Prevalence of dementia in long-term care institutions: a meta-analysis

Fagundes, Daniel Ferreira; Costa, Márcia Regina; Alves, Bárbara Bispo da Silva; Benício, Maria Madalena Soares; Vieira, Lanna Pinheiro; Carneiro, Lara; Nascimento, Osvaldo J. M.

doi:10.1590/0047-2085000000298

Cited by 12 publications

(6 citation statements)

References 37 publications

(44 reference statements)

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“…The score ranges from 0 to 100, in five-point intervals, and the higher scores indicate greater independence. 14 The Barthel index cutoff points are 90-100 independent; 60-89 slightly dependent; 40-59 moderately dependent; 20-39 severely dependent; and <20 completely dependent. 15 Data analysis Descriptive statistics are displayed as measures of central tendency, dispersion, and frequencies.…”

Section: Functional Dependence Assessmentmentioning

confidence: 99%

Dementia among older adults living in long-term care facilities: an epidemiological study

Fagundes

Costa

Alves

et al. 2021

Dement. neuropsychol.

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Institutionalization has been associated with social isolation, psychological and cognitive changes, and decreased levels of physical activity in older adults. Objectives: The aim of this study was to estimate the prevalence of dementia, mild cognitive impairment (MCI), and functional dependence in older adults dwelling in two different Brazilian long-term care facilities (LTCFs). Methods: This is a cross-sectional study with 185 older people of both sexes, aged 60 years or over, residing in two LTCFs in the city of Montes Claros-MG, Brazil. The diagnosis of MCI and dementia was performed using the Diagnostic and Statistical Manual of Mental Disorders. Results: Prevalence rates of dementia, MCI, and functional dependence in institutionalized older participants were 62.3, 15.1, and 78.9%, respectively. There was a significant reduction of the Mini-Mental State Examination scores according to the increase of the institutionalization period in LCTFs and the age of older adults (p<0.001). Conclusions: Prevalence of dementia and functional dependence of older adults residing in LTCFs exhibited higher rates compared to the other older population worldwide. A higher institutionalization period is related to a greater cognitive decline.

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Section: Functional Dependence Assessmentmentioning

confidence: 99%

Dementia among older adults living in long-term care facilities: an epidemiological study

Fagundes

Costa

Alves

et al. 2021

Dement. neuropsychol.

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“…The usefulness of these PATs seems to considerable differ based on pharmacists' experiences with delivering care to patients with dementia or not. Further research on PATs in dementia is recommended, mainly due to the high prevalence of dementia and cognitive disorders amongst LTC patients [59,60].…”

Section: Discussionmentioning

confidence: 99%

Prescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA Appropriateness Method

et al. 2021

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Medicines are the most used health technology in Long-Term Care. The prevalence of potentially inappropriate medicines amongst Long-Term Care patients is high. Pharmacists, assisted by prescribing-assessment tools, can play an important role in optimizing medication use at this level of care. Through a modified RAND/UCLA Appropriateness Method, 13 long-term care and hospital pharmacists assessed as ‘appropriate’, ‘uncertain’, or ‘inappropriate’ a collection of commonly used prescribing-assessment tools as to its suitability in assisting pharmacy practice in institutional long-term care settings. A qualitative analysis of written or transcribed comments of participants was pursued to identify relevant characteristics of prescribing-assessment tools and potential hinders in their use. From 24 different tools, pharmacists classified 9 as ‘appropriate’ for pharmacy practice targeted to long-term care patients, while 3 were classified as ‘inappropriate’. The tools feature most appreciated by study participants was the indication of alternatives to potentially inappropriate medication. Lack of time and/or pharmacists and limited access to clinical information seems to be the most relevant hinders for prescribing-assessment tools used in daily practice.

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“…AD among older adults may lead to the impairment of cognitive and motor functions and the development of nonmotor disorders, such as depression. It is estimated that about 87% of the older adults with AD are depressed [5]. Moreover, depression and cognitive impairment are identified as independent factors influencing the quality of life among the elderlies [4].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Exercise and Reminiscence Therapy on Depression and Quality of Life Among the Older Adults with Mild Alzheimer’s Disease

Azizan

Anum

Faisal

et al. 2023

ARASET

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Alzheimer’s disease (AD) is the most common cause of dementia in older adults. Depression is an important co-morbid disorder in this group, as it may decrease their quality of life (QoL). Exercise or Reminiscence therapy (RT) is thought to be viable in lessening the degree of depression in older adults. To investigate and compare the impacts of integrated exercise and reminiscence therapy on depression level and QoL in older adults. A single-blinded quasi-experimental study with a comparison group design was conducted on 51 institutionalized older adults with mild-to-moderate AD and were grouped into (i) Reminiscence (RT, n = 17), (ii) exercise (EX, n = 16), and (iii) exercise coupled with Reminiscence (ER, n = 18). The depression level was assessed using the Cornell Scale for Depression in Dementia (CSDD); the QoL was assessed using the QOL–AD scale. A repeated-measures ANOVA was used for data analyses. Results: The reminiscence therapy alone or in combination with the exercise was effective in reducing depression levels and improved QoL in the older adults (p<.05). The reminiscence therapy alone or in combination with the exercise was effective in reducing depression levels and improved QoL in older adults. This study found significant improvements in the mean score of CSDD and QOL–AD of the ER, thus supporting its effectiveness in reducing depressive symptoms and improving QoL in mild AD. These results help as a contribute to the healthcare practices to deliver an integrated reminiscence and exercise in older adults’ rehabilitation.

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Prevalence of dementia in long-term care institutions: a meta-analysis

Cited by 12 publications

References 37 publications

Dementia among older adults living in long-term care facilities: an epidemiological study

Dementia among older adults living in long-term care facilities: an epidemiological study

Prescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA Appropriateness Method

The Effects of Exercise and Reminiscence Therapy on Depression and Quality of Life Among the Older Adults with Mild Alzheimer’s Disease

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