A Population‐Based Study Examining Injury in Older Adults with and without Dementia

Meuleners, Lynn; Hobday, Michelle

doi:10.1111/jgs.14523

Cited by 22 publications

(28 citation statements)

References 32 publications

(56 reference statements)

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“…Those living alone are often responsible for their household [23, 24], and they might lack informal caregivers nearby [25]. Further, older adults living alone are often independent and eager to remain in their home as long as possible [26], a goal which can be threatened by a diagnosis of MCI or AD.…”

Section: Introductionmentioning

confidence: 99%

The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer’s Disease When One Lives Alone

Portacolone

Johnson

Covinsky

et al. 2018

JAD

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Background One third of older adults with cognitive impairment live alone and are at high risk for poor health outcomes. Little is known about how older adults who live alone experience the process of receiving a diagnosis of mild cognitive impairment (MCI) or Alzheimer’s disease (AD). Objective The aim of this study was to understand the effects and meanings of receiving a diagnosis of MCI or AD on the lived experience of older adults living alone. Methods This is a qualitative study of adults age 65 and over living alone with cognitive impairment. Participants’ lived experiences were elicited through ethnographic interviews and participant observation in their homes. Using a qualitative content analysis approach, interview transcripts and fieldnotes were analyzed to identify codes and themes. Results Twenty-nine older adults and 6 members of their social circles completed 114 ethnographic interviews. Core themes included: relief, distress, ambiguous recollections, and not knowing what to do. Participants sometimes felt uplifted and relieved by the diagnostic process. Some participants did not mention having received a diagnosis or had only partial recollections about it. Participants reported that, as time passed, they did not know what to do with regard to the treatment of their condition. Sometimes they also did not know how to prepare for a likely worsening of their condition, which they would experience while living alone. Conclusion Findings suggest the need for more tailored care and follow-up as soon as MCI or AD is diagnosed in persons living alone.

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Section: Introductionmentioning

confidence: 99%

The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer’s Disease When One Lives Alone

Portacolone

Johnson

Covinsky

et al. 2018

JAD

View full text Add to dashboard Cite

show abstract

“…) and dementia (Axmon et al . ; Meuleners and Hobday ), as well as to be prescribed drugs known to increase the risk of falls, such as antidepressants, anxiolytics and hypnotics (Enderlin et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…During the entire lifespan, people with ID are consistently found to have lower balance and gait capacities (Enkelaar et al 2012), as well as poor perceptualmotor coordination (Carmeli et al 2008;Boot et al 2013). They are more likely to have medical conditions known to affect fall risk, such as epilepsy (Lukaszyk et al 2016;Cooper et al 2017), diabetes mellitus (Vinik et al 2017) and dementia Meuleners and Hobday 2017), as well as to 200 be prescribed drugs known to increase the risk of falls, such as antidepressants, anxiolytics and hypnotics (Enderlin et al 2015). Thus, potential ways of decreasing the prevalence of falls among older people with ID may be physical activity and physiotherapeutic interventions (Bartlo & Klein 2011;Van Hanegem et al 2014;Hale et al 2016) and regular drug reviews.…”

Section: Discussionmentioning

confidence: 99%

Falls resulting in health care among older people with intellectual disability in comparison with the general population

Axmon

Ahlström

Sandberg

2018

J intellect Disabil Res

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Background Falls are common among older people with intellectual disability (ID) and are also a major contributor to injuries in this population. Yet, fall characteristics have only been sparsely studied, and the results are inconsistent. The aim of the present study was to investigate type of falls, places where they occurred and activities that caused them, as well as health outcomes and health utilisation patterns after falls, among older people with ID in comparison with their age peers in the general population. Methods We established an administrative cohort of people with ID aged 55 years, or more, and alive at the end of 2012 (ID cohort; n = 7936). A cohort from the general population, one‐to‐one matched by sex and year of birth, was used as referents. Data regarding fall‐induced health care episodes in inpatient and outpatient specialist care were collected from the National Patient Register for the period 2002–2012. Results With the exception of falls from one level to another (i.e. fall on and from stairs and steps, ladder and scaffolding; fall from, out of or through building or structure; fall from tree or cliff and diving or jumping into water; or other fall from one level to another), people in the ID cohort were more likely to fall and fall more often than those in the general population cohort. Falls during a vital activity (e.g. attending to personal hygiene or eating) were twice as common among people with ID compared with the general population. When falling, people with ID were more likely to injure their head and legs but less likely to sustain injuries to the thorax and elbow/forearm. They were more likely to have superficial injuries, open wounds and fractures but less likely to have dislocations, sprain and strains. Fall‐related health care visits among people with ID were more likely to be in inpatient care and be unplanned. People with ID were also more likely than those in the general population to have a readmission within 30 days. Conclusions People with ID are more likely to require specialist care after a fall and also more likely to obtain injuries to the head, compared with the general population. This is important to consider when taking preventive measures to reduce falls and fall‐related injuries.

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“…The final cluster of commentaries gives an overview of three different topics. Meuleners et al 13 analysed 29 671 hospital admissions and identified that older adults with dementia are at greater risk for admission to hospital with an injury 13. Next, Olsen et al found in their randomised trial that when a dog was added to activities of those with severe dementia in nursing homes, there was a significant decrease in the levels of depression and a positive impact on quality of life of the residents 14.…”

Section: Key Themesmentioning

confidence: 99%

Dementia care and treatment issues

Heale

2020

Evid Based Nurs

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This perspectives article expands on the one published in EBN July 2019, Vol 22-3 about Care of the Older Person by focusing on commentaries specifically related to research with dementia. Dementia rates are growing internationally and along with this are the complexities of caring for this growing cohort of people. 1 It is helpful to explore the literature related specifically to this issue. Commentaries related to dementia and cognitive decline were found from January 2017 to January 2020. Key themes were identified followed by a summary and discussion.

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A Population‐Based Study Examining Injury in Older Adults with and without Dementia

Abstract: Older adults with dementia are at greater risk of a hospital admission for an injury. Multifactorial injury prevention programs would benefit older adults with and without dementia, especially those aged 85 and older, living alone, and with a history of previous falls.

Cited by 22 publications

References 32 publications

The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer’s Disease When One Lives Alone

The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer’s Disease When One Lives Alone

Falls resulting in health care among older people with intellectual disability in comparison with the general population

Dementia care and treatment issues

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