Older Adults With Cognitive Impairment Living In Malaysian Nursing Homes – Have We Met Their Needs?
- Author:
Azlina Wati Nikmat
;
Syed Hassan Almashoor
- Publication Type:Journal Article
- Keywords:
Care;
Cognitive Impairment;
Malaysian Nursing Home;
Needs Assessment;
Older Adult
- From:ASEAN Journal of Psychiatry
2015;16(1):84-94
- CountryMalaysia
- Language:English
-
Abstract:
Objective: Transition of people with cognitive impairment to nursing home is
often an option when their disease progresses and their needs become too
complex. The aim of this study was to identify the needs of people with cognitive
impairment living in nursing homes and factors associated with higher level of
needs. Methods: A cross sectional survey involving 110 respondents with
cognitive impairment aged ≥60 was carried out. Respondents were assessed using
the Short Mini Mental State Examination (SMMSE), Camberwell Assessment of
Needs for Elderly (CANE), Barthel Index (BI), Friendship Scale (FS), and
Geriatric Depression Scale (GDS). Results: Respondents with cognitive
impairment had a mean of 2.81 (SD=3.72) for unmet needs and 11.95 (SD=3.14)
for the met needs, with higher mean suggesting a better outcome measure. The
most frequent unmet needs were intimate relationships (66.40%), company
(40.00%), and daytime activity (34.50%). Unmet needs were significantly
associated with depression, social isolation, and cognitive impairment.
Conclusion: Most of the needs of people with cognitive impairment in nursing
homes were fulfilled, except in social area. Therefore, attention should be given
in improving the care system, which emphasizes collaboration between people
with cognitive impairment, family members, community, and government in
helping to reduce the risk of loneliness in those with cognitive impairment.
- Full text:P020150206358860117624.pdf
