Changes in the quality of life of people with dementia living in care homes.

Quality of Life (QoL) is now an established outcome measure for people with dementia. There is a need to understand if measures are sensitive to change and what factors are associated with change in QoL in dementia to develop interventions to improve QoL and identify who may be most likely to benefit. This study aimed to assess change in QoL in people living in 24-hour care homes using the Quality of Life-Alzheimer's Disease (QOL-AD) scale and investigated which clinical factors predicted changes in QoL in dementia.

The needs of people with dementia in care homes: the perspectives of users, staff and family caregivers.

Background: People with dementia in care homes are at risk of having their views ignored and decisions are often made on their behalf by care home staff and family carers. The aim of this study was to compare the ratings of needs of older people with dementia living in care homes, as assessed by the older person themselves, a family caregiver, and the staff of the care home.

Method: The Camberwell Assessment of Need for the Elderly (CANE) was completed for 238 residents with dementia by care staff.

A cluster randomised controlled trial to reduce the unmet needs of people with dementia living in residential care.

Background: Older people with dementia living in residential care have complex unmet needs and decreased quality of life.

Aim: To reduce unmet needs in older people with dementia in residential care compared to a 'care as usual' control group.

Method: A single blind, multicentre, cluster randomised controlled trial recruited 238 people aged 60+ with dementia living in 24 residential homes from three areas.

The needs of older people with dementia in residential care.

Background: People with dementia often move into care homes as their needs become too complex or expensive for them to remain in their own homes. Little is known about how well their needs are met within care homes.

Method: The aim of this study was to identify the unmet needs of people with dementia in care and the characteristics associated with high levels of needs.

The needs of older people with mental health problems according to the user, the carer, and the staff.

Background: Individual assessment of needs has been recognised as the most appropriate way to allocate health and social care resources. These assessments, however, are often made by the staff or by a carer who acts as an advocate for the user themselves. Little is known about how these proxy measures compare to how individual patients perceive their own needs.

An evaluation of needs in elderly continuing-care settings.

This article describes the met and unmet needs of elderly residents of nursing care (NC) and residential care (RC) settings. Thirty-four residents of an RC home and 40 residents of two NC settings were assessed. Each resident and a respective staff member were interviewed using the Camberwell Assessment of Need for the Elderly (CANE) to indicate the resident's current met and unmet needs.