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Centre for Policy on Ageing | |
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Moving in
— adjustment of people living with dementia going into a nursing home and their families | | Author(s) | Laura Sury, Kim Burns, Henry Brodaty |
| Journal title | International Psychogeriatrics, vol 25, no 6, June 2013 |
| Publisher | Cambridge University Press, June 2013 |
| Pages | pp 867-876 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Admission [nursing homes] ; Family care ; Stress ; Adjustment. |
| Annotation | Most people with dementia in Western societies will eventually be placed in a nursing home. This can be stressful to those with dementia and to their families. The adjustment to this new caring environment by both residents and their family caregivers and the factors that influence this are the focus of this review in which a literature search of articles published in English between 1990 and 2011 using specified search terms was performed. 49 articles met the inclusion criteria. Findings showed that this decision and the subsequent adjustment period is a difficult time for people with dementia and their family caregivers. Admission has been linked to increased behavioural symptoms and in particular depression and agitation, decreasing cognition, frailty and falls in people with dementia. For caregivers guilt, depression, feelings of failure and continuing burden but also improvement in quality of life have been variously reported. However research to determine what influences the trajectory of these different outcomes and the prevalence of positive outcomes for people with dementia is lacking. Successful transitions may be assisted by ensuring that the person with dementia has input into decision making, orientation procedures for the person with dementia and family member prior to and on admission, a `buddy' system for new arrivals and a person-centred approach. In conclusion, adjustment to admission to residential care can be difficult for people with dementia and their family caregivers. Longitudinal research examining factors influencing the adjustment can provide a basis for intervention trials to improve this transition. (JL). |
| Accession Number | CPA-130531218 A |
| Classmark | EA: LHB:QKH: P6:SJ: QNH: DR |
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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