A comprehensive profile of the sociodemographic, psychosocial and health characteristics of Ontario home care clients with dementia

TitleA comprehensive profile of the sociodemographic, psychosocial and health characteristics of Ontario home care clients with dementia
Publication TypeJournal Article
Year of Publication2014
AuthorsVu M., Hogan D.B, Patten S.B, Jette N., Bronskill S.E, Heckman G., Kergoat M.J, Hirdes J.P, Chen X., Zehr M.M, Maxwell C.J
JournalChronic Dis Inj Can
Date PublishedJul
ISBN Number1925-6515
Accession Number24991776
Keywords*Health Status, *Mental Health, Age Factors, Aged, Aged, 80 and over, Aggression, Alzheimer disease, Anxiety/complications, Caregivers/psychology, Cognition Disorders/complications, Cross-Sectional Studies, dementia, Dementia/complications/drug therapy/*psychology, Emergency Service, Hospital/utilization, Female, Hallucinations/complications, home care, Home Care Services/*statistics & numerical data, Hospitalization/statistics & numerical data, Humans, Marital Status, mental health, Middle Aged, neurological disorders, Ontario, Parkinson Disease/*complications/drug therapy/psychology, Residence Characteristics, Sex Factors, social support, Stroke/*complications/drug therapy/psychology, Wandering Behavior

INTRODUCTION: This study provides a comprehensive summary of the sociodemographic, psychosocial and health characteristics of a large population-based cohort of Ontario home care clients (aged 50 years and over) with dementia and examines the variation in these characteristics in those with co-existing neurological conditions. METHODS: Clients were assessed with the Resident Assessment Instrument-Home Care (RAI-HC) between January 2003 and December 2010. Descriptive analyses examined the distribution of these characteristics among clients with dementia relative to several comparison groups, as well as clients with other recorded neurological conditions. RESULTS: Approximately 22% of clients (n=104 802) had a diagnosis of dementia (average age 83 years, 64% female) and about one in four within this group had a co-existing neurological condition (most commonly stroke or Parkinson disease). About 43% of those with dementia did not live with their primary caregiver. Relative to several comparison groups, clients with dementia showed considerably higher levels of cognitive and functional impairment, aggression, anxiety, wandering, hallucinations/delusions, caregiver distress and a greater risk for institutionalization. Conversely, they showed a lower prevalence of several chronic conditions and lower levels of recent health service use. Depressive symptoms were relatively common in the dementia and other neurological groups. CONCLUSION: Clients with co-existing neurological conditions exhibited unique clinical profiles illustrating the need for tailored and flexible home care services and enhanced caregiver assistance programs.



Short TitleChronic diseases and injuries in CanadaChronic diseases and injuries in Canada
Alternate JournalChronic diseases and injuries in Canada