Treatment in a ward for elderly patients with dementia in Japan

Shogo Taniguchi,1 Jin Narumoto,1 Keisuke Shibata,1 Nobutaka Ayani,1 Teruyuki Matsuoka,1 Aiko Okamura,1 Kaeko Nakamura,1 Hiroshi Shimizu,2 Kenji Fukui11Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; 2Umibeno-mori Hospital, Kochi,...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Taniguchi S, Narumoto J, Shibata K, Ayani N, Matsuoka T, Okamura A, Nakamura K, Shimizu H, Fukui K
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://doaj.org/article/ad412e1f207847cf837ed5833d920cbe
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:ad412e1f207847cf837ed5833d920cbe
record_format dspace
spelling oai:doaj.org-article:ad412e1f207847cf837ed5833d920cbe2021-12-02T07:34:03ZTreatment in a ward for elderly patients with dementia in Japan1176-63281178-2021https://doaj.org/article/ad412e1f207847cf837ed5833d920cbe2013-03-01T00:00:00Zhttp://www.dovepress.com/treatment-in-a-ward-for-elderly-patients-with-dementia-in-japan-a12389https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Shogo Taniguchi,1 Jin Narumoto,1 Keisuke Shibata,1 Nobutaka Ayani,1 Teruyuki Matsuoka,1 Aiko Okamura,1 Kaeko Nakamura,1 Hiroshi Shimizu,2 Kenji Fukui11Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; 2Umibeno-mori Hospital, Kochi, JapanBackground: 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.Keywords: aged country, behavioral and psychological symptoms of dementia, physical complications, activities of daily livingTaniguchi SNarumoto JShibata KAyani NMatsuoka TOkamura ANakamura KShimizu HFukui KDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 357-363 (2013)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Taniguchi S
Narumoto J
Shibata K
Ayani N
Matsuoka T
Okamura A
Nakamura K
Shimizu H
Fukui K
Treatment in a ward for elderly patients with dementia in Japan
description Shogo Taniguchi,1 Jin Narumoto,1 Keisuke Shibata,1 Nobutaka Ayani,1 Teruyuki Matsuoka,1 Aiko Okamura,1 Kaeko Nakamura,1 Hiroshi Shimizu,2 Kenji Fukui11Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; 2Umibeno-mori Hospital, Kochi, JapanBackground: 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.Keywords: aged country, behavioral and psychological symptoms of dementia, physical complications, activities of daily living
format article
author Taniguchi S
Narumoto J
Shibata K
Ayani N
Matsuoka T
Okamura A
Nakamura K
Shimizu H
Fukui K
author_facet Taniguchi S
Narumoto J
Shibata K
Ayani N
Matsuoka T
Okamura A
Nakamura K
Shimizu H
Fukui K
author_sort Taniguchi S
title 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_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_sort treatment in a ward for elderly patients with dementia in japan
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/ad412e1f207847cf837ed5833d920cbe
work_keys_str_mv AT taniguchis treatmentinawardforelderlypatientswithdementiainjapan
AT narumotoj treatmentinawardforelderlypatientswithdementiainjapan
AT shibatak treatmentinawardforelderlypatientswithdementiainjapan
AT ayanin treatmentinawardforelderlypatientswithdementiainjapan
AT matsuokat treatmentinawardforelderlypatientswithdementiainjapan
AT okamuraa treatmentinawardforelderlypatientswithdementiainjapan
AT nakamurak treatmentinawardforelderlypatientswithdementiainjapan
AT shimizuh treatmentinawardforelderlypatientswithdementiainjapan
AT fukuik treatmentinawardforelderlypatientswithdementiainjapan
_version_ 1718399356895232000