of life.
  • It is difficult to identify anxiety and depression among people with dementia because the symptoms may overlap with dementia and other physical ailments in elderly people.
  • It is important among nursing home personnel to increase awareness of and skills in identifying anxiety and depression using validated dementia-specific anxiety and depression tools, ensuring adequate management of anxiety and depression to enhance quality of life of nursing home residents with dementia.

Barriers to deprescribing in older adults with dementia 
 Presenter: Gonçalo Santos
 Learning Objectives:

  • What is meant by desprecribing in people with dementia;
  • To present the risks and benefits of desprecribing medications in this population;
  • To discuss the potential barriers to deprescribing of medications in older adults with dementia.

Challenges in the diagnosis and treatment of dementia in schizophrenic patients: on the behalf of a clinical case
 Presenter: Dr. Carolina Ribeiro Machado
 Learning Objectives:

  • To point the clinical evolution from symptoms of schizophrenia to dementia    
  • To discuss the challenges in the diagnosis and management of dementia in schizophrenic patients    
  • To review the literature concerning schizophrenia and risk of dementia

Heterogeneity in dynamic change of cognitive function among Chinese elderly: A growth mixture model
 Presenter: Weihong Kuang

I’d prefer to stay at home but I don’t have a choice’:  Irish social workers’ experiences of decision-making in care planning with older people with dementia
 Presenter: Mr. John P. Brennan
 Learning Objectives:

  • Appreciate the need to hear the voice of the older person with dementia
  • Integrate the preferences of older people with dementia in decision making
  • Appraise the importance of social justice for older people

Relationship quality in dementia: Preliminary analyses of the EU-JPND Actifcare cohort longitudinal data
 Presenter: Ms. Maria J. Marques
Learning Objectives:

  • Explore the course of relationship quality in community-dwelling people with dementia and their family carers
  • Uncover the influencing factors of relationship quality, which may help to tailor interventions and potentially improve dementia outcomes
  • Highlight key learnings from this European multi-method study for future research involving people with dementia and their carers

Twelve-month progress of online intervention to prevent cognitive decline: Maintain Your Brain trial
 Presenter: Prof. Henry Brodaty
Learning Objectives:

  • To learn about possible approaches to preventing cognitive decline with ageing
  • To learn about a new internet based preventative intervention
  • To understand the challenges in delivering population level internet based interventions

 TOPIC: DEPRESSION 

Depression as a disorder of accelerated ageing
 Presenter: Prof. Richard Christiaan Oude Voshaar
Learning Objectives:

  • Frailty is a clinical phenotype of biological ageing
  • Depression is associated with accelerated biological ageing
  • Geriatric psychiatrists should consider to apply evidence-based frailty interventions for depressed patients.

A psychological needs-based intervention to reduce depression in newly admitted nursing home residents
 Presenter: Dr. Tanya E. Davison
Learning Objectives:

  • Describe the prevalence of depression in nursing home residents.
  • Consider why newly relocated residents may be at risk of depression.
  • Understand the potential benefits of a needs-based approach to prevent depression.

Depression and anxiety among older people in Central Africa:  results of the EPIDEMCA population-based study
 Presenter: Dr. Maëlenn M. Guerchet
 Learning Objectives:

  • Describe the distribution of depressive and anxiety symptoms among older people in Central Africa
  • Identify the characteristics of depressive and anxiety symptoms within this population
  • Discuss the specificity of depression and anxiety diagnosis in this low resource setting

Global cognition modified the relationship between anemia and depression in old age: longitudinal analysis from The IMIAS Study
 Presenter: Dr. Tamer Ahmed
Learning Objectives:

  • The association between anemia and depression in old age
  • Whether global cognition modifies the longitudinal relationship between anemia and depression in old age.
  • Whether sex modifies the association between anemia and depression in old age.

Electroconvulsive therapy in older adults with major depression was not associated with cognitive decline during a 15-year follow-up
 Presenter: Dr. Simona F. Sacuiu
Learning Objectives:

  • Increase the knowledge on electroconvulsive therapy as therapeutic option for patients with major depressive disorder.
  • Evaluate research on long-term cognitive effects of electroconvulsive therapy.
  • Analyze results from a recent original study with 15-year follow-up of the cognitive effects of electroconvulsive therapy applied 2001-2004 in 70 year-olds and older with affective disorders.

 TOPIC: DIAGNOSTIC METHODS  

The advantages of a double threshold MoCA (Montreal Cognitive Assessment) for triaging patients to a memory clinic
 Presenter: Dr. Géraud Dautzenberg
 Learning Objectives:

  •  Screening, triaging or identifying patients with Mild Dementia using the MoCA; What can and cannot be done by the MoCA?
  •  The dilemma of a subthreshold state e.g. MCI (with the MoCA)
  •  The advantage of using the MoCA with a double threshold.

Diagnostic complexities of the differential diagnosis between biomedical frailty and depression
 Presenter: Richard Christiaan Oude Voshaar
Learning Objectives:

  • To gain better understanding of the differential diagnosis of residual depressive symptoms
  • To gain knowledge on data-driven subtypes of late-life depression and their clinical relevance.
  • To better understand the importance of assessing physical frailty and cognitive performance in late-life depression

 TOPIC: PSYCHOSOCIAL INTERVENTIONS  

Exploring the feasibility and acceptability of a Comprehensive Resilience-building psychosocial intervention (CREST) for people with dementia in the community: a non-randomised feasibility study
 Presenter: Mrs. Priscilla Doyle
 Learning Objectives:

  • Use key learnings from this feasibility study for future research involving people with dementia and their carers.
  • Appreciate the difficulties of recruiting people with dementia and their carers to research.
  • Learn about strategies to enhance recruitment of people with dementia and their carers to research.

The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention: goal attainment scaling
 Presenter: Dr. Helen J. Chester
Learning Objectives:

  • Describe the use of goal attainment scaling in the context of a psychosocial intervention for people with early-stage dementia
  • Identify the possible benefits and challenges of using goal attainment scaling in studies in early-stage dementia
  • Understand the potential of using goal attainment scaling to both deliver and measure efficacy of a personalised intervention

Best practice guidance on human interaction with technology in dementia – recommendations from the INDUCT network
 Presenter: Prof. Rose-Marie Dröes
 Learning Objectives:

  • To get informed about the existence and content of the free accessible web-based Best Practice Guidance on Human Interaction with Technology in Dementia that resulted from the European INDUCT Innovative Training Network
  • To learn about practical, cognitive and social factors that can make technology more useable for people with dementia
  • To get informed on effective innovative technology interventions as well as on recommended evaluation and implementation methods

 TOPIC: SERVICE DELIVERY  

Study protocol for a feasibility RCT of Club Connect, a healthy brain ageing cognitive training program for older adults with depression
 Presenter: Prof. Sharon Naismith
Learning Objectives:

  • Understand the evidence for cognitive training in major depression
  • Understand the utility of feasibility trials
  • Understand the steps required for successful implementation of research into practice

7 Critical Factors for safely supporting dementia patients in mental health crisis in community
 Presenter: Dr. Sabarigirivasan Muthukrishnan
Learning Objectives:

  • How to set up a crisis team for older adults with dementia
  • 7 critical factors for safely supporting dementia patients in community
  • Economic evaluation of the services.

 TOPIC: SUBSTANCE ABUSE  

Canadian Guidelines on Substance Use Disorders in Older Adults: Part 1. Opioid and Benzodiazepine Use Disorders in Older Adults
 Presenter: Dr. Kiran Rabheru
Learning Objectives:

  • Review some of the key recommendations from the recently released CCSMH Guidelines for benzodiazepine and opioid use disorders among older adults in Canada.
  • Understand approaches for preventing, assessing, and treating substance use disorders
  • Contribute ideas regarding the implementation of the Guidelines and to provide input into knowledge translation tools.

Canadian Guidelines on Substance Use Disorders in Older Adults: Part 2: Alcohol & Cannabis Use Disorders in Older Adults
 Presenter: Dr. David Conn
Learning Objectives:

  • Review some of the key recommendations from the recently released CCSMH Guidelines for alcohol and cannabis use disorders among older adults in Canada.
  • Understand approaches for preventing, assessing, and treating substance use disorders
  • Contribute ideas regarding the implementation of the Guidelines and to provide input into knowledge translation tools.

 TOPIC: SUICIDE  

The Correlation between White Matter Hyperintensity and Executive Function in Suicide Attempters with Late-life Depression
 Presenter: Dr. Chemin Lin
Learning Objectives:

  • The feasibility of using MRI as a biomarker for suicide attempters
  • Classification of white matter hyperintensities in the brain
  • Possible neural mechanism underlying the cognitive decline in suicide attempters with late-life depression 

 TOPIC: THERAPY/ COGNITIVE  

Cognitive-behavioral therapy for caregiving relatives of people with dementia: three-year follow-up of a randomized controlled trial
 Presenter: Ms. Mareike C. Sittler
Learning Objectives:

  • Evaluate long-term effects of interventions for caregiving relatives of people with dementia.
  • Discuss the importance of long-term effects (> 6 months) in evaluating interventions for caregiving relatives of people with dementia.
  • Describe longitudinal patterns of health and caregiving-related outcomes among caregiving relatives of people with dementia after a telephone-based CBT intervention in consideration of different caregiving transitions.

 TOPIC: THERAPY/ FAMILY OR GROUP  

Support group for depressed elderly in the outpatient - challenges in the Asian context
 Presenter: Dr. Lay Ling Tan
 Learning Objectives:

  • To understand the challenges of therapeutic group work for depressed elderly in the outpatients (Asian setting)
  • To appreciate the common themes shared by group members
  • To understand the group dynamics as observed by the facilitators

 TOPIC: TREATMENT/ NON-PHARMACOLOGICAL  

Success rate of various countermeasures against behavioral psychological symptoms of dementia based on the accumulation of real-world experience
 Presenter: Prof. Hiroaki Kazui
Learning Objectives:

  • The success rates of managing methods for behavioral and psychological symptoms of dementia (BPSD) could be calculated based on caregiver real-world experiences collected using the internet.  
  • The care experiences of dementia with Lewy bodies and frontotemporal lobar degeneration were frequently submitted, suggesting managing BPSD are frequently required for these two diseases.
  • Overall success rates were different among causal diseases and BPSD categories. In Alzheimer’s disease, BPSD that caregivers need to manage changes with the progress of the disease.

 TOPIC: OTHER 

Behcet disease presenting with acute psychosis
 Presenter: Dr. Ana Mafalda Lavrador de Jesus Carvalheiro
Learning Objectives:

  •  The participant will be able to describe the variable clinical presentations of Behçet disease;
  • The participant will be able to distinguish the causes, risk factors, complications, diagnosis and treatment of Behçet disease;
  • There will be an increase level of awareness among the participants about the diagnosis of Behcet’s Disease in order to reduce morbidity.

To explore the prevalence of cognitive fraitly in a sample of Portuguese people living in the community, over 60 years of age;

  • Share the relationship of this cognitive fraitly with socio-demographic variables and levels of education;
  • To present indicators collected from cognitive fraitly, associated with pre-existing diseases, tranlated by Charlson's comorbidity index.

Prevalence of cognitive frailty in a sample of Portuguese community-dwelling elderly people
 Presenter: Prof. Pedro Miguel Gaspar
Learning Objectives:

  • To explore the prevalence of cognitive fraitly in a sample of Portuguese people living in the community, over 60 years of age;
  • Share the relationship of this cognitive fraitly with socio-demographic variables and levels of education;
  • To present indicators collected from cognitive fraitly, associated with pre-existing diseases, tranlated by Charlson's comorbidity index.

Pseudodementia, pseudo-pseudodementia and pseudodepression
 Presenter: Prof. Henry Brodaty
Learning Objectives:

  • To appreciate the tragedy of misdiagnosing a treatable psychiatric condition as an irreversible dementia.
  • To understand how pseudodementia may present and how to differentiate it from underlying dementia
  • To differentiate depression from apathy

Risk factors for moderate cognitive impairment and dementia in the Kazakh and Kyrgyz populations (preliminary results)
 Presenter: Prof. Saule T. Turuspekova
Learning Objectives:

  • To study the prevalence of cognitive impairment among people over 60 years old in the Kazakh and Kyrgyz populations
  • Clarify the main risk factors for the occurrence of cognitive impairment among people over 60 years old in the Kazakh and Kyrgyz population
  • Find associations with significant risk factors causing cognitive impairment in people 60 and older in the Kazakh and Kyrgyz populations

A psychological profile of near-centenarians and centenarians with and without dementia from the Sydney Centenarian Study
 Presenter: Mr. Adrian Cheng
 Learning Objectives:

  • Understand the unique psychological profile of near-centenarians (95-99) and centenarians (100+) with and without dementia.
  • Highlight the different levels of psychological distress and life satisfaction in near-centenarians and centenarians compared to younger age groups.
  • Uncover the factors associated with psychological distress and life satisfaction, which may become targets for interventions to maintain good psychological health

Visual hallucinations secondary to ropinirole: case report
 Presenter: Dr. Ana Mafalda Lavrador de Jesus Carvalheiro
 Learning Objectives:

  • The participant will be able to describe the relationship between visual hallucinations and treatment with ropinirole;
  • The participant will be able to distinguish hallucinations of pseudohallucinations;
  • There will be an increase level of awareness among the participants about the importance of excluding organic causes in the diagnosis of visual hallucinations.

Acknowledgements

Acadia Pharmaceuticals Otsuka Pharmaceuticals Cambridge University Press Avanir Pharmaceuticals
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