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© 1998 Oxford University Press

other

Placement of dementia sufferers in residential and nursing home care

CAROL BANNISTER, CLIVE BALLARD1, MARISSZA LANA2, ANDREW FAIRBAIRN3 and GORDON WILCOCK4

Department of Psychiatry, Central Hospital Warwick, UK
1Medical Research Council Westgate Road, Newcastle upon Tyne NE4 6BE, UK
3Department of Old Age Psychiatry, Newcastle General Hospital Westgate Road, Newcastle upon Tyne NE4 6BE, UK
2Department of Psychiatry, St Nicholas Hospital Gosforth, Newcastle upon Tyne, UK
4Department of Healthcare of The Elderly, Frenchay Hospital Bristol, UK

C. Ballard. Fax. (+44) 191 272 5291

Background: few UK studies have examined the associations of residential or nursing home placement in dementia sufferers.

Method: 124 patients with mild to moderate dementia (according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised) and in contact with clinical services were evaluated with a detailed standardized assessment and followed-up at monthly intervals for 1 year.

Results: 25 (21.6%) of the 116 patients living at home were admitted to residential or nursing home care during the follow-up year. Institutional placement was associated with greater severity of cognitive impairment, severity of parkinsonism and the failure of carers to adopt active coping strategies.

Conclusion: an intervention to improve coping skills in carers may decrease the rates of residential and nursing home placement.

Keywords: carers, dementia, nursing homes, placement, residential homes

Received December 18, 1996;
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