| 1. |
- Passant, U, et al.
(författare)
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Orthostatic hypotension and low blood pressure in organic dementia : a study of prevalence and related clinical characteristics.
- 1997
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Ingår i: International Journal of Geriatric Psychiatry. - 0885-6230 .- 1099-1166. ; 12:3, s. 395-403
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine the prevalence of orthostatic hypotension (OH), low blood pressure and dizziness, falls and fractures in patients with organic dementia.DESIGN: We prospectively studied 151 patients, assessing the prevalence of OH, hypertension, heart disorders, diabetes mellitus and the use of medication possibly associated with OH.SETTING: The patients were admitted to our psychogeriatric clinic as part of routine clinical investigation of their dementia.PATIENTS: Forty-six patients with Alzheimer's disease (AD), 28 patients with frontotemporal dementia (FTD) and 77 patients with vascular dementia (VaD) were investigated.MAIN OUTCOME MEASURE: Due to the paucity of information about the prevalence of OH in organic dementia, this study is mainly explorative in nature, thus preventing explicit hypothesis formulation. However, clinical impressions indicated a higher prevalence of OH in organic dementia than normally seen in healthy elderly.RESULTS: OH/low blood pressure was present in 39-52% of the patients. The majority reached their maximum systolic decrease within 5 minutes of standing, but in 20-30% the maximum blood pressure drop occurred after 5 minutes or later. In 38%, the systolic blood pressure drop was more than 40 mm Hg. Hypertension and heart disease was found only in AD and VaD, with no difference between those with and without OH/low blood pressure. Falls and fractures were common in orthostatic and hypotensive patients, with an incidence of more than 50% in AD and VaD.CONCLUSIONS: The results support our clinical impressions that OH and low blood pressure is common and an important factor in organic dementia.
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| 2. |
- Rahm Hallberg, Ingalill, et al.
(författare)
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Nurses´ experiences of strain and their reactions in the care of severely demented patients.
- 1995
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Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 1099-1166 .- 0885-6230. ; 10:9, s. 757-766
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Tidskriftsartikel (refereegranskat)abstract
- All nurses (N = 132) on the wards specializing in the care of the demented within a municipality were given two scales to assess their view of common patient actions and how easy they thought those actions were to deal with in the care situation, and to assess their emotional reactions during the provision of care. Also the Maslach burnout Inventory (MBI) and the Work Related Strain Inventory (WRSI) were used to test concurrent validity. Based on principal component analysis, the nurses' view of patient actions resulted in being agitated, unruly, living empty lives, being peaceful, dependent, non-responsive and cooperative, and the nurses' view of difficulties in dealing with patient actions revealed ability to manage deprivation, agitation, desertedness, wilfulness, peacefulness and cooperation. A three-factor solution was chosen for the emotional reactions: feelings of devotion - rejection, association - dissociation and usefulness - uselessness. Agitated and dependent patient actions were found to be most common while agitation and desertedness were regarded as most difficult. Patient seen as agitated and living empty lives related to the provision of care being difficult while dependence related to care as being easy to provide. Thus the findings gave further support to the belief that viewing the patient's life as meaningful as well as being able to develop a cooperative nurse-patient relationship is crucial for nurses' experience of strain. Thus support should be directed towards achieving this kind of relationship.
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| 4. |
- Passant, Ulla, et al.
(författare)
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Orthostatic hypotension and low blood pressure in organic dementia: a study of prevalence and related clinical characteristics
- 1998
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Ingår i: International Journal of Geriatric Psychiatry. - 1099-1166. ; 12:3, s. 395-403
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine the prevalence of orthostatic hypotension (OH), low blood pressure and dizziness, falls and fractures in patients with organic dementia. DESIGN: We prospectively studied 151 patients, assessing the prevalence of OH, hypertension, heart disorders, diabetes mellitus and the use of medication possibly associated with OH. SETTING: The patients were admitted to our psychogeriatric clinic as part of routine clinical investigation of their dementia. PATIENTS: Forty-six patients with Alzheimer's disease (AD), 28 patients with frontotemporal dementia (FTD) and 77 patients with vascular dementia (VaD) were investigated. MAIN OUTCOME MEASURE: Due to the paucity of information about the prevalence of OH in organic dementia, this study is mainly explorative in nature, thus preventing explicit hypothesis formulation. However, clinical impressions indicated a higher prevalence of OH in organic dementia than normally seen in healthy elderly. RESULTS: OH/low blood pressure was present in 39-52% of the patients. The majority reached their maximum systolic decrease within 5 minutes of standing, but in 20-30% the maximum blood pressure drop occurred after 5 minutes or later. In 38%, the systolic blood pressure drop was more than 40 mm Hg. Hypertension and heart disease was found only in AD and VaD, with no difference between those with and without OH/low blood pressure. Falls and fractures were common in orthostatic and hypotensive patients, with an incidence of more than 50% in AD and VaD. CONCLUSIONS: The results support our clinical impressions that OH and low blood pressure is common and an important factor in organic dementia.
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