Abstract
The country of Ukraine, due to the recent political changes, has been forced to provide social services in the absence of large government subsidies which served as a social safety net prior to 1991. In particular, the need for long-term care services, specifically inpatient dementia care, will continue to challenge an already over burdened system due to the projected increase in older adults who will need assistance. A case-study survey into aspects of dementia care within two neurological-psychiatric regional hospitals in eastern Ukraine was conducted in May 2005, using a standardized evaluation form designed for dementia-specific units. The results found that the limitations imposed by the lack of financial resources can be partially offset through creativity, cooperation and sound care practices at the individual level. Some practices, such as the expanded role of the nursing aide, flexible staff schedules, and a cultural influence that encourages a familial bond among staff toward their patients, offers food for thought for US dementia care providers.
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