A cross-sectional description of the health characteristics of cognitively impaired older adults.

Merrick, E; Shannon, K; Neville, S; Bail, K; Vorster, A; Fry, M

A cross-sectional description of the health characteristics of cognitively impaired older adults.

Merrick, E

Shannon, K Neville, S Bail, K Vorster, A Fry, M

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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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Field	Value	Language
dc.contributor.author	Merrick, E https://orcid.org/0000-0003-4269-6360
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 https://orcid.org/0000-0003-1265-7096
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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/171982