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Centre for Policy on Ageing | |
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Prevalence of neuropsychiatric symptoms in a large sample of Dutch nursing home patients with dementia | Author(s) | Sytse U Zuidema, Els Derksen, Frans R J Verhey |
Journal title | International Journal of Geriatric Psychiatry, vol 22, no 7, July 2007 |
Pages | pp 632-638 |
Source | http://www.interscience.wiley.com |
Keywords | Cognitive impairment ; Symptoms ; Evaluation ; Dementia ; Residents [care homes] ; Nursing homes ; Cross sectional surveys ; Netherlands. |
Annotation | In a cross-sectional study of 1322 dementia patients living in 59 specialist dementia care units (SCUs) in the Netherlands, symptoms were observed by licensed vocational nurses during regular care-giving in a 2-week period prior to assessment. Neuropsychiatric symptoms were assessed using the Neuropsychiatric Inventory - Nursing Home version (NPI-NH; frequency X severity score 4 or more) and the Cohen-Mansfield Agitation Inventory (CMAI; symptoms occurring at least once a week). More than 80% of these patients suffered from at least one clinically significant symptom, as defined with the NPI-NH, with agitation/aggression, apathy and irritability the most frequently observed behaviours (30%-35% prevalence). Using the CMAI, 85% of the patients showed at least one symptom of agitation, of which general restlessness was observed most frequently (44%). Other frequently observed symptoms with prevalence rates of 30% were cursing or verbal aggression, constant request for attention, negativism, repetitious sentences, mannerisms, pacing, and complaining. Physically aggressive symptoms such as hitting, kicking, and biting occurred less often (less than 13%). These high prevalence rates have practical consequences for the planning of staff allocation, and stresses the need for patient oriented care. (RH). |
Accession Number | CPA-071113206 A |
Classmark | E4: CT: 4C: EA: KX: LHB: 3KB: 76H |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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