Homes In Spain Research Articles

The development of quality indicators to improve psychosocial care in dementia

The evidence for the effectiveness of psychosocial interventions in dementia care is growing but the implementation of available evidence is not automatic. Our objective was to develop valid quality indicators (QIs) for psychosocial dementia care that facilitate the implementation process in various countries and settings. A RAND-modified Delphi technique was used to develop a potential set of QIs. Two multidisciplinary, international expert panels were involved in achieving content and face validity. Consensus on the final set was reached after a conference meeting where a third panel of dementia experts discussed measurability and applicability of the potential set. A retrospective cohort study was conducted to study the feasibility of using the final set in day care centers, hospitals, and nursing homes in Spain and The Netherlands. A total of 104 recommendations were selected from guidelines and systematic reviews and appraised for their contribution to improving the quality of dementia care by 49 dementia experts. Twenty-five experts attended the conference meeting and reached consensus on a set of 12 QIs representing the key elements of effective psychosocial care, such as shared decision-making and interventions tailored to needs and preferences. Data from 153 patient records showed that all but one QI subitem were applicable to all three settings in both countries. Our multidisciplinary and multinational strategy resulted in a set of unique QIs that aims exclusively at assessing the quality of psychosocial dementia care. Following implementation, these QIs will assist dementia care professionals to individualize and tailor psychosocial interventions.

Prevalencia de demencia en pacientes institucionalizados: estudio RESYDEM

Introduction To determine the prevalence of dementia in nursing homes in Spain and to analyze the associated factors in an elderly population in the institutional setting. Material and methods We performed a multicenter, cross-sectional, observational study of 852 residents of public, private and state-assisted nursing homes throughout Spain. Dementia was diagnosed according to the DSM-IV-TR clinical criteria. The Hughes Clinical Dementia Rating scale was used to measure global impairment or the global severity of dementia. Sociodemographic, clinical and neuropsychological variables, together with the pharmacological treatments prescribed to the participants, were recorded. Results The overall prevalence of dementia was 61.7% (95% CI 58.4–65.1) and that of Alzheimer's disease was 16.9% (95% CI 14.3–19.5). Vascular dementia was found in 7.3% (95% CI 5.5–9.1). Female sex was independently associated with a greater frequency of dementia. The prevalence of dementia increased with age. Only 18.8% (95% CI 15.4–22.3) of the patients diagnosed with dementia received specific treatment for the disorder. Conclusions Two-thirds of the elderly persons living in nursing homes in Spain have dementia. Undertreatment of this disease is common. Increased awareness among health care professionals is important for the early diagnosis and appropriate management of dementia, which would represent a radical change in the approach to this disease.

Second Homes in Spain: An analysis of change at the provincial level, 1981-2001

ABSTRACTThis article examines the growth and changing pattern of second homes in Spain's 50 provinces over the period 1981-2001. The changing socio-economic context for this period is outlined and, against this background, the geographical distribution of second homes in 2001 is described and analysed in relation to variables identified in previous studies as representing explanatory processes. A similar analysis is carried out for the pattern of change in second homes over the 1981-2001 period. It is concluded that a variety of factors is responsible for the present geographical distribution of second homes, with some areas demonstrating a ‘layering’ of patterns produced by different processes from several phases of development while others feature patterns derived from a more limited set of processes.

Second Homes in Spain: Socio-Demographic and Geographical Profiles

<titre>R&#233;sum&#233;</titre>Prenant en compte les caract&#233;ristiques socio-d&#233;mographiques, r&#233;sidentielles et territoriales des m&#233;nages qui disposent d&#8217;une r&#233;sidence secondaire en Espagne, cette note identifie leur profil &#224; partir des donn&#233;es du recensement de 2001 et &#233;tudie les d&#233;terminants de cette pratique r&#233;sidentielle. Les auteurs testent &#171;&#160;l&#8217;hypoth&#232;se de compensation&#160;&#187; qui postule une relation entre la qualit&#233; de l&#8217;environnement r&#233;sidentiel du logement principal et la propension &#224; disposer d&#8217;une r&#233;sidence secondaire. Ils montrent qu&#8217;il existe une association positive pour les m&#233;nages disposant d&#8217;une r&#233;sidence secondaire, avec la possession de v&#233;hicule, l&#8217;&#226;ge de la personne de r&#233;f&#233;rence du m&#233;nage, la taille de la commune et les caract&#233;ristiques de la r&#233;sidence principale.

A new and simple method used as cleaning system for measuring mite and cat allergens in homes

A new and simple method used as cleaning system for measuring mite and cat allergens in homes

Editorial

This week Nursing Standard exposes allegations of malpractice and neglect in nursing homes in Spain where British expatriates are being cared for. The tens of thousands of Britons who flocked to the Costas in the Seventies are now elderly and frail and increasingly in need of nursing care. Spain today is different from the one they enjoyed 20 years ago and for many the only option is to spend their remaining years in sub-standard nursing homes run by inexperienced owners and profiteers.

The growth and changing pattern of second homes in Spain in the 1970s

Abstract Despite Spain's importance as an international tourist destination, there are few studies of the related phenomenon of second‐home development. This paper examines the growth and changing spatial pattern of second homes at the national scale in the 1970s. Although the distribution is dominated by areas where tourism is a major activity, second homes have grown in provinces with very different economic bases. Some of the processes behind this wider distribution are explored. The spatial pattern at the scale of one province is then examined and it is clear that different processes are at work in different localities. Second homes in Spain present a growing dichotomy between indigenous, small‐scale developments and larger, more intrusive, highly capitalised schemes aimed principally at foreigners. These two types of development pose very different planning problems.