Introduction: People living with dementia in nursing homes have complex needs; impairments in cognition, communication, and daily function; neuropsychiatric symptoms (NPS); and poor quality of life (QoL). The current study examines impairments in non-verbal communication as a potential driver of NPS and QoL.

Methods: One hundred nursing home residents with dementia were assessed using the Emory Dyssemia Index (EDI), Neuropsychiatric Inventory Nursing Home version (NPI-NH), Quality of Life in Alzheimer's Disease (QoL-AD) at baseline, 12-, and 24-week follow-up.

Results: The quantile regression (0.5) model indicated that impairment of non-verbal communication was independently associated with the severity of NPS ( = .001) and proxy reported QoL ( < .05), levels of agitation ( < .05), and professional caregiver burden ( < .05).

Discussion: These results highlight a novel potential approach to improve NPS and QoL using retained elements of non-verbal communication, particularly for people with severe dementia.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088100PMC
http://dx.doi.org/10.1002/trc2.12172DOI Listing

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