Prevalence of Care Dependency and Nursing Care Problems in Nursing Home Residents with Dementia: A Literature Review
Year: 2014
Type: article
Abstract: Background: Worldwide, around 35.6 million people live with de mentia. This chronic condition is a risk factor in developing care dependency and nursing care problems, and often leads to nursing home admission. Aim: The aim of this study was to conduct a literature review that provides an overview of the prevalence of care dependency and nursing care problems in nursin g home residents with dementia, because such a revi ew is missing from the international literature. Methods: The type of narrative review was chosen and perfor med by doing an electronic search in PubMed, CINAHL and EMBASE and EBM Reviews via Ovid from 2003 to 2013. Furthermore, a manual search in reference lists was carried out. The literature was critically reviewed and results are presented as a narrative. Results: The international literature indicates that 28% - 83% of residents with dementia are care dependent a t the highest level. In view of the nursing care prob lems, the prevalence of malnutrition ranges from 14 % - 56%; urinary incontinence from 39% - 59%; fecal incontinence from 43% - 87%; pressure ulcers from 7% - 47%; falls from 29% - 60%; and restraints from 10% - 60%. Conclusions: The high prevalence of care dependency and nursing care problems in nursing home residents with dementia indicate that improvements in the management of these important quality indicators are still necessary. A suggestion for further nursing research would be to compare the prevalence of care dependency and different care problems between residents with and without de mentia, and to undertake longitudinal studies to co mpare the development as well as the progression of the i mportant quality indicators between residents with and without dementia, including the cognitive status of the residents.
Language: English
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2189536737