1,720,971 research outputs found
Predictors of institutionalization in demented patients discharged from a rehabilitation unit
No full textBACKGROUND: The decision to place a patient with dementia in long-term care is complex and based on the patient's and the caregiver's characteristics, and on the sociocultural context. Most studies assessing predictors of nursing home placement focused primarily on the characteristics of either the patient, such as dementia severity and difficult behaviors, or the caregiver, such as subjective burden and health status. However, only a few studies comprehensively investigated how both a caregiver's and a patient's characteristics influence nursing home placement.
OBJECTIVE:
To identify the patient's and the caregiver's characteristics that influence discharge to a nursing home in demented patients consecutively admitted to an intermediate care setting.
METHODS:
Observational study of 214 patients with dementia consecutively admitted to a Rehabilitation Unit for Dementia in Northern Italy (length of stay 35.1 +/- 14.9 days). The main evaluated outcome was the final destination (home vs nursing home).
RESULTS:
In a multivariate logistic regression analysis, adjusted for age, gender, cognitive status, and behavioral disturbances, 4 predictors were associated with nursing home placement: living alone (OR 8.79, 95% CI 2.33-33.16; P = .001), degree of dementia severity (CDR, OR 1.69, 95% CI 1.02-2.83; P = .04), compromised functional status (Barthel index admission, OR 3.15, 95% CI 1.05-9.48; P = .04), and caregiver's burden (CBI, OR 2.89, 95% CI 1.15-7.29; P = .02).
CONCLUSIONS:
Data suggest that living alone, patient's functional impairment, severity of dementia, and caregiver's burden were independent predictors of institutionalization. The interaction between a patient's and a caregiver's characteristics has an important effect on the rate of nursing home placement in demented patients
Geriatric Evaluation and Rehabilitation Unit (GERU) for dementia: A model for the care of demented patients? [L'Istituto di Riabilitazione Geriatrica (IDRG): Un modello clinico-assistenziale per le demenze?]
No full textObjectives: This study proposes a model of treatment which offers a good quality of assistance to elderly patients suffering from a moderate-severe degree of cognitive degeneration resulting in behavioural disturbances and disabilities arising from acute illnesses or resurgence of chronic illnesses. Methods: Research was carried out on 412 patients (average age 80.4 ± 7.1years, 66.3% female) admitted to a ward of geriatric rehabilitation for dementia-related problems (the IDR Alzheimer, Centro Medico Richiedei, in Palazzolo sul Oglio, Brescia, Italy) during the first two and a half years of its activity. Some of these patients (N = 125) were re-examined six months after discharge. Results: The study included a period of 30 months, starting in November 2001, during which the following topics were taken into consideration: setting, training, objectives, outcome and organization. The outcome were established after definition of the objectives. Specific instruments were utilized in the evaluation of cognition, behaviour, daily activities, motor function and comorbility. Conclusions: Data confirm that the development of a new model of treatment for patients suffering from dementia, such as that offered by a Rehabilitation Unit, is a process that requires time. The research helps to understand the methodological problems, offering some suggestions for possible solutions and future initiatives
Rehabilitation units for people suffering dementia. Reports on the development process for providing a model of care
No full textL’Istituto di Riabilitazione Geriatrica (IDRG): un modello clinico-assistenziale per le demenze?
No full textEffect of high climate temperature on the behavioral and psychological symptoms of dementia
No full textThe objective of this study was to investigate if high climate temperature could have a negative effect on behavioral and psychological symptoms of dementia (BPSD)
- …
