Mindfulness-based cognitive therapy for depression in people with dementia: A qualitative study on participant, carer and facilitator experiences

Background: Depression in dementia is common and associated with negative health outcomes. Mindfulness-based cognitive therapy is a recommended treatment of choice for recurrent depression, but its use for depression in dementia is yet to be assessed. / Objective: This study aimed to investigate the experiences of people with depression and dementia who participated in the mindfulness-based cognitive therapy intervention and those of their carers and facilitators. / Methods: This qualitative study was nested within a randomised controlled feasibility study. Semi-structured interviews were conducted with 18 people (eight people with dementia and depression, six carers and four course facilitators). Thematic analysis was used to analyse the data. / Findings: Several beneficial effects of mindfulness-based cognitive therapy were described. These were a sense of shared suffering among the group, greater present moment focus and awareness, various positive emotional changes, including greater self-compassion, and benefits for carers, such as the reduction of anxiety. Specific aspects of the programme were identified as particularly useful, including facilitator characteristics and certain mindfulness practices. Carer involvement, cognitive difficulties and barriers to home practice influenced engagement with the course. Facilitators described adaptations made to mindfulness-based cognitive therapy and suggested additional modifications for future groups. / Conclusion: Results of this process evaluation suggest that mindfulness-based cognitive therapy is a potentially useful intervention for people with depression in dementia, but that further adaptation of the intervention is required to make the programme suitable for this clinical population

COVID, communication and care homes:A staffs’ perspective of supporting the emotional needs of families

An important part of care home life is the support given to older residents by their families/friends through regular visiting. Social visits to residents by their families ceased in response to the COVID-19 pandemic and residents were confined to their rooms. This paper reports on how care home staff improvised to address this situation during the first wave of the pandemic. It focuses on steps taken to maintain communication between residents and families to support emotional well-being. We undertook in-depth café-style interviews with twenty-one staff to explore creative practices that they introduced. It was part of a wider Scottish study examining the effect of lockdown on families whose relative was living/dying in a care home (May–October, 2020). Findings reveal the enormous effort by care staff to maintain family connections and the rapid acclimatisation involved working with a number of different on-line platforms, the pulling together of staff from across the care home, and, the attention to emotional well-being of residents living and dying in the care home. Findings highlight the professionalism and commitment of the leadership and staff involved. Whilst some of the staff accounts need no further comment, we draw on some themes from the care home research literature to make sense of the findings in terms of what we might learn going forward. This in-depth qualitative study emphasises the importance of recognising, fostering and nurturing relational compassionate care within long-term care. There is however little evidence whether health and social care policies recognise the importance of this on-going relationship

The Grizzly, November 16, 2000

Presidential Election Still up in Air • NOVA rep Speaks out on Date Rape Prevention • Operation Christmas Child gets UC Into Holiday Spirit • National Survey Gives Ursinus High Marks • Wismer Committee Allows for Student Input on Dining • $15 Million Given to aid Arts Program • New Core Proposed for Year 2003 • Opinions: End E-mail Abuse; Waitlist Woes Strike Again with Spring Class Sign-ups; UC Greeks Give Back Through Volunteering; 2000 Election Sign of American Democracy\u27s Decline; D.C.\u27s Holocaust Museum a Memorable, Haunting Experience; Fire Marshal Responds to False Alarms; UC Dem\u27s Propaganda a Hypocritical Waste • Collegeville Squares Full of Prizes, fun • Gospel Choir Hits Right Note with Performance • Joyce on Philly: Weekend Trip one to Remember • Bears Bedevil Dickinson • Bears\u27 Swimming Squads Confident After Home Opener • E. Coli Outbreak Infects 34 at Local Farm • New Track Coach Hopes to Bring Team Together • Schepers Leads Gymnastics Team to new Heights • Men\u27s Basketball sets Sights on Successful Season • Wrestlers Improve at King\u27s; Will Host UC Challenge • All-Patriot League Team • Women\u27s Basketball Looks to Improve • XC Men Finish Season at Mid-east Regionalshttps://digitalcommons.ursinus.edu/grizzlynews/1479/thumbnail.jp

The Grizzly, October 26, 2000

Alleged Sexual Assault Still Under Investigation • Quarter-Million Dollar Check to Aid the Arts • Unwelcome Party-Crashers Cause a Ruckus, Involve Police • Alum Melrose Honored for Foreign Humanitarian Service • Ursinus Students Unite for Collegeville Dam Clean-up • Campus Safety an Issue After Recent Events • Alcohol Awareness Week no Sobering Event • Quinn\u27s Irish Eyes Were Smiling During Study Abroad Trip • Take Back the Night Friday Oct. 27 • Opinions: Students Respond to Issues Surrounding Homecoming\u27s Alleged Sexual Assault; But, is it Timely?; UC in Need of Marching Band; Are Ursinus Students Safe? • Students Want Ursinus to Change Channels • Students to Vote for Favorite Work of Art in Nov. 2nd Pfahler Plaza Sculpture Contest • Volleyball Serves up Huge Win Over Fords • Women\u27s Golf Tees up for Spring Season • Gettysburg invite Prelude to Conference Champs This Week • Former UC Star Athlete Now an Assistant Volleyball Coach with Grit • Health Alert: West Nile Virus Makes it\u27s way to Montgomery County, Ursinus Campus • Relaxation is Key to Staying Sane at College • Study Shows 48% of UC Students Don\u27t Binge Drink • Underdog Men\u27s Soccer Unloads on G-Burg Bullets • Bears Bite Bullets; Steamroll Scots to Improve to 6-1 • Women\u27s Soccer Squad Kicks Into Gear as Season Winds Down • Hockey Ends Albany Win Streak • From Hockey to XC: UC\u27s Glah True Multi-sport Athletehttps://digitalcommons.ursinus.edu/grizzlynews/1476/thumbnail.jp

The Grizzly, November 2, 2000

Students Rally to End Sexual Assault, Violence • Homecoming Case Closed, all Charges Dropped • Scuffle at Duryea Still Being Investigated • UC House of Horrors: Children Enjoy Ghoulish Experience • Operation Christmas Child • Goldstein Appointed Hillel Director • Study Abroad in London, Florence Next Fall • Annual Halloween Decorating Contest Winners Announced • Opinions: Where\u27s the Rush? Shortening of Rushing Activities has Some Greeks Angry, Upset; Up in Smoke: Non-smokers Fed up with UC Students Lighting up; Gore Does More to Combat Hate Crimes; Are we too old for Halloween?; A Vote for Al Gore is a Vote for our Future; Don\u27t Waste Your Vote on Majority Party Candidates, Elect Nader Nov. 7; Amidst Campus Safety Concerns, are IDs the Answer?; Rewards of Mideast Outweigh Risks for one UC Student • Students Make MTV Debut on \u27Total Request Live\u27 • Gone with the Wind: Bears Drop Heartbreaker to Mules on Blustery Day • It\u27s Madness!: Hoops Squad Scores Big with Annual Slam-dunk, Kick-off Festivities • Volleyball Drops Season Finale to Conference Rival • Men\u27s Soccer Falls to Fords • Men\u27s Lacrosse Gears up for Spring Season • Breast Cancer: What College Students Need to Know • Annual Health Fair Acquires new Name, Attitude • Tips for Female Lifters to Make it big in the Weight Room • Bears Field Hockey Rocks Rider, Finishes Season with Patriot League Win • XC Takes on WMC Course at Conference Champshttps://digitalcommons.ursinus.edu/grizzlynews/1477/thumbnail.jp

US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis

Non-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause chronic pulmonary infection, particularly in individuals with preexisting inflammatory lung disease such as cystic fibrosis(CF). Pulmonary disease caused by NTM has emerged as a major threat to the health of individuals with CF but remains difficult to diagnose and problematic to treat. In response to this challenge, the US Cystic Fibrosis Foundation (CFF) and the European Cystic Fibrosis Society (ECFS) convened an expert panel of specialists to develop consensus recommendations for the screening, investigation, diagnosis and management of NTM pulmonary disease in individuals with CF. Nineteen experts were invited to participate in the recommendation development process. Population, Intervention, Comparison, Outcome (PICO) methodology and systematic literature reviews were employed to inform draft recommendations. An anonymous voting process was used by the committee to reach consensus. All committee members were asked to rate each statement on a scale of: 0, completely disagree, to 9, completely agree; with 80% or more of scores between 7 and 9 being considered ‘good’ agreement. Additionally, the committee solicited feedback from the CF communities in the USA and Europe and considered the feedback in the development of the final recommendation statements. Three rounds of voting were conducted to achieve 80% consensus for each recommendation statement. Through this process, we have generated a series of pragmatic, evidence-based recommendations for the screening, investigation, diagnosis and treatment of NTM infection in individuals with CF as an initial step in optimising management for this challenging condition