Older Adults With a Combination of Vision and Hearing Impairment Experience Higher Rates of Cognitive Impairment, Functional Dependence, and Worse Outcomes Across a Set of Quality Indicators

TitleOlder Adults With a Combination of Vision and Hearing Impairment Experience Higher Rates of Cognitive Impairment, Functional Dependence, and Worse Outcomes Across a Set of Quality Indicators
Publication TypeJournal Article
Year of Publication2019
AuthorsDavidson J.GS, Guthrie D.M
JournalJ Aging Health
Volume31
Issue1
Pagination85-108
Date PublishedJan
ISBN Number0898-2643
Accession Number28805100
Keywordscognitive impairment, dual sensory impairment (DSI), hearing impairment, Resident Assessment Instrument for Home Care (RAI-HC), vision impairment
Abstract

OBJECTIVES: Hearing and vision impairment were examined across several health-related outcomes and across a set of quality indicators (QIs) in home care clients with both vision and hearing loss (or dual sensory impairment [DSI]). METHOD: Data collected using the Resident Assessment Instrument for Home Care (RAI-HC) were analyzed in a sample of older home care clients. The QIs represent the proportion of clients experiencing negative outcomes (e.g., falls, social isolation). RESULTS: The average age of clients was 82.8 years ( SD = 7.9), 20.5% had DSI and 8.5% had a diagnosis of Alzheimer's disease (AD). Clients with DSI were more likely to have a diagnosis of dementia (not AD), have functional impairments, report loneliness, and have higher rates across 20 of the 22 QIs, including communication difficulty and cognitive decline. Clients with highly impaired hearing, and any visual impairment, had the highest QI rates. DISCUSSION: Individuals with DSI experience higher rates of adverse events across many health-related outcomes and QIs. Understanding the unique contribution of hearing and vision in this group can promote optimal quality of care.

DOI10.1177/0898264317723407
Reseach Notes

IR-ENL-MASTER

Link

https://www.ncbi.nlm.nih.gov/pubmed/28805100

Short TitleJournal of aging and healthJournal of aging and health
Alternate JournalJournal of aging and health