Relevant bibliographies by topics / Dementia facility

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Dementia facility'

Author: Grafiati
Published: 4 June 2021
Last updated: 7 February 2022

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Journal articles on the topic "Dementia facility"

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Winchip, Susan. "Dementia Health Care Facility Design." Journal of Interior Design 16, no. 2 (September 1990): 39–46. http://dx.doi.org/10.1111/j.1939-1668.1990.tb00053.x.

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Wang, Jinjiao, Thomas V. Caprio, Helena Temkin-Greener, Xueya Cai, Adam Simning, and Yue Li. "Relationship of Medicare–Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients." Journal of Aging and Health 32, no. 9 (January 15, 2020): 1178–87. http://dx.doi.org/10.1177/0898264319899211.

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Objective: The objective of this study was to examine the effects of dementia and Medicare–Medicaid dual eligibility on unplanned facility admission among older Medicare home health (HH) recipients. Method: This study involves a secondary analysis of data from the Outcome and Assessment Information Set (OASIS) and billing records (i.e., International Classification of Diseases, 10th Revision [ICD-10] codes) of 6,153 adults ≥ 65 years receiving HH from a nonprofit HH agency in CY 2017. Results: Among dual eligible patients with dementia, 39.3% had an unplanned facility admission of any type, including the hospital, nursing home, or rehabilitation facility. In the multivariable Cox proportional hazard model of time-to-facility admission, dual eligible patients with dementia were more than twice as likely as Medicare-only patients without dementia to have an unplanned facility admission (hazard ratio = 2.35; 95% confidence interval: 1.28, 4.33; p = .006). Discussion: Low income and dementia have interactive effects on facility admissions. Among Medicare HH recipients, dual eligible patients with dementia are the most vulnerable group for unplanned facility admission.
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Wang, Jinjiao, Thomas V. Caprio, Helena Temkin-Greener, Xueya Cai, jingjing Shang, and Yue Li. "RELATIONSHIP OF DEMENTIA AND MEDICAID ELIGIBILITY WITH FACILITY ADMISSIONS IN MEDICARE HOME HEALTH PATIENTS." Innovation in Aging 3, Supplement_1 (November 2019): S880. http://dx.doi.org/10.1093/geroni/igz038.3225.

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Abstract This study was a secondary analysis of the Outcome and Assessment Information Set (OASIS) and administrative billing records of 6,153 adults ≥ 65 years old who received home health (HH) from a not-for-profit HH agency in upstate New York between 01/01/2017 and 12/31/2017. We examined the relationships of dementia and Medicare-Medicaid dual eligibility with unplanned institutional admission (i.e. to hospital, nursing home, or inpatient rehabilitation facility) among these HH recipients. Dementia was identified by ICD-10 codes and OASIS items (M1700, M1710, M1740). We also used OASIS record to identify dual eligible status (M0150) and unplanned facility admission (M2410 [occurrence], M0906 [date], M2430 [reason]). Time-to-facility admission was defined as the number of days from HH start date to the facility admission date. The rate of having an unplanned facility admission was 14.2% among Medicare-only patients without dementia, 15.8% among dual eligible patients without dementia, 16.7% among Medicare-only patients with dementia, and 39.3% among dual eligible patients with dementia (p<0.001). In the multivariable Cox proportional hazard model of time-to-facility admission adjusting for patient covariates, dually eligible patients with dementia were more than twice as likely as Medicare-only patients without dementia to have an unplanned facility admission (Hazard Ratio=2.35, p=0.006). This is the first study that identified synergistic effects of having both dementia and Medicare-Medicaid dual eligibility on increasing the risk of healthcare facility admission in the Medicare HH population in the United States. Policies should ensure that appropriate and sufficient HH services be provided for dually eligible patients with dementia.
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Hendricksen, Meghan, Daniel Habtemariam, and Susan Mitchell. "FACILITY AND RESIDENT LEVEL DIFFERENCES: ANTIBIOTIC USE IN NURSING HOMES FOR RESIDENTS WITH ADVANCE DEMENTIA." Innovation in Aging 3, Supplement_1 (November 2019): S883. http://dx.doi.org/10.1093/geroni/igz038.3233.

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Abstract Previous studies have shown that there is a high frequency of antibiotic use in NH for advance dementia patients. However, research has shown limited clinical benefit from antimicrobial use for this population, and antimicrobial exposure increases colonization with drug-resistant bacteria in nursing homes. The aim of this study was to identify NH and resident level characteristics associated with antibiotic use for patients with advance dementia. Using data from an ongoing cluster RCT in 28 Boston NHs; Trial to Reduce Antimicrobial use in Nursing home residents with Alzheimer’s disease and other Dementias (TRAIN-AD), testing a program intervention to improve management of infections in advanced dementia. These data are taken from baseline measurements 2 months prior to intervention, and individual nursing home residents with advance dementia are units of analysis (n = 425). We ran multivariable logistic regression model with antibiotic use as the outcome, adjusting for clustering at NH level, with NH (#beds, profit status, staffing, #cognitively impaired, etc.) and individual patient characteristics (age, gender, race, etc.) as independent variables. Analyses found residents were more likely to receive antibiotics if they resided in nursing homes that employed less intense infectious disease practices prior to baseline (AOR = 2.34; 95% CI 1.08, 5.05), and full-time nurse practitioners or physician assistants (AOR= 3.68; 95%CI 1.49, 9.04). Female patients also had higher odds of receiving antibiotics (AOR=2.16; 95%CI1.10, 4.67). These findings provide potential insight into the importance of education regarding stringent infectious disease practices for practitioners, particularly for patients with advanced dementia.
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Annerstedt, Lena, Junko Sanada, and Lars Gustafson. "A Dynamic Long-Term Care System for the Demented Elderly." International Psychogeriatrics 8, no. 4 (December 1996): 561–74. http://dx.doi.org/10.1017/s1041610296002888.

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The dynamic processes and the way they interact in shaping a care system for demented patients are analyzed and discussed. The development of disability/dependency, interpreted in a simulation model based on Katz's index of ADL and Berger's scale “Rating the severity of senility,” gave insight into the interplay of four care levels: psychogenatric long-term care for patients with severe behavioral disturbances, nursing-home care for patients with highly reduced ADL capacity who are often moderately to severely demented, group-living care for the demented with less dominating ADL dependency, and residential care for the elderly frail with or without symptoms of dementia. For each facility in this chain of care, characteristics in patients' symptomatology and behavior could also be identified. Resources necessary in order to fulfill goals in caring differed between each facility.
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Saxton, Judith, Myrna Silverman, Edmund Ricci, Christopher Keane, and Beth Deeley. "Maintenance of Mobility in Residents of an Alzheimer Special Care Facility." International Psychogeriatrics 10, no. 2 (June 1998): 213–24. http://dx.doi.org/10.1017/s1041610298005328.

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The cognitive and functional decline of demented residents in a specialized Alzheimer's facility was compared to that of demented residents living in a traditional nursing home. All residents met DSM-III-R criteria for dementia. The evaluation consisted of a clinical interview with patients and collateral assessments of cognition, general health, problem behaviors, depression, and a broad range of activities of daily living (ADLs) including mobility. Residents were evaluated at baseline and 6-month intervals over 18 months. Similar rates of decline were found in cognition and overall ADLs in both groups. However, the most striking finding was preserved mobility in residents of the Alzheimer's facility. This finding suggests that specialized facilities do not halt or slow the overall progression of cognitive and functional decline seen in Alzheimer's disease; however, residents of such facilities may show slower decline in mobility.
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Nakanishi, Miharu, Syudo Yamasaki, and Atsushi Nishida. "In-hospital dementia-related deaths following implementation of the national dementia plan: observational study of national death certificates from 1996 to 2016." BMJ Open 8, no. 12 (December 2018): e023172. http://dx.doi.org/10.1136/bmjopen-2018-023172.

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ObjectiveTo examine changes in places of dementia-related death following implementation of the national dementia plan and other policy initiatives.DesignObservational study.SettingJapan between October 1996 and September 2016. Four major changes in health and social care systems were identified: (1) the public long-term care insurance programme (April 2000); (2) community centres as a first access point for older residents (April 2006); (3) medical care system for older people (April 2008) and (4) the national dementia plan (April 2013).Participants9 60 423 decedents aged 65 years or older whose primary cause of death was Alzheimer’s disease, vascular or other types of dementia or senility.Main outcome measuresPlace of death which was classified into ‘hospital’, ‘intermediate geriatric care facility’ (rehabilitation facility aimed at home discharge), ‘nursing home’ or ‘own home’.ResultsThe annual number of deaths at hospital was consistently increased over time from 1996 to 2016 (age-adjusted OR: 6.01; 95% CI 5.81 to 6.21 versus home deaths). Controlling for individual characteristics, regional supply of hospital and nursing home beds and other changes in health and social care systems, death from dementia following the national dementia plan was likely to occur in hospital (adjusted OR: 1.21; 95% CI 1.18 to 1.24), intermediate geriatric care facility (adjusted OR: 1.53; 95% CI 1.48 to 1.58) or nursing home (adjusted OR: 1.64; 95% CI 1.60 to 1.69) rather than at home.ConclusionsAs the number of deaths from dementia increased over the decades, in-hospital deaths increased regardless of the national dementia plan. Further strategies should be explored to improve the availability of palliative and end-of-life care at patients’ places of residence.
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TSUSHIMA, Takafumi, and Kenji TAKEMIYA. "RESEARCH ON FACILITY PLANNING OF MEDICAL CENTERS FOR DEMENTIA." AIJ Journal of Technology and Design 26, no. 62 (February 20, 2020): 233–38. http://dx.doi.org/10.3130/aijt.26.233.

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Bonner, Alice. "Dementia care in nursing homes: a golden opportunity." International Psychogeriatrics 26, no. 3 (January 30, 2014): 361–62. http://dx.doi.org/10.1017/s1041610213002597.

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The paper by Kleijer and colleagues (2014) in this issue of International Psychogeriatrics describes factors that may influence antipsychotic drug (APD) prescribing rates in nursing homes in several countries. The authors conclude that the large variability is only partly explained by differences in resident characteristics, and that it is associated with certain facility characteristics such as bed size and urban/rural location. They also identify the likelihood that differences in physician prescribing patterns or facility prescribing culture may influence APD prescribing rates, as has been found in previous studies (Briesacher et al., 2005; Chen et al., 2010).
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Paun, Olimpia, Ben R. Inventor, Louis Fogg, Hugh Vondracek, and Ilse Salinas. "FAMILY DEMENTIA CAREGIVER RECRUITMENT STRATEGIES IN LONG-TERM CARE FACILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S933. http://dx.doi.org/10.1093/geroni/igz038.3395.

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Abstract Recruitment of dementia caregivers whose family members reside in long-term care facilities (LTCFs) poses unique challenges as it traditionally relies on the assistance of facility administrators. The purpose of this presentation is to examine and evaluate new recruitment strategies to determine their effectiveness in an ongoing Stage I randomized clinical trial testing the effects of a Chronic Grief Management Intervention, Video-streamed (CGMI-V) on caregivers’ mental health (grief, depression, anxiety) and facility-related outcomes (conflict with staff, satisfaction with care). A total of 144 caregivers will be randomly assigned to the CGMI-V or to the minimal treatment conditions. The initial recruitment plan was to build on already-established relationships with more than 35 LTCFs that helped recruit in a previous study. The usual approach was to offer written materials and onsite presentations about the study to facility staff and to dementia family caregivers of facility residents. Within the first six months, recruitment efforts yielded less than a dozen participants, thus we had to refine our approach. Revised recruitment strategies included the adoption of resources from the National Institute on Aging’s ADORE (Alzheimer’s and Dementia Outreach, Recruitment, and Engagement) and ROAR (Recruiting Older Adults into Research) platforms. This new approach included online study advertising on NIH and Alzheimer’s Association research study repositories and advertising on parent institution’s on-hold messaging system. Adoption of these new strategies is yielding an increase in participant screening and enrollment. Results are pending.
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Dissertations / Theses on the topic "Dementia facility"

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Samarin, Sharon Dianne. "Dementia-Spcific Education in an Assisted Living Facility." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6109.

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Providing competent, high-quality, and person-centered care is important in the healthcare environment, including the care for the aging and training of those who provide care. A knowledge gap in dementia-specific training was identified at an assisted living facility. The purpose of this project was to answer the question whether a dementia-specific educational staff training program would improve staff members' knowledge and application of dementia-specific competencies as well as caring behaviors. Watson's theory of human caring, the theory of planned behavior, and Leininger's framework of culture care were used to inform this project. The educational project evaluated the success of implementing nurse caring behaviors and a dementia-specific training program. Data collection included analysis of the responses of 20 facility personnel to a survey validating the needs assessment. Results of pre- and posttesting of each educational module demonstrated a statistically significant improvement (p =.0001), and observation of staff-resident interactions demonstrated 100% achievement on the competency checklist across all project participants. Qualitative analyses of data gathered from participants' discussions resulted in 4 themes: (a) the characteristics of dementia care, (b) individual caregiver attitudes, (c) knowledge deficit, and (d) the importance of caring behaviors. Educational training methods were found effective to elicit nursing staff behavior change and improve understanding of the dementia patient and requisite care, which represents a significant positive social change and enhanced care for the dementia patient in the assisted living facility.
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Sharpp, Tara Joy. "An ethnography of dementia care in an assisted living facility." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3297811.

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Hart, Rebecca Marie. "Hart's Home Away From Home: An Integrative Approach to Dementia Care." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1311203360.

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Stern, Louise Ann. "The cultural whisper in our ear : intercultural dementia care in a Jewish long-term care facility." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42219.

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Long-term care facilities are becoming more representative of the diverse ethno-cultural demographics of Canadian society in the make-up of residents, family and staff that live and work there. Therefore, it is entirely likely that care given and received in these facilities will be intercultural in nature. That is, the people caring for them may be from different ethno-cultural, racial and religious backgrounds than the people they are caring for. The impacts of this phenomenon on care provision within elder care settings, such as long-term care have not been adequately explored in the research literature, especially in a Canadian context. The purpose of this qualitative, ethnographic research study was to explore the impact of these intercultural dynamics on care for people with advanced dementia. This study took place over 9 months on a care unit based in a Jewish long-term care facility. The choice of an ethno-culturally specific facility allowed for an exploration of the culture concept in a setting in which culture and cultural identity are deeply embedded within daily life. Field work included approximately 210 hours of participant observation, 21 interviews with a diverse mix of staff and family members, 20 Dementia Care Mapping sessions with residents, and document analysis including resident care charts, and facility-based and systemic policies and procedures. The findings from this study illustrate the ways in which individuals and groups utilize the culture concept in a myriad of strategic and resourceful ways. They include: helping to secure scarce resources; to make sense of the differences that exist within the health care interactions and dementia care; to help position and locate oneself within the context of an overtly ethno-cultural and medical setting; and to challenge more dominant Western, medical paradigms about dementia, personhood and care that are specific to the end of the dementia process. Dementia care acted as a discursive space through which intercultural dynamics and negotiations were played out that represent and reflect the world outside of the facility. While this study was specific to a Jewish facility, the intercultural dynamic is applicable to a myriad of elder care settings which have different cultural configurations, inferring that the findings could be of benefit to recognizing and further exploring this topic.
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Dickinson, Joan Ivers. "The effects of visual barriers on the exiting behavior of residents in a dementia care facility." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-09192009-040501/.

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Barnett, Elizabeth. "#I need to be me!' : a thematic evaluation of a dementia care facility based on the client perspective." Thesis, University of Bath, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.360465.

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Dionne-Vahalik, Michelle M. "Use of Antipsychotic Medications in Individuals With Alzheimer's Disease in Nursing Facilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5179.

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Patients with Alzheimer's disease or other types of dementia often require long-term care in nursing facilities (NF) where they may display out-of-character behaviors complicating their care. While antipsychotic medications are sometimes prescribed for NF residents, their use is considered inappropriate for the control of dementia behaviors. The Centers for Medicare and Medicaid Services have rated Texas the worst state in the country for the inappropriate use of antipsychotic medications for NF residents with dementia. This project was guided by the star model of knowledge transformation with the goal to reduce inappropriate use of antipsychotic medications through NF staff education. The purpose of this project was to develop an educational program for nurses, direct care staff, pharmacists, and prescribers regarding appropriate use of antipsychotic medications, reduction efforts, alternative non pharmacological interventions, and an associated toolkit of educational resources. The program development was accomplished in conjunction with a team of local experts who provided process evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10-question, Likert-type survey. All participants scored their results with a (5) strongly agree or (4) agree. A descriptive analysis of the survey data provided information that positively supported the development of the project. At the end of the project, the education program and resources were delivered to the Texas Health and Human Services Commission, with a plan for later implementation and outcome evaluation. This project has the potential to achieve positive social change through reducing the numbers of Texan NF residents with dementia who are inappropriately prescribed antipsychotic medications, which will result in an increase in their quality of life.
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Hill, Heather, and heatherhill@hotkey net au. "TALKING THE TALK BUT NOT WALKING THE WALK: BARRIERS TO PERSON CENTRED CARE IN DEMENTIA." La Trobe University. School of Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20041215.100826.

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While the concept of person-centred care in dementia has been around for 15 years or more and has attracted much interest and enthusiasm, aged care facilities continue to have difficulty in actually implementing and maintaining person-centred practices. In this study I explore the experience of one aged care facility in order to identify the barriers to changing care practice. The research took place in an ethno-specific (Jewish) aged care facility, Star of David, which was in the process of setting up a program for its residents with dementia based on person-centred principles. The methodology used in the research study was ethnographic, involving participant observation and interview, with a particular focus on a limited number of participants: four residents and their families, four senior staff, four personal care attendants and the executive director. Interviews were also conducted with staff members from three other aged care facilities. The findings showed that Star of David was unable to bring about substantial change in its care practices, while the external interviews and the literature suggest that other facilities have similar difficulties. I identify three major types of barrier: procedural barriers within the institution itself; (government) policy; and barriers relating to hegemonic values and beliefs which underpin established health care practice. These three types of barrier interact with and reinforce one another. I conclude that if we are to change care practice in institutions, we must address all of these barriers at the same time. Finally, I suggest that person-centred care itself, which continues to place emphasis on professional service provision, may only be the beginning of necessary change. In order to be truly person-centred, we need to move towards a more community based or public health approach which recognizes the need of all persons to be treated both as significant individuals and accepted as part of a community.
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Le, Thao. "Person-centered training to promote quality of care to skilled nursing facility residents affected by dementia| A grant proposal." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024098.

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Individuals diagnosed with dementia make up the majority of the population in skilled nursing facilities (SNFs). Certified Nursing Assistants (CNAs) are the primary caretakers of older adults living in SNFs. The purpose of this grant project was to write a proposal for funding to provide Person-Centered Care (PCC) training to help CNAs enhance their skills to better enhance the quality of life of older adults living with dementia in SNFs.

The goal of PCC training is to help CNAs better understand the signs and symptoms of Alzheimer’s and dementia, improve communication skills, and provide strategies to manage the behavioral and psychological symptoms of dementia. Previous research on PCC has found it to be effective in improving the quality of care of older adults who are affected by dementia and who are living in nursing homes.

Actual submission or funding of the grant was not required for the successful completion of this project.

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Grausam, Abigail. "A qualitative study of caregiver stress and coping following the placement of a family member in a dementia care facility." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133976.

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The decision to place a memory-impaired loved one in a dementia care facility can be emotionally challenging for families with many factors to consider. The purpose of this study was to explore the stress and coping of caregivers after the facility placement of their family member. Data were collected through 15 in-depth interviews with caregivers who were within the first 6 months of having moved their love one to this type of facility. Results suggested that dementia caregivers experienced high levels of burden due to the disease-related behaviors of their loved one coupled with the emotionally-laden experience of seeing a loved one move to a care facility. Over half of the participants reported a lack of emotional support from service providers during the relocation period, yet all participants reported the Alzheimer's Association as being the most supportive social service agency. Implications for social work practice and future research directions are discussed.

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Books on the topic "Dementia facility"

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Moore, Keith Diaz. Dementia day care facility development workbook. McLean, Va: National Adult Day Services Association, 2003.

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Finnema, Evelyn Janet. Emotion-oriented care in dementia. Groningen, the Netherlands: Institute for Research in Extramural Medicine (EMGO), 2000.

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Environment & communication assessment toolkit for dementia care. Baltimore: Health Professions Press, 2012.

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Kristen, Day, ed. Contemporary environments for people with dementia. Baltimore: Johns Hopkins University Press, 1993.

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Chalfont, Garuth. Design for nature in dementia care. London: Jessica Kingsley Publishers, 2008.

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Cohen, Uriel. Holding on to home: Designing environments for people with dementia. Baltimore: Johns Hopkins University Press, 1991.

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Michael, Clemmer Wm. Victims of dementia: Services, support, and care. New York: Haworth Pastoral Press, 1993.

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Weiner, Audrey S. Institutional approaches to the care of individuals with dementia: Report of a national facility survey and the Hebrew Home for the Aged at Riverdale, as a case study : prepared under contract for the (U.S.) Congressional Office of Technology Assessment. [Washington, D.C.?: The Office, 1986.

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Moore, Keith Diaz. Dementia day care facility: Development workbook (Publications in architecture and urban planning). Center for Architecture and Urban planning research, University of Wisconsin-Milwaukee, 2002.

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Canada. Health and Welfare Canada., ed. Designing facilities for people with dementia. Ottawa: Health Facilities Design Unit, Department of National Health and Welfare, 1991.

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Book chapters on the topic "Dementia facility"

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Van Steenwinkel, I., E. Verstraeten, and A. Heylighen. "Adjusting an Older Residential Care Facility to Contemporary Dementia Care Visions." In Designing Around People, 219–28. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-29498-8_22.

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Bellini, Gloria, Marco Cipriano, Nicola De Angeli, Jacopo Pio Gargano, Matteo Gianella, Gianluca Goi, Gabriele Rossi, Andrea Masciadri, and Sara Comai. "Alzheimer’s Garden: Understanding Social Behaviors of Patients with Dementia to Improve Their Quality of Life." In Lecture Notes in Computer Science, 384–93. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-58805-2_46.

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AbstractThis paper aims at understanding the social behavior of people with dementia through the use of technology, specifically by analyzing localization data of patients of an Alzheimer’s assisted care home in Italy. The analysis will allow to promote social relations by enhancing the facility’s spaces and activities, with the ultimate objective of improving residents’ quality of life. To assess social wellness and evaluate the effectiveness of the village areas and activities, this work introduces measures of sociability for both residents and places. Our data analysis is based on classical statistical methods and innovative machine learning techniques. First, we analyze the correlation between relational indicators and factors such as the outdoor temperature and the patients’ movements inside the facility. Then, we use statistical and accessibility analyses to determine the spaces residents appreciate the most and those in need of enhancements. We observe that patients’ sociability is strongly related to the considered factors. From our analysis, outdoor areas result less frequented and need spatial redesign to promote accessibility and attendance among patients. The data awareness obtained from our analysis will also be of great help to caregivers, doctors, and psychologists to enhance assisted care home social activities, adjust patient-specific treatments, and deepen the comprehension of the disease.
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Gruenewald, David A. "Institutional Issues." In Voluntarily Stopping Eating and Drinking, edited by Timothy E. Quill, Paul T. Menzel, Thaddeus M. Pope, and Judith K. Schwarz, 229–40. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190080730.003.0012.

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Increasingly, older adults wishing to avoid prolonged dying with dementia are completing advance directives to limit oral nutrition and hydration (ONH) in advanced dementia, but resistance to implementing these directives has arisen within the professional long-term care (LTC) community. Some “dementia directives” call for withholding or withdrawing assisted hand-feeding when specific thresholds are met during dementia’s progression. “Comfort feeding only” (CFO) has been suggested as a best practice in advanced dementia, but CFO may not be sufficient for those wishing to hasten death when advanced dementia develops. Of concern, some LTC facility residents desiring comfort-focused care may be harassed or coaxed to eat and drink by staff as part of “basic care.” It may be possible to identify areas of shared understanding between older people who fear living in advanced dementia and staff who find meaning in caring for demented people who appear to accept or even enjoy ONH.
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de Medeiros, Kate, and Aagje Swinnen. "Social connectivity and creative approaches to dementia care: the case of a poetry intervention." In Resilience and Ageing, 65–86. Policy Press, 2018. http://dx.doi.org/10.1332/policypress/9781447340911.003.0004.

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This chapter draws together four concepts — resilience and flourishing, creativity and play — to explore the impact of poetry interventions in the lives of people with dementia living in a care facility. Participatory arts programmes can provide opportunities for people to be reminded of their humanness and re-membered as valuable human beings. Opportunities to be creative and engage with others contribute to resilience or the ability to transcend many dementia-associated losses. Through imaginative play, regardless of cognitive ability, people can express and/or enact important aspects of meaning and selfhood/personhood that might otherwise go unacknowledged in the care environment. While arts interventions may not be able to reverse cognitive decline, the case study points to ways that the poetry intervention creates a time–space in which people can ‘flourish’, express affinity with others, and foster social bonds, and how, in turn, these contribute to meaningful moments in people's lives.
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Kontos, Pia, and Alisa Grigorovich. "Dancing with dementia: citizenship, embodiment and everyday life in the context of long-term care." In Ageing in Everyday Life, 163–80. Policy Press, 2018. http://dx.doi.org/10.1332/policypress/9781447335917.003.0009.

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Despite the critical knowledge base on dance from phenomenological analyses and somatic studies, dance scholarship and practice in the dementia field largely represents a movement towards cognitive science with an emphasis on embodied cognition and psychotherapeutic use of dance. This chapter argues that understanding and fully supporting dance, not as a therapeutic, but rather as a dimension of everyday life, requires a turn to citizenship, specifically to a model that emphasises both embodied selfhood and relationality. The chapter articulates this argument by analysing findings of an ethnographic study of selfhood in Alzheimer’s disease in a Canadian long-term care facility in the context of the relational model of citizenship. Relational citizenship brings a new and critical dimension to understanding self-expression through dance by persons with dementia, while also addressing broader issues of inclusivity and the ethical imperative to fully support dance through institutional policies, structures and practices.
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Capstick, Andrea, and Katherine Ludwin. "Memories on film: public archive images and participatory film‑making with people with dementia." In Communities, Archives and New Collaborative Practices, 65–78. Policy Press, 2020. http://dx.doi.org/10.1332/policypress/9781447341895.003.0005.

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This chapter explores the use of images from local history archives in the co-construction of short individual films with people with dementia. The study on which the chapter is based was carried out with two men and eight women living in a housing-with-care facility in the northern United Kingdom. The chapter finds that archive images quickly took on a central role in the film narratives of several of the participants. In the process, the archive materials themselves were also transformed, memorialising the everyday spaces and places in which the participants had lived. In this study, archive images were often used to elicit memories of people, or places that no longer look the same in the present day. The chapter reveals that such images were often more recognisable to the participants than were contemporary photographs. This corresponds with research into the ‘reminiscence bump’, which suggests that autobiographical memory for the period between about five and thirty years of age remains well preserved in people living with dementia.
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Ahlskog, J. Eric. "Hospitalization and Nursing Facilities: Keeping Everyone on the Same Page." In Dementia with Lewy Body and Parkinson's Disease Patients. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199977567.003.0032.

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Nearly all of us end up in the hospital for something sooner or later. The unique problems of Lewy disorders and medications can challenge hospital care teams. On a related note, some individuals with DLB or PDD may require care in a nursing facility. This may be transient, requiring rehabilitation and stabilization following a hospitalization; in other cases, it is indefinite because of the complex care necessary for DLB and PDD. In this chapter, the focus is on the care teams in these facilities. Although many staff in these settings are familiar with the medications and problems of DLB and PDD, this knowledge is not universal. Little published literature addresses the special needs of those with PDD or DLB admitted to the hospital or living in extended care facilities. It is hoped that this chapter can be an aid in caring for those with PDD or DLB. People with DLB or PDD are, by definition, cognitively impaired. Sometimes this is associated with hallucinations or delusions. Most individuals also have dopamine deficiency states with parkinsonism. Another common component is autonomic nervous system dysfunction. This dysautonomia may be associated with bladder and bowel disorders but, more importantly, with orthostatic hypotension (potential for fainting when ambulating). Some people with PDD or DLB are mildly impaired by these problems, and others are quite compromised. What follows is a summary of crucial knowledge for nursing and paramedical staffs. 1. As with any dementia, novel environments are disorienting. 2. Hallucinations are a frequent component of DLB and PDD. These may be exacerbated by psychoactive medications, including narcotics for pain. 3. Carbidopa/levodopa is the least likely among the potent drugs for parkinsonism to provoke hallucinations. Other Parkinson drugs should generally not be started. 4. People with DLB or PDD commonly experience dream enactment behavior (REM sleep behavior disorder); this should not be misinterpreted as nocturnal hallucinations. 5. Anticholinergic medications for urinary urgency may cross the blood–brain barrier and impair cognition (e.g., oxybutynin). The only drug from this class that cannot get into the brain is trospium (Sanctura).
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Conference papers on the topic "Dementia facility"

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Ly, Nam Tung, Robert Tscharn, Jan Preßler, Stephan Huber, Samir Aknine, Audrey Serna, and Jörn Hurtienne. "Smart lighting in dementia care facility." In UbiComp '16: The 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2968219.2968526.

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Yamazaki, Ryuji, Shuichi Nishio, Kohei Ogawa, and Hiroshi Ishigur. "Teleoperated android as an embodied communication medium: A case study with demented elderlies in a care facility." In 2012 RO-MAN: The 21st IEEE International Symposium on Robot and Human Interactive Communication. IEEE, 2012. http://dx.doi.org/10.1109/roman.2012.6343890.

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