Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 2 of 2
Full-Text Articles in Medicine and Health Sciences
Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh
Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh
Walden Dissertations and Doctoral Studies
Despite the high incidence of fall among the elderly in residential care, this problem has been minimally explored and reported. This study examined the association between (cognitive performance, dementia, four groups of psychotropic medication-hypnotics, antidepressants, antianxiety medication, and antipsychotics) and fall among Canadian elderly in residential care. A multi–variate logistic regression was used for the analysis. The Social Cognitive Theory was used to interpret the findings of an analysis on 180,231 Canadian residents from 2018–2019. Cognitive performance at intact level (OR=1.114, p<0.001), cognitive performance at moderate level (OR=1.192, p<0.001), dementia diagnosis (OR=1.075, p<0.001), antipsychotics (OR=2.571, p<0.001), antidepressants (OR =1.486, p<0.001) and antianxiety prescription (OR=3.284, p<0.001) increased the odds ratio of fall. However, cognitive performance at severe level (OR=0.898, p<0.001), no dementia diagnosis (OR=0.001, p<0.001) and hypnotics prescription (OR=0.389, p<0.001) decreased the odds ratio of fall. Findings indicate that cognitive performance at the intact and moderate levels, antianxiety, antipsychotic and antidepressant medications and dementia were strong predictors of fall among the elderly in residential care in Canada. A limitation of the study was that the dataset used captured data from 7 out of 13 Canadian provinces and territories therefore, limiting external validity. The potential positive social change impact of this study is that it would guide caregivers, enhance fall prevention practices and decrease fall occurrence in this population.
Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike
Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike
Walden Dissertations and Doctoral Studies
Pain is a common symptom in healthcare settings, especially among patients with Alzheimer's Disease (AD). AD patients have cognitive and communication impairment making it difficult or impossible for them to communicate their pain to their caregivers or healthcare practitioners. The purpose of this project was to implement a staff education program for healthcare professionals on evidence-based practices for assessing, recognizing, and managing pain in patients with AD. The practice-focused question explored if a staff education program on identification, assessment, and management of pain in patients with AD improves the staff's knowledge, skills, and attitude towards timely and effective pain assessment …