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14 results on '"Smaling, Hanneke J.A."'

10. Pain and neurocognitive disorders:current state of the art and remaining challenges

Author

Achterberg, Wilco P., de Waal, Margot W.M., Cheuk-A-lam-balrak, J. M.J.Juanita, Crutzen-Braaksma, Petra, van Dalen-Kok, Annelore, van Dam, Paulien, de Knegt, Nanda C., van Kooten, Janine, Lobbezoo, Frank, Smaling, Hanneke J.A., Sprenger, Gregory P., van der Steen, Jenny T., de Vries, Carolien N.J., Zwakhalen, Sandra M.G., Smalbrugge, Martin, Oosterman, Joukje M., Neurology, Elderly care medicine, APH - Aging & Later Life, APH - Quality of Care, Anesthesiology, Clinical Neuropsychology, and Oral Kinesiology

Subjects
Treatment, Cognitive impairment, SDG 3 - Good Health and Well-being, Pain, Dementia, Assessment
Abstract

The detection and treatment of pain is hampered by cognitive disorders. In this review we discuss the epidemiology of pain in cognitive disorders, and elaborate further on the current state of the art on pain in these populations. We will specifically highlight current gaps and recommendations for the future for the following knowledge domains: 1) Biology and neuropathology, 2) Assessment and evaluation, 3) Treatment and management, and 4) Contextual factors such as the organization and education. We identify the following knowledge gaps: 1) (Biology): Do pain experience and pain expressions change in different types of cognitive disorders, and how? 2) (Assessment): How to recognize, evaluate and assess pain, in case the self-report of pain is no longer reliable? 3) (Treatment): Which treatment possibilities are effective? How can we organize this in an interdisciplinary way? And how to monitor this? How can we ensure proper implementation of pain assessment and treatment in clinical practice? Specifically with regard to non-pharmacological treatment, how can we communicate observations from different disciplines, family members and clinicians to improve the detection of pain as well as treatment monitoring/evaluation? 4) (Contextual): How can we increase knowledge and skills on pain in cognitive impairment within educational training?.

Published
2022

11. The Perceived Impact of the Namaste Care Family Program on Nursing Home Residents with Dementia, Staff, and Family Caregivers: A Qualitative Study.

Author

Smaling, Hanneke J.A., Francke, Anneke L., Achterberg, Wilco P., Joling, Karlijn J., and van der Steen, Jenny T.

Subjects
TREATMENT of dementia, CAREGIVERS, PALLIATIVE treatment, QUALITY of life, NURSING care facilities
Abstract

Objective(s): To examine the perspectives of staff, and family caregivers (i.e., family, friends, and volunteers) on the impact of the Namaste Care Family program on all involved. The Namaste Care Family program is a structured program for people with advanced dementia based on a palliative care approach in which family caregivers provide daily sessions together with staff with the aim to increase residents' quality of life. Methods: In this descriptive qualitative study, we interviewed 12 family caregivers, and 31 staff members from 10 nursing homes. Data was analyzed thematically. Results: A perceived impact of the program was identified for the residents, staff, and family caregivers. For residents, this included well-being, more engagement, enhanced interactions, changes in energy level, and weight gain. The impact on family caregivers included a more positive view of people with dementia, changes in family visits, mixed feelings during sessions, and mixed changes in relations with all involved. For staff, this included diverse work experiences, shift to more person-centered care (more time and attention for residents, and more awareness), and developing relationships with residents and colleagues. Conclusions: The Namaste Care Family program was valued for its observed benefits and shift towards a person-centered care culture. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Pijn en neurocognitieve stoornissen:stand van zaken en de weg nog te gaan

Author

Achterberg, Wilco P., de Waal, Margot W.M., Cheuk-A-Lam-Balrak, Juanita M.J., Crutzen-Braaksma, Petra, van Dalen-Kok, Annelore, van Dam, Pauline, de Knegt, Nanda C., van Kooten, Janine, Lobbezoo, Frank, Smaling, Hanneke J.A., Sprenger , Gregory P., van der Steen, Jenny T., de Vries, N.J. (Carolien), Zwakhalen, Sandra M.G., Smalbrugge, Martin, Oosterman, Joukje M., Achterberg, Wilco P., de Waal, Margot W.M., Cheuk-A-Lam-Balrak, Juanita M.J., Crutzen-Braaksma, Petra, van Dalen-Kok, Annelore, van Dam, Pauline, de Knegt, Nanda C., van Kooten, Janine, Lobbezoo, Frank, Smaling, Hanneke J.A., Sprenger , Gregory P., van der Steen, Jenny T., de Vries, N.J. (Carolien), Zwakhalen, Sandra M.G., Smalbrugge, Martin, and Oosterman, Joukje M.

Abstract

The detection and treatment of pain is hampered by cognitive disorders. In this review we discuss the epidemiology of pain in cognitive disorders, and elaborate further on the current state of the art on pain in these populations. We will specifically highlight current gaps and recommendations for the future for the following knowledge domains: 1) Biology and neuropathology, 2) Assessment and evaluation, 3) Treatment and management, and 4) Contextual factors such as the organization and education. We identify the following knowledge gaps: 1) (Biology): Do pain experience and pain expressions change in different types of cognitive disorders, and how? 2) (Assessment): How to recognize, evaluate and assess pain, in case the self-report of pain is no longer reliable? 3) (Treatment): Which treatment possibilities are effective? How can we organize this in an interdisciplinary way? And how to monitor this? How can we ensure proper implementation of pain assessment and treatment in clinical practice? Specifically with regard to non-pharmacological treatment, how can we communicate observations from different disciplines, family members and clinicians to improve the detection of pain as well as treatment monitoring/evaluation? 4) (Contextual): How can we increase knowledge and skills on pain in cognitive impairment within educational training?.

Published
2022

14. Prenatal reflective functioning in primiparous women with a high-risk profile

Author

Smaling, Hanneke J.A., Huijbregts, Stephan C.J., Suurland, Jill, Van Der Heijden, Kristiaan B., Van Goozen, Stephanie Helena Maria, and Swaab, Hanna

Subjects
BF, RG
Abstract

The concept of maternal reflective functioning (RF) has been gaining increasing interest as a possible intermediate mechanism in associations between a wide range of psychosocial risk factors and poor child outcomes. The purpose of the present study was to determine which psychosocial risk factors are linked to prenatal RF in a high-risk (HR) group of primiparous women. Differences in prenatal RF between the HR group and a low-risk (LR) control group also were examined. The sample consisted of 162 women (M = 22.22 years, SD = 2.39; 83 classified as HR). RF was coded from the Pregnancy Interview (A. Slade, 2007a). Risk status was assessed by means of the Mini-International Neuropsychiatric Interview-plus (M.I.N.I.-plus; D.V. Sheehan et al., 1997) and several questionnaires. HR women demonstrated significantly lower RF quality than did the LR group. Regression analyses indicated that maternal education, size of social support network, and substance use during pregnancy were the strongest predictors of prenatal RF for the HR group. The results suggest that maternal RF potentially could be an important target for those prevention and intervention programs that aim to reduce adverse psychosocial development in offspring of HR mothers.

Published
2015

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