Wellbeing-enhancing occupation and organizational and environmental contributors in long-term dementia care facilities: an explorative study

Smit, Dieneke; Willemse, Bernadette; Lange, J. de; Pot, Anne Margriet

doi:10.1017/s1041610213001397

Cited by 38 publications

(23 citation statements)

References 31 publications

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“…The findings highlighted that the most common everyday activities that residents were engaged in included: talking to relatives or friends (85Á3%), having visitors (84Á1%), non-care-related conversations with staff (81Á9%), watching TV and listening to/playing music with 81Á5% and 80Á0% respectively. These findings are in agreement with previous literature , Smit et al 2014, den Ouden et al 2015.…”

Section: Discussionsupporting

confidence: 94%

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Björk

Lindkvist

Wimo

et al. 2017

Journal of Advanced Nursing

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Section: Discussionsupporting

confidence: 94%

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Björk

Lindkvist

Wimo

et al. 2017

Journal of Advanced Nursing

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“…Several well-tested observational methods are available, such as dementia care mapping (Fossey, Lee, & Ballard, 2002) and observational measurement of engagement (Cohen-Mansfield, DakheelAli, & Marx, 2009). These are valid instruments that give more in-depth insight into what activities are actually provided and how these are valued by residents, as we have seen in one of our substudies, where 57 residents were observed on the activity involvement and well-being (Smit et al, 2014). However, these methods are very intensive and therefore less suitable for large-scale use.…”

Section: Discussionmentioning

confidence: 96%

“…Long-term dementia care is still generally described as a place where residents are unoccupied for the greater part of the day (Hancock, Woods, Challis, & Orrell, 2006;Kuhn, Kasayka, & Lechner, 2002;Orrell et al, 2008). Although organizational limitations such as low staffing levels are often mentioned as the cause of this phenomenon, some studies suggest otherwise (Edvardsson, Petersson, Sjogren, Lindkvist, & Sandman, 2013;Innes & Surr, 2001;O'Sullivan, 2011;Smit, Willemse, de Lange, & Pot, 2014).…”

Section: Introductionmentioning

confidence: 99%

Activity involvement and quality of life of people at different stages of dementia in long term care facilities

Smit

Lange

Willemse

et al. 2015

Aging & Mental Health

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Activity involvement seems to be a small yet important contributor to higher well-being in long-term care resident at all stages of dementia. Adjusting activities to individual preferences and capabilities might enlarge this relationship. Further research is needed to confirm this hypothesis, using measurement instruments less sensitive to recall bias and differentiating between the active and passive activity involvement.

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“…Such engagement can mean passive participation in or merely observing familiar and everyday activities, and not necessarily the use of wide-ranging activity programmes. Interventions based on promoting activities and increasing vocational tasks improve wellbeing and quality of life as well as neuropsychiatric symptoms 417,[428][429][430][431] .…”

Section: Well-being and Quality Of Life In Nursing Home Carementioning

confidence: 99%

Defeating Alzheimer's disease and other dementias: a priority for European science and society

Winblad

Amouyel

Andrieu

et al. 2016

The Lancet Neurology

1,392

1,122

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on Defeating Alzheimer's Disease and other dementias: a priority for European science and society Dementia includes a range of neurological disorders characterized by memory loss and cognitive impairment. The most common early symptom is difficulties remembering recent events. With the development of the disease, symptoms occur such as disorientation, mood swings, confusion, more serious memory loss, behavioural changes, difficulties in speaking and swallowing, as well as walking. Alzheimer Disease (AD) is the most common form of dementia (50-70% of dementia cases). Increasing age is the most important risk factor for AD.In 2012 and 2015, the World Health Organization (WHO) presented reports suggesting that Alzheimer Disease and other dementias (ADOD) should be regarded as a global public health priority 1,2 . Similar policy declarations have been presented by the European Union 3 , as well as by some individual countries. These policy declarations acknowledge trends that sometimes are described in terms of an epidemic or a "time-bomb". In 2015, the number of people affected by dementia worldwide is estimated to be almost 47 million and the numbers are expected to reach 75 million by 2030 and 131 million by 2050, with the greatest increase in low and middle income countries. The main reason for the increase is the global aging trend, since dementias are associated with a high age-specific prevalence, i.e., increasing prevalence with higher age. The global economic costs of dementia were estimated to be more than 600 billion USD in 2010 6 and 818 billion USD in 2015 5 . The direct costs in the medical and social care sectors, 487 billion USD, represent 0.65% of the aggregated global gross domestic products (GDP), which is an enormous economic impact of a single group of disorders, especially considering that 87% of the costs occur in high income countries. Care of people with dementia impacts several sectors in the society with the social care (long term care and home services) and informal care sectors constituting the greatest proportions -even greater than direct medical care 6 . In cost of illness studies, European cost estimates in 2010 ranged between 238,6 billion USD 6 and 105,6 billion € 7 .However, the economic and societal burden of ADOD corresponds to the aggregate burden of people with dementia and their next of kin. The progressive nature of dementia can influence the whole life situation for families over many years. So far, no cure or substantial symptom relieving treatment is available for ADOD. Thus, the impact of this terminal disease is already today enormous, and given the predictions for the future, ADOD represents an enormous challenge for any society, and particularly to the ageing European society.Further knowledge is needed regarding the causes of ADOD. A more complete understanding of the disease mechanisms is required for new diagnostic and therapeutic strategies. There is also a need to establish new cell-based and animal models representing, as far as possible, major clinical component...

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Wellbeing-enhancing occupation and organizational and environmental contributors in long-term dementia care facilities: an explorative study

Abstract: Background: Occupation remains an unmet need in long-term dementia care. To increase residents' occupation, knowledge of types of occupation related to wellbeing, and organizational and environmental characteristics encouraging involvement in these types of occupation, is indispensable.

Cited by 38 publications

References 31 publications

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Activity involvement and quality of life of people at different stages of dementia in long term care facilities

Defeating Alzheimer's disease and other dementias: a priority for European science and society

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