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P3‐367: Global economic cost of dementia
Author(s) -
Wortmann Marc
Publication year - 2011
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2011.05.1809
Subject(s) - dementia , economic cost , indirect costs , health care , business , total cost , economic growth , public economics , disease , medicine , development economics , economics , neoclassical economics , accounting , pathology
low potential categories. Increased meaningful occupation is further reflected in the significant reduction in sleep observed from the initial to final observations (varying) across facilities between 51% to 72% reductions). There was a “significant increase in Personal Enhancers and a decrease in Person Detractors between round two and three mapping; 374 PEs and 57 PDs recorded in relation to staff-resident interactions in round two whereas 438 PEs and 39 PDs were recorded in round three. Table 1 presents observations of personal enhancers and detractors in relation to each of the psychological needs. One hundred and forty-four (39%) PEs were staff actions which supported the participants need for ‘occupation’ (the need for occupation relates to being involved in an activity in a way that is personally meaningful: it is about feeling you have an effect and impact on what is done and how). This rises to one hundred and sixty-five PEs in round 3, although as a percentage of observations it remains unchanged. The most frequently observed types of PDs were those which undermined ‘occupation’ (49% of the total observations in round 2) usually presenting in the form of "objectification” of residents. Sixty-seven (17%) PEs related to enhancing resident ‘comfort’ (comfort promotes security and decreases anxiety; it helps people relax).The most notable differences between round 2 and round 3 personal detractors are in relation to the psychological need of’identity’. Eighty-eight (21%) PEs related to enhancing resident ‘identity’ need. When considered in the light the drop in PDs in relation to ‘identity’ need from 37% in round 2 map to 11%, this is a significant change. In round 2 interactions which undermined residents’ identity (37% of the total observations in round 2) were most often staff talking to residents as if they were infants.Conclusions: Overall, across participating facilities, DCM results showed that personal enhancers increased by 40%, thereby increasing the potential for staff to sustain residents’ personhood, meeting residents psychological needs and enhancing well-being. Personal detractors decreased.