Facilitating aging in place: A qualitative study of practical problems preventing people with dementia from living at home

Theresa Thoma-Lurken*, Michel H. C. Bleijlevens, Monique A. S. Lexis, Luc P. de Witte, Jan P. H. Hamers

*Corresponding author for this work

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Abstract

Although the majority of people with dementia wish to age in place, they are particularly susceptible to nursing home admission. Nurses can play an important role in detecting practical problems people with dementia and their informal caregivers are facing and in advising them on various ways to manage these problems at home. Six focus group interviews (n = 43) with formal and informal caregivers and experts in the field of assistive technology were conducted to gain insight into the most important practical problems preventing people with dementia from living at home. Problems within three domains were consistently described as most important: informal caregiver/social network-related problems (e.g. high load of care responsibility), safety-related problems (e.g. fall risk, wandering), and decreased self-reliance (e.g. problems regarding self-care, lack of day structure). To facilitate aging in place and/or to delay institutionalization, nurses in community-based dementia care should focus on assessing problems within those three domains and offer potential solutions. (C) 2017 Elsevier Inc. All rights reserved.
Original languageEnglish
Pages (from-to)29-38
Number of pages10
JournalGeriatric Nursing
Volume39
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Aging-in-place
  • Community-dwelling
  • Dementia
  • Focus groups
  • Nurses
  • Practical problems
  • LONG-TERM-CARE
  • INFORMAL CAREGIVERS
  • OLDER-PEOPLE
  • ADMISSION
  • INTERVENTIONS
  • NETHERLANDS
  • IMPAIRMENTS
  • PREDICTORS
  • POLICY
  • NEED

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