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Dementia special care units: a comparison with standard units regarding residents’ profile and care features

Published online by Cambridge University Press:  02 September 2013

María Crespo ,
Carlos Hornillos  and
M. Mar Gómez
María Crespo*
Affiliation:
Department of Clinical Psychology, Complutense University, Madrid, Spain.
Carlos Hornillos
Affiliation:
Department of Clinical Psychology, Complutense University, Madrid, Spain.
M. Mar Gómez
Affiliation:
Department of Clinical Psychology, Complutense University, Madrid, Spain.
*
Correspondence should be addressed to: Dr María Crespo, Facultad de Psicología, Universidad Complutense de Madrid, Campus de Somosaguas s/n, 28223 Madrid, Spain. Phone: +34-91-394-31-22; Fax: +34-91-394-31-89. Email: [email protected].
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Abstract

Background:

Unlike other countries, no data about residents and care features in Special Care Units (SCUs) in Spanish nursing homes have been reported to date. The present paper is the first to analyze the characteristics of residents with dementia and the features of provided care in SCUs in comparison to residents with dementia in standard beds, thus not receiving specialized care in nursing homes in Spain.

Methods:

Data on residents with dementia were collected in 11 nursing homes. Residents with diagnosis of dementia and Mini-Mental State Examination scores of less than 27 were randomly selected in each center. Altogether 197 residents were assessed: 102 (52%) placed in SCUs, and 95 (48%) in standard beds. Analyses of the characteristics of residents in SCUs versus standard beds regarding socio-demographic and clinical variables, features of the care provided, and residents’ quality of life (QoL) were performed using univariate and multivariate tests (binary logistic regression analysis).

Results:

Residents in SCUs did not differ from those in standard beds in socio-demographic variables. Placement of residents in SCUs seemed to be related with the presence of severe cognitive and functional impairment and aggressive behaviors. Being in an SCU conveyed a higher probability of having individual bedroom and bathroom; nevertheless, there were no differences in the care provided in SCUs, considering use of nappies, and feeding and restraint systems. Patients in SCUs showed lower QoL reported by the staff.

Conclusions:

Although residents in SCUs present higher levels of impairment, there are no real differences in the care provided besides a higher probability of having individual rooms. Regulations on required features for SCUs in Spain are necessary to guarantee that care provided to residents is truly special.

Keywords

dementiaspecial care units (SCU)nursing homeslong-term care
Type
Research Article
Information
International Psychogeriatrics , Volume 25 , Issue 12 , December 2013 , pp. 2023 - 2031
Copyright
Copyright © International Psychogeriatric Association 2013 

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