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The need for improved cognitive, hearing and vision assessments for older people with cognitive impairment: a qualitative study

dc.rights.licenseopenen_US
dc.contributor.authorWOLSKI, L.
dc.contributor.authorLEROI, I.
dc.contributor.authorREGAN, J.
dc.contributor.authorDAWES, P.
dc.contributor.authorCHARALAMBOUS, A. P.
dc.contributor.authorTHODI, C.
dc.contributor.authorPROKOPIOU, J.
dc.contributor.authorVILLENEUVE, R.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
dc.contributor.authorYOHANNES, A. M.
dc.contributor.authorHIMMELSBACH, I.
dc.date.accessioned2020-07-20T12:01:53Z
dc.date.available2020-07-20T12:01:53Z
dc.date.issued2019-12-03
dc.identifier.issn1471-2318en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/10530
dc.description.abstractEnBACKGROUND: Hearing and vision (sensory) impairments are highly prevalent in people with dementia (PwD) and exacerbate the impact of living with dementia. Assessment of sensory or cognitive function may be difficult if people have concurrent dual or triple impairments. Most standard cognitive assessment tests are heavily dependent on having intact hearing and vision, and impairments in these domains may render the assessments unreliable or even invalid. Likewise, dementia may impede on the accurate reporting of symptoms that is required for most hearing and vision assessments. Thus, there is an urgent need for hearing, vision and cognitive assessment strategies to be adapted to ensure that appropriate management and support can be provided. OBJECTIVE: To explore the perspectives of PwD and the care partners regarding the need for accurate hearing, vision and cognitive assessments. METHODS: We conducted focus groups and semi-structured interviews regarding the clinical assessment for cognitive, hearing and visual impairment. Participants (n = 18) were older adults with mild to moderate dementia and a sensory impairment as well as their care partners (e.g. a family member) (n = 15) at three European sites. The qualitative material was analysed according to Mayring's summative content analysis approach. RESULTS: Participants reported that hearing, vision and cognitive assessments were not appropriate to the complex needs of PwD and sensory comorbidity and that challenges in communication with professionals and conveying unmet needs and concerns by PwD were common in all three types of clinical assessments. They felt that information about and guidance regarding support for the condition was not adequate in the assessments and that information sharing among the professionals regarding the concurrent problems was limited. Professionals were reported as being concerned only with problems related to their own discipline and had limited regard for problems in other domains which might impact on their own assessments. CONCLUSIONS: The optimal assessment and support for PwD with multiple impairments, more comprehensive, yet easy to understand, information regarding these linked to conditions and corrective device use is needed. Communication among health care professionals relevant to hearing, vision and cognition needs to be improved.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/us/
dc.subject.enLEHA
dc.subject.enSEPIA
dc.title.enThe need for improved cognitive, hearing and vision assessments for older people with cognitive impairment: a qualitative study
dc.title.alternativeBMC Geriatren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12877-019-1336-3
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed31791251en_US
bordeaux.journalBMC geriatricsen_US
bordeaux.page328en_US
bordeaux.volume19en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamLEHA_BPH
bordeaux.teamHEALTHY_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03162395
hal.version1
hal.date.transferred2021-03-08T13:43:49Z
hal.exporttrue
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