Health Effects of the Relocation of Patients With Dementia: A Scoping Review to Inform Medical and Policy Decision-Making

Ryman, Frida V M; Erisman, Jetske Charlotte; Darvey, Lea M; Osborne, J. Grayson; Swartsenburg, Ella; Syurina, Elena V.

doi:10.1093/geront/gny031

Cited by 24 publications

(20 citation statements)

References 24 publications

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“…Cognitive decline and dementia progression can lead to numerous care transitions, which are associated with declines in health and quality of life for people living with dementia (PLWD) and their caregivers ( Chyr et al, 2020 ; Ryman et al, 2018 ). Older adults and their families may seek advice from their physicians as they decide whether to move into an AL/RC ( Alzheimer’s Association, 2020 ; Chen et al, 2008 ; Reinardy & Kane, 2003 ).…”

Section: Al/rc Settings Their Residents and Staffmentioning

confidence: 99%

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Dys

Smith

Tunalilar

et al. 2020

Gerontology and Geriatric Medicine

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As the United States population ages, a higher share of adults is likely to use long-term services and supports. This change increases physicians’ need for information about assisted living and residential care (AL/RC) settings, which provide supportive care and housing to older adults. Unlike skilled nursing facilities, states regulate AL/RC settings through varying licensure requirements enforced by state agencies, resulting in differences in the availability of medical and nursing services. Where some settings provide limited skilled nursing care, in others, residents rely on resident care coordinators, or their own physicians to oversee chronic conditions, medications, and treatments. The following narrative review describes key processes of care where physicians may interact with AL/RC operators, staff, and residents, including care planning, managing Alzheimer’s disease and related conditions, medication management, and end-of-life planning. Communication and collaboration between physicians and AL/RC operators are a crucial component of care management.

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Section: Al/rc Settings Their Residents and Staffmentioning

confidence: 99%

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Dys

Smith

Tunalilar

et al. 2020

Gerontology and Geriatric Medicine

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“…However, older adults are often hesitant and reluctant toward relocation and prefer to age at home. This preference is defendable, even in older adults with dementia, because recent research shows the negative effects of relocation on well-being in this group ( Ryman et al., 2018 ). Although it is clear that living at home as long as possible is desirable for many reasons, the implementation can be challenging.…”

Section: Background and Objectivesmentioning

confidence: 99%

The Effectiveness of e-Health Solutions for Aging With Cognitive Impairment: A Systematic Review

et al. 2020

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Background and Objectives E-Health solutions are an innovative approach to support ageing with cognitive impairment. Since technology is developing in fast pace, the aim of this review is to present an overview of the research regarding the effectiveness of these solutions. Moreover, availability of these solutions was examined. Research Design and Methods Systematic searches were conducted in seven databases. Full-texts of potentially relevant references were assessed by two reviewers, and discrepancies were solved through discussion. Data on study characteristics, technology type, application domain, availability, outcomes and effects were extracted. A categorization exercise and narrative synthesis were conducted. Results In total, 72 studies describing 70 e-Health solutions were identified. The majority of solutions comprised cognitive training for older adults, followed by educational and supportive web platforms for caregivers. Outcomes included mainly measures of cognition, psychosocial functioning, caregiving processes, caregiver-care receiver relationship and activities of daily living. Positive effects of cognitive training technologies were observed on cognitive functioning of older adults, as well as those of supportive web platforms on behavioral and psychological symptoms of dementia (BPSD) and caregiver self-efficacy. Effects of these solutions on depression in both target groups were inconclusive. The methodological quality of the studies was moderate to good. However, some important limitations were observed. Discussion and Implications The review identified cognitive training solutions and supportive web platforms as the most effective on a limited number of outcomes. Although other solutions seem promising, further research has to overcome methodological issues. Furthermore, solutions for leisure and reminiscence and outcomes specifically related to independent living deserve more attention.

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“…Studies have shown that when the ideal and actual living arrangements of the older adults are the same, it has a positive and significant impact on their overall life and satisfaction [17]. Being newly admitted to a LTCF forces older adults with disabilities to leave their homes and face a completely new life pattern, which is a major life change that requires attention [5,8,10,18,19]. In Taiwan's traditional concept, home is the most anticipated residence for the older adults.…”

Section: Introductionmentioning

confidence: 99%

Lived Experiences of Newly Admitted to Long-Term Care Facilities among Older Adults with Disabilities in Taiwan

Chien

Tsai

Lin

2022

IJERPH

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This study aimed to explore the lived experiences of Taiwanese older adults with disabilities newly admitted to long-term care facilities (LTCFs). A descriptive phenomenological method was used. Colaizzi’s method analysis of 15 participant interviews revealed six themes: “living here is a last resort”, “I don’t like it but still have to live here”, “my needs are not understood”, “looking forward to emotional support”, “practicing the way of survival”, and “trying to make myself better”. The older adults were admitted to the LTCF as they or their family members could not take care of themselves due to their disability. Participants explained their new life in the LTCF was like a prison, it was not easy for their needs to be understood. They used self-adjustment and established relationships with staff in the LTCF in order to live a stable life. They lived their lives with silence and alertness to practice the way of survival. They strived to make themselves better through rehabilitation, taking good care of their bodies, and finding their focus and value of life. It is important to pay attention to the care needs as well as life adjustment problems for newly older adults with disabilities in order to assist them in opening up new life experiences in LTCFs.

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Health Effects of the Relocation of Patients With Dementia: A Scoping Review to Inform Medical and Policy Decision-Making

Abstract: The outcomes of the study suggest definite evidence for the negative effects of relocation of the older adults. This research aims to be used as the support of the legal and medical decisions of relocation of patients with dementia.

Cited by 24 publications

References 24 publications

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

The Effectiveness of e-Health Solutions for Aging With Cognitive Impairment: A Systematic Review

Lived Experiences of Newly Admitted to Long-Term Care Facilities among Older Adults with Disabilities in Taiwan

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