TY - JOUR
T1 - Content of Home-Based Dementia Care
T2 - Adverse Consequences of Unmet Toileting Needs
AU - Reckrey, Jennifer M.
AU - Bollens-Lund, Evan
AU - Ornstein, Katherine A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute on Aging (R03AG060092 to J.M.R., RO1AG060967 to K.A.O.).
Publisher Copyright:
© The Author(s) 2020.
PY - 2021/11
Y1 - 2021/11
N2 - Despite high-intensity caregiving support, those with dementia may experience adverse consequences because the care they receive does not match their care needs. This study evaluates the relationship between content of care (i.e., specific assistance with toileting) and adverse consequences (i.e., toileting accidents because no one was there to help) in a population of community-dwelling Medicare beneficiaries with dementia and impairment in toileting enrolled in the National Health and Aging Trends Study (NHATS). Only two thirds of individuals received specific assistance with toileting, which was associated with a reduced risk of adverse consequences related to toileting in a multivariable model adjusted for key variables including high-intensity caregiving (odds ratio [OR] = 0.36, 95% confidence interval [CI] = [0.23, 0.58]). To ensure care meets the needs of those with dementia living in the community, it is important to consider not only the quantity but also the content of care received.
AB - Despite high-intensity caregiving support, those with dementia may experience adverse consequences because the care they receive does not match their care needs. This study evaluates the relationship between content of care (i.e., specific assistance with toileting) and adverse consequences (i.e., toileting accidents because no one was there to help) in a population of community-dwelling Medicare beneficiaries with dementia and impairment in toileting enrolled in the National Health and Aging Trends Study (NHATS). Only two thirds of individuals received specific assistance with toileting, which was associated with a reduced risk of adverse consequences related to toileting in a multivariable model adjusted for key variables including high-intensity caregiving (odds ratio [OR] = 0.36, 95% confidence interval [CI] = [0.23, 0.58]). To ensure care meets the needs of those with dementia living in the community, it is important to consider not only the quantity but also the content of care received.
KW - epidemiology
KW - function/functional status
KW - home and community-based care and services
KW - home care
KW - incontinence
UR - http://www.scopus.com/inward/record.url?scp=85090987719&partnerID=8YFLogxK
U2 - 10.1177/0733464820952995
DO - 10.1177/0733464820952995
M3 - Article
C2 - 32917113
AN - SCOPUS:85090987719
SN - 0733-4648
VL - 40
SP - 1596
EP - 1600
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 11
ER -