Literature DB >> 11352339

Quality of life for people with dementia living in residential and nursing home care: the impact of performance on activities of daily living, behavioral and psychological symptoms, language skills, and psychotropic drugs.

C Ballard1, J O'Brien, I James, P Mynt, M Lana, D Potkins, K Reichelt, L Lee, A Swann, J Fossey.   

Abstract

Many people with dementia reside in care facilities. Little is known about how key parameters impact upon their quality of life (QOL). All 209 people with dementia in six facilities received a standardized assessment (Neuropsychiatric Inventory [NPI], Barthel Scale, psychotropic drugs). One hundred twelve residents were assessed using Dementia Care Mapping, an observational method for QOL indices. Lower performance on activities of daily living (reduced well-being [WB] r = +0.39, p < .0001; social withdrawal [SW] r = +0.42, p < .0001; engagement in activities [EA] r = +0.31, p = .001) and taking psychotropics (WB 2.5 vs. 3.2, t = 2.3, p = .02; SW 11.4% vs. 2.7%, t = 3.0, p = .004; EA 56.5% vs. 71.9%; t = 3.5, p = .001) were associated with reduced QOL, but symptoms from the NPI were not. More focused prescribing of psychotropics and better staff training are essential.

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Year:  2001        PMID: 11352339     DOI: 10.1017/s1041610201007499

Source DB:  PubMed          Journal:  Int Psychogeriatr        ISSN: 1041-6102            Impact factor:   3.878


  26 in total

1.  Sensory stimulation in dementia.

Authors:  Alistair Burns; Jane Byrne; Clive Ballard; Clive Holmes
Journal:  BMJ       Date:  2002-12-07

Review 2.  A review of quality of life instruments used in dementia.

Authors:  Teake P Ettema; Rose-Marie Dröes; Jacomine de Lange; Gideon J Mellenbergh; Miel W Ribbe
Journal:  Qual Life Res       Date:  2005-04       Impact factor: 4.147

3.  A preliminary study of anticholinergic burden and relationship to a quality of life indicator, engagement in activities, in nursing home residents with dementia.

Authors:  Ann Kolanowski; Donna M Fick; Judy Campbell; Mark Litaker; Malaz Boustani
Journal:  J Am Med Dir Assoc       Date:  2009-01-09       Impact factor: 4.669

Review 4.  Antipsychotic Use in Dementia.

Authors:  Julia Kirkham; Chelsea Sherman; Clive Velkers; Colleen Maxwell; Sudeep Gill; Paula Rochon; Dallas Seitz
Journal:  Can J Psychiatry       Date:  2016-10-08       Impact factor: 4.356

5.  Functional impairment in elderly patients with mild cognitive impairment and mild Alzheimer disease.

Authors:  Patrick J Brown; D P Devanand; Xinhua Liu; Elise Caccappolo
Journal:  Arch Gen Psychiatry       Date:  2011-06

6.  Intergenerational volunteering and quality of life: mixed methods evaluation of a randomized control trial involving persons with mild to moderate dementia.

Authors:  Daniel R George
Journal:  Qual Life Res       Date:  2011-01-09       Impact factor: 4.147

Review 7.  Benefit-risk considerations in the treatment of dementia with Lewy bodies.

Authors:  Margaret M Swanberg; Jeffrey L Cummings
Journal:  Drug Saf       Date:  2002       Impact factor: 5.606

8.  Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial.

Authors:  Jane Fossey; Clive Ballard; Edmund Juszczak; Ian James; Nicola Alder; Robin Jacoby; Robert Howard
Journal:  BMJ       Date:  2006-03-16

9.  Dementia Care Mapping™ to reduce agitation in care home residents with dementia: the EPIC cluster RCT.

Authors:  Claire A Surr; Ivana Holloway; Rebecca Ea Walwyn; Alys W Griffiths; David Meads; Rachael Kelley; Adam Martin; Vicki McLellan; Clive Ballard; Jane Fossey; Natasha Burnley; Lynn Chenoweth; Byron Creese; Murna Downs; Lucy Garrod; Elizabeth H Graham; Amanda Lilley-Kelley; Joanne McDermid; Holly Millard; Devon Perfect; Louise Robinson; Olivia Robinson; Emily Shoesmith; Najma Siddiqi; Graham Stokes; Daphne Wallace; Amanda J Farrin
Journal:  Health Technol Assess       Date:  2020-03       Impact factor: 4.014

10.  Quality of life of residents with dementia in long-term care settings in the Netherlands and Belgium: design of a longitudinal comparative study in traditional nursing homes and small-scale living facilities.

Authors:  Alida Hpm de Rooij; Katrien G Luijkx; Anja G Declercq; Jos Mga Schols
Journal:  BMC Geriatr       Date:  2011-05-03       Impact factor: 3.921

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