| Description |
xixi, 82 pages ; 30 cm |
| Series |
Aged and community care service development and evaluation reports ; no. 26 |
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Working paper / Commonwealth Dept. of Health and Family Services ; no. 1 |
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Aged and community care service development and evaluation reports ; no. 26
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Working papers (Australia. Department of Health and Family Services) ; no. 1
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| Contents |
1. Structural approaches to residential dementia care -- 1.1. Facility definitions -- 1.2. Dementia-specific hostel and nursing home facilities and beds -- 1.3. Distribution of hostel and nursing home beds in relation to the Australian population over 70 years of age -- 2. Resident profile survey: hostels and nursing homes -- 2.1 Questionnaire -- 2.2 Sample design and numbers achieved -- 2.3. Scale development -- 2.4. Approach to the analysis of impairment and disability -- 3. Survey results -- 3.1. Demographic description of hostel and nursing home residents -- 3.1.1. Chronological age -- 3.1.2. Distribution of males and females -- 3.1.3. Length of stay -- 3.1.4. Previous living arrangements -- 3.1.5. Psychiatric services history -- 3.2. Comparison of hostel and nursing home residents -- 3.2.1. Hostels vs. nursing homes -- |
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3.2.2. Dementia-specific nursing home areas vs. dementia-specific hostel areas -- 3.2.3. Hostels: dementia-specific vs. mainstream facilities -- 3.2.4. Nursing homes: dementia-specific vs. mainstream facilities -- 3.3. Prevalence of dementia and cognitive impairment in hostels and nursing homes -- 3.3.1. Prevalence of dementia -- 3.3.2. Prevalence of cognitive impairment -- 3.4. Psychiatric diagnostic profiles -- 3.4.1. Distribution of diagnoses -- 3.4.2. Organic and functional psychiatric diagnoses -- 3.5. Psychiatric symptoms -- 3.6. Problem behaviours in hostels and nursing homes -- 3.6.1. Hostels -- 3.6.2. Nursing homes -- 3.7. Specific problem behaviours associated with residents' characteristics -- 3.7.1. Psychiatric diagnosis -- 3.7.2. Cognitive impairment -- 3.7.3. Mobility -- 3.7.4. Activites of daily living (ADL) -- 3.7.5. Gender -- |
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3.8. Development of the combined measure of challenging behaviour in hostels and nursing homes -- 3.8.1. General approach -- 3.8.2. Assessment of challenging behaviouir -- 3.8.3. Final calculations -- 3.8.4. Staff ratings and challenging behaviour -- 3.8.5. Relative influence of problem behaviours on the single measure of challenging behaviour -- 3.8.6. Approach to the analysis of challenging behaviour -- 3.8.7. Prevalence of challenging behaviour-- 3.8.8. Relative level of challenging behaviour across hostels and nursing homes -- 3.8.9. Distribution of challenging behaviour in hostel and nursing homes -- 3.8.10. Estimate of the number of hostel and nursing home residents with challenging behaviour -- 3.8.11. Behavioural management programs for people with moderate to severe challenging behaviour -- |
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4. The relationships between challenging behaviour, dementia and cognitive impairment -- 4.1. Dementia -- 4.2. Cognitive inpairment -- 4.3. Other factors related to challenging behaviour -- 4.3.1. Mobility -- 4.3.2. Activities of daily living (ADL) -- 4.3.3. Medications -- 5. Assessment of care needs using the RCI (resident classification instrument) and PCAI (personal care assessment instrument) instruments -- 5.1. Hostels -- 5.2. Nursing homes -- 5.2.1 Resident characteristics that determine final RCI category -- 5.3. Impact of challenging behaviour levels on RCI/PCAI funding level -- 5.3.1. PCAI funding level, ADL dependency and level of challenging behaviour -- 5.3.2. RCI funding level, ADL dependency and level of challenging behaviour -- 5.4. Conclusion -- |
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5.5. Estimates of the hostel and nursing home popluation receiving sub-optimal recurrent funding -- appendix A1. Hostels: Australian distribution -- appendix A2. Nursing homes: Australian distribution -- appendix A3. Hostels: sample distribution -- appendix A4. Nursing homes: sample distribution -- appendix A5. Average level of PCAI funding for each level of challenging behaviour with or without a coexisting ADL dependency -- appendix A6. Average level of RCI funding for each level of challenging behaviour with or without a coexisting ADL dependency -- appendix B. Reliability and validity of the measures used.plu |
| Summary |
This paper focuses on: a description of the residential approaches to dementia care in Australia; the prevalence and profile of people with challenging behaviour living in residential care; and, analysis of the appropriateness of the current resident funding instruments (resident classification instrument, personal care assessment instrument) used with this client group |
| Analysis |
Aged care |
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Behaviour |
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Dementia |
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Federal issue |
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Health care |
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Institutional care |
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Mental disorders |
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Statistics |
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Surveys |
| Notes |
"Working paper no. 1" |
| Bibliography |
Bibliography: page 82 |
| Notes |
DHFS (AGAC) publication |
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Commonwealth of Australia 1997 |
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Aged and community care service development and evaluation reports. no:1 |
| Subject |
Dementia -- Patients -- Institutional care -- Australia.
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Dementia -- Patients -- Institutional care.
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| Author |
Australia. Department of Health and Family Services.
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| ISBN |
0644397810 |
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