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NURSING HOME CARE OF DEMENTIA PATIENTS (A NATIONAL SURVEY IN CYPRUS ). C. MESSIS, Y. KALAKOUTAS, C. IOANNIDES Cyprus Mental Health Commission with the support of: Cyprus Neurological Society Cyprus Psychiatric Association
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NURSING HOME CARE OF DEMENTIA PATIENTS(A NATIONAL SURVEY IN CYPRUS) C. MESSIS, Y. KALAKOUTAS, C. IOANNIDES Cyprus Mental Health Commission with the support of: Cyprus Neurological Society Cyprus Psychiatric Association Nursing Home Owner’s Association
Estimated number of patients with Dementia in 2001 in Cyprus Total number of people 700.000 Age Groups: 65+ (5-10%) 3.500-7.500 80+ (20-30%) 3.000-5.000
NURSING HOME DISTRIBUTION IN CYPRUS Nicosia 61 Limassol 49 Larnaca 16 Paphos 8 Famagusta 3 ------ Total 137
TYPE OF NURSING HOMES IN CYPRUS Private 103 Community 27 State 7 ------ Total 137 Total number of Residents : 3.300
NURSING HOME SURVEY • Primary Target Estimate number (%) of residents with Dementia • Secondary Targets Standard of care of Dementia residents Family satisfaction with care
METHOD Anonymous Questionnaire: • Personal interview with directors of nursing homes • Modified MMSE test to residents • Telephone interview with family of probable Dementia cases Interviewers: 12 graduate and postgraduate students of nursing etc. after 2 days of training
TOTAL SAMPLE 20 Nursing Homes (with an average number of 24 residents) were randomly selected from 4 Districts of Cyprus Information was received from: 20 Directors of nursing homes 109 Families of residents with probable Dementia 422 Residents
TOTAL SAMPLE OF RESIDENTS ACCORDING TO TYPE OF NURSING HOMES STUDIED
EXCLUSION CRITERIA (PSYCHOTIC, STROKE, BLINDNESS, DEAFNESS, RETARDATION, ETC)
Age, Gender, Primary education as independent variables Statistical analysisshowed: Old age, female gender and no primary education to be significant independent variables in increasing the number of residents with Dementia (95% CI)
Degree of severity of Dementia according to MMSE score 0 – 9 Severe 10 – 14 Moderate 15 – 20 Mild 20 points instead of 24 used as cut off between normal and abnormal
SATISFACTORY COMMUNICATION WITH RESIDENT IN RELATION TO MENTAL STATE
CONCLUSIONS • Over half the population of nursing homes in Cyprus has Dementia • Most cases are unsuspected • Very few patients receive anti AD medication available free from government • ¾ of residents do not take neuroleptics or hypnotics
CONCLUSIONS (Cont.) • Nursing Homes are becoming geriatric institutions • Although satisfaction with care is presently high, more medical, nursing and other treatment facilities will be necessary in the future.