An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care

Introduction. An increase in the number of elderly people and hence in dementia is the consequence of extended lifespans worldwide. Difficulties in organising and financing care for elderly patients as well as considerable treatment costs have become major issues for contemporary healthcare systems...

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Main Authors: Wiesław Fidecki, Irena Wrońska, Mariusz Wysokiński, Dorota Kulina, Jadwiga Burian, Tadeusz Wadas, Kinga Augustowska-Kruszyńska
Format: Article
Language:English
Published: Państwowa Akademia Nauk Stosowanych we Włocławku 2014-06-01
Series:Pielęgniarstwo Neurologiczne i Neurochirurgiczne
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Online Access:https://apcz.umk.pl/PNIN/article/view/38737
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author Wiesław Fidecki
Irena Wrońska
Mariusz Wysokiński
Dorota Kulina
Jadwiga Burian
Tadeusz Wadas
Kinga Augustowska-Kruszyńska
author_facet Wiesław Fidecki
Irena Wrońska
Mariusz Wysokiński
Dorota Kulina
Jadwiga Burian
Tadeusz Wadas
Kinga Augustowska-Kruszyńska
author_sort Wiesław Fidecki
collection DOAJ
description Introduction. An increase in the number of elderly people and hence in dementia is the consequence of extended lifespans worldwide. Difficulties in organising and financing care for elderly patients as well as considerable treatment costs have become major issues for contemporary healthcare systems because of a large number of people affected by dementia. Aim. This research aimed at attempting to specify the risk of dementia in elderly people under institutional long-term care. Material and Methods. The research cohort was comprised of 300 elderly patients who were staying in long-term care institutions all over Poland. The investigation employed the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients), which allows both professional and non-professional carers of the elderly to evaluate physical, mental, and social state of their patients quickly and easily. Results. An overall evaluation of the elderly averaged out at 74.76±20.80. Investigated patients functioned best in the domain of distracting activities (7.83±2.58) and memory (10.38±3.81). Mood (12.18±4.39) and activities of daily living (13.19±5.31) averaged out at slightly lower levels. Finally, greatest deficits were discovered in the domain of social behaviour (14.42±5.16) and instrumental activities of daily living (16.74±4.82). Conclusions. Research findings show that the group of geriatric patients staying in long-term care institutions faces low risk of dementia changes. Within the domains that are significant for changes of this type (memory, mood, disruptive behaviour) patients functioned at a relatively good level. Greatest deficits were only found in the domain of physical functioning, which was related to restricting their functional ability caused by already existing ailments and age-related constraints. (JNNN 2014;3(3):116–120)
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publisher Państwowa Akademia Nauk Stosowanych we Włocławku
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spelling doaj-art-eaab1b89c7c24e3b8e2d9c88bce0c60c2024-12-10T23:54:17ZengPaństwowa Akademia Nauk Stosowanych we WłocławkuPielęgniarstwo Neurologiczne i Neurochirurgiczne2084-80212299-03212014-06-01339714434349An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term CareWiesław Fidecki0Irena Wrońska1Mariusz Wysokiński2Dorota Kulina3Jadwiga Burian4Tadeusz Wadas5Kinga Augustowska-Kruszyńska6Department of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinDepartment of Nursing Development Medical University of LublinIntroduction. An increase in the number of elderly people and hence in dementia is the consequence of extended lifespans worldwide. Difficulties in organising and financing care for elderly patients as well as considerable treatment costs have become major issues for contemporary healthcare systems because of a large number of people affected by dementia. Aim. This research aimed at attempting to specify the risk of dementia in elderly people under institutional long-term care. Material and Methods. The research cohort was comprised of 300 elderly patients who were staying in long-term care institutions all over Poland. The investigation employed the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients), which allows both professional and non-professional carers of the elderly to evaluate physical, mental, and social state of their patients quickly and easily. Results. An overall evaluation of the elderly averaged out at 74.76±20.80. Investigated patients functioned best in the domain of distracting activities (7.83±2.58) and memory (10.38±3.81). Mood (12.18±4.39) and activities of daily living (13.19±5.31) averaged out at slightly lower levels. Finally, greatest deficits were discovered in the domain of social behaviour (14.42±5.16) and instrumental activities of daily living (16.74±4.82). Conclusions. Research findings show that the group of geriatric patients staying in long-term care institutions faces low risk of dementia changes. Within the domains that are significant for changes of this type (memory, mood, disruptive behaviour) patients functioned at a relatively good level. Greatest deficits were only found in the domain of physical functioning, which was related to restricting their functional ability caused by already existing ailments and age-related constraints. (JNNN 2014;3(3):116–120)https://apcz.umk.pl/PNIN/article/view/38737dementiaelderly peoplelong-term care
spellingShingle Wiesław Fidecki
Irena Wrońska
Mariusz Wysokiński
Dorota Kulina
Jadwiga Burian
Tadeusz Wadas
Kinga Augustowska-Kruszyńska
An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
Pielęgniarstwo Neurologiczne i Neurochirurgiczne
dementia
elderly people
long-term care
title An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
title_full An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
title_fullStr An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
title_full_unstemmed An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
title_short An Attempt at Evaluating the Risk of Dementia in Elderly People under Long-term Care
title_sort attempt at evaluating the risk of dementia in elderly people under long term care
topic dementia
elderly people
long-term care
url https://apcz.umk.pl/PNIN/article/view/38737
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