Prevalence of dementia in a rural nursing home population in Southern Germany

Hutsteiner, P.; Galler, S.; Mendoza, Maria Cristina; Klünemann, Hans H.

doi:10.4321/s0213-61632013000300003

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Older people living in residential facilities commonly suffer from problems such as multi‐morbidity, reduced cognitive capacity (Akner , Hutsteiner et al . , Gordon et al . ), inability to perform activities of daily living (ADL) (Sjölund et al .…”

Section: Introductionmentioning

confidence: 99%

Garden greenery and the health of older people in residential care facilities: a multi‐level cross‐sectional study

Dahlkvist

Hartig

Nilsson

et al. 2016

Journal of Advanced Nursing

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OM M . ( 2 0 1 6 ) Garden greenery and the health of older people in residential care facilities: a multi-level cross-sectional study. Journal of Advanced Nursing 72(9), 2065-2076. doi: 10.1111/jan.12968 Abstract Aims. To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden. Background. Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health. Design. A multi-level, cross-sectional, correlational design. Methods. Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis. Results. The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and selfperceived health. Conclusion. Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.

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Section: Introductionmentioning

confidence: 99%

Garden greenery and the health of older people in residential care facilities: a multi‐level cross‐sectional study

Dahlkvist

Hartig

Nilsson

et al. 2016

Journal of Advanced Nursing

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“…However, the prevalence of dementia in LTCIs is unknown. Determining the prevalence of dementia is the initial step to evaluate the health expenditure for the elderly population, while also an important tool to improve health care for this population 12 . With this data, long-term institutions can improve the availability of nursing care services and other health professionals, organizing special teams with knowledge on dementia to support family members and the elderly who reside in these institutions 13 .…”

Section: Introductionmentioning

confidence: 99%

“…The Clinical Dementia Rating (CDR) was used to diagnose and assess dementia severity. Hutsteiner et al24 conducted a two-year study investigating the prevalence of dementia in nursing homes in rural areas. They collected medical records and performed…”

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confidence: 99%

Prevalence of dementia in long-term care institutions: a meta-analysis

Fagundes

Costa

Alves

et al. 2021

J. bras. psiquiatr.

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Objective: This study comprises a systematic review and meta-analysis that aimed to estimate the prevalence of dementia in long-term care institutions (LTCIs). Methods: We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Original transversal and longitudinal articles published until July 2020 were eligible in this review. Databases PubMed/MedLine, Web of Science, Scopus and ScienceDirect were searched. Overall prevalence and confidence intervals were estimated. Heterogeneity was calculated according to the index of heterogeneity (I2). Results: One hundred seventy-five studies were found in all databases and 19 studies were meta-analyses, resulting in an overall prevalence of 53% (CI 46-59%; p < 0.01) of demented older adults living in LTCIs. Conclusion: Prevalence of dementia is higher in older adults living in LTCIs than those living in general communities. This data shows a worrying reality that needs to be changed. There is a need for a better understanding of the elements that cause this increase in dementia in LTCFs to direct actions to improve the quality of life and health of institutionalized elderly.

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“…Many residential care facilities (RCFs) have environments and surroundings that allow older people to be outdoors (Imamoglu, ). However, age‐related health problems such as multimorbidity (Akner, ), difficulties performing activities of daily living (ADL) (Björk et al, ; Roos, Silén, Skytt, & Engström, ), cognitive impairments (Hutsteiner, Galler, Mendoza, & Klünemann, ) and pain (Mamhidir et al, ) may prevent use of the garden and pose challenges to garden design. Well‐designed and accessible gardens, high levels of greenery and frequent visits to green outdoor spaces may promote older people's health through restorative feelings of being away and fascination (Dahlkvist et al, ).…”

Section: Introductionmentioning

confidence: 99%

Residents’ use and perceptions of residential care facility gardens: A behaviour mapping and conversation study

Dahlkvist

Engström

Nilsson

2019

Int J Older People Nursing

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Aim:To describe the gardens and their use by individuals living at residential care facilities (RCFs) with high ratings on restorative values.Background: Being outdoors has been described as important to older people's wellbeing. Use of outdoor gardens may increase residents' well-being through experiences of restorative qualities such as being away and fascination. Thus far, there has been little research on restorative experiences of gardens in the care of older people.Design: A descriptive design using behaviour mapping observations integrated with qualitative field notes and recorded conversations. Methods:A criterion sampling of two gardens (out of a total of 87) was made based on residents' ratings of restorative values; the two with the highest values were chosen. Eleven residents at the two RCFs took part. Data were collected through behaviour mapping observations, field notes and conversations on five occasions in the respective facilities during residents' visits to the garden. Results:The observations revealed that the main uses of the gardens were to socialise and relax. The conversations also showed that the garden stimulated residents' senses and evoked memories from the past. These restorative values were interpreted as a sense of being away and fascination. Not having opportunities for outdoor visits was reported to result in disappointment and reduced well-being. Conclusions:The findings showed that two basic gardens with different characteristics and views could stimulate residents' senses and evoke memories from the past; this supports the call for residents to be able to spend time in gardens to promote their well-being.Implications for practice: First-line managers, nurses and healthcare staff in the care of older people should consider that regular opportunities to spend time outdoors may promote older people's well-being through feelings of being away and fascination. K E Y W O R D Sbehaviour mapping, gardens, health, nurses, older people, residential facilities

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Prevalence of dementia in a rural nursing home population in Southern Germany

Cited by 6 publications

References 25 publications

Garden greenery and the health of older people in residential care facilities: a multi‐level cross‐sectional study

Garden greenery and the health of older people in residential care facilities: a multi‐level cross‐sectional study

Prevalence of dementia in long-term care institutions: a meta-analysis

Residents’ use and perceptions of residential care facility gardens: A behaviour mapping and conversation study

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