The recognition of dementia in 'non EMI' nursing home residents in South East England.

MacDonald, A.J.D. and Carpenter, G.I. (2003) The recognition of dementia in 'non EMI' nursing home residents in South East England. International Journal of Geriatric Psychiatry, 18 (2). pp. 105-108. ISSN 0885-6230 . (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1002/gps.779

Abstract

Objectives To estimate the agreement between nursing staff's recognition of dementia and results of MMSE assessment in a probability sample of non-specialist nursing home residents in South East England, and to identify correlates of disagreement. Methods Prospective survey. The most senior nurse on duty was interviewed about each resident sampled, and optionally about their own training and experience. Residents were interviewed using the MMSE, and assessed using the Cornell Scale for Depression in Dementia, the Barthel ADL index, and the Behave-AD scale for behavioural. problems. Results 135 nurses were interviewed about 445 residents-116 reported on of the 291 residents scoring 23 or lesson the MMSE-34% of these were acknowledged to have dementia. 46.4% of those with MMSE scores of 15 or less were acknowledged to have dementia. 'Missed dementia' was associated with,higher MMSE and lower Behave-AD scores, and inversely associated with RMN training and private home ownership for profit. It was not associated with training or duration of staff employment. Conclusions Most cognitive impairment in non-specialist nursing homes appeared to be unrecognised. This has implications for the prospects of good dementia care in these homes.

Item Type: Article
Uncontrolled keywords: dementia; care homes; nurses; diagnosis; recognition
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Helen Wooldridge
Date Deposited: 05 Sep 2008 16:24
Last Modified: 14 Jan 2010 14:20
Resource URI: http://kar.kent.ac.uk/id/eprint/5204 (The current URI for this page, for reference purposes)
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