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http://dx.doi.org/10.5762/KAIS.2018.19.1.260

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers  

Kang, Hyunwook (College of Nursing, Kangwon National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.1, 2018 , pp. 260-269 More about this Journal
Abstract
This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.
Keywords
ADL; dementia; elderly; long-term care; need;
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1 Social Services Inspectorate. Care Management and Assessment Parishioners Guide, HNSO: London, 1991.
2 E. Park, H. Kang, "Needs of early-stage dementia", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, vol. 7, no. 1, pp. 647-659, 2017. DOI: https://doi.org/10.14257/AJMAHS.2017.01.81   DOI
3 G. McWalter, H. Toner, A. Corser, J. Eastwood, M. Marshall, T. Turvey, "Needs and needs assessment: their components and definitions with reference to dementia", Health & Social Care in the Community, vol. 2, no. 4, pp. 213-219, 1994. DOI: http://dx.doi.org/10.1111/j.1365-2524.1994.tb00167.x   DOI
4 T. Akechi, T. Okuyama, C. Endo, R. Sagawa, M. Uchida, T. Nakaguchi, T. Akazawa, H. Yamashita, T. Toyama, T. A. Furukawa, "Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan", Psycho-Oncology, vol. 20, no. 5, pp. 497-505, 2011. DOI: http://dx.doi.org/10.1002/pon.1757   DOI
5 A. Kolanowski, M., Litaker, L., Buettner, J. Moeller, P. T. Costa Jr, "A Randomized Clinical Trial of Theory‐ Based Activities for the Behavioral Symptoms of Dementia in Nursing Home Residents", Journal of the American Geriatrics Society, vol. 59, no. 6, pp. 1032-1041, 2011. DOI: http://dx.doi.org/10.1111/j.1532-5415.2011.03449.x   DOI
6 C. J. Schölzel-Dorenbos, E. J. Meeuwsen, M. G. Olde Rikkert, "Integrating unmet needs into dementia health-related quality of life research and care: Introduction of the Hierarchy Model of Needs in Dementia", Aging and Mental Health, vol. 14, no. 1, pp. 113-119, 2010. DOI: http://dx.doi.org/10.1080/13607860903046495   DOI
7 B. S., Black, D., Johnston, P. V., Rabins, A., Morrison, C., Lyketsos, Q. M. Samus, "Unmet needs of community-residing persons with dementia and their informal caregivers: findings from the maximizing independence at home safety", Journal of American Geriatrics Society, vol. 61, pp. 2087-2095, 2013. DOI: http://dx.doi.org/10.1111/jgs.12549   DOI
8 M. A. Cadieux, L. J. Garcia, J. Patrick, "Needs of people with dementia in long-term care: A systematic review", American Journal of Alzheimer's Disease & Other Dementias, vol. 28, no. 8, pp. 723-733, 2013. DOI: https://doi.org/10.1177/1533317513500840   DOI
9 M. Orrell, G. Hancock, K. Liyanage, B. Woods, D. Challis, J. Hoe, "The needs of people with dementia in care homes: the perspectives of users, staff and family caregivers", International Psychogeriatrics, vol. 20, pp. 941-951, 2008. DOI: https://doi.org/10.1017/s1041610208007266   DOI
10 G. A. Hancock, B. Woods, D. Challis, M. Orrell, "The needs of older people with dementia in residential care", International Journal of Geriatric Psychiatry, vol. 21, pp. 43-49, 2006. DOI: http://dx.doi.org/10.1002/gps.1421   DOI
11 S. Zimmerman, W. L. Anderson, S. Brode, D. Jonas, L. Lux, A. S. Beeber, L. C. Watson, M. Viswanathan, K. N. Lohr, P. D. Sloane, "Systematic Review: Effective Characteristics of Nursing Homes and Other Residential Long-Term Care Settings for People with Dementia", Journal of the American Geriatrics Society, vol. 61, no. 8, pp. 1339-1409, 2013. DOI: http://https://doi.org/10.1111/jgs.12372   DOI
12 L. Sury, K. Burns, H. Brodaty, "Moving in: adjustment of people living with dementia going into a nursing home and their families", International Psychogeriatrics, vol. 25, no. 6, pp. 867-876, 2013. DOI: https://doi.org/10.1017/s1041610213000057   DOI
13 D. Edvardsson, B. Winblad, P. O. Sandman, "Person-centered care of people with severe Alzheimer's disease:current status and ways forward", The Lancet Neurology, vol. 7, no. 4, pp. 362-367, 2008. DOI: http://https://doi.org/10.1016/s1474-4422(08)70063-2   DOI
14 L. Nazarko, "Providing high quality dementia care in nursing homes", Nursing and Residential Care, vol. 11, no. 6, pp. 296-300, 2009. DOI: http://dx.doi.org/10.12968/nrec.2009.11.6.42411   DOI
15 A. H. Pattie, C. J. Gilleard, (1979). Manual of the Clifton Assessment Procedures for the Elderly(CAPE). Sevenoaks:Hodder & Stoughton.
16 F. I. Mahoney, D. W. Barthel, "Functional evaluation: The Barthel Index", Maryland State Medical Journal, vol. 14, pp. 61-65, 1965.
17 J. H. Park, S. W. Cho, H. Shon, "Reliability of functional status measurements in elderly people", Journal of Korean Neuropsychiatric Association, vol. 34, no. 2, pp. 475-483, 1995.
18 M. F. Folstein, S. E. Folstein, P. R McHugh. "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, vol. 12, no. 3, pp. 189-198, 1975. DOI: https://doi.org/10.1016/0022-3956(75)90026-6   DOI
19 J. H. Park, Y. N. Park, H. J. Ko, "Modification of the MMSE for use with the elderly in a non-western society. Part 2: cutoff points and their diagnostic validities", International Journal of Geriatric Psychiatry, vol. 6, pp. 875-882, 1991. DOI: http://dx.doi.org/10.1002/gps.930061208   DOI
20 D. I. Kaufer, J. L. Cummings, P. Ketchel, V. Smith, A. MacMillan, T. Shelley, O. L. Lopez, S. T. DeKosky, "Validation of the NPI-Q, a brief clinical form of the Neuropsychiatric Inventory", The Journal of Neuropsychiatry and Clinical Neurosciences, vol. 12, no. 2, pp. 233-239, 2000. DOI: http://dx.doi.org/10.1176/appi.neuropsych.12.2.233   DOI
21 M. P. Lawton, E. M. Brody, "Assessment of older people: self-maintaining and instrumental activities of daily living", Gerontologist, vol. 9, no. 3, pp. 179-186. 1969. DOI: http://dx.doi.org/10.1093/geront/9.3_part_1.179   DOI
22 C. W. Won, Y. G. Rho, S. Y. Kim, B. R. Cho, Y., S. Lee, "The validity and reliability of Korean Activities of Daily Living(K-ADL) scale", Journal of the Korean Geriatrics Society, vol. 6, pp. 98-106, 2002.
23 S.-A. Lee, W.-M. Jeong, Y.-J. Hwang, C.-A. Park, "A preliminary study on the effectiveness of group occupational therapy program for dementia patient in day-care center", Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 3, pp. 2055-2063, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.3.2055   DOI
24 H. G. van der Roest, F. J. Meiland, H. C. Comijs, E. Derksen, A. P. Jansen, H. P. van Hout, C. Jonker, R. M. Droes, "What do community-dwelling people with dementia need? A survey of those who are known to care and welfare services", International Psychogeriatrics, vol. 21, no. 5, pp. 949-996, 2009. DOI: http://dx.doi.org/10.1017/s1041610209990147   DOI
25 Seoul National University Hospital. (2008). Nationwide study on the prevalence of dementia in Korean elders. [cited 21 July 2014]. Available From: http://www.prism.go.kr/homepage/researchCommon/retrie veResearchDetailPopup.do?research_id=1351000-200800 002 (accessed Mar. 20, 2017)
26 Rabins PV, Lyketsos CG, Steele CD. Practical Dementia Care, New York, NY: Oxford University Press, 2006. DOI: https://doi.org/10.1093/med/9780195169782.001.0001   DOI
27 H. G. van der Roest, F. J. Meiland, H. P. van Hout, C. Jonker, R. M. Droes, "Validity and reliability of the Dutch version of the Camberwell Assessment of Need for the Elderly in community-dwelling people with dementia", International Psychogeriatrics, vol. 20, no. 6, pp. 1273-1290, 2008. DOI: http://dx.doi.org/10.1017/s1041610208007400   DOI
28 H. Gronstedt, K. Frandin, A. Bergland, J. L. Helbostad, R. Granbo, L. Puggaard, M. Andresen, K. Hellstrom, "Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level: a randomized controlled trial", Gerontology, vol. 59, no. 3, pp. 220-229, 2013. DOI: http://dx.doi.org/10.1159/000345416   DOI
29 E. Weening-Dijksterhuis, M. H. de Greef, E. J. Scherder, J. P. Slaets, C. P. van der Schans, "Frail institutionalized older persons: A comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life", American Journal of Physical Medicine & Rehabilitation, vol. 90, no. 2, pp. 156-168, 2011. DOI: http://dx.doi.org/10.1097/phm.0b013e3181f703ef   DOI