Comparison of care dependency and related nursing care problems between Austrian nursing home residents with and without dementia

Schüssler, Sandra; Dassen, Theo; Lohrmann, Christa

doi:10.1016/j.eurger.2014.04.015

Cited by 14 publications

(10 citation statements)

References 30 publications

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“…A study by Sch€ ussler et al carried out among residents of long-term care institutions showed that people with dementia displayed a much higher level of care dependency than people without dementia and were mostly dependent in terms of psychosocial needs, especially day/ night pattern, contact with others, sense of rules and values and communications. People without dementia were more often dependent in terms of physical needs (36,37).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with risk of care dependency in disabled geriatric patients

Doroszkiewicz

Sierakowska

2020

Scandinavian Caring Sciences

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Factors associated with risk of care dependency in disabled geriatric patients Introduction: The growing number of elderly people results in the intensification of disability, reduced level of independency and quality of life as well as augmented demand on medical and social services. The aim of the study was to identify factors associated with probability of care dependency in disabled geriatric patients. Materials and methods: The study involved 200 patients aged 60 or over, consecutively admitted to the Geriatrics Unit. A cross-sectional quantitative study design. The study carried out using the questionnaire evaluating the patients' biopsychosocial needs and level of care dependency: the Polish version of the Care Dependency Scale (CDS). Data regarding the patients' self-care, locomotor function, emotional status, cognitive function, vision, hearing, the risk of pressure sores or falls, self-assessed health status and the sense of loneliness were obtained from medical documentation using selected elements of the CGA (Comprehensive Geriatric Assessment). Results: The mean CDS score (15-75) for all the evaluated patients was 55.3 AE 15.1-43.4 AE 11.9 in the category of dependent patients and 67.5 AE 4.6 in the category of independent of care, respectively (p < 0.001). The participants' mean age was 81.8 AE 6.6 (in the dependent category, 83.3, and in the independent category, 80.2). The final model produced statistically significant independent factors: cognitive ability, Instrumental-ADL performance, locomotive ability and age. Conclusions: The progressing care dependency increased with the worsening of cognitive functions, difficulties performing I-ADL, locomotion impairment and advanced age. To support independent living of elderly people, healthcare professionals should recognise the situation in the community to carry out interventions aimed at preventing and minimising disability and delaying institutionalisation.

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Section: Discussionmentioning

confidence: 99%

Factors associated with risk of care dependency in disabled geriatric patients

Doroszkiewicz

Sierakowska

2020

Scandinavian Caring Sciences

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“…All studies were conducted in this decade and the majority of the studies were conducted in the United States of America . Other studies were conducted in Korea, Germany, Belgium, Brazil, Canada, and Austria …”

Section: Literature Reviewmentioning

confidence: 99%

“…The data sets included the US Minimal Data Set, insurance company data sets, and other aged care data sets . The studies with smaller sample sizes: Freitas et al n = 183, Vandervoot et al n = 198, Shussler et al n = 277, and Grabowski n = 323, used observation, chart audits and staff questionnaires to determine the prevalence of wounds.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The aims of the included studies also varied and included an exploration of the association between family visits and end‐of‐life care, development of a risk score to estimate survival in nursing home residents, examination of associations between care units and resident outcomes, evaluation of the Braden Scale for predicting the onset of pressure injuries (PI's) and investigation of quality of end‐of‐life care, and quality of dying . Further aims included, exploration of pain in relation to PI's, prevalence estimates of common nursing problems, best practice of PI strategies, and degree of care dependency between those with and without dementia . The only type of wounds reported in these studies was PIs.…”

Section: Literature Reviewmentioning

confidence: 99%

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Exploring the prevalence and management of wounds for people with dementia in long‐term care

Parker

Finlayson

Edwards

et al. 2020

International Wound Journal

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The prevalence of wounds and comorbidities such as dementia increase with age. With an ageing population, the likelihood of overlap of these conditions is strong. This study aimed to determine the prevalence of wound types and current management strategies of wound care for people with dementia in long‐term care (LTC). A scoping literature review, a cross‐sectional observational and chart audit study of residents in dementia specific facilities in LTC were conducted. The scoping review indicated that people with dementia/cognitive impairment are often excluded from wound related studies andof the nine studies included in this review, none looked at the prevalence of types of wounds other then pressure injuries. In the skin audit, skin tears were noted as the most common wound type with some evidence‐based practice strategies in place for residents. However, documentation of current wound occurred in less than a third of residents with wounds. This is the first study to note the prevalence of different wound types in people with dementia and current management strategies being used across two dementia‐specific facilities and a lack of research in this area limits evidence in guiding practice.

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“… 6 This may be the result of poorer physical function and dependence in activities of daily living (ADL) often seen in NH residents with dementia. 7 – 9 Independence in ADL is a key determinant of QoL, 10 and therefore, non-pharmacological interventions, such as ADL training and exercise, focus on stimulating movement to optimize ADL performance and improve QoL. 4 …”

Section: Introductionmentioning

confidence: 99%

The effects of movement stimulation on activities of daily living performance and quality of life in nursing home residents with dementia: a randomized controlled trial

Henskens¹,

Nauta²,

Drost³

et al. 2018

CIA

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BackgroundNursing home (NH) residents with dementia experience a reduced quality of life (QoL), in part, due to a dependence in performing activities of daily living (ADL). Stimulating movement is associated with improvements in ADL performance. Therefore, movement stimulating interventions, such as ADL training and exercise, focus on optimizing ADL performance to improve QoL. This study aimed to evaluate the effect of three movement stimulating interventions on QoL and ADL performance in NH residents with dementia.MethodsIn this 6-month double parallel randomized controlled trial, the effects of ADL training, a multicomponent aerobic and strength exercise training, and a combined ADL and exercise training were analyzed in 87 NH residents with dementia. The Global Deterioration Scale was used to classify the severity of dementia. Participants were screened at baseline using the 6 minute walk test and Mini-Mental State Examination. The Qualidem, and the Care Dependency Scale and Erlangen ADL test were evaluated at baseline, and after 3 and 6 months to measure QoL and ADL, respectively. Multilevel analyses were adjusted for baseline performance, age, and gender.ResultsA 6-month ADL training positively affected overall QoL (p = 0.004) and multiple aspects of QoL, including care relationship (p = 0.004), positive self-image (p = 0.002), and feeling at home (p = 0.001), compared to care-as-usual. No benefits were observed of exercise on QoL. No benefits were observed of a combined ADL and exercise intervention on QoL. No effects were found of the three movement interventions on ADL performance.ConclusionThe results indicate that ADL training can improve QoL. The results contribute to the limited knowledge regarding the effect of movement stimulation on resident outcomes. Further large-scale studies are recommended.

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Comparison of care dependency and related nursing care problems between Austrian nursing home residents with and without dementia

Cited by 14 publications

References 30 publications

Factors associated with risk of care dependency in disabled geriatric patients

Factors associated with risk of care dependency in disabled geriatric patients

Exploring the prevalence and management of wounds for people with dementia in long‐term care

The effects of movement stimulation on activities of daily living performance and quality of life in nursing home residents with dementia: a randomized controlled trial

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