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Twenty-Year Trends in Dependency in Residential Aged Care in Auckland, New Zealand: A Descriptive Study
- Source :
-
Journal of the American Medical Directors Association . Sep2011, Vol. 12 Issue 7, p535-540. 6p. - Publication Year :
- 2011
-
Abstract
- Objective: To describe changes in aged care residents’ dependency over a 20-year period. Design: All residents in 1988, 1993, 1998, and 2008 were assessed using the same 23-item functional ability survey. Setting: Residential aged care facilities in Auckland, New Zealand. Participants: In 1988 there were 7516 participants (99% response rate), 6972 in 1993 (85% response rate), 5056 in 1998 (65% response rate), and 6828 in 2008 (89% response rate). Data were weighted to accommodate variation in response. Measurements: A composite dependency score with 5 ordinal levels was derived from a census-type survey reporting mobility, activities of daily living ability, continence, and cognitive function. Results: The proportion of “apparently independent” residents decreased from 18% in 1988 to 9% in 1993, 5% in 1998, and 4% in 2008, whereas those “highly dependent” increased from 16% in 1988, to 18% in 1993, 19% in 1998, to 21% in 2008. All functional indicators demonstrated increased dependency over the 20-year period (P < .0001). However, between 1998 and 2008 there were significant increases in dependency for continence, mobility, self-care, and orientation, but no significant changes in memory and behavior. Conclusion: The increased dependency over 20 years directly affects care requirements for this population. [Copyright &y& Elsevier]
- Subjects :
- *ELDER care
*GERIATRIC assessment
*ANALYSIS of variance
*BOWEL & bladder training
*CLASSIFICATION
*COGNITION
*LENGTH of stay in hospitals
*LIFE skills
*LONG-term health care
*RESEARCH methodology
*MEMORY
*NURSING home patients
*NURSING care facilities
*PATIENTS
*PROBABILITY theory
*RESEARCH funding
*SCALE analysis (Psychology)
*HEALTH self-care
*SURVEYS
*ACTIVITIES of daily living
*SENIOR housing
*BODY movement
*TREND analysis
*CROSS-sectional method
*WANDERING behavior
*DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 15258610
- Volume :
- 12
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Journal of the American Medical Directors Association
- Publication Type :
- Academic Journal
- Accession number :
- 65047389
- Full Text :
- https://doi.org/10.1016/j.jamda.2011.01.014