Promoting psychological wellbeing for people with dementia and their carers
NHS Education for Scotland

The enhanced psychological resource covers Health and Wellbeing throughout:

• Section 1 - Understanding the link between our physical health and psychological characteristics, changes we should expect as we age, and the importance of knowing the symptoms, causes and treatment of delirium and depression
• Section 2 - Introduction to distressed behaviour, and how health influences presentation and capabilities of people with dementia (with link to Abbey Pain Scale and the Pain Assessment in Advanced Dementia (PAINAD) scale)
• Section 3 - Diagnostic assessment and benefits of early diagnosis and deeper insight into different types of dementia
• Section 5 - Become familiar with evidence-based psychological interventions that can have a positive impact on wellbeing
• Section 6 - Formulation-led approaches to distressed behaviour; learning about exclusion of medical/physical factors in determining the cause of distress, for example infections, pain, and the impact of diet.

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NHS Acute Care resource
NHS Education for Scotland

This learning resource has been developed for staff working in acute general hospital settings.

• Section 2 - Introduction to screening tools, and clinical features and risk factors of delirium and depression. Make sure to read the information on page 19 about identifying those at risk of developing delirium and information about the short Confusion Assessment Method (CAM) as a screening tool for delirium
• Section 4 - Identifying causes of distress, which could include pain, physical illness and any other factor relating to health and wellbeing

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The SCIE Dementia Gateway
Social Care Institute for Excellence (SCIE)

Hosts several different topics which are relevant to health and social care professionals who are supporting a person living with dementia to reach their best possible level of health and wellbeing. For example:

• Eating well for people with dementia
• Keeping active and occupied
• End of life care for people with dementia

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Make Every Moment Count
Care Inspectorate

The Care Inspectorate have worked with a team of experts to develop the Make Every Moment Count resource, an information leaflet which contains easy to read and simple guidance for everyone supporting older people in a care home or at home.

The resource highlights how making the most of every moment can make a real difference to a person's quality of life in simple but very meaningful ways. By providing key messages on how to better understand an individual's needs, values and lifestyle, the guide will help people working in care services to deliver an enhanced experience for Scotland's older people.

You can also visit the Care Inspectorate's publications library on healthcare guidance. Find information on various health and wellbeing topics and the Rehabilitation Newsletters.

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Management of suspected bacterial urinary tract infection in adults
Scottish Intercollegiate Guidelines Network, Guideline 88, updated July 2012

Produced by the Scottish Intercollegiate Guidelines Network (SIGN)

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Management of patients with dementia: A national clinical guideline
Scottish Intercollegiate Guidelines Network, Guideline 86, 2006)

Produced by the Scottish Intercollegiate Guidelines Network (SIGN), including advice about pharmacological and non-pharmacological interventions and information for discussion with patients and carers.

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Think Delirium: Improving the care for older people
Healthcare Improvement Scotland, Scottish Delirium Association, NHS Education for Scotland, May 2014

A delirium toolkit primarily for use in acute general hospital settings, developed by Healthcare Improvement Scotland in partnership with the Scottish Delirium Association and NHS Education for Scotland.

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Delirium: Diagnosis, prevention and management
National Institute for Health and Clinical Excellence, 2010

A guideline developed by the National Institute for Health and Clinical Excellence. The advice in this guideline covers the care of adults (18 and over) with, or at risk of, delirium in hospital and in long-term residential care or a nursing home.

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Delirium: Evidence Update
NHS Evidence, April 2012

Published by NHS Evidence to highlight a selection of new evidence relevant to the 2010 NICE clinical guideline; 'Delirium: diagnosis, prevention and management'.

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Polypharmacy Guidance
Scottish Government, 2012

Published by the Scottish Government, this is the first iteration of a national approach to address the issues resulting from the use of multiple medicines in the frail and elderly population. The aim is to improve therapeutic care by reducing the risk of adverse drug reactions associated with polypharmacy.

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Alzheimer Scotland

Visit the Alzheimer Scotland website and view their list of information sheets.

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Actively Engaged
NHS Ayrshire and Arran's Allied Health Professionals

Visit this pilot website developed by NHS Ayrshire and Arran's Allied Health Professionals (AHP) in partnership with care providers from local authorities and the independent sector. The project is funded by the Scottish Government, and the project outcomes will be shared nationally. The site brings together evidence-based practice, tools and techniques. The website offers a single point of access for anyone supporting an older person in any care setting. This can be in a hospital, in a day care setting in the community, in a care home or in the person's own home.

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Supporting those with dementia: Reminiscence therapy and life story work
Institute for Research and Innovation in Social Services, Insights no.4

This insight highlights the various alternatives to drug treatments that are available to those with dementia. One of the key points in this insight is that 'Reminiscence therapy and life story work can improve the mood, cognitive ability and well-being of those with mild to moderate dementia.'