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A dynamic long-term care system for the demented elderly
Author(s)Lena Annerstedt, Junko Sanada, Lars Gustafson
Journal titleInternational Psychogeriatrics, vol 8, no 4, Winter 1996
Pagespp 561-573
KeywordsDementia ; Care homes ; Nursing homes ; Psychogeriatric units ; Long term ; Sweden.
AnnotationThe dynamic processes and the way they interact in shaping a care system for older people with dementia are analysed and discussed, by comparing the current status of institutional care in Malmö, Sweden. and to clarify the role of each type of facility. Residential care homes, group living facilities, nursing homes, and long-term psychogeriatric wards were all examined. The development of disability/dependency, interpreted in a simulation model based on Katz's index of activities of daily living (ADL) and Berger's scale "rating the severity of senility" gave insight into the interplay of four care levels: psychogeriatric long-term care for patients with severe behavioural disturbances, nursing home care for patients with highly reduced ADL capacity who are often moderately to severely demented, group living care for people with dementia with less dominating ADL dependency, and residential care for frail older people with or without symptoms of dementia. For each facility in this chain of care, characteristics in patient symptomatology and behaviour could also be identified. Resources necessary in order to fulfil goals in caring differed between each facility. (AKM).
Accession NumberCPA-980303279 A
ClassmarkEA: KW: LHB: LDM: 4Q: 76P

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