Academic literature on the topic 'Dementia Institutional care'
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Journal articles on the topic "Dementia Institutional care"
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Matthews, Fiona E., and Tom Dening. "Prevalence of dementia in institutional care." Lancet 360, no. 9328 (July 2002): 225–26. http://dx.doi.org/10.1016/s0140-6736(02)09461-8.
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López, J., A. Losada, R. Romero-Moreno, M. Márquez-González, and P. Martínez-Martín. "Factors associated with dementia caregivers’ preference for institutional care." Neurología (English Edition) 27, no. 2 (March 2012): 83–89. http://dx.doi.org/10.1016/j.nrleng.2012.03.004.
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Wilz, G., T. Heilmann-Stiegler, J. Deux, and L. Weise. "INDIVIDUALIZED MUSIC FOR PEOPLE WITH DEMENTIA IN INSTITUTIONAL CARE." Innovation in Aging 1, suppl_1 (June 30, 2017): 1045. http://dx.doi.org/10.1093/geroni/igx004.3819.
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Cohen, Carole A. "The SMARTT Program: Planning for Dementia Care." Healthcare Management Forum 10, no. 3 (October 1997): 49–51. http://dx.doi.org/10.1016/s0840-4704(10)60963-5.
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Dementia is being recognized as a major public health challenge. Caring for those with dementia poses unique problems for family and health care providers in community and institutional settings. This article describes the development of the Sunnybrook Memory Assessment Research Treatment and Training (SMARTT) Program at an academic health science centre. This program serves as a model for an integrated health system to meet the needs of dementia patients and their families.
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Pedro, Catarina, Mariana Duarte, Beatriz Jorge, and Daniela Freitas. "440 - Dementia villages: rethinking dementia care." International Psychogeriatrics 32, S1 (October 2020): 158. http://dx.doi.org/10.1017/s1041610220002926.
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Introduction:Over the past 20 to 30 years, alternative dementia care models have been developed. Dementia villages challenge popular perceptions about life with dementia and contrast to the traditional model of long-term care facilities that are often seen as institutional, impersonal, and risk-averse. The first dementia village, De Hogeweyk, was developed in 2009 and is located in Weesp, Netherlands. Hogeweyk aims to create a safe environment, enabling the person with dementia to live an “ordinary life” with as much autonomy as possible and also maintaining integration with the local community. Other dementia villages have been established in several countries, following De Hogeweyk model.Objectives:The aim of this presentation is to describe the functioning of dementia villages and evaluate its benefits on dementia patients.Methods:A non-systematic review of the literature was performed on PubMed, PsycINFO and Web of science using selected keywords. We also consult the official websites of the institutions.Results:Dementia villages seem to improve functioning and reduce the need for medication. Anxiety, restlessness and homesickness can still persist, but are reduced by the homelike and hospitable setting in which residents live. In fact, antipsychotic medication use at the residence has decreased from approximately 50% of residents, before the dementia village was introduced, to approximately 12% in 2019. The staff also reported greater job satisfaction. Although dementia villages are growing throughout the Western world, this concept has also been criticized, arguing that this type of living is dishonest, misleading the residents to believe that they are still living in the ‘real community’.Conclusions:Dementia villages are guided by the principles “deinstitutionalize, transform and normalize” care for people with advanced dementia. Although its intuitive advantages, there is no research evidence to demonstrate that this environment has any beneficial effect in behaviour, functional ability or cognition. In future studies, clinical outcomes could be used as a measure of quality of care. Hogeweyk concept has made societies rethinking dementia care and has been inspiring the development of other innovative models of dementia care.
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Ito, Hiroto, and Yuki Miyamoto. "Impact of long-term care insurance on institutional dementia care in Japan." Health Policy 64, no. 3 (June 2003): 325–33. http://dx.doi.org/10.1016/s0168-8510(02)00181-1.
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Jarrott, Shannon E., Hye Ran Kwack, and Diane Relf. "An Observational Assessment of a Dementia-specific Horticultural Therapy Program." HortTechnology 12, no. 3 (January 2002): 403–10. http://dx.doi.org/10.21273/horttech.12.3.403.
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Horticultural therapy (HT) is used across the lifespan with individuals with a wide range of physical, social, and cognitive abilities. Older adults make up a large group of participants in horticultural activities. As the population of older adults grows, more adults face the risk of experiencing a dementing illness. Many families turn to institutional care programs, such as nursing homes and adult day service (ADS) programs, for assistance with the care of their relative with dementia. HT may be an appropriate activity to incorporate into dementia care activity programs, but formal evaluations of such programs are limited. The current study evaluated a 10-week HT program conducted with adults with dementia at an ADS program. Observations indicated that participants engaged in the horticultural activities for greater periods of time than the nonhorticultural activities. Participant affect during the horticultural and nonhorticultural activities was comparable. HT is appropriate for dementia care programs serving adults with a wide range of cognitive, physical, and social needs, and it should be considered as a viable alternative to more typical dementia care program activities.
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Adler, Geri, Linda Ott, Mary Jelinski, James Mortimer, and Renee Christensen. "Institutional Respite Care: Benefits and Risks for Dementia Patients and Caregivers." International Psychogeriatrics 5, no. 1 (March 1993): 67–77. http://dx.doi.org/10.1017/s1041610293001401.
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Thirty-seven dementia patients and their caregivers were studied before and after a two-week in-hospital respite stay. Institutional respite care did not alter behavior problems in dementia patients, nor did changes in performance of activities of daily living (ADLs) by Alzheimer's disease (AD) patients exceed those expected from disease progression. Caregivers exhibited an improvement in burden and depression during the respite study, but levels returned to baseline following the patient's return home.
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Gusmano, Michael. "End-of-life care for patients with dementia in the United States: institutional realities." Health Economics, Policy and Law 7, no. 4 (October 2012): 485–98. http://dx.doi.org/10.1017/s1744133112000266.
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AbstractFew are satisfied with end-of-life care in the United States. For families and friends of people with dementia, end-of-life care is particularly frustrating. Providing better end-of-life care to people with dementia is urgent because the prevalence of the disease is increasing rapidly. Dementia is currently the seventh leading cause of death in the United States and fifth leading cause of death among people aged 65 years and older. By 2050, there will be around 19 million people with Alzheimer's disease. This article reviews ethical and policy challenges associated with providing end-of-life care for people with dementia in the United States. I explain how disagreements about the meaning of futility lead to poor care for people with dementia. Most people agree that we should not provide care that is futile, but there is little agreement about how futility should be defined. US policies and politics clearly tip the balance in the direction of treatment, even in the face of strong evidence that such care does more harm than good. Although we may never reach a consensus, it is important to address these questions and think about how to develop policies that respect the different values.
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Gilhooly, Mary L. M. "Senile dementia: Factors associated with caregivers' preference for institutional care." British Journal of Medical Psychology 59, no. 2 (June 1986): 165–71. http://dx.doi.org/10.1111/j.2044-8341.1986.tb02681.x.
Full textDissertations / Theses on the topic "Dementia Institutional care"
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Sandman, Per-Olof. "Aspects of institutional care of patients with dementia." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 1986. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100563.
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The aim of the present study was to investigate all long-term institutions in the county of Västerbotten, Northern Sweden, to give a detailed description of the institutionalized population with respect to motor functions, vision, hearing, speech, ADL-functions, prevalence of psychiatric symptoms and behavioral disturbances, staff work load, use of psychoactive drugs and prevalence of dementia. Another aim was to select some specific 'problem areas' in the nursing care of demented patients for further descriptive and interventional studies. For this reason, morning care procedure (hygiene, dressing), meal behavior (eating, communication), nutrition, constipation and relocation between institutions were selected. The results of the study have been reported in six papers summarized below: I.The study has shown that the proportion of demented patients is increasing in longterm institutions in Sweden. Furthermore, demented patients were shown to be more impaired in all rated functioning abilities and exhibited more psychiatric symptoms and behavioral symptoms. A high proportion of the demented probands were also prescribed psychoactive drugs, i.e. neuroleptics. II. Five patients with Alzheimer-type dementia were monitored during morning care. A 12-step classification system was developed to be used as a guide to understand and determine abilities essential for performance of morning care for demented patients. The quantitative assessment showed that none of the patients were able to manage morning care independently, but there was a wide variation in their highest level of performance. III. Five patients with Alzheimer-type dementia were observed (video taped) during their meals in a changed meal milieu and with new meal routines. When the patients ate without staff participation, the two least demented patients became 'caregivers'. When two mental nurses joined the group, first in civil clothes and then in white uniforms, the patients dropped their roles as helpers. The patients were able to compose complete meals in 0-79 per cent of the meals. The conversation during the meals could be characterized as incomplete, with short sentences and a lot of breaks. Sixty-three per cent of all utterances were about food and eating and almost all conversation concerned the present time. IV. Thirty-three psychogeriatric patients, with severe constipation were given a high- bran bread instead of their accustomed laxatives. During the high-bran treatment period, the number of bowel evacuations and the volume of faeces increased. The total laxative consumption decreased by 93 per cent. V. Nutritional status and dietary intake were studied in a sample of severely demented, institutionalized patients. Energy and /or protein malnutrition was found in 50 per cent of the patients. The mean energy intake was 2059 kcal. Malnourished patients had had four times as many infectious periods during their hospital stay as patients without malnutrition. Thirty-nine of 44 patients lost weight during their hospital stay. VI. Thirty-three psychogeriatric patients were followed for 36 weeks after relocation from a mental hospital to two newly built nursing homes. An intensive pre-relocation program was performed. No negative effects of the relocation were found. On the contrary, the relocated group improved their ADL-functions after the transfer. Based upon the above cited studies, a model for nursing care of demented patients is presented.S. 1-45: sammanfattning, s. 46-192: 6 uppsatser
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Lin, Che-Ying. "The development of quality indicators for Taiwanese institutional dementia care." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2542.
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This study is a mixed-method study that seeks to develop a set of institutional dementia care indicators to evaluate quality of care and inform the improvement of quality of life (QOL) for Taiwanese people with dementia living in care homes. It also uses comparative analysis to compare the different features of policy and its delivery in dementia care between Scotland and Taiwan, a comparison designed to aid the development of dementia care policy, and the establishment of quality indicators for institutional dementia care, in Taiwan. This study employed the person-centred care approach at the micro perspective, and the total quality management (TQM) approach at the macro perspective, in order to inform a seamless care model for people with dementia living in care homes. Data were collected in two stages: comments from experts in dementia care were recorded in an exercise using “Delphi” methodology; subsequently the opinions of service receivers were recorded in a fieldwork exercise. The Delphi exercise (stage one) acted as the pre-test, involving 24 experts in dementia care in Scotland and Taiwan in evaluating the usefulness and applicability of proposed quality indicators for institutional dementia care. Quantitative and qualitative data from the Delphi panel were analyzed. The fieldwork (stage two) collected 237 questionnaires (from 122 residents with dementia and 115 family members) in 14 Taiwanese care homes for people with dementia (including special care units within care homes). The field test data were analyzed using reliability and item analysis, confirmatory factor analysis (CFA), and descriptive and inferential statistics. Initially, 43 proposed quality indicators for institutional dementia care were identified through literature review. However, after two Delphi rounds, only six key dimensions (41 quality indicators) were identified by consensus as the important items for use in measurement of quality of care for people with dementia living in Taiwanese care homes. Through reliability and item analysis, and CFA, this research developed a model which is a three-factor structure (social care, health and personal care, and environment) with 18 quality indicators. The 18 quality indicators have high reliability, validity, and credibility and load onto a second order factor which represents quality of care for people with dementia living in care homes. Further analysis was then conducted to explore how relative ratings on these three factors differed according to measured characteristics of the residents and their family members. In general, only a few strong patterns of difference emerged and multiple linear regression analysis suggested that differences in ratings could not be attributed to influences of socio-economic and socio-demographic differences between respondents. The study concludes that the Delphi method could be used as a methodology for health services research to integrate the opinions of multidisciplinary dementia experts and that CFA is an effective technique to study the empirical factor structure. The findings suggest that the 18 quality indicators could be suitable criteria for people with dementia and their family members to evaluate care quality and select an appropriate care home. The indicators also have important policy implications for the Taiwanese Government and regulations intended to ensure that care homes meet the requirements of service receivers.
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Cook, Ailsa. "Understanding the communication of older people with dementia living in residential care." Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/3301.
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This thesis explores the communication of a group of older people with dementia living in a residential care home and specifically, seeks to understand how living with dementia in a care home influences communication. The study draws broadly on a symbolic interactionist perspective and uses an ethnographic, inclusive, video methodology. In so doing, the study grounds the research in the experiences of the older residents with dementia and explores communication as it is interwoven with social life. The empirical data, on which this thesis is based, were gathered over the course of six months in one residential care home in Central Scotland. Analysis of these data, in conjunction with the theoretical literature informing the study, led to the development of a framework and a set of concepts to understand the communication of the older people with dementia living in residential care. This framework was used to examine the ways in which the older residents' experiences of institutionalisation, ageing, and dementia, generally, and of life in the care setting, specifically, influenced their communication. The findings revealed that the older residents made diverse meanings of their experiences in the home, and mat many of the meanings that they made were threatening to their self-identity, self-determinacy and social relationships. The residents engaged in a range of strategies to respond to the impact of these meanings and to negotiate their life in the care home. The research presented in this thesis has many implications for understanding the experiences of older people with dementia in residential care. In particular, the research highlights the need for a new social understanding of dementia, that examines the experience of dementia in relation to broad structural and cultural processes and that seeks to promote the social inclusion and citizenship of older people with dementia.
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Ellames, Lorraine. "Dementia care training for residential care workers : building residential care workers' own views into a conceptual model." Thesis, University of Sussex, 2018. http://sro.sussex.ac.uk/id/eprint/76639/.
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This thesis is the result of research that investigated the views of residential care workers (RCWs) working with people with dementia about their perceptions of training for their dementia care role with older people. Using a constructivist ontology and an interpretivist epistemology, the research investigates how care workers perceive their training and how they feel it can be applied to their working environment. RCWs were asked what they saw as the specific needs of residents with dementia, what training they had received, how useful they perceived the training to be, and what training they felt was still needed. Previous studies had put forward topics for inclusion into dementia care training, but very little research had asked RCWs themselves about their dementia training needs. Nineteen semi-structured interviews were carried out across three care home organisations during the summer of 2013 in the East of England. Findings from thematic analysis showed that the care workers interviewed had very limited or no dementia training or assessment they could remember, and that training had generally been a negative experience. Dementia care trainers were not considered helpful or knowledgeable enough and RCWs identified that their learning needs had not been taken into consideration. The learning environment was viewed as unsuitable, usually a lounge or a bedroom where it was very cramped and RCWs were pulled out of training when there were limited staff numbers. Many challenges specific to caring with people with dementia were also identified: challenging behaviour, lack of time and resources, poor teamwork and communication and lack of organisational support all inhibited the development of person-centred care and training transfer into practice. A conceptual model of the training and learning cycle is proposed as a way forward for dementia training. This model illustrates the training process from course creation through to satisfactory completion. Learning into practice is measured by care workers' knowledge, confidence, and competence. This assessment is a two-way process between the learner and the mentor to ensure RCWs feel fully supported and recognised. Although this conceptual model has not been tested empirically, such a process is seen as a possible next step.
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Kelly, Fiona. "Well-being and expression of self in dementia : interactions in long-term wards and creative sessions." Thesis, University of Stirling, 2007. http://hdl.handle.net/1893/207.
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This is a multi-method ethnographic study, grounded in symbolic interactionism and social constructionism, which seeks to explore the social worlds of people with dementia in institutional long-term care. Carried out over six months, it uses non-participant observation, Dementia Care Mapping, video-recording, focused conversations and extensive fieldnotes to document types of interactions that fourteen people with dementia received in everyday ward life and during weekly creative sessions facilitated by occupational therapy (OT) staff. Using Kitwood’s (1997) work on person-centred care and Sabat’s (2001) work on selfhood (Selfs 1-3) it identifies their responses to such interactions in terms of their well or ill-being and expressions of Self. The study shows that everyday staff interactions with participants, while sometimes positive, were more often limited in their potential for maintaining or increasing well-being. Sometimes staff interactions were abusive; causing participant ill-being. Participants expressed Selfs 1-3 verbally and visually, although some of these expressions were subtle, fleeting and fragile. During creative sessions, OT staff engaged in sustained positive interactions, raising participant well-being and facilitating Self-expression; a fragile expression of Self could become a robust expression of Self, a past Self could be reclaimed and a desired Self co-constructed. My findings suggest that, in their interactions during creative sessions, OT staff generally recognised and supported Self of participants, raising well-being. However, ward staff did not fully recognise and therefore could not support Self in their interactions with participants, resulting in participant ill-being. This is a crucial finding, which could partially explain the differences in interaction types I observed, and the corresponding differences in participant well-being and Self-expression. This thesis argues for integrating the selfhood and person-centred approaches into an innovative staff-training programme, in order to bring about transformational change in practice. This might encourage care staff to reach out, recognise and respond to aspects of Self as they carry out care; promoting more positive ways of interacting with their patients, increasing patient well-being and fostering staff satisfaction.
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Lövheim, Hugo. "Psychotropic and analgesic drug use among old people : with special focus on people living in institutional geriatric care." Doctoral thesis, Umeå universitet, Institutionen för samhällsmedicin och rehabilitering, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1608.
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Old people in general, and those affected by dementia disorders in particular, are more sensitive to drug side effects than younger people. Despite this, the use of nervous system drugs and analgesics among old people is common, and has increased in recent years. Institutional geriatric care accommodates people who need round-the-clock supervision and care, due to somatic, psychiatric, cognitive or behavioral symptomatology. A majority of those living in institutional geriatric care suffers from dementia disorders. This thesis is based on three different data collections. Two large cross-sectional studies, the AC1982 and AC2000 data collections, including all those living in institutional geriatric care in the county of Västerbotten in May 1982 and 2000 respectively (n=3195 and n=3669) and one study, the GERDA/Umeå 85+ data collection, including a sample of very old people, living at home and in institutions (n=546), in the municipalities of Umeå, Sweden and Vaasa and Mustasaari, Finland, in 2005-2006. The use of psychotropic drugs and analgesics was common among old people living in geriatric care and among very old people in general. A higher proportion of people with dementia received certain nervous system drugs, such as antipsychotic drugs. The use of antipsychotic drugs among people with cognitive impairment living in geriatric care was found to be correlated to several behaviors and symptoms that are not proper indications for antipsychotic drug use, and also factors related more to the staff and the caring situation. Over the course of eighteen years, from 1982 to 2000, there has been a manifold increase in the use of antidepressants, anxiolytics and hypnotics in geriatric care, but the use of antipsychotics had decreased slightly. During the same time, the prevalence of several depressive symptoms decreased significantly, correcting for demographical changes. One analysis of calculated numbers needed to treat, however, indicated poor remission rates, suggesting that even better results might be achievable. The prevalence of depressive symptoms among people with moderate cognitive impairment remained unchanged between 1982 and 2000, despite the fact that about 50% were receiving treatment with antidepressants in 2000. One possible explanation might be that depressive symptoms have different etiologies in different stages of a dementia disorder. Approximately a quarter of the people experiencing pain in geriatric care were not receiving any regular analgesic treatment. One possible reason might be misconceptions among the caring staff regarding whether or not the residents were receiving analgesic treatment. Such misconceptions were found to be common. In conclusion, psychotropic and analgesic drug use among old people in geriatric care, and very old people in general, was found to be common and in many cases possibly inappropriate. The use of antipsychotics among people with dementia deserves particular concern, because of the high risk of severe adverse events and the limited evidence for positive effects. The use of antidepressants, on the other hand, might have contributed to a lower prevalence of depressive symptoms among old people.
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Österholm, Johannes H. "Assessment meetings between care managers and persons living with dementia : Citizenship as practice." Doctoral thesis, Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-127392.
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This thesis deals with encounters between persons living with dementia and care managers. Dementia often results in progressive care needs that must be met by different social care services. The person’s care needs are assessed in an assessment meeting where the person and their relatives meet with a care manager to negotiate needs and social care services. The assessment is conducted through one or several conversations where the person with dementia meets the care manager; relatives are often present in the meetings. Dementia is a syndrome that involves a cognitive decline and a decreased ability to communicate and interact with others. It may therefore be difficult for a person with dementia to take part in discussions about their care needs and social care services. 15 audio recorded meetings have been studied to explore and understand how persons with dementia use their remaining communicative, cognitive and linguistic resources to invoke, negotiate, and use their rights as citizens in the institutional context where their care needs are assessed. The analysis concerns the organization of talk as a joint activity; the production of social actors in talk-in-interaction; the relation to institutional features of discourse. This dissertation concludes that the practice of citizenship is situation based and varies depending on the participants present. Care managers can facilitate for persons with dementia to overcome communication problems by using different discursive strategies and to make it possible for them to participate or at least be included in the negotiation. Persons with dementia are positioned as less competent than other persons participating in the assessment meeting. This might have an impact on the participation of people with dementia in negotiations regarding their future care. Furthermore, stories told in assessment meetings often position the person as dependent on others, which could undermine the identity and sense of self of the person with dementia.Den här avhandlingen berör möten mellan personer med demenssjukdom och biståndshandläggare. Demenssjukdomar medför ofta komplexa omsorgsbehov, vilka kan mötas med hjälp av olika stödinsatser. Personens omsorgsbehov bedöms i ett biståndshandläggningssamtal där personen och dennes anhöriga träffar en biståndshandläggare för att förhandla dennes behov och eventuella insatser. Konversation är centralt i dessa möten. Demenssjukdomar medför kognitiva nedsättningar och nedsatt förmåga att kommunicera och interagera med andra. Det kan därför vara svårt för personer med demenssjukdom att deltaga i diskussioner om behov och insatser. 15 ljudinspelade samtal har studerats för att förstå hur personer med demens använder sina kvarvarande kommunikativa, kognitiva och språkliga resurser för att åberopa, förhandla och använda sina rättigheter som medborgare i den institutionella kontext där deras omsorgsbehov bedöms. I samtalet medverkar personen med demens, handläggaren samt ofta någon familjemedlem. Analysen fokuserar på organiseringen av samtal som en gemensam aktivitet; hur sociala aktörer skapas i samtal; hur det institutionella samtalets särdrag påverkar konversationen. Sammanfattningsvis visar denna avhandling på att hur medborgarskap praktiseras är situationsbaserat och varierar beroende på vilka som deltar i mötet. Biståndshandläggare kan underlätta för personer med demenssjukdom att övervinna kommunikativa problem genom att använda olika samtalsstrategier och göra det möjlig för dem att delta eller att åtminstone inkluderas i förhandlingen angående olika stödinsatser. Personer med demenssjukdom positioneras ofta som mindre kompetenta än andra personer som deltar i behovsbedömningssamtal, vilket kan medföra konsekvenser på personens delaktighet i planerandet av framtida insatser. Berättelser i dessa samtal positionerar ofta personen med demenssjukdom som beroende av andra, vilket kan underminera deras identitet och uppfattning av sig själva.
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Pellfolk, Tony. "Physical restraint use and falls in institutional care of old people effects of a restraint minimization program /." Doctoral thesis, Umeå : Umeå universitet, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-31952.
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Erickson-Taube, Christina Marie. "Special care units: Recreational activities for patients with Alzheimer's disease." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2843.
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The purpose of this study was to evaluate the recreational activities provided in special care units located in the Inland Empire. The population that this study sought to assist was patients diagnosed with Alzheimer's disease and living in an Alzheimer's special care unit.
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Unbehaun, David [Verfasser], Volker [Gutachter] Wulf, and Claudia [Gutachter] Müller. "Designing, implementing and evaluating assistive technologies to engage people with dementia and their caregivers : a practice-based approach to explore the potential and impacts of exergames to foster interaction, social participation and well-being in private and institutional care contexts / David Unbehaun ; Gutachter: Volker Wulf, Claudia Müller." Siegen : Universitätsbibliothek der Universität Siegen, 2020. http://d-nb.info/1218783893/34.
Full textBooks on the topic "Dementia Institutional care"
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Cohen, Hemda. Activating demented patients in institutional and day-care facilities: A manual. Jerusalem: JDC-Brookdale Institute of Gerontology and Adult Human Development in Israel, 1991.
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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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Seidl, Elisabeth. "Wenn man mich fragt ... ": Eine Untersuchung zur Lebensqualität demenzkranker Menschen im Pflegeheim. Klagenfurt: Verlag Hermagoras, 2012.
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Coons, Dorothy H. Designing a residential care unit for persons with dementia. [Washington, D.C.?: Office of Technology Assessment], 1986.
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Lévesque, Louise. La dynamique de la cohabitation avec des personnes atteintes de troubles cognitifs dans les centres d'accueil: Rapport de recherche. [Montréal]: Université de Montréal, Faculté des sciences infirmières, 1991.
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Woods, Robert T. Involving families in care homes: A relationship-centred approach to dementia care. London: Jessica Kingsley Publishers, 2007.
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Woods, Robert T. Involving families in care homes: A relationship-centred approach to dementia care. London: Jessica Kingsley Publishers, 2007.
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Peppard, Nancy R. Special needs dementia units: Design, development, and operations. New York: Springer Pub. Co., 1991.
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Reducing stress-related behaviours in people with dementia: Care-based therapy. London: Jessica Kingsley Publishers, 2005.
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Food and mealtimes in dementia care: The table is set. London: Jessica Kingsley Publishers, 2006.
Find full textBook chapters on the topic "Dementia Institutional care"
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Jones, M. J. D. "GENTLECARE: the Prosthetic Life Care Approach to Providing Dementia Care at Home or in Institutions." In Dementias, 273–85. Milano: Springer Milan, 1999. http://dx.doi.org/10.1007/978-88-470-2149-5_13.
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Wappelshammer, Elisabeth. "Der Weg von der alten zur neuen Pflegekultur führt durch brüchige Institutionen." In Dementia Care Mapping im interdisziplinären Diskurs, 149–83. Wiesbaden: Springer Fachmedien Wiesbaden, 2017. http://dx.doi.org/10.1007/978-3-658-20407-5_8.
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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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Simard, Joyce, and Ladislav Volicer. "Namaste care and dying in institutional settings." In Supportive care for the person with dementia, 291–300. Oxford University Press, 2009. http://dx.doi.org/10.1093/acprof:oso/9780199554133.003.0031.
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Ayinde, Olatunde Olayinka, and Adefolakemi Temitope Ogundele. "Nigeria." In Dementia Care: International Perspectives, 15–20. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0003.
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The burden of dementia and Alzheimer’s disease, the commonest type of dementia in Nigeria, is expected to rise, necessitating adequate health and social systems to meet the challenge. Late presentation for orthodox care is the norm, due to poor public awareness of the disease process and unfavourable cultural beliefs. Orthodox care and psychotropic drugs are available but remain largely inaccessible to the majority of people with dementia. The preferred and predominant care model in late dementia is one within the family, as opposed to institutional care, which is largely unavailable. Family caregivers of the person with dementia are often uninformed, unsupported, and heavily burdened. There is no National Strategy for dementia care, and social security for the elderly is almost non-existent. There is an urgent need for policy formulation and implementation, vigorous advocacy, and awareness creation, as well as adequate social security for the person with dementia and psycho-social interventions for their families and caregivers.
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Gonçalves-Pereira, Manuel, and António Leuschner. "Portugal." In Dementia Care: International Perspectives, 219–30. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0029.
Full textAbstract:
Dementia care in Portugal presents a mixed balance of strengths and important problems and challenges. This chapter begins by highlighting the scarcity of health service data on dementia, within a rapidly changing and complex array of health and social care systems. Public, private, and third-sector services are not integrated enough to fully meet the needs of people with dementia and their families. Despite examples of good standards in dementia care, some complex challenges still need tackling. Portugal does not have a National Dementia Plan, although formal efforts are being made and a general strategy has been proposed. The chapter briefly discusses leading issues, while highlighting that any selection of goals and the feasibility of achieving them are constrained by a shortage of resources. Taking the need to improve timely diagnosis and integrated formal services as an example, the exact role of primary care is one of the primary topics for discussion. In short, there are three aspects which Portugal does well in terms of dementia care: (1) every person with dementia has access to emergency services and, in principle, to primary care services within the public National Health Service; (2) there are examples of high-quality standards in clinical dementia care, mainly in urban centres, and an increasing interest from the social sector, non-governmental organizations, and private institutions in community or institutional social care; and (3) there is increasing interest in dementia-related service research, as well as in psycho-geriatric training. For the future, first, primary care should be more involved in early diagnosis of dementia and its appropriate disclosure, as well as in other areas, e.g. treatment monitoring in collaboration with specialized care, counselling and support, and monitoring caregivers’ health. Second, the complex bio-psycho-social needs in dementia should be better met through improvement of: timely access to community formal services or specialized accommodation when necessary; ‘dementia-friendly’ communities and health/social units (e.g. general hospitals, given the multimorbidity in people with dementia); management of behavioural and psychological symptoms of dementia (with more emphasis on non-pharmacological approaches, and less on antipsychotics); informal caregivers’ support, ensuring minimum standards of information, counselling, psycho-education, and other family interventions; and legal procedures, access to new technologies, and decent end-of-life care. Finally, gaps should be bridged between health and social care, fostering care coordination and case management in every phase of dementia (with standardization of dementia care processes, e.g. definition of the roles of professionals).
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Carcelén, Víctor, and Waldo Cárdenas Berrocal. "Peru." In Dementia Care: International Perspectives, 345–50. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0046.
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The Peruvian health system is highly influenced by the ageing of the population. Public health spending as a percentage of the gross domestic product is below the average for Latin America; pocket spending is excessive, particularly for the purchase of drugs and payment for diagnostic services. Infrastructure and human resources are inadequate and unequally distributed across the country, with significant disparities between regions. Although Peru has a universal insurance scheme, its coverage remains low. In addition, a high degree of institutional fragmentation persists, which highlights the inequalities and inefficiencies that prevail in the country. Each component of the health system operates independently, serving different populations, with its own rules, networks of suppliers, and therapeutic methods. Cognitive impairment and dementia are closely linked with old age, and their rising prevalence and increasing social impact are particularly marked in developing countries. The prevalence of dementia in adults aged over 65 years in Peru is 6.85%, with Alzheimer’s disease as the commonest type.
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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.
Full textAbstract:
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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Milne, Alisoun. "Abuse, mistreatment and neglect." In Mental Health in Later Life, 115–28. Policy Press, 2020. http://dx.doi.org/10.1332/policypress/9781447305729.003.0007.
Full textAbstract:
Between 2% and 10% of all older people are estimated to be victims of abuse. Isolation, frailty, dementia and dependency are all risk factors. Abuse and mistreatment occur in all contexts - family members are often implicated in domestic settings and paid workers in care settings. Whatever its aetiology abuse, in all its guises, has profoundly negative mental health consequences, including depression, anxiety, learned helplessness and post-traumatic stress disorder. These are pronounced in situations where exposure to abuse has been long term. At present all ‘types’ of abuse - domestic abuse, sexual violence, institutional abuse, abuse by a relative -are managed under the institutional umbrella of ‘safeguarding’. This model not only uncouples abuse from its (often) lifecourse roots but tends to foreground age as its defining dimension. Most policy related literature does not refer to frailty, socioeconomic disadvantage, gender, or issues of power. As power lies at the very heart of abuse of older people in all contexts this is a profound oversight. Policy and practice responses struggle to accommodate the complex causes of abuse, structural issues, or the perspective of the older person. They also fail to engage with a discourse of rights and social justice.
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Neznanov, Nikolay, and Natalia Zalutskaya. "Russia." In Dementia Care: International Perspectives, 239–44. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0031.
Full textAbstract:
Dementia is an important medical and social problem in the Russian Federation. Since 1999, Russia has begun to develop its geriatric services into an integrated system of care for the elderly, in whom cognitive impairment has been recognized as an important problem. Currently, each region of Russia has a basic geriatric centre which includes an age psychiatry department that provides organizational and methodological guidance for medical, social, and health institutions involved in care provision for the elderly population. However, there are a significant number of financial, medical, social, and community problems that create barriers to achieving optimal quality of care. Therefore, to address these problems, the ‘Strategy of action for senior citizens in the Russian Federation until 2025’ was launched by the government of the Russian Federation, which aims to identify new areas of state and public policy relating to senior citizens and their families, as well as social institutions interacting with this population group, including people with cognitive impairment.