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Treatment in a ward for elderly patients with dementia in Japan
BACKGROUND: Japan has become the world’s most aged country. The percentage of elderly people in Japan is estimated to reach 25.2% in 2013, and the number of patients with dementia is estimated to reach 2.5 million in 2015. In addition to its deterioration of physical function and activities of daily...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3593760/ https://www.ncbi.nlm.nih.gov/pubmed/23494174 http://dx.doi.org/10.2147/NDT.S41581 |
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author | Taniguchi, Shogo Narumoto, Jin Shibata, Keisuke Ayani, Nobutaka Matsuoka, Teruyuki Okamura, Aiko Nakamura, Kaeko Shimizu, Hiroshi Fukui, Kenji |
author_facet | Taniguchi, Shogo Narumoto, Jin Shibata, Keisuke Ayani, Nobutaka Matsuoka, Teruyuki Okamura, Aiko Nakamura, Kaeko Shimizu, Hiroshi Fukui, Kenji |
author_sort | Taniguchi, Shogo |
collection | PubMed |
description | BACKGROUND: Japan has become the world’s most aged country. The percentage of elderly people in Japan is estimated to reach 25.2% in 2013, and the number of patients with dementia is estimated to reach 2.5 million in 2015. In addition to its deterioration of physical function and activities of daily living (ADL), behavioral and psychological symptoms of dementia (BPSD) often become major clinical problems, greatly annoying patients and their caregivers. In Japan, we utilize wards for elderly patients with dementia (WEDs) for BPSD treatment. However, there are few studies investigating the effectiveness of treatment in a WED. In such treatment, physical complications are a challenge physicians must overcome while treating BPSD and safely returning patients home or to the institutions in which they live. Therefore, we investigated the effectiveness of treatment in a WED, focusing on physical complications. METHODS: The subjects were 88 patients who were admitted to and discharged from a WED. Severity of dementia, basic ADL, and BPSD were investigated using the Clinical Dementia Rating, Physical Self-Maintenance Scale (PSMS), and Neuropsychiatric Inventory. Differences in characteristics between patients discharged from the WED because of physical complications and all other patients were also examined. RESULTS: We found significant improvements in the PSMS score and decreases in delusions and sleep disturbances in all patients. Patients discharged from the WED because of physical complications had significantly greater severity of dementia at discharge compared to all other patients. CONCLUSION: Treatment in a WED seems to be effective for BPSD and ADL, but care should be taken regarding physical complications, especially in patients with advanced dementia. |
format | Online Article Text |
id | pubmed-3593760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35937602013-03-14 Treatment in a ward for elderly patients with dementia in Japan Taniguchi, Shogo Narumoto, Jin Shibata, Keisuke Ayani, Nobutaka Matsuoka, Teruyuki Okamura, Aiko Nakamura, Kaeko Shimizu, Hiroshi Fukui, Kenji Neuropsychiatr Dis Treat Original Research BACKGROUND: Japan has become the world’s most aged country. The percentage of elderly people in Japan is estimated to reach 25.2% in 2013, and the number of patients with dementia is estimated to reach 2.5 million in 2015. In addition to its deterioration of physical function and activities of daily living (ADL), behavioral and psychological symptoms of dementia (BPSD) often become major clinical problems, greatly annoying patients and their caregivers. In Japan, we utilize wards for elderly patients with dementia (WEDs) for BPSD treatment. However, there are few studies investigating the effectiveness of treatment in a WED. In such treatment, physical complications are a challenge physicians must overcome while treating BPSD and safely returning patients home or to the institutions in which they live. Therefore, we investigated the effectiveness of treatment in a WED, focusing on physical complications. METHODS: The subjects were 88 patients who were admitted to and discharged from a WED. Severity of dementia, basic ADL, and BPSD were investigated using the Clinical Dementia Rating, Physical Self-Maintenance Scale (PSMS), and Neuropsychiatric Inventory. Differences in characteristics between patients discharged from the WED because of physical complications and all other patients were also examined. RESULTS: We found significant improvements in the PSMS score and decreases in delusions and sleep disturbances in all patients. Patients discharged from the WED because of physical complications had significantly greater severity of dementia at discharge compared to all other patients. CONCLUSION: Treatment in a WED seems to be effective for BPSD and ADL, but care should be taken regarding physical complications, especially in patients with advanced dementia. Dove Medical Press 2013 2013-03-06 /pmc/articles/PMC3593760/ /pubmed/23494174 http://dx.doi.org/10.2147/NDT.S41581 Text en © 2013 Taniguchi et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Taniguchi, Shogo Narumoto, Jin Shibata, Keisuke Ayani, Nobutaka Matsuoka, Teruyuki Okamura, Aiko Nakamura, Kaeko Shimizu, Hiroshi Fukui, Kenji Treatment in a ward for elderly patients with dementia in Japan |
title | Treatment in a ward for elderly patients with dementia in Japan |
title_full | Treatment in a ward for elderly patients with dementia in Japan |
title_fullStr | Treatment in a ward for elderly patients with dementia in Japan |
title_full_unstemmed | Treatment in a ward for elderly patients with dementia in Japan |
title_short | Treatment in a ward for elderly patients with dementia in Japan |
title_sort | treatment in a ward for elderly patients with dementia in japan |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3593760/ https://www.ncbi.nlm.nih.gov/pubmed/23494174 http://dx.doi.org/10.2147/NDT.S41581 |
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