Evaluation of special and traditional dementia care in nursing homes: results from a cross‐sectional study in Germany

Weyerer, Siegfried; Schäufele, Martina; Hendlmeier, Ingrid

doi:10.1002/gps.2455

Cited by 37 publications

(49 citation statements)

References 26 publications

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“…Consistent with observations of effects of moderate wine consumption on cognitive decline, both current and cumulative lifetime moderate wine consumption were associated with a reduced risk of dementias compared to abstainers [85]. For example, after controlling for potential confounders, current wine consumption of between 20 to 29 g per day was associated with a 29% decrease in the incidence of overall dementias and a 49% decrease specifically in the incidence of Alzheimer's disease.…”

Section: Relationship Of Wine To Cognitive Function and Dementiassupporting

confidence: 78%

Wine consumption, cognitive function and dementias – A relationship?

Stockley

2016

NUA

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Abstract. Healthy cognitive function is essential for quality of life, wellbeing and independent living, and is negatively associated with dementias. A series of longitudinal and neuro-imaging studies in the elderly have shown that light to moderate wine consumption is neuro-protective although heavy or abusive alcohol consumption is neuro-toxic. A J-shaped relationship between alcohol consumption, cognitive dysfunction and risk of dementias is also observed for younger and middle aged consumers. There is also no data to suggest that long-term light to moderate alcohol consumption exacerbates age-related cognitive decline and impairment. An optimal amount of wine for neuro-protection appears to be up to 30 g alcohol daily.There are multiple plausible biological mechanisms in various animal models, in vitro and in vivo for wine-derived phenolic compounds which go beyond their antioxidant activity and attenuation of oxidative stress.

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Section: Relationship Of Wine To Cognitive Function and Dementiassupporting

confidence: 78%

Wine consumption, cognitive function and dementias – A relationship?

Stockley

2016

NUA

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“…These findings would favor specialized dementia care. Furthermore, residents in special dementia care used antipsychotics less often, but antidepressants more often [4]. There was a similar trend in our study.…”

Section: Discussionsupporting

confidence: 86%

Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care

et al. 2012

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To prove the efficiency of a specialized geriatric ward (cognitive geriatric unit, CGU) for patients with a fracture of the proximal femur and additional dementia, we conducted a matched-pair analysis comparing 96 patients with fracture of the proximal femur and additional dementia matched for age, sex, surgical treatment and the degree of cognitive impairment by MMSE score. A total of 48 patients were treated in the CGU, offering extended geriatric assessment, special education of staff, and architecture appropriate for patients with cognitive decline. Target criteria were a gain in the Barthel index and Tinetti score, the length of stay, new admissions to nursing home, the frequency of neuroleptic, antidepressant, and antidementive medication, and the number of specified clinical diagnoses for the dementia syndrome. Length of stay was significantly longer in the CGU. The increase of the Tinetti score was significantly higher in the patients in the CGU, regardless of the length of stay (analysis of covariance: treatment (CGU/non-CGU): F(1/93) = 9.421, p = 0.003; covariate (length of stay): F(1/93) = 3.452, p = 0.066, η(2) = 3.6%). In the intervention group, the number of definite diagnoses concerning the dementia syndrome was also higher. Comparison of drug treatment and the percentage of new admission to a nursing home did not differ between groups. Treatment in a specialized, "cognitive geriatric unit" seems to result in better mobility of demented patients with proximal fractures of the femur.

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“…For Germany, no study exists that applied a quality of life measurement. The only study that evaluates DSCU’s in Germany investigated indicators for quality of life such as social contacts and activities [10]. They found benefits to living in a DSCU compared to traditional units.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have investigated differences in care processes in dementia special care units compared to traditional units [10,18,19], but these studies mainly focused on clinical process measures (e.g., feeding tube use, physical restraint use, psychotropic medication use, and incontinence care) whereas the use of dementia specific interventions remains unclear. Only Weyerer et al [10] report more participation in physical activities, activities in and outside the nursing home, memory training and biography-oriented groups/individual sessions for DSCU’s compared to traditional units.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

et al. 2013

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BackgroundIn Germany, the number of people with dementia living in nursing homes is rapidly increasing. Providing adequate care for their special needs is a challenge for institutions and their staff members. Because of the growing number of people with dementia, changes to the conceptual orientation of nursing homes have occurred. These changes include specialized living arrangements and psychosocial interventions recommended for people with dementia. Until now, the provision of dementia care and its association to the residents’ behavior and quality of life is not well investigated in Germany. The purpose of this study is to describe the provision of dementia care and to identify resident- as well as facility-related factors associated with residents behavior and quality of life.Methods/DesignThe DemenzMonitor study is designed as a longitudinal study that is repeated annually. Data will be derived from a convenience sample consisting of nursing homes across Germany. For the data collection, three questionnaires have been developed that measure information on the level of the nursing home, the living units, and the residents. Data collection will be performed by staff members from the nursing homes. The data collection procedure will be supervised by a study coordinator who is trained by the research team. Data analysis will be performed on each data level using appropriate techniques for descriptions and comparisons as well as longitudinal regression analysis.DiscussionThe DemenzMonitor is the first study in Germany that assesses how dementia care is provided in nursing homes with respect to living arrangements and recommended interventions. This study links the acquired data with residents’ outcome measurements, making it possible to evaluate different aspects and concepts of care.

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Evaluation of special and traditional dementia care in nursing homes: results from a cross‐sectional study in Germany

Cited by 37 publications

References 26 publications

Wine consumption, cognitive function and dementias – A relationship?

Wine consumption, cognitive function and dementias – A relationship?

Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care

Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

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