Next Article in Journal
Excess Winter Mortality (EWM) as a Dynamic Forensic Tool: Where, When, Which Conditions, Gender, Ethnicity and Age
Previous Article in Journal
Identifying and Analyzing Health-Related Themes in Disinformation Shared by Conservative and Liberal Russian Trolls on Twitter
Previous Article in Special Issue
Mapping Research Conducted on Long-Term Care Facilities for Older People in Brazil: A Scoping Review
Open AccessArticle

Higher Prevalence of Dementia but No Change in Total Comfort While Dying among Nursing Home Residents with Dementia between 2010 and 2015: Results from Two Retrospective Epidemiological Studies

1
End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, 1090 Brussels, Belgium
2
Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
3
Department of Geriatric Medicine, Ghent University Hospital, 9000 Ghent, Belgium
4
Department of Public Health and Primary Care, Ghent University Hospital, 9000 Ghent, Belgium
*
Author to whom correspondence should be addressed.
Academic Editors: Tom Dening, Reena Devi and Adam Gordon
Int. J. Environ. Res. Public Health 2021, 18(4), 2160; https://doi.org/10.3390/ijerph18042160
Received: 30 December 2020 / Revised: 12 February 2021 / Accepted: 18 February 2021 / Published: 23 February 2021
(This article belongs to the Special Issue Enhancing the Quality of Care in Long-Term Care Settings)
Important policy developments in dementia and palliative care in nursing homes between 2010 and 2015 in Flanders, Belgium might have influenced which people die in nursing homes and how they die. We aimed to examine differences between 2010 and 2015 in the prevalence and characteristics of residents with dementia in nursing homes in Flanders, and their palliative care service use and comfort in the last week of life. We used two retrospective epidemiological studies, including 198 residents in 2010 and 183 in 2015, who died with dementia in representative samples of nursing homes in Flanders. We found a 15%-point increase in dementia prevalence (p-value < 0.01), with a total of 11%-point decrease in severe to very severe cognitive impairment (p = 0.04). Controlling for residents’ characteristics, in the last week of life, there was an increase in the use of pain assessment (+20%-point; p < 0.03) but no change in total comfort. The higher prevalence of dementia in nursing homes with no change in residents’ total comfort while dying emphasizes an urgent need to better support nursing homes in improving their capacities to provide timely and high-quality palliative care services to more residents dying with dementia. View Full-Text
Keywords: long-term care; care homes; nursing homes; dementia; quality improvement; palliative care long-term care; care homes; nursing homes; dementia; quality improvement; palliative care
Show Figures

Figure 1

MDPI and ACS Style

Miranda, R.; Smets, T.; Van Den Noortgate, N.; Deliens, L.; Van den Block, L. Higher Prevalence of Dementia but No Change in Total Comfort While Dying among Nursing Home Residents with Dementia between 2010 and 2015: Results from Two Retrospective Epidemiological Studies. Int. J. Environ. Res. Public Health 2021, 18, 2160. https://doi.org/10.3390/ijerph18042160

AMA Style

Miranda R, Smets T, Van Den Noortgate N, Deliens L, Van den Block L. Higher Prevalence of Dementia but No Change in Total Comfort While Dying among Nursing Home Residents with Dementia between 2010 and 2015: Results from Two Retrospective Epidemiological Studies. International Journal of Environmental Research and Public Health. 2021; 18(4):2160. https://doi.org/10.3390/ijerph18042160

Chicago/Turabian Style

Miranda, Rose; Smets, Tinne; Van Den Noortgate, Nele; Deliens, Luc; Van den Block, Lieve. 2021. "Higher Prevalence of Dementia but No Change in Total Comfort While Dying among Nursing Home Residents with Dementia between 2010 and 2015: Results from Two Retrospective Epidemiological Studies" Int. J. Environ. Res. Public Health 18, no. 4: 2160. https://doi.org/10.3390/ijerph18042160

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop