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Long-term-care placement and survival of persons with Alzheimer's disease
Author(s)McKee J McClendon, Kathleen A Smyth, Marcia M Neundorfer
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 61B, no 4, July 2006
Pagespp P220-P227
Sourcehttp://www.geron.org
KeywordsDementia ; Admission [care homes] ; Admission [nursing homes] ; Long term ; Longevity ; Death ; Correlation ; United States of America.
AnnotationAlthough long term care (LTC) placement may shorten the survival of people with Alzheimer's disease (AD), studies have not examined whether the timing or placement matters. A sample of 258 people with AD and their family caregivers was used in a Cox survival model that included care recipient impairments, caregiver characteristics and LTC placement as covariates. Placement was associated with shortened survival, but the later the placement, the smaller the impact of placement on survival time. In an elaboration on previous work, the increased risk of death associated with wishfulness-intrapsychic caregiver coping was found to occur independently of LTC placement. This is the first study to link delayed LTC with a reduced risk of death in AD. Interventions to assist family caregivers in the home are indeed appropriate. Nevertheless, these findings may help long-term caregivers accept eventual institutionalisation for their care recipients when care at home threatens their own health. (RH).
Accession NumberCPA-070504220 A
ClassmarkEA: KW:QKH: LHB:QKH: 4Q: BGA: CW: 49: 7T

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