Supporting Caregivers in Nursing Homes for Alzheimer’s Disease Patients: A Technological Approach to Overnight Supervision

2017 ◽  
pp. 1-19 ◽  
Author(s):  
Laura Montanini ◽  
Laura Raffaeli ◽  
Adelmo De Santis ◽  
Antonio Del Campo ◽  
Carlos Chiatti ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Homes ◽  
Technological Approach

Families, Alzheimer's Disease, and Nursing Homes

1988 ◽  
Vol 7 (3) ◽  
pp. 331-349 ◽  
Author(s):  
Nathan L. Linsk ◽  
Baila Miller ◽  
Roberta Pflaum ◽  
Anna Ortigara-Vicik
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Nursing Homes ◽  
Care Center ◽  
Family Members ◽  
Nursing Home Care ◽  
Demonstration Program ◽  
Home Setting

The Alzheimer's Disease Family Care Center program was established within an intermediate care teaching nursing home as a demonstration program to investigate ways to involve families in care of their relatives. In total, 45 family members participated in a program including an orientation session; a preliminary family involvement interview; contracts with family members, in which they chose specific tasks to engage in during visits; a five-session course on Alzheimer's disease and how families may be partners in care within the facility; and an ongoing family support group. Evaluation data sources include a baseline and 9-month follow-up questionnaire completed by families, preliminary and follow-up family interviews conducted by project codirectors, records of family visits, and family choices on contracts. Findings from the 23 family members who contracted for tasks during their visits and from the follow-up questionnaire completed by 25 family members showed that most sought social and emotional interactions with relatives, some maintained direct personal care activities, and only a few identified interest in extensive involvement with staff and facility. At follow-up, family members involved in the program reported they continued to feel close to their relatives. Many felt that their relatives were generally stable or improved with regard to cognitive function, but over a third noted difficulties in communicating. Participating family members reported that the program of staff supports helped them to feel more integral to the unit. They expressed a need for more education and support for their involvement in the nursing home setting. Project findings confirm previous studies recommending that programming at nursing homes needs to include specific institutional and staff supports to maintain and enhance family contributions to the long-term nursing home care of their relatives.

Alzheimer's Disease and Other Dementia in Nursing Homes: Levels of Management and Cost

2001 ◽  
Vol 13 (3) ◽  
pp. 347-358 ◽  
Author(s):  
Judith A. O'Brien ◽  
J. Jaime Caro
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Annual Cost ◽  
Nursing Home Residents ◽  
Care Needs ◽  
Diagnosis Of Dementia ◽  
Care Costs

Objective: To estimate comparative mangement levels and the annual cost of caring for a nursing home resident with and without dementia. Method: Data from the 1995 Massachusetts Medicaid nursing home database were used to examine residents with Alzheimer's disease, other types of dementia, and no dementia to determine care and dependency levels. Massachusetts Medicaid 1997 per-diem rates for each of 10 designated management levels were applied accordingly to residents in each level to estimate annual care costs. Costs from this analysis are reported in 1997 U.S. dollars. Results: Of the 49,724 nursing home residents identified, 26.4% had a documented diagnosis of dementia. On average, a resident with dementia requires 229 more hours of care annually than one without dementia, resulting in a mean additional cost of $3,865 per patient with dementia per year. Conclusions: Dementia increases the care needs and cost of caring for a nursing home resident.

Disinhibition, Apathy, Indifference, Fatigability, Complaining, and Negativism

1997 ◽  
Vol 8 (S3) ◽  
pp. 403-408 ◽  
Author(s):  
Joy Webster ◽  
George T. Grossberg
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Homes ◽  
Behavioral Problems ◽  
Sleep Disturbances ◽  
Cognitive Deterioration ◽  
Mood Changes ◽  
Wide Range ◽  
Sexual Disturbances

A wide range of neuropsychiatric disturbances, which include noncognitive behavioral problems and mood changes, can accompany the unrelenting cognitive deterioration seen in patients with Alzheimer's disease. Aggression, agitation, paranoia, hallucinations, sleep disturbances, or depression occur in more than 50% of patients with Alzheimer's disease, both those living in the community and those cared for in nursing homes. Disinhibition, apathy, indifference, fatigability, complaining, and negativism, as well as incontinence, changes in appetite, and sexual disturbances, also occur in patients with dementia.

scholarly journals Predictors of mortality in patients with Alzheimer's disease living in nursing homes

1999 ◽  
Vol 67 (1) ◽  
pp. 59-65 ◽  
Author(s):  
G. Gambassi ◽  
F. Landi ◽  
K. L Lapane ◽  
A. Sgadari ◽  
V. Mor ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Homes ◽  
Predictors Of Mortality
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