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Needs assessment in dementia
Author(s)A M Meaney, M Croke, M Kirby
Journal titleInternational Journal of Geriatric Psychiatry, vol 20, no 4, April 2005
Pagespp 322-329
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Needs [elderly] ; Evaluation ; Ireland.
AnnotationResource allocation and service development traditionally focuses on diagnostic categories and consequent perceived need. Identification of the actual level of need in older people with dementia and the degree to which it is unmet is necessary to plan services both traditionally and as a group. This study characterises the needs of a sample of 82 community-dwelling older patients with dementia who were referred to an old age psychiatry service in Ireland between July 2002 and July 2003. Their needs were assessed with the Care Needs Assessment Pack for Dementia (CareNapD) across seven domains: health and mobility; self-care and toileting; social interaction; thinking and memory; behaviour and mental state; housecare; and community. Subjects had a mean of 33 (range 13-56) identified needs. Approximately 1/3 were unmet with a mean of 17 (range 0-37) and a mean of 20 (range 4-39) were met. High levels of unmet need were identified in the domains of behaviour and mental state (84% of those with agitation) and of social interaction (79% of those with "partaking in activities" need). The specific item of repetitive questioning occurred in 88 individuals, and was unmet in 85% of these cases. Increasing age, lower MMSE score, and living alone were associated with greater levels of unmet need. (RH).
Accession NumberCPA-050516209 A
ClassmarkEA: IK: 4C: 763

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