The effects of immersive garden experience on the health care to elderly residents with mild-to-moderate cognitive impairment living in nursing homes after the COVID-19 pandemic

Abstract Background: A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents.Methods: A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment.Results: Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = -2.773), number of comorbidities (t = -4.045), depression (t = -4.809), frailty (t = -4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = -4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = -2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents.Conclusion: The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents.Trail registration number: ClinicalTrials.gov Identifier: NCT04589637

Download Full-text

Factors influencing the deterioration from cognitive decline of normal aging to dementia among nursing home residents

BMC Geriatrics ◽

10.1186/s12877-020-01875-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Audai A. Hayajneh ◽

Mohammad Rababa ◽

Alia A. Alghwiri ◽

Dina Masha’al

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Nursing Homes ◽

Nursing Home Residents ◽

Bivariate Analysis ◽

Medical Factors ◽

Moderate Cognitive Impairment

Abstract Background A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents. Methods A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment. Results Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = − 2.773), number of comorbidities (t = − 4.045), depression (t = − 4.809), frailty (t = − 4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = − 4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = − 2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents. Conclusion The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents. Trail registration ClinicalTrials.gov NCT04589637, October 15,2020, Retrospectively registered.

Download Full-text

Factors Influencing the Deterioration from Cognitive Decline of Normal Aging to Dementia among Nursing Home Residents

10.21203/rs.3.rs-42680/v4 ◽

2020 ◽

Author(s):

Audai A. Hayajneh ◽

Mohammad Rababa ◽

Alia A. Alghwiri ◽

Dina Masha'al

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Nursing Homes ◽

Nursing Home Residents ◽

Bivariate Analysis ◽

Medical Factors ◽

Moderate Cognitive Impairment

Abstract Background: A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents.Methods: A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment.Results: Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = -2.773), number of comorbidities (t = -4.045), depression (t = -4.809), frailty (t = -4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = -4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = -2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents.Conclusion: The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents.Trail registration: ClinicalTrials.gov NCT04589637, October 15,2020, Retrospectively registered.

Download Full-text

Factors Influencing the Deterioration from Cognitive Decline of Normal Aging to Dementia among Nursing Home Residents

10.21203/rs.3.rs-42680/v3 ◽

2020 ◽

Author(s):

Audai A. Hayajneh ◽

Mohammad Rababa ◽

Alia A. Alghwiri ◽

Dina Masha'al

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Nursing Homes ◽

Nursing Home Residents ◽

Bivariate Analysis ◽

Medical Factors ◽

Moderate Cognitive Impairment

Abstract Background: A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents.Methods: A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment.Results: Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = -2.773), number of comorbidities (t = -4.045), depression (t = -4.809), frailty (t = -4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = -4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = -2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents.Conclusion: The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents. Trail registration: ClinicalTrials.gov NCT04589637, October 15,2020, Retrospectively registered.

Download Full-text

Mild to moderate cognitive impairment: current issues of diagnosis and treatment in primary health care

Consilium Medicum ◽

10.26442/2075-1753_2016.2.74-80 ◽

2016 ◽

Vol 18 (2) ◽

pp. 74-80

Author(s):

D.I. Trukhan ◽

◽

A.L. Mazurov ◽

Keyword(s):

Health Care ◽

Cognitive Impairment ◽

Primary Health Care ◽

Diagnosis And Treatment ◽

Primary Health ◽

Moderate Cognitive Impairment

Download Full-text

Effect of Demographic and Health Dynamics on Cognitive Status in Mexico between 2001 and 2015: Evidence from the Mexican Health and Aging Study

Geriatrics ◽

10.3390/geriatrics6030063 ◽

2021 ◽

Vol 6 (3) ◽

pp. 63

Author(s):

Silvia Mejia-Arango ◽

Jaqueline Avila ◽

Brian Downer ◽

Marc A. Garcia ◽

Alejandra Michaels-Obregon ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Cognitive Impairment ◽

Cardiovascular Diseases ◽

Educational Attainment ◽

Access To Health Care ◽

Sociodemographic Factors ◽

Cognitive Status ◽

Access To Health ◽

Mexican Adults

Sources of health disparities such as educational attainment, cardiovascular risk factors, and access to health care affect cognitive impairment among older adults. To examine the extent to which these counteracting changes affect cognitive aging over time among Mexican older adults, we examine how sociodemographic factors, cardiovascular diseases, and their treatment relate to changes in cognitive function of Mexican adults aged 60 and older between 2001 and 2015. Self and proxy respondents were classified as dementia, cognitive impairment no dementia (CIND), and normal cognition. We use logistic regression models to examine the trends in dementia and CIND for men and women aged 60 years or older using pooled national samples of 6822 individuals in 2001 and 10,219 in 2015, and sociodemographic and health variables as covariates. We found higher likelihood of dementia and a lower risk of CIND in 2015 compared to 2001. These results remain after adjusting for sociodemographic factors, cardiovascular diseases, and their treatment. The improvements in educational attainment, treatment of diabetes and hypertension, and better access to health care in 2015 compared to 2001 may not have been enough to counteract the combined effects of aging, rural residence disadvantage, and higher risks of cardiovascular disease among older Mexican adults.

Download Full-text

Validity of Pain Behaviors in Persons with Mild to Moderate Cognitive Impairment

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2008.01831.x ◽

2008 ◽

Vol 56 (9) ◽

pp. 1631-1637 ◽

Cited By ~ 42

Author(s):

Joseph W. Shega ◽

Thomas Rudy ◽

Francis J. Keefe ◽

Lisa Caitlin Perri ◽

Olga Telgarska Mengin ◽

...

Keyword(s):

Cognitive Impairment ◽

Pain Behaviors ◽

Moderate Cognitive Impairment

Download Full-text

Which determinants should be targeted to increase influenza vaccination uptake among health care workers in nursing homes?

Vaccine ◽

10.1016/j.vaccine.2009.05.013 ◽

2009 ◽

Vol 27 (34) ◽

pp. 4724-4730 ◽

Cited By ~ 54

Author(s):

I. Looijmans-van den Akker ◽

J.J.M. van Delden ◽

Th.J.M. Verheij ◽

G.A. van Essen ◽

M.A.B. van der Sande ◽

...

Keyword(s):

Health Care ◽

Nursing Homes ◽

Influenza Vaccination ◽

Health Care Workers ◽

Vaccination Uptake ◽

Care Workers

Download Full-text

One-week prevalence of depressive symptoms and psychotropic drug treatments among old people with different levels of cognitive impairment living in institutional care: changes between 1982 and 2000

International Psychogeriatrics ◽

10.1017/s104161021000061x ◽

2010 ◽

Vol 22 (7) ◽

pp. 1154-1160 ◽

Cited By ~ 7

Author(s):

Hugo Lövheim ◽

Ellinor Bergdahl ◽

Per-Olof Sandman ◽

Stig Karlsson ◽

Yngve Gustafson

Keyword(s):

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Function ◽

Antidepressant Treatment ◽

Antidepressant Drug ◽

Institutional Care ◽

Old People ◽

Cross Sectional ◽

Moderate Cognitive Impairment ◽

Drug Treatments

ABSTRACTBackground: Dementia and depression are common in advanced age, and often co-exist. There are indications of a decreased prevalence of depressive symptoms among old people in recent years, supposedly because of the manifold increase in antidepressant treatment. Whether the prevalence of depressive symptoms has decreased among people in different stages of dementia disorders has not yet been investigated.Methods: A comparison was undertaken of two cross-sectional studies, conducted in 1982 and 2000, comprising 6864 participants living in geriatric care units in the county of Västerbotten, Sweden. Depressive symptoms were measured using the Multi-Dimensional Dementia Assessment Scale (MDDAS), and the cognitive score was measured with Gottfries’ cognitive scale. Drug data were obtained from prescription records.Results: There was a significant decrease in depressive symptom score between 1982 and 2000 in all cognitive function groups except for the group with moderate cognitive impairment. Antidepressant drug use increased in all cognitive function groups.Conclusion: The prevalence of depressive symptoms decreased between 1982 and 2000, in all levels of cognitive impairment except moderate cognitive impairment. This might possibly be explained by the depressive symptoms having different etiologies in different stages of a dementia disorder, which in turn might not be equally susceptible to antidepressant treatment.

Download Full-text

Advance care planning in Norwegian nursing homes – limited awareness of the residents’ preferences and values? A qualitative study

BMC Geriatrics ◽

10.1186/s12877-019-1378-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Lisbeth Thoresen ◽

Reidar Pedersen ◽

Lillian Lillemoen ◽

Elisabeth Gjerberg ◽

Reidun Førde

Keyword(s):

Health Care ◽

Nursing Homes ◽

Advance Care Planning ◽

Health Care Professionals ◽

Qualitative Content Analysis ◽

Care Planning ◽

Next Of Kin ◽

Medical Issues ◽

Interdisciplinary Approaches ◽

Advance Care

Abstract Background 52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health care professionals’ views on ACP is vital. The objective of this study is to explore nurses and physicians’ aims and experiences with carrying out ACP in nursing homes. Methods Semi-structured group interviews were conducted with 20 health care professionals, recruited from nursing homes where ACP was performed regularly. Qualitative content analysis was used to analyse the data. Results The primary aim of the nursing home professionals when doing ACP in nursing homes were to build alliances with next of kin to avoid misunderstandings and future conflicts. Two main experiences with ACP were described: i) due to the sensitivity of ACP issues, it was important to balance directness with being sensitive, and ii) when the physicians raised questions concerning future medical treatment, the answers from residents as well as next of kin were often hesitant and unclear. Conclusion Our study add insights into how ACP is practiced in nursing homes and the professionals’ agenda. A focus on medical issues and achieving consensus with next of kin may result in lack of involvement of the residents and limited awareness of the residents’ needs. Interdisciplinary approaches, ACP-training and tailored guidelines may improve the implementation and practice of ACP.

Download Full-text