A cross-sectional description of the health characteristics of cognitively impaired older adults.
- Publisher:
- Wiley
- Publication Type:
- Journal Article
- Citation:
- Australasian Journal on Ageing, 2023, 42, (1), pp. 241-245
- Issue Date:
- 2023-11-05
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Australas J Ageing - 2022 - Merrick.pdf | 164.09 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author |
Merrick, E |
|
dc.contributor.author | Shannon, K | |
dc.contributor.author | Neville, S | |
dc.contributor.author | Bail, K | |
dc.contributor.author | Vorster, A | |
dc.contributor.author |
Fry, M |
|
dc.date.accessioned | 2023-09-08T00:48:54Z | |
dc.date.available | 2022-10-18 | |
dc.date.available | 2023-09-08T00:48:54Z | |
dc.date.issued | 2023-11-05 | |
dc.identifier.citation | Australasian Journal on Ageing, 2023, 42, (1), pp. 241-245 | |
dc.identifier.issn | 1440-6381 | |
dc.identifier.issn | 1741-6612 | |
dc.identifier.uri | http://hdl.handle.net/10453/171982 | |
dc.description.abstract | OBJECTIVES: The analysis presented here describes the care needs of older adults with and without cognitive impairment. To describe the health characteristics of older adults with and without cognitive impairment who receive home care or Aged Residential Care services in New Zealand. METHODS: A descriptive analysis of the initial interRAI assessment for adults older than 55 years was undertaken. Data were grouped by level of assessed cognitive impairment. The population proportions for each level of the following scales were calculated: Changes in Health, End-stage Disease, Signs, and Symptoms Scale (CHESS), pain, pressure injury risk, Activities of Daily Living (ADL), depression screening, and body mass index (BMI). RESULTS: The analysis included 93,680 assessments. The mean age was 83 years (SD = 8.7) a positive association was observed between age and cognitive impairment (p < 0.01). People with cognitive impairment were less likely to have been recently hospitalised or to have attended ED (p < 0.01). Significant associations with effect sizes ≥3 were observed for cognitive impairment and ADL (p < 0.01, γ = 0.63), pain (p < 0.01, γ = -0.32), and risk of pressure injury (p < 0.01, Cramer's V = 0.271). CONCLUSIONS: The results reinforce a need to be alert to the differential care needs of older adults with moderate/severe cognitive impairment. The findings may act as a trigger for practitioners to focus assessment on aspects of care that, due to context, may otherwise be underassessed or untreated. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | Australasian Journal on Ageing | |
dc.relation.isbasedon | 10.1111/ajag.13152 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences | |
dc.subject.classification | Gerontology | |
dc.subject.classification | 3202 Clinical sciences | |
dc.subject.classification | 4203 Health services and systems | |
dc.subject.classification | 4205 Nursing | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Activities of Daily Living | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Pressure Ulcer | |
dc.subject.mesh | Cognitive Dysfunction | |
dc.subject.mesh | Pain | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Pain | |
dc.subject.mesh | Activities of Daily Living | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Pressure Ulcer | |
dc.subject.mesh | Cognitive Dysfunction | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Activities of Daily Living | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Pressure Ulcer | |
dc.subject.mesh | Cognitive Dysfunction | |
dc.subject.mesh | Pain | |
dc.title | A cross-sectional description of the health characteristics of cognitively impaired older adults. | |
dc.type | Journal Article | |
utslib.citation.volume | 42 | |
utslib.location.activity | Australia | |
utslib.for | 11 Medical and Health Sciences | |
utslib.for | 16 Studies in Human Society | |
utslib.for | 17 Psychology and Cognitive Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHSP - Health Services and Practice | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2023-09-08T00:48:52Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 42 | |
utslib.citation.issue | 1 |
Abstract:
OBJECTIVES: The analysis presented here describes the care needs of older adults with and without cognitive impairment. To describe the health characteristics of older adults with and without cognitive impairment who receive home care or Aged Residential Care services in New Zealand. METHODS: A descriptive analysis of the initial interRAI assessment for adults older than 55 years was undertaken. Data were grouped by level of assessed cognitive impairment. The population proportions for each level of the following scales were calculated: Changes in Health, End-stage Disease, Signs, and Symptoms Scale (CHESS), pain, pressure injury risk, Activities of Daily Living (ADL), depression screening, and body mass index (BMI). RESULTS: The analysis included 93,680 assessments. The mean age was 83 years (SD = 8.7) a positive association was observed between age and cognitive impairment (p < 0.01). People with cognitive impairment were less likely to have been recently hospitalised or to have attended ED (p < 0.01). Significant associations with effect sizes ≥3 were observed for cognitive impairment and ADL (p < 0.01, γ = 0.63), pain (p < 0.01, γ = -0.32), and risk of pressure injury (p < 0.01, Cramer's V = 0.271). CONCLUSIONS: The results reinforce a need to be alert to the differential care needs of older adults with moderate/severe cognitive impairment. The findings may act as a trigger for practitioners to focus assessment on aspects of care that, due to context, may otherwise be underassessed or untreated.
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