Health policy (Amsterdam, Netherlands), Jan 22, 2015
Informal (dementia) care has economic consequences throughout the health care system. Whilst the ... more Informal (dementia) care has economic consequences throughout the health care system. Whilst the health and wellbeing of the care recipient might improve, the health of the caregiver might also change, typically for the worse. Therefore, this analysis aims to examine the association between caregiving intensity and caregivers' health and health care utilization. The empirical analysis is based on cross-sectional survey data generated by the European Project "RightTimePlaceCare" (RTPC). RTPC was a prospective cohort study conducted in eight European countries (Estonia, Finland, France, Germany, Netherlands, Sweden, Spain and the United Kingdom). The health status of 1029 informal caregivers was assessed by measures of psychological wellbeing (GHQ-12) and self-rated overall health (EQ-VAS). Health care utilization was measured by (i) the self-stated proportion of health care use influenced by caregiving and (ii) the probability of at least one visit to a general practiti...
Informal (dementia) care has economic consequences throughout the health care system. Whilst the ... more Informal (dementia) care has economic consequences throughout the health care system. Whilst the health and wellbeing of the care recipient might improve, the health of the caregiver might also change, typically for the worse. Therefore, this analysis aims to examine the association between caregiving intensity and caregivers' health and health care utilization. The empirical analysis is based on cross-sectional survey data generated by the European Project "RightTimePlaceCare" (RTPC). RTPC was a prospective cohort study conducted in eight European countries (Estonia, Finland, France, Germany, Netherlands, Sweden, Spain and the United Kingdom). The health status of 1029 informal caregivers was assessed by measures of psychological wellbeing (GHQ-12) and self-rated overall health (EQ-VAS). Health care utilization was measured by (i) the self-stated proportion of health care use influenced by caregiving and (ii) the probability of at least one visit to a general practitioner within in the last 30 days. The association between caregiving intensity and caregivers' health and health care utilization was assessed by descriptive analysis and multivariate OLS- and probit-models. A higher amount of informal care was significantly related to negative health outcomes for informal caregivers. On average, one additional hour of informal caregiving per day was associated with a decrease of psychological wellbeing and self-rated overall health by 0.16 and 0.42 index points respectively. Furthermore, one more hour of informal caregiving corresponded with increased self-stated proportion of health care use by 0.56 percentage points. However, the claim of increased health care demand due to caregiving as measured by GP visits was only partly confirmed. When evaluating the full economic effect of informal care, the impact of providing care on caregivers' health and health care utilization has to be taken into account.
Gerokomos Revista De La Sociedad Espanola De Enfermeria Geriatrica Y Gerontologica, 2004
Conclusiones: Los cuidadores informales españoles de personas mayores parecen disponer de diferen... more Conclusiones: Los cuidadores informales españoles de personas mayores parecen disponer de diferentes recursos de apoyo en su tarea de cuidado, aunque sigue siendo la familia la principal fuente de ayuda frente a los sistemas formales. La literatura recoge repercusiones tanto ...
American journal of Alzheimer's disease and other dementias, Jan 3, 2015
The aim of this study is to identify the barriers and facilitators in dementia care with respect ... more The aim of this study is to identify the barriers and facilitators in dementia care with respect to information provision, communication, and collaboration from the perspectives of the person with dementia, family caregivers, and health care professionals over the course of the illness. A qualitative study using Focus-Group methodology was carried out in people with dementia, family caregivers, and health care providers. The categories that emerged from the analysis were insufficient information provided, specific dementia care needs, and acceptance of long-term care institutionalization from the people with dementia and caregivers' groups and insufficient communication between health care providers, differential information according to disease stage, and home care coordination from the health care providers' groups. The family is a key element in successful care coordination during dementia care provision. New effective strategies including self-management and emergent rol...
To determine the efficacy over 12 months of the educational programme on self-care of the elderly... more To determine the efficacy over 12 months of the educational programme on self-care of the elderly (PECA), which covers quality of life, nutritional status, and perceived social support of people over 65 living in their own homes. Pre-test/post-test experimental study with control group. Urban population in the Manso Health District (Example, Barcelona), Spain. Persons over 65 living in their own homes, healthy or with chronic illnesses characteristic of their age, who had a normal score in the Pfeiffer test. A total of 70 subjects (35 per group) were selected and 5 of the control group left the study. Programme on self-care of the elderly, including education on physical activity, nutrition, and social support. Dependent variables were quality of life, measured by the Nottingham Health Profile; nutritional status, measured by the Mini-Nutritional Assessment (MNA); and social support, measured by the Duke-Unk Functional Social Support Scale. The study sample had an average age of 70....
Colorrectal cancer (CCR) is one of the most common cancers worldwide. In developed countries, it ... more Colorrectal cancer (CCR) is one of the most common cancers worldwide. In developed countries, it is the second most common cancer both in men and women, after breast and lung cancer, respectively. When both sexes are considered jointly, it occupies the first place in incidence and represents the second cause of death by cancer.In the last years we have attended a very significant advance in the knowledge of the mechanisms that participate in the development and progression of CCR. These advances include the identification of novel cancer genes that have provided fundamental insights into the mechanism of carcinogenesis that will ultimate translate into cancer prevention and treatment. In particular, the demonstration of the premalignant potential of the colorectal adenoma and the identification of the genes responsible for the hereditary forms of CCR have given foot to diverse preventive strategies that can significantly contribute to diminish the incidence and the morbi-mortality o...
En este segundo artículo se presentan los resultados del estudio sobre los pacientes y enfermeras... more En este segundo artículo se presentan los resultados del estudio sobre los pacientes y enfermeras de servicios de cirugía de España. Dicho estudio es la segunda parte de un proyecto financiado por la Comisión Europea y en el que han participado, además de España, los siguientes países: Finlandia, Alemania, Gran Bretaña (Escocia) y Grecia. El objetivo de este estudio, comparativo, multicultural y multicéntrico, es describir y analizar las percepciones de los pacientes y enfermeras acerca de cómo éstas respetan los derechos de autonomía y consentimiento informado de los pacientes ingresados en las unidades de hospitalización quirúrgicas. La muestra corresponde a 173 pacientes y 233 enfermeras. Los datos han sido recogidos en 6 hospitales universitarios y/o generales de España, mediante unos cuestionarios estructurados y especialmente diseñados para este estudio y, a su vez, han sido analizados tanto desde la perspectiva jurídica como ética. Los resultados han sido tratados estadística...
El cáncer colorrectal (CCR) es una de las neoplasias más frecuentes en nuestro medio. En la actua... more El cáncer colorrectal (CCR) es una de las neoplasias más frecuentes en nuestro medio. En la actualidad, constituye la segunda neoplasia tanto en varones como en mujeres, tras el cáncer de pulmón y de mama, respectivamente. Cuando se consideran ambos sexos conjuntamente, ocupa el primer lugar en incidencia y representa la segunda causa de muerte por cáncer. En los últimos años hemos asistido a un avance muy significativo en el conocimiento de los mecanismos que participan en el desarrollo y progresión del CCR. Este avance abarca desde la identificación de diversos factores genéticos o moleculares implicados en la fisiopatología de esta neoplasia, hasta la caracterización de múltiples aspectos epidemiológicos involucrados en su génesis. En concreto, la demostración del potencial premaligno del adenoma colorrectal y la identificación de los genes responsables de las formas hereditarias de CCR han dado pie a diversas estrategias preventivas que pueden contribuir significativamente a dis...
To describe available and utilized formal care and service at home for persons with dementia, fro... more To describe available and utilized formal care and service at home for persons with dementia, from diagnosis to end-of-life stage, in eight European countries. A descriptive cross-country design concerning eight European countries as a part of the European research project RightTimePlaceCare. The research team in each country used a mapping system to collect country-specific information concerning dementia care and service system. The mapping system consists of 50 types of care and service activities. Sixteen of the 50 predefined activities concerning care and service at home were selected for this study and subdivided into three categories, following the stages of dementia. Availability was reported to be higher than utilization, and the findings indicated more similarities than differences among the eight countries involved. Even though there were several available activities of "basic care and services" and "healthcare interventions," they were utilized by few in most countries. Furthermore, "specialized dementia care and services" were sparsely available and even more sparsely utilized in the participating countries. The findings indicated that persons with dementia in Europe received formal care and service on a general, basic level but seldom adjusted to their specific needs. This study describes the gap between service provision and utilization enabling nurses to develop individually adjusted care plans for persons with dementia during the progress of the disease. The findings do not include matters of quality of care or how to best organize effective care and services. However, the activities of care and services presented here should shed light on what room there is for improvement when it comes to enabling persons with dementia to go on living at home.
According to a report by the Spanish Society of Public Health and Sanitary Administration in 1998... more According to a report by the Spanish Society of Public Health and Sanitary Administration in 1998, the general population is undergoing demographic changes due to an increase in life span and a decrease in the birth rate. With an increase in age, there is a greater risk to suffer a nutritional deficit; constantly on the rise, poor nutrition leads to poor health among Europeans. The physical and mental health state of the elderly depends to a high degree on eating habits during one's entire adult life. On the other hand, as health professionals we are interested in knowing the availability of resources the elderly can avail themselves to in order to satisfy their needs for affection, love, acceptance, sense of belonging, identity and security; which is to say their social network. The objective of our study was to know the sociodemographical characteristics, the nutritional state and the social network for persons above 65 years of age in the "Eixample" District in Barc...
ABSTRACT The present study is the first article of a multicenter and multicultural study on respe... more ABSTRACT The present study is the first article of a multicenter and multicultural study on respect to autonomy and informed consent in nursing care with participation from Finland, Germany, Great Britain (Scotland), Greece and Spain. The results obtained in Spain are herein reported. The aim of this study was to describe and analyze the perception of mothers and nurses/matrons of the principle of autonomy and informed consent in the Maternity Units. Both principles have been considered as rights deserving respect and have therefore been analyzed from both a legal and ethical dimension. The data was collected in six Maternity Wards in Spain by structured questionnaire specialized designed for this study. The sample included 223 mothers and 192 nurses/matrons. The results were statistically analyzed and show different perception between mothers and nurses/matrons with regard to nursing activities referring to autonomy and informed consent. Similarly statistically significant differences were observed in patient history.
Dementia is a progressive neurological disorder that causes a high degree of dependency. This dep... more Dementia is a progressive neurological disorder that causes a high degree of dependency. This dependency has been defined as an increased need for assistance due to deterioration in cognition and physical functioning, and changes in behavior. Highly dependent people with dementia are more likely to be institutionalized. To investigate the association between specific categories of physical dependency and the presence of neuropsychiatric symptoms in people with dementia admitted to a long-term care institution. A prospective observational cohort study. Home care and long-term care institutions in eight European countries. People with dementia living at home but at risk of institutionalization and recently institutionalized people with dementia. Baseline and 3-month follow-up interviews were performed between November, 2010 and April, 2012. The sample consisted of 116 recently institutionalized dementia sufferers and 949 people with dementia still living at home. Physical dependency was measured using the Katz Activity of Daily Living index, and neuropsychiatric symptoms were assessed through The Neuropsychiatric Inventory. Specific categories of dependency were analyzed by performing a logistic regression analysis. This followed examination of baseline characteristics to define the degree of physical dependency, as factors associated with institutionalization, and evaluation of the same characteristics at 3-month follow-up to detect changes in the degree of physical dependency and neuropsychiatric symptoms associated with recent admission to a long-term care institution. Toileting, dressing and continence dependency was higher in institutionalized people than in those receiving home-care. Delusion, hallucination, agitation, anxiety, apathy, motor-disturbances, night-time behavior and eating disorders were also worse in the institutionalized. Logistic regression analysis showed that independent factors significantly associated with being recently institutionalized were toileting (odds ratio=2.3; 95% confidence interval=1.43-3.71) and motor disturbances (odds ratio=1.81; 95% confidence interval=1.15-2.87). This study supports the association between type and degree of physical dependency in people with dementia and long-term institutionalization. Institutionalization is associated with physical dependency and the presence of neuropsychiatric symptoms.
In our environment, care of the dependent elderly is usually provided by family members, thereby ... more In our environment, care of the dependent elderly is usually provided by family members, thereby ensuring autonomy and avoiding institutionalization of the dependent adult. Thirty-three percent of Spanish caregivers have acknowledged the importance of acquiring the knowledge and skills necessary for daily care. Consequently, several interventions have been developed by health professionals from distinct disciplines. The purpose of this study was to systematically review and evaluate the efficacy of published interventions for the caregivers of dependent elderly individuals. We conducted a systematic review of the literature on interventions in the caregivers of the dependent elderly (older than 65 years old) published between 1996 and 2006. The inclusion criteria included controlled clinical trials with outcome measures related to effectiveness in reducing caregiver burden, anxiety and depression. Our search yielded 15 reports. The interventions produced statistically significant re...
Knowledge concerning professionals involved in dementia care throughout its trajectory is sparse;... more Knowledge concerning professionals involved in dementia care throughout its trajectory is sparse; the focus has mainly been on nursing-home care and less on home care, diagnosis and treatment of the disease and its complications despite the fact that home care is the most prominent type of care. The aim of this study was to explore and describe professional care providers involved in dementia care and their educational level applying the International Standard Classification of Education (ISCED) and further to investigate practice in the RightTimePlaceCare-countries with regard to screening, diagnostic procedures and treatment of dementia and home care. The findings demonstrate more similarities than differences in terms of type of professionals involved among the countries although untrained staff were more common in some countries. Findings also show that many types of professionals are involved, who to turn to may not be clear, for instance in terms of medical specialities and it...
Health policy (Amsterdam, Netherlands), Jan 22, 2015
Informal (dementia) care has economic consequences throughout the health care system. Whilst the ... more Informal (dementia) care has economic consequences throughout the health care system. Whilst the health and wellbeing of the care recipient might improve, the health of the caregiver might also change, typically for the worse. Therefore, this analysis aims to examine the association between caregiving intensity and caregivers' health and health care utilization. The empirical analysis is based on cross-sectional survey data generated by the European Project "RightTimePlaceCare" (RTPC). RTPC was a prospective cohort study conducted in eight European countries (Estonia, Finland, France, Germany, Netherlands, Sweden, Spain and the United Kingdom). The health status of 1029 informal caregivers was assessed by measures of psychological wellbeing (GHQ-12) and self-rated overall health (EQ-VAS). Health care utilization was measured by (i) the self-stated proportion of health care use influenced by caregiving and (ii) the probability of at least one visit to a general practiti...
Informal (dementia) care has economic consequences throughout the health care system. Whilst the ... more Informal (dementia) care has economic consequences throughout the health care system. Whilst the health and wellbeing of the care recipient might improve, the health of the caregiver might also change, typically for the worse. Therefore, this analysis aims to examine the association between caregiving intensity and caregivers' health and health care utilization. The empirical analysis is based on cross-sectional survey data generated by the European Project "RightTimePlaceCare" (RTPC). RTPC was a prospective cohort study conducted in eight European countries (Estonia, Finland, France, Germany, Netherlands, Sweden, Spain and the United Kingdom). The health status of 1029 informal caregivers was assessed by measures of psychological wellbeing (GHQ-12) and self-rated overall health (EQ-VAS). Health care utilization was measured by (i) the self-stated proportion of health care use influenced by caregiving and (ii) the probability of at least one visit to a general practitioner within in the last 30 days. The association between caregiving intensity and caregivers' health and health care utilization was assessed by descriptive analysis and multivariate OLS- and probit-models. A higher amount of informal care was significantly related to negative health outcomes for informal caregivers. On average, one additional hour of informal caregiving per day was associated with a decrease of psychological wellbeing and self-rated overall health by 0.16 and 0.42 index points respectively. Furthermore, one more hour of informal caregiving corresponded with increased self-stated proportion of health care use by 0.56 percentage points. However, the claim of increased health care demand due to caregiving as measured by GP visits was only partly confirmed. When evaluating the full economic effect of informal care, the impact of providing care on caregivers' health and health care utilization has to be taken into account.
Gerokomos Revista De La Sociedad Espanola De Enfermeria Geriatrica Y Gerontologica, 2004
Conclusiones: Los cuidadores informales españoles de personas mayores parecen disponer de diferen... more Conclusiones: Los cuidadores informales españoles de personas mayores parecen disponer de diferentes recursos de apoyo en su tarea de cuidado, aunque sigue siendo la familia la principal fuente de ayuda frente a los sistemas formales. La literatura recoge repercusiones tanto ...
American journal of Alzheimer's disease and other dementias, Jan 3, 2015
The aim of this study is to identify the barriers and facilitators in dementia care with respect ... more The aim of this study is to identify the barriers and facilitators in dementia care with respect to information provision, communication, and collaboration from the perspectives of the person with dementia, family caregivers, and health care professionals over the course of the illness. A qualitative study using Focus-Group methodology was carried out in people with dementia, family caregivers, and health care providers. The categories that emerged from the analysis were insufficient information provided, specific dementia care needs, and acceptance of long-term care institutionalization from the people with dementia and caregivers' groups and insufficient communication between health care providers, differential information according to disease stage, and home care coordination from the health care providers' groups. The family is a key element in successful care coordination during dementia care provision. New effective strategies including self-management and emergent rol...
To determine the efficacy over 12 months of the educational programme on self-care of the elderly... more To determine the efficacy over 12 months of the educational programme on self-care of the elderly (PECA), which covers quality of life, nutritional status, and perceived social support of people over 65 living in their own homes. Pre-test/post-test experimental study with control group. Urban population in the Manso Health District (Example, Barcelona), Spain. Persons over 65 living in their own homes, healthy or with chronic illnesses characteristic of their age, who had a normal score in the Pfeiffer test. A total of 70 subjects (35 per group) were selected and 5 of the control group left the study. Programme on self-care of the elderly, including education on physical activity, nutrition, and social support. Dependent variables were quality of life, measured by the Nottingham Health Profile; nutritional status, measured by the Mini-Nutritional Assessment (MNA); and social support, measured by the Duke-Unk Functional Social Support Scale. The study sample had an average age of 70....
Colorrectal cancer (CCR) is one of the most common cancers worldwide. In developed countries, it ... more Colorrectal cancer (CCR) is one of the most common cancers worldwide. In developed countries, it is the second most common cancer both in men and women, after breast and lung cancer, respectively. When both sexes are considered jointly, it occupies the first place in incidence and represents the second cause of death by cancer.In the last years we have attended a very significant advance in the knowledge of the mechanisms that participate in the development and progression of CCR. These advances include the identification of novel cancer genes that have provided fundamental insights into the mechanism of carcinogenesis that will ultimate translate into cancer prevention and treatment. In particular, the demonstration of the premalignant potential of the colorectal adenoma and the identification of the genes responsible for the hereditary forms of CCR have given foot to diverse preventive strategies that can significantly contribute to diminish the incidence and the morbi-mortality o...
En este segundo artículo se presentan los resultados del estudio sobre los pacientes y enfermeras... more En este segundo artículo se presentan los resultados del estudio sobre los pacientes y enfermeras de servicios de cirugía de España. Dicho estudio es la segunda parte de un proyecto financiado por la Comisión Europea y en el que han participado, además de España, los siguientes países: Finlandia, Alemania, Gran Bretaña (Escocia) y Grecia. El objetivo de este estudio, comparativo, multicultural y multicéntrico, es describir y analizar las percepciones de los pacientes y enfermeras acerca de cómo éstas respetan los derechos de autonomía y consentimiento informado de los pacientes ingresados en las unidades de hospitalización quirúrgicas. La muestra corresponde a 173 pacientes y 233 enfermeras. Los datos han sido recogidos en 6 hospitales universitarios y/o generales de España, mediante unos cuestionarios estructurados y especialmente diseñados para este estudio y, a su vez, han sido analizados tanto desde la perspectiva jurídica como ética. Los resultados han sido tratados estadística...
El cáncer colorrectal (CCR) es una de las neoplasias más frecuentes en nuestro medio. En la actua... more El cáncer colorrectal (CCR) es una de las neoplasias más frecuentes en nuestro medio. En la actualidad, constituye la segunda neoplasia tanto en varones como en mujeres, tras el cáncer de pulmón y de mama, respectivamente. Cuando se consideran ambos sexos conjuntamente, ocupa el primer lugar en incidencia y representa la segunda causa de muerte por cáncer. En los últimos años hemos asistido a un avance muy significativo en el conocimiento de los mecanismos que participan en el desarrollo y progresión del CCR. Este avance abarca desde la identificación de diversos factores genéticos o moleculares implicados en la fisiopatología de esta neoplasia, hasta la caracterización de múltiples aspectos epidemiológicos involucrados en su génesis. En concreto, la demostración del potencial premaligno del adenoma colorrectal y la identificación de los genes responsables de las formas hereditarias de CCR han dado pie a diversas estrategias preventivas que pueden contribuir significativamente a dis...
To describe available and utilized formal care and service at home for persons with dementia, fro... more To describe available and utilized formal care and service at home for persons with dementia, from diagnosis to end-of-life stage, in eight European countries. A descriptive cross-country design concerning eight European countries as a part of the European research project RightTimePlaceCare. The research team in each country used a mapping system to collect country-specific information concerning dementia care and service system. The mapping system consists of 50 types of care and service activities. Sixteen of the 50 predefined activities concerning care and service at home were selected for this study and subdivided into three categories, following the stages of dementia. Availability was reported to be higher than utilization, and the findings indicated more similarities than differences among the eight countries involved. Even though there were several available activities of "basic care and services" and "healthcare interventions," they were utilized by few in most countries. Furthermore, "specialized dementia care and services" were sparsely available and even more sparsely utilized in the participating countries. The findings indicated that persons with dementia in Europe received formal care and service on a general, basic level but seldom adjusted to their specific needs. This study describes the gap between service provision and utilization enabling nurses to develop individually adjusted care plans for persons with dementia during the progress of the disease. The findings do not include matters of quality of care or how to best organize effective care and services. However, the activities of care and services presented here should shed light on what room there is for improvement when it comes to enabling persons with dementia to go on living at home.
According to a report by the Spanish Society of Public Health and Sanitary Administration in 1998... more According to a report by the Spanish Society of Public Health and Sanitary Administration in 1998, the general population is undergoing demographic changes due to an increase in life span and a decrease in the birth rate. With an increase in age, there is a greater risk to suffer a nutritional deficit; constantly on the rise, poor nutrition leads to poor health among Europeans. The physical and mental health state of the elderly depends to a high degree on eating habits during one's entire adult life. On the other hand, as health professionals we are interested in knowing the availability of resources the elderly can avail themselves to in order to satisfy their needs for affection, love, acceptance, sense of belonging, identity and security; which is to say their social network. The objective of our study was to know the sociodemographical characteristics, the nutritional state and the social network for persons above 65 years of age in the "Eixample" District in Barc...
ABSTRACT The present study is the first article of a multicenter and multicultural study on respe... more ABSTRACT The present study is the first article of a multicenter and multicultural study on respect to autonomy and informed consent in nursing care with participation from Finland, Germany, Great Britain (Scotland), Greece and Spain. The results obtained in Spain are herein reported. The aim of this study was to describe and analyze the perception of mothers and nurses/matrons of the principle of autonomy and informed consent in the Maternity Units. Both principles have been considered as rights deserving respect and have therefore been analyzed from both a legal and ethical dimension. The data was collected in six Maternity Wards in Spain by structured questionnaire specialized designed for this study. The sample included 223 mothers and 192 nurses/matrons. The results were statistically analyzed and show different perception between mothers and nurses/matrons with regard to nursing activities referring to autonomy and informed consent. Similarly statistically significant differences were observed in patient history.
Dementia is a progressive neurological disorder that causes a high degree of dependency. This dep... more Dementia is a progressive neurological disorder that causes a high degree of dependency. This dependency has been defined as an increased need for assistance due to deterioration in cognition and physical functioning, and changes in behavior. Highly dependent people with dementia are more likely to be institutionalized. To investigate the association between specific categories of physical dependency and the presence of neuropsychiatric symptoms in people with dementia admitted to a long-term care institution. A prospective observational cohort study. Home care and long-term care institutions in eight European countries. People with dementia living at home but at risk of institutionalization and recently institutionalized people with dementia. Baseline and 3-month follow-up interviews were performed between November, 2010 and April, 2012. The sample consisted of 116 recently institutionalized dementia sufferers and 949 people with dementia still living at home. Physical dependency was measured using the Katz Activity of Daily Living index, and neuropsychiatric symptoms were assessed through The Neuropsychiatric Inventory. Specific categories of dependency were analyzed by performing a logistic regression analysis. This followed examination of baseline characteristics to define the degree of physical dependency, as factors associated with institutionalization, and evaluation of the same characteristics at 3-month follow-up to detect changes in the degree of physical dependency and neuropsychiatric symptoms associated with recent admission to a long-term care institution. Toileting, dressing and continence dependency was higher in institutionalized people than in those receiving home-care. Delusion, hallucination, agitation, anxiety, apathy, motor-disturbances, night-time behavior and eating disorders were also worse in the institutionalized. Logistic regression analysis showed that independent factors significantly associated with being recently institutionalized were toileting (odds ratio=2.3; 95% confidence interval=1.43-3.71) and motor disturbances (odds ratio=1.81; 95% confidence interval=1.15-2.87). This study supports the association between type and degree of physical dependency in people with dementia and long-term institutionalization. Institutionalization is associated with physical dependency and the presence of neuropsychiatric symptoms.
In our environment, care of the dependent elderly is usually provided by family members, thereby ... more In our environment, care of the dependent elderly is usually provided by family members, thereby ensuring autonomy and avoiding institutionalization of the dependent adult. Thirty-three percent of Spanish caregivers have acknowledged the importance of acquiring the knowledge and skills necessary for daily care. Consequently, several interventions have been developed by health professionals from distinct disciplines. The purpose of this study was to systematically review and evaluate the efficacy of published interventions for the caregivers of dependent elderly individuals. We conducted a systematic review of the literature on interventions in the caregivers of the dependent elderly (older than 65 years old) published between 1996 and 2006. The inclusion criteria included controlled clinical trials with outcome measures related to effectiveness in reducing caregiver burden, anxiety and depression. Our search yielded 15 reports. The interventions produced statistically significant re...
Knowledge concerning professionals involved in dementia care throughout its trajectory is sparse;... more Knowledge concerning professionals involved in dementia care throughout its trajectory is sparse; the focus has mainly been on nursing-home care and less on home care, diagnosis and treatment of the disease and its complications despite the fact that home care is the most prominent type of care. The aim of this study was to explore and describe professional care providers involved in dementia care and their educational level applying the International Standard Classification of Education (ISCED) and further to investigate practice in the RightTimePlaceCare-countries with regard to screening, diagnostic procedures and treatment of dementia and home care. The findings demonstrate more similarities than differences in terms of type of professionals involved among the countries although untrained staff were more common in some countries. Findings also show that many types of professionals are involved, who to turn to may not be clear, for instance in terms of medical specialities and it...
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