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NURSING HOME CARE OF DEMENTIA PATIENTS (A NATIONAL SURVEY IN CYPRUS ). C. MESSIS, Y. KALAKOUTAS, C. IOANNIDES Cyprus Mental Health Commission with the support of: Cyprus Neurological Society Cyprus Psychiatric Association

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nursing home care of dementia patients a national survey in cyprus
NURSING HOME CARE OF DEMENTIA PATIENTS(A NATIONAL SURVEY IN CYPRUS)

C. MESSIS, Y. KALAKOUTAS, C. IOANNIDES

Cyprus Mental Health Commission

with the support of:

Cyprus Neurological Society

Cyprus Psychiatric Association

Nursing Home Owner’s Association

estimated number of patients with dementia in 2001 in cyprus
Estimated number of patients with Dementia in 2001 in Cyprus

Total number of people 700.000

Age Groups:

65+ (5-10%) 3.500-7.500

80+ (20-30%) 3.000-5.000

nursing home distribution in cyprus
NURSING HOME DISTRIBUTION IN CYPRUS

Nicosia 61

Limassol 49

Larnaca 16

Paphos 8

Famagusta 3

------

Total 137

type of nursing homes in cyprus
TYPE OF NURSING HOMES IN CYPRUS

Private 103

Community 27

State 7

------

Total 137

Total number of Residents : 3.300

nursing home survey
NURSING HOME SURVEY
  • Primary Target

Estimate number (%) of residents with Dementia

  • Secondary Targets

Standard of care of Dementia residents

Family satisfaction with care

method
METHOD

Anonymous Questionnaire:

  • Personal interview with directors of nursing homes
  • Modified MMSE test to residents
  • Telephone interview with family of probable Dementia cases

Interviewers:

12 graduate and postgraduate students of nursing etc. after 2 days of training

total sample
TOTAL SAMPLE

20 Nursing Homes (with an average number of 24 residents) were randomly selected from

4 Districts of Cyprus

Information was received from:

20 Directors of nursing homes

109 Families of residents with probable Dementia

422 Residents

age gender primary education as independent variables
Age, Gender, Primary education as independent variables

Statistical analysisshowed:

Old age, female gender and no primary education to be significant independent variables in increasing the number of residents with Dementia (95% CI)

degree of severity of dementia according to mmse score
Degree of severity of Dementia according to MMSE score

0 – 9 Severe

10 – 14 Moderate

15 – 20 Mild

20 points instead of 24 used as cut off between normal and abnormal

conclusions
CONCLUSIONS
  • Over half the population of nursing homes in Cyprus has Dementia
  • Most cases are unsuspected
  • Very few patients receive anti AD medication available free from government
  • ¾ of residents do not take neuroleptics or hypnotics
conclusions cont
CONCLUSIONS (Cont.)
  • Nursing Homes are becoming geriatric institutions
  • Although satisfaction with care is presently high, more medical, nursing and other treatment facilities will be necessary in the future.