Relationship between administrative characteristics of long‐term care institutions and use of antipsychotics and anxiolytics in residents with cognitive impairment

2020 ◽  
Author(s):  
Violetta Kijowska ◽  
Ilona Barańska ◽  
Katarzyna Szczerbińska
Keyword(s):  
Cognitive Impairment ◽  
Long Term Care ◽  
Term Care

scholarly journals Depressive symptoms in long term care facilities in Western Canada: a cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Matthias Hoben ◽  
Abigail Heninger ◽  
Jayna Holroyd-Leduc ◽  
Jennifer Knopp-Sihota ◽  
Carole Estabrooks ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Long Term Care ◽  
Assessment Instrument ◽  
Western Canada ◽  
Cross Sectional ◽  
Term Care ◽  
Data Set ◽  
For Profit

Abstract Background The main objective is to better understand the prevalence of depressive symptoms, in long-term care (LTC) residents with or without cognitive impairment across Western Canada. Secondary objectives are to examine comorbidities and other factors associated with of depressive symptoms, and treatments used in LTC. Methods 11,445 residents across a random sample of 91 LTC facilities, from 09/2014 to 05/2015, were stratified by owner-operator model (private for-profit, public or voluntary not-for-profit), size (small: < 80 beds, medium: 80–120 beds, large > 120 beds), location (Calgary and Edmonton Health Zones, Alberta; Fraser and Interior Health Regions, British Columbia; Winnipeg Health Region, Manitoba). Random intercept generalized linear mixed models with depressive symptoms as the dependent variable, cognitive impairment as primary independent variable, and resident, care unit and facility characteristics as covariates were used. Resident variables came from the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) 2.0 records (the RAI-MDS version routinely collected in Western Canadian LTC). Care unit and facility variables came from surveys completed with care unit or facility managers. Results Depressive symptoms affects 27.1% of all LTC residents and 23.3% of LTC resident have both, depressive symptoms and cognitive impairment. Hypertension, urinary and fecal incontinence were the most common comorbidities. Cognitive impairment increases the risk for depressive symptoms (adjusted odds ratio 1.65 [95% confidence interval 1.43; 1.90]). Pain, anxiety and pulmonary disorders were also significantly associated with depressive symptoms. Pharmacologic therapies were commonly used in those with depressive symptoms, however there was minimal use of non-pharmacologic management. Conclusions Depressive symptoms are common in LTC residents –particularly in those with cognitive impairment. Depressive symptoms are an important target for clinical intervention and further research to reduce the burden of these illnesses.

scholarly journals Pilot of a Tailored Dance Intervention to Support Function in People With Cognitive Impairment Residing in Long-Term Care: A Brief Report

2017 ◽  
Vol 3 ◽  
pp. 233372141773467 ◽  
Author(s):  
Hannah M. O’Rourke ◽  
Souraya Sidani ◽  
Charlene H. Chu ◽  
Mary Fox ◽  
Katherine S. McGilton ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Repeated Measures ◽  
Long Term Care ◽  
Functional Decline ◽  
Canadian English ◽  
Term Care ◽  
Repeated Measures Design ◽  
English Speaking ◽  
Dance Intervention

Older adults who live in long-term care settings are at risk for functional decline, which may be mitigated by regular exercise. Using a single-group repeated measures design, this pilot study explored the feasibility, acceptability, and preliminary effects of a Waltz-based dance intervention delivered to 13 Canadian, English-speaking, long-term care residents with mild to moderate cognitive impairment. The findings supported intervention feasibility, based on a high completion rate (93%), level of attendance ( M = 7.15 of 10 sessions) and level of engagement during dance sessions ( M = 1.75 to 1.97 out of 2.00). On average, residents perceived dance sessions positively, and staff and family participants ( N = 26) rated them as somewhat acceptable overall ( M = 2.37, 0 to 4 scale). Additional research is needed to assess intervention efficacy in a larger sample.

scholarly journals Cognitive impairment in older people: future demand for long-term care services and the associated costs

2007 ◽  
Vol 22 (10) ◽  
pp. 1037-1045 ◽  
Author(s):  
Adelina Comas-Herrera ◽  
Raphael Wittenberg ◽  
Linda Pickard ◽  
Martin Knapp
Keyword(s):  
Cognitive Impairment ◽  
Older People ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
Future Demand
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