Needs assessment in dementia

Meaney, Anna Maria; Croke, M.; Kirby, Michael

doi:10.1002/gps.1284

Cited by 63 publications

(90 citation statements)

References 32 publications

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“…Previous analyses of our data showed that community-dwelling PWD had on average about nine unmet needs that should be addressed, and there were no significant differences in the number of unmet needs between patients who lived alone and those who did not [26]. Other studies demonstrated that PWD who lived alone had even more unmet needs than those living together with another person [4,8]. PWD who live alone, particularly if they have no informal caregiver, may require special support in order to gain access to the treatment and care services that address their individual needs comprehensively.…”

Section: Discussionmentioning

confidence: 43%

“…In addition, they have more unmet needs, less access to health care, higher risks of problems with medication, untreated medical conditions, falls and injuries, earlier nursing home transition, and inadequate self-care such as malnutrition, poor hygiene, or inadequate clothing or housing. These risks increase with the progression of the disease [3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Living Alone with Dementia: Prevalence, Correlates and the Utilization of Health and Nursing Care Services

Eichler

Hoffmann

Hertel

et al. 2016

JAD

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Abstract. Background:Little is known about the proportion and the characteristics of community-dwelling people with dementia (PWD) living alone in Germany. Objectives: To analyze the prevalence of PWD living alone (with and without the support of an informal caregiver) and socio-demographical and clinical characteristics as well as health and nursing care utilization associated with living alone. Methods: DelpHi-MV (Dementia: Life-and person-centered help in Mecklenburg-Western Pomerania) is a general practitioner-based, randomized controlled intervention trial. The present analyses are based on baseline data of 511 patients (≥70 years, community-dwelling) who had screened positive for dementia (DemTect <9). Results: N = 251 (51%) of the patients lived alone. PWD living alone were statistically significantly more often female, older, and more often widowed than those not living alone. About 9% of the patients (n = 24) were not supported by any informal caregiver. Regarding the clinical variables (cognitive and functional impairment, depression, falls, number of drugrelated problems, malnutrition, quality of life), there were no statistically significant group differences. Patients living alone utilized professional services such as home care, help with medication, home-delivered meals, or housekeeping assistance significantly more often. Multivariate analyses confirmed these findings. Conclusion: Our results reveal the high proportion of PWD living alone in Germany. PWD living alone did not seem to be at an increased health risk. Our findings indicate that living alone with dementia is possible. In order to ensure the sufficient provision of health and nursing care services for PWD living alone, providers should consider the present results for future planning.

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Section: Discussionmentioning

confidence: 43%

Section: Introductionmentioning

confidence: 99%

Living Alone with Dementia: Prevalence, Correlates and the Utilization of Health and Nursing Care Services

Eichler

Hoffmann

Hertel

et al. 2016

JAD

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“…The three terms are similar in meaning and may arise due to the unmet needs associated with the communication challenges of the PWD. [1,17,24] Caregivers often enter the role of caring for PWD without fully understanding the consequences of ineffective communication which are linked to problem behaviours. Goldberg [25] pointed out that problem behaviours exist among PWD who live in the community as well as among those who live in institutions.…”

Section: Problem Behaviours and Communicationmentioning

confidence: 99%

Communication and burden in dementia care

Watson

2017

IJH

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This paper provides an integrated discussion of the literature that addresses the effect of communication strategies on dementia care and caregiver burden. With the complexity and multiple symptoms associated with dementia, caregivers are exposed to increased burden which can affect their own health and wellbeing. Communication has been found to be a key to reducing burden and improving the quality of life for the person with dementia (PWD) and their caregiver. The literature review examines current and previous literature in order to acknowledge and synthesize the existing work done, and to identify areas for future research. The material was drawn from three databases; the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed and PsycINFO. The literature search was restricted to relevant studies published in English and available through electronic sources between 2000 and 2017. The search yielded 22 studies. Fourteen studies met the inclusion criteria. These studies focused on the use of communication strategies within the context of caregiver burden in dementia care. The qualitative and quantitative studies addressed verbal and nonverbal techniques used to guide caregivers in their communication with PWD and to decrease caregiver burden. The results of the review illustrate the importance of using effective communication techniques for PWD. It shows that using specific strategies improves relationships between caregivers and PWD and effective communication techniques reduce caregiver burden. The importance and significance of these findings indicate the need for further research in the effects that communication have on dementia and caregiver burden.

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“…Social activities during midlife are also related to a reduced dementia risk (Carlson et al , 2008 ). Community-dwelling older people with dementia report that their needs for social interaction and participation in activities are largely unmet (Meaney et al , 2005 ). Those with higher age, lower mini mental state examination (MMSE) scores, and living alone have greater levels of unmet needs (Meaney et al , 2005 ).…”

Section: Lonelinessmentioning

confidence: 99%

“…Community-dwelling older people with dementia report that their needs for social interaction and participation in activities are largely unmet (Meaney et al , 2005 ). Those with higher age, lower mini mental state examination (MMSE) scores, and living alone have greater levels of unmet needs (Meaney et al , 2005 ). These aspects result unfortunately in a higher risk of moving into a nursing home which is an even more impoverished environment, which will be addressed in the next section.…”

Section: Lonelinessmentioning

confidence: 99%

Impoverished environment, cognition, aging and dementia

Volkers¹,

Scherder²

2011

Revneuro

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Animals living in an impoverished environment, i.e., without the possibility of physical and social activity, perform worse on cognitive tests compared to animals in an enriched environment. The same cognitive difference is also observed in humans. However, it is not clear whether this difference is caused by a decrease in cognition due to an impoverished environment or an increase due to an enriched environment. This review discusses the impact of an impoverished environment on cognition in animal experimental studies and human experimental studies with community-dwelling and institutionalized older people. Results show that the cognitive functioning of old rats is more affected by an impoverished environment than young rats. Similarly, sedentary and lonely people (impoverished environment) have worse cognitive functioning and show a faster cognitive decline than physically and socially active people. Institutionalization further aggravates cognitive decline, probably due to the impoverished environment of nursing homes. In institutions, residents spend an unnecessary and excessive amount of time in bed; out of bed they show mainly sedentary or completely passive behavior. In conclusion, older people, especially those that have been institutionalized, have poor levels of physical and social activity, which in turn has a negative impact on cognitive functioning.

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Needs assessment in dementia

Abstract: This data underlines the degree of unmet need in the community dwelling elderly with dementia and the importance of developing a spectrum of services on the basis of the actual needs identified.

Cited by 63 publications

References 32 publications

Living Alone with Dementia: Prevalence, Correlates and the Utilization of Health and Nursing Care Services

Living Alone with Dementia: Prevalence, Correlates and the Utilization of Health and Nursing Care Services

Communication and burden in dementia care

Impoverished environment, cognition, aging and dementia

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