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Red Flower Journal of Psychiatric Nursing (Formerly Journal of Psychiatric Nursing)

Volume  7, Issue 3, Sep-Dec 2018, Pages 73-78
 

Original Article

Assessment of Disability, Care Dependence and Aggression among Dementia Patients in Selected Day Care Facilities of Hyderabad

Anumol Joseph1, Vanaja2, Keerthi Samuel3, Shiny Jose4

1Assistant Professor 2Tutor 3-4Lecturers, Vijaymarie College of Nursing, Hyderabad, Telangana 500016, India

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DOI: DOI: http://dx.doi.org/10.21088/jpn.2277.9035.7318.1

Abstract

  Introduction: Dementia is one of the cognitive conditions which leads to severe disability leading to increased aggression and then making the individual dependent on others. Nurses being frontline providers of care are in position to render care to dementia patients. The objectives of the study were to assess disability, care dependence and aggression among dementia patients and find correlation between disability, care dependence and aggression among dementia patient. Methodology: The research approach selected for the present study was quantitative approach. Correlational and descriptive research design was adopted.The sample technique was purposive sampling. The data were gathered from the caretakers by interview. Standardized tools namely Disability Assessment for Dementia, Care Dependence Scale and Staff Observation aggression scale were used. Results: The results revealed that the care dependence needs had the highest mean (56) which was an indicator that dementia patients required care and were more dependent on care from the family members and caregivers. Followed by Disabilitydomain where the mean was reported to be 17.35. Aggression domain reported least mean (4.5). Aggression domain reported least mean with 4.5. In addition, 16 (80%) had reported disability, highest disability was evident in learning areas with a mean score of 2.6, followed by maintenance of normal temperature and understanding rules and regulations with an equal mean score of 3.2. Additionally, majority   of the patients, that is, 15 (30%) were partially care dependent and 80% (16) of the dementia patients demonstrated aggression.Also, weak positive correlation was found between aggression and disability and disability and care dependence. No correlation was found between aggression and care dependence. Conclusion: The day care and residential care facilities lack nursing care to a great extent. Nurses need to educate the caregivers at home and hospital to provide care and provide assistance with activities of daily living and engage them cognitive stimulating activities. 

Keywords: Disability; Care Dependence; Aggression  


Corresponding Author : Anumol Joseph, Assistant Professor, Vijaymarie College of Nursing, Hyderabad, Telangana 500016, India