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The needs of people with dementia in care homes
 — the perspectives of users, staff and family caregivers
Author(s)Martin Orrell, Geraldine A Hancock, Kumari C Galboda Liyanage
Journal titleInternational Psychogeriatrics, vol 20, no 5, October 2008
Pagespp 941-951
KeywordsDementia ; Residents [care homes] ; Needs [elderly] ; Evaluation ; Attitude ; Care home staff ; The Family ; Comparison ; Camden ; Wales ; Manchester.
AnnotationPeople with dementia in care homes are at risk of having their views ignored, and decisions are often made on their behalf by care home staff and family carers. This study compares the ratings of needs of older people with dementia living in care homes, as assessed by the older person, a family caregiver, and the staff of the care home. The Camberwell Assessment of Need for the Elderly (CANE) was completed for 238 residents with dementia by care staff. In addition, 149 users and 181 family caregivers also completed the assessment of the person's met and unmet needs. Despite having moderately severe dementia, many users were able to report their met and unmet needs. However, user and carer pairs had the lowest average percentage agreement of 63% compared to that of 77% between user and staff pairs. In particular, users reported relatively higher unmet needs by psychological distress, company and information, and higher unmet needs for daytime activities and eyesight or hearing problems. Users' views on their needs should be sought, even when the person has dementia and lives in a care home. Reliance solely on assessment by staff or carers may lead to under-recognition of unmet needs. (RH).
Accession NumberCPA-081127204 A
ClassmarkEA: KX: IK: 4C: DP: QRM: SJ: 48: 82L8: 9: 83E

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