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Centre for Policy on Ageing | |
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Dementia special care units
— a comparison with standard units regarding residents' profile and care features | | Author(s) | Maria Crespo, Carlos Hornillos, M Mar Gomez |
| Journal title | International Psychogeriatrics, vol 25, no 12, December 2013 |
| Publisher | Cambridge University Press, December 2013 |
| Pages | pp 2023-2031 |
| Source | www.journals.cambridge.org |
| Keywords | Dementia ; Nursing homes ; Management [care] ; Spain ; Evaluation. |
| Annotation | Unlike other countries, no data about residents and care features in Special Care Units (SCUs) in Spanish nursing homes have been reported to date. The present paper is the first to analyse the characteristics of residents with dementia and the features of provided care in SCUs in comparison to residents with dementia in standard beds, thus not receiving specialised care in nursing homes in Spain. Data on residents with dementia were collected in 11 nursing homes. Residents with diagnosis of dementia and Mini-Mental State Examination scores of less than 27 were randomly selected in each centre. Altogether 197 residents were assessed: 102 (52%) placed in SCUs, and 95 (48%) in standard beds. Analyses of the characteristics of residents in SCUs versus standard beds regarding socio-demographic and clinical variables, features of the care provided, and residents' quality of life (QoL) were performed using univariate and multivariate tests (binary logistic regression analysis). Results showed that residents in SCUs did not differ from those in standard beds in socio-demographic variables. Placement of residents in SCUs seemed to be related with the presence of severe cognitive and functional impairment and aggressive behaviours. Being in an SCU conveyed a higher probability of having individual bedroom and bathroom; nevertheless, there were no differences in the care provided in SCUs, considering use of nappies, and feeding and restraint systems. Patients in SCUs showed lower QoL reported by the staff. Although residents in SCUs present higher levels of impairment, there are no real differences in the care provided besides a higher probability of having individual rooms. Regulations on required features for SCUs in Spain are necessary to guarantee that care provided to residents is truly special. (JL). |
| Accession Number | CPA-150619227 A |
| Classmark | EA: LHB: QA: 76S: 4C |
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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