High prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planning

Hdl Handle:
http://hdl.handle.net/10147/622744
Title:
High prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planning
Authors:
O’Brien, I.; Smuts, K.; Fan, C. W.; O’Sullivan, M.; Warters, A.
Citation:
High prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planning 2017:1 Irish Journal of Psychological Medicine
Publisher:
Cambridge Journals
Journal:
Irish Journal of Psychological Medicine
Issue Date:
22-Dec-2017
URI:
http://hdl.handle.net/10147/622744
DOI:
10.1017/ipm.2017.80
Additional Links:
https://www.cambridge.org/core/product/identifier/S0790966717000805/type/journal_article
Abstract:
Objectives The majority of people living with dementia in Ireland reside in their own homes, some supported by formal or informal home care. This audit aimed to estimate the prevalence of dementia and suspected cognitive impairment (CI) among older adults, 65+ years, in receipt of formal home care (domiciliary care) in a defined health service area in North Dublin. A secondary objective of the audit was to explore factors associated with dementia or CI in this cohort. Methods A cross-sectional audit was conducted on all clients aged 65+ years actively receiving publicly funded home care packages (HCPs) during May 2016 in Healthcare Service Executive CHO9 Dublin North Central. A total of 935 urban community dwelling older adults were included in the study [mean age 83.7 ( s.d. 7.4) years and 65% female]. Basic socio-demographic and health data were extracted from common summary assessment reports. Service users were categorised as having (a) dementia if a diagnosis of dementia or cognitive decline which impacts on independent living, was documented by a health professional or (b) suspected CI where a validated cognitive screening tool was applied and the score was indicative of mild CI. Results Overall, the estimated prevalence of dementia and suspected CI was 37.1% and 8.7%, respectively. Factors significantly associated with dementia and suspected CI were higher dependency and home care hours, communication difficulty and being non-self-caring ( p <0.001). Notably, half (51.6%) of those with either dementia or suspected CI group lived alone. Conclusions Our findings suggest a high prevalence dementia among HCP users, highlighting a need and opportunity for dementia-specific approaches to support older people in their homes.
Item Type:
Article
Language:
en
Description:
Objectives. The majority of people living with dementia in Ireland reside in their own homes, some supported by formal or informal home care. This audit aimed to estimate the prevalence of dementia and suspected cognitive impairment (CI) among older adults, 65+ years, in receipt of formal home care (domiciliary care) in a defined health service area in North Dublin. A secondary objective of the audit was to explore factors associated with dementia or CI in this cohort. Methods. A cross-sectional audit was conducted on all clients aged 65+ years actively receiving publicly funded home care packages (HCPs) duringMay 2016 in Healthcare Service ExecutiveCHO9 Dublin NorthCentral.Atotal of 935 urban community dwelling older adults were included in the study [mean age 83.7 (S.D. 7.4) years and 65% female]. Basic socio-demographic and health data were extracted from common summary assessment reports. Service userswere categorised as having (a) dementia if a diagnosis of dementia or cognitive decline which impacts on independent living, was documented by a health professional or (b) suspected CI where a validated cognitive screening tool was applied and the score was indicative of mild CI. Results. Overall, the estimated prevalence of dementia and suspected CI was 37.1% and 8.7%, respectively. Factors significantly associated with dementia and suspected CI were higher dependency and home care hours, communication difficulty and being non-self-caring (p<0.001). Notably, half (51.6%) of those with either dementia or suspected CI group lived alone. Conclusions. Our findings suggest a high prevalence dementia among HCP users, highlighting a need and opportunity for dementia-specific approaches to support older people in their homes.
ISSN:
0790-9667; 2051-6967
Sponsors:
archers (S.K., I.O.B., K.S.) were funded by North Dublin Home Care Ltd.,

Full metadata record

DC FieldValue Language
dc.contributor.authorO’Brien, I.en
dc.contributor.authorSmuts, K.en
dc.contributor.authorFan, C. W.en
dc.contributor.authorO’Sullivan, M.en
dc.contributor.authorWarters, A.en
dc.date.accessioned2018-01-11T10:34:02Z-
dc.date.available2018-01-11T10:34:02Z-
dc.date.issued2017-12-22-
dc.identifier.citationHigh prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planning 2017:1 Irish Journal of Psychological Medicineen
dc.identifier.issn0790-9667-
dc.identifier.issn2051-6967-
dc.identifier.doi10.1017/ipm.2017.80-
dc.identifier.urihttp://hdl.handle.net/10147/622744-
dc.descriptionObjectives. The majority of people living with dementia in Ireland reside in their own homes, some supported by formal or informal home care. This audit aimed to estimate the prevalence of dementia and suspected cognitive impairment (CI) among older adults, 65+ years, in receipt of formal home care (domiciliary care) in a defined health service area in North Dublin. A secondary objective of the audit was to explore factors associated with dementia or CI in this cohort. Methods. A cross-sectional audit was conducted on all clients aged 65+ years actively receiving publicly funded home care packages (HCPs) duringMay 2016 in Healthcare Service ExecutiveCHO9 Dublin NorthCentral.Atotal of 935 urban community dwelling older adults were included in the study [mean age 83.7 (S.D. 7.4) years and 65% female]. Basic socio-demographic and health data were extracted from common summary assessment reports. Service userswere categorised as having (a) dementia if a diagnosis of dementia or cognitive decline which impacts on independent living, was documented by a health professional or (b) suspected CI where a validated cognitive screening tool was applied and the score was indicative of mild CI. Results. Overall, the estimated prevalence of dementia and suspected CI was 37.1% and 8.7%, respectively. Factors significantly associated with dementia and suspected CI were higher dependency and home care hours, communication difficulty and being non-self-caring (p<0.001). Notably, half (51.6%) of those with either dementia or suspected CI group lived alone. Conclusions. Our findings suggest a high prevalence dementia among HCP users, highlighting a need and opportunity for dementia-specific approaches to support older people in their homes.en
dc.description.abstractObjectives The majority of people living with dementia in Ireland reside in their own homes, some supported by formal or informal home care. This audit aimed to estimate the prevalence of dementia and suspected cognitive impairment (CI) among older adults, 65+ years, in receipt of formal home care (domiciliary care) in a defined health service area in North Dublin. A secondary objective of the audit was to explore factors associated with dementia or CI in this cohort. Methods A cross-sectional audit was conducted on all clients aged 65+ years actively receiving publicly funded home care packages (HCPs) during May 2016 in Healthcare Service Executive CHO9 Dublin North Central. A total of 935 urban community dwelling older adults were included in the study [mean age 83.7 ( s.d. 7.4) years and 65% female]. Basic socio-demographic and health data were extracted from common summary assessment reports. Service users were categorised as having (a) dementia if a diagnosis of dementia or cognitive decline which impacts on independent living, was documented by a health professional or (b) suspected CI where a validated cognitive screening tool was applied and the score was indicative of mild CI. Results Overall, the estimated prevalence of dementia and suspected CI was 37.1% and 8.7%, respectively. Factors significantly associated with dementia and suspected CI were higher dependency and home care hours, communication difficulty and being non-self-caring ( p &lt;0.001). Notably, half (51.6%) of those with either dementia or suspected CI group lived alone. Conclusions Our findings suggest a high prevalence dementia among HCP users, highlighting a need and opportunity for dementia-specific approaches to support older people in their homes.-
dc.description.sponsorshiparchers (S.K., I.O.B., K.S.) were funded by North Dublin Home Care Ltd.,en
dc.language.isoenen
dc.publisherCambridge Journalsen
dc.relation.urlhttps://www.cambridge.org/core/product/identifier/S0790966717000805/type/journal_articleen
dc.rightsArchived with thanks to Irish Journal of Psychological Medicineen
dc.titleHigh prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planningen
dc.typeArticleen
dc.identifier.journalIrish Journal of Psychological Medicineen
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