Neuropsychological Performance and Engagement in Estate Planning and Advance Care Planning Preparation of Patients With Neurocognitive Disorders and Healthy Older Adults: Is the Situation Alarming or Reassuring in Greece?

Giannouli, Vaitsa; Tsolaki, Magda

doi:10.1177/23337214221119053

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Regardless of the presence or absence of dementia, the elderly have difficulty implementing ACP. 22 Furthermore, Japanese elderly people do not express their true intentions due to their cultural background. Therefore, in cooperation with family members and facility care teams, we implemented the 15-step ACP program as listed in Table 1 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between implementation of systematic advance care planning and the quality of death among nursing home residents: a survey

Toyoda,

Tokumasu,

Minato

et al. 2024

Palliat�Care

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Background: Advance care planning (ACP) is beneficial for the quality of death (QOD). However, the effects of ACP on the QOD may vary across cultures. Objectives: This study aimed to explore the relationship between the 15-step ACP program and the QOD among Japanese nursing home residents. Design: A cross-sectional survey. Methods: A cross-sectional survey was conducted among the family members of 39 nursing home residents who died between April 2017 and March 2019 by distributing the survey questionnaire by post. The survey included questions about the QOD of residents, and responses were evaluated using the Good Death Inventory (GDI) scale. Results: Responses were obtained from 30 of the 39 bereaved families (76.9%). Data were analyzed using hierarchical clustering to determine five groups and conduct multiple comparisons. The following three domains of interest were identified: ‘Dying in a favorite place’, ‘Good relationship with the medical staff’, and ‘Independence’. GDI scores were significantly higher for residents with higher ACP completion rates than for those with lower rates ( p < 0.01). Residents who had taken ACP interviews had significantly higher GDI scores ( p < 0.01) than those who had not taken interviews. Conclusion: Overall, these findings suggest that systematic ACP might be related to the QOD among Japanese nursing home residents in the above mentioned three domains. Limitations of the present study were small sample size, cross-sectional survey design as opposed to a cohort survey design, and multiple biases, including the emotional instability of bereaved family members, the length of stay of the residents, the degree of dementia of the residents, and their tendency to talk about the place of death and to develop good relationships with the medical staff.

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Section: Introductionmentioning

confidence: 99%

Relationship between implementation of systematic advance care planning and the quality of death among nursing home residents: a survey

Toyoda,

Tokumasu,

Minato

et al. 2024

Palliat�Care

View full text Add to dashboard Cite

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Can Changes in Financial Performance Be Used in the Diagnosis of Neurocognitive Disorders? A Systematic Review of Findings from Greece

Giannouli

2024

Brain Sciences

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Background/Objectives: Elder abuse, and more specifically financial exploitation, is expected to be a major problem in modern societies as the worldwide population is getting older. Neuropsychological protocols regarding financial capacity assessment are the only available window allowing us to view the cognitive–emotional–behavioral strengths/deficits and vulnerabilities of individuals. Given the paucity of relevant research in Greece in the most vulnerable individuals such as older adults suffering from neurocognitive disorders (NCDs), this systematic review attempts to investigate whether NCDs impair financial capacity and to highlight the most important factors that can predict financial incapacity in Greek older patients and the likelihood of financial abuse. Methods: A systematic search was conducted in Embase, PsycINFO, and PubMed. Results: The search identified n = 21 relevant research articles. The synthesis of available evidence supports that financial incapacity is clearly demonstrated in the group of Greek older adults suffering from NCDs of different severity and etiology; thus, such changes can assist diagnosis, treatment, and care of these individuals, but the implications for elder abuse in the Greek cultural context have not been examined in detail so far. Conclusions: Given the unique source of information that neuropsychological assessments represent by revealing the importance of factors such as arithmetic cognition and relevant brain volume changes in the left angular gyrus, depressive mood, apathy, frailty, vascular risk factors, and financial illiteracy, forensic neuropsychology can play a vital role in protecting older individuals from financial abuse.

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Beneath the Top of the Iceberg: Financial Capacity Deficits in Mixed Dementia with and without Depression

Giannouli

Tsolaki

2023

Healthcare

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Nowadays, controversy exists regarding the influence of comorbid depression on cognition in old age. Additionally, we still know little about the influence of depression in mixed dementia (MD), that is, in cases where there is the co-existence of Alzheimer’s disease and vascular dementia (VaD). Given that the assessment of financial capacity is pivotal for independent living as well as in the prevention of financial exploitation and abuse in old age, in this pilot study, we aimed to examine whether comorbid depression in MD patients can influence financial capacity performance. A total of 115 participants were recruited. They were divided into four groups: MD patients with and without depressive symptoms and healthy elderly without depression as well as older adults suffering from depression. Participants were examined with a number of neuropsychological tests, including the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15), and Legal Capacity for Property Law Transactions Assessment Scale (LCPLTAS). The results of this study suggested that financial capacity as measured with LCPLTAS in MD patients was severely impaired when depression co-existed compared to patients suffering only from depression and healthy controls. Deficits in financial capacity in MD and comorbid depression should be a point on which healthcare professionals should focus during neuropsychological assessment in order to prevent financial exploitation.

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Neuropsychological Performance and Engagement in Estate Planning and Advance Care Planning Preparation of Patients With Neurocognitive Disorders and Healthy Older Adults: Is the Situation Alarming or Reassuring in Greece?

Cited by 4 publications

References 12 publications

Relationship between implementation of systematic advance care planning and the quality of death among nursing home residents: a survey

Relationship between implementation of systematic advance care planning and the quality of death among nursing home residents: a survey

Can Changes in Financial Performance Be Used in the Diagnosis of Neurocognitive Disorders? A Systematic Review of Findings from Greece

Beneath the Top of the Iceberg: Financial Capacity Deficits in Mixed Dementia with and without Depression

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