Dementia

Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia

Background: Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake.

Objectives: To compare efficacy of three handfeeding techniques for assisting NH residents with dementia with meals: Direct Hand (DH), Over Hand (OH), and Under Hand (UH).

Impact of care settings on residents’ functional and psychosocial status, physical activity and adverse events

Background: Internationally, as the number of older adults increases, different types of care settings are evolving to address the care needs of this growing group of individuals.

Aims and objectives: The purpose of this study was to describe and compare clinical outcomes of residents with moderate to severe cognitive impairment living in residential care facilities (RCFs) and nursing homes (NHs).

Design: This was a secondary data analysis that included data from two studies testing a Function-Focused Care for Cognitively Impaired (FFC-CI) Intervention.

Testing the feasibility and impact of function-focused care for cognitively impaired residents in assisted living

Purpose of the Study: Assisted living (AL) residents with dementia require assistance with activities of daily living, encounter limited opportunities to engage in physical activity, and often exhibit challenging behavioral symptoms. The Function Focused Care Intervention for the Cognitively Impaired (FFC-CI) teaches and motivates direct care workers (DCWs) to engage residents with dementia in activities that optimize function and activity while minimizing behavioral symptoms.

Optimizing Eating Performance for Older Adults With Dementia Living in Long-term Care: A Systematic Review

BACKGROUND: Review of research to date has been focusing on maintaining weight and nutrition with little attention on optimizing eating performance.

OBJECTIVE: To evaluate the effectiveness of interventions on eating performance for older adults with dementia in long-term care (LTC).

Function-Focused Care for LTC Residents with Moderate-to-Severe Dementia: A Social Ecological Approach

 Over one-third of long-term care (LTC) residents exhibit moderate-to-severe cognitive impairment. These residents are more likely to be inactive, require assistance with activities of daily living, have medical comorbidities, and be exposed to fewer opportunities to engage in functional and physical activities than peers who are cognitively intact or have only mild cognitive deficits.

Advanced nursing assistant education program.

BACKGROUND: Nursing assistants provide 90% of the care to the elderly residents of nursing homes, but are the least educated direct-care employees. Supervisory workers believe that nursing assistants require additional training to meet the increasingly complex needs of nursing home residents.

Restorative Care With Cognitively Impaired Older Adults Moving Beyond Behavior

More than half of individuals diagnosed with dementia experience significant functional limitations. A restorative philosophy of care focuses on the restoration and/or maintenance of physical function and helps older adults to compensate for functional impairments so the the highest level of function is obtained and complications of physical dependance are minimized.

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