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Title: The prevalence of cognitive impairment among long-term care facility residents in Poland and quality of care for this group of patients : a comparison between nursing homes and residential homes
Abstract:
The aim was to determine the prevalence of cognitive deficits in the population of long-term care (LTC) residents, and to assess the quality of care for residents with cognitive impairment (CI) in the context of their health problems, nursing and care needs, applied pharmacological and non-pharmacological therapies in two types of settings: nursing homes (NH) and residential homes (RH). A cross-sectional survey of 1587 residents from a country-representative sample of 23 LTC facilities randomly selected in Poland was conducted in 2015–2016. Detailed analyses were conducted on 455 residents with CI (20 from each facility). Overall, 65.2% of residents were identified as having CI, ranging from 59.2% in RHs to 74.5% in NHs. NH residents when compared to RH residents were more likely to have respiratory infections, history of stroke, psychotic symptoms, and were more functionally dependent. However, both groups of residents did not differ in prevalence of behavioral disorders and most chronic diseases typical for old age. The residents were treated with antidementia (13.4%), other psychostimulants (14.3%), antipsychotics (46.4%) and anxiolytics (28.4%). Most of them were involved in occupational therapy activities (73.4%), and medical rehabilitation (67.2%); less than half participated in cognitive therapy (44.8%), and physical activity group (41.2%), whilst only 24.2% of individua ; ls received psychological therapy and only 22.7% encouraging maintaining ADL. Therefore, we call for more attention to be paid to better recognition of CI in LTC residents, regardless of the facility type.
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epidemiologia ; system ochrony zdrowia ; psychiatria
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Last modified:
Apr 8, 2024
In our library since:
Dec 15, 2022
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http://dl.cm-uj.krakow.pl:8080/publication/4909
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| Edition name | Date |
|---|---|
| ZB-136117 | Apr 8, 2024 |
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