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P1‐550: COGNITIVE ASSESSMENT IN ELDERLY PEOPLE ASSISTED BY BASIC HEALTH CARE OF A BRAZILIAN CITY: CORRELATION WITH TIMED “UP AND GO” TEST WITH AND WITHOUT DUAL‐TASK
Author(s) -
Teixeira Caroline,
Melo Borges Sheila
Publication year - 2018
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.2018.06.561
Subject(s) - verbal fluency test , cognition , timed up and go test , test (biology) , task (project management) , audiology , trail making test , fluency , medicine , psychology , cognitive test , cognitive decline , physical medicine and rehabilitation , cognitive impairment , physical therapy , gerontology , neuropsychology , dementia , psychiatry , disease , balance (ability) , engineering , paleontology , systems engineering , biology , mathematics education
using the Johns Hopkins Dementia Care Needs Assessment 2.0 (JHDCNA 2.0) tool. Correlates of unmet needs were identified using characteristics of both the person with dementia and their informal caregivers, since caregivers have a primary role in meeting dementia care needs. Results: Those with dementia included 69% females, 56% non-whites, with a mean age of 80 years. Their caregivers included 77% females, 70% nonspouses and 41% employed. Those with dementia averaged 10.6 unmet needs, most commonly for home and personal safety (97%), general medical care (83%), daily activities (73%) and neuropsychiatric symptom management (66%). Modifiable characteristics of those with dementia associated with unmet needs included their medical health status (p1⁄4.006), severity of neuropsychiatric symptoms (p<.001), and quality of life (p<.001). Modifiable caregiver characteristics associated with unmet needs in those with dementia included amount of time spent with the care recipient (p<.001), medical health status (p1⁄4.019), quality of life indicators of physical (p1⁄4.010) and mental (p1⁄4.002) health, and symptoms of depression (p1⁄4.001). Conclusions: Unmet needs are common in community-residing persons with dementia and associated with characteristics of those with dementia and their informal caregivers. Home and community based dementia care services should address unmet needs by focusing on the health and well being of the care recipients and caregivers with a goal of enabling the person with dementia to remain safely in the community.