Abstract
AimTo clarify the characteristics of appropriate care methods for people with daily life disabilities due to Alzheimer's type dementia.DesignA cross‐sectional survey study.MethodsA survey was implemented targeting 2,156 advanced care practitioners for dementia. The postal, self‐administered anonymous questionnaire was rated on a 4‐point Likert scale to assess the benefits of care for daily life disabilities depending on severity. We conducted factor analysis to determine characteristics of the appropriate care.ResultsThere were 568 valid responses, a valid response rate of 26.3%. The characteristics found were “Simplicity of necessities” and “Communication using verbal language on what should be done next” for mild cases; “Opportunities for completion of a task are provided with verbal communication,” “Marks” and “Arrange the environment with verbal communication” for moderate cases; and “Explain the process in the order of each individual action,” “Prevent non‐starts and interruptions” and “Confirm intention” for severe cases.
Highlights
The number of elderly people with dementia in Japan was estimated to be 4.62 million in 2012, with the prevalence of dementia among older people estimated to be around 15% (Ikejima et al, 2012; Ministry of Health, Labour, & Welfare, 2013)
The aim has been to improve the qual‐ ity of dementia care through studies on cognitive impairment and behavioural and psychological symptoms of dementia (BPSD), which are predominantly characteristics of Alzheimer's type dementia and by developing nationwide public training on dementia medical treatment and nursing care (Ministry of Health, Labour, & Welfare, 2006,2016)
This study investigated the characteristics of dementia care provided by advanced care practitioners for persons with mild, moderate and severe cognitive impairment due to Alzheimer's type dementia when they are willing to undertake activities of daily living (ADL)
Summary
The number of elderly people with dementia in Japan was estimated to be 4.62 million in 2012, with the prevalence of dementia among older people estimated to be around 15% (Ikejima et al, 2012; Ministry of Health, Labour, & Welfare, 2013). Prefecture and Daisen‐cho in Tottori Prefecture has ascertained that the prevalence of Alzheimer's type dementia is increasing over time (Sekita et al, 2010; Wakutani et al, 2007) Based on this situation in Japan, a community‐based integrated support and service provision system is expected to be constructed and operational by 2025, to enable elderly people to continue liv‐ ing in familiar communities and on their own terms until the end of their lives, whenever possible. Previously in Japan, long‐term care facilities, day services and geriatric hospitals used by many people with de‐ mentia have referenced indices such as the Barthel Index (Mahoney & Barthel, 1965) regarding the activities of daily living (ADL) for people with dementia These indices only employ a phased assess‐ ment, classifying the person as independent, or requiring partial care or total care, without specifying what each of these types of care entails. This study did not clarify support methods and associated evidence for ADL other than dressing, toileting and meals
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