Changes in Habits Related to Self-care in Dementia: The Nursing Home Versus Adult Day Care

Author:

Cohen-Mansfield Jiska1,Jensen Barbara2

Affiliation:

1. Department of Health Promotion, Sackler Faculty of Medicine and Herczeg Institute on Aging at Tel Aviv University, Tel Aviv, Israel, , George Washington University Medical Center, Washington, DC, Research Institute on Aging, A Charles E. Smith Life Community, Rockville, Maryland

2. Research Institute on Aging, A Charles E. Smith Life Community, Rockville, Maryland

Abstract

Little is known about the changes that occur for older persons with dementia in the practice of self-care routines. This study assesses the concordance of past and current self-care practices of day care and nursing home persons using spouse reports, the degree of spouse awareness of these changes, and spouse perception of how important self-care practices had been to their partner. Participants were spouses of 12 older persons with dementia in day care and spouses of 20 nursing home residents. Self-care routines were assessed using the Self-maintenance Habits and Preferences in Elderly (SHAPE) questionnaire. Day care attendees showed few changes in self-care routines compared to nursing home residents. Spouses of nursing home residents underestimate the changes in self-care that occur with nursing home admission. The importance of being aware of self-care changes lies in the value of maintaining continuity with the customary preferences and routines of the older person.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Neuroscience

Reference31 articles.

1. Studies of Illness in the Aged

2. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living

3. A Continuity Theory of Normal Aging

4. Atchley RC Continuity theory. In: Maddox GL , ed. The Encyclopedia of Aging. New York: Springer; 1995:227-230.

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