Browsing Health Care for the Older Person by Author "Wang, Yan-Jiang"
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ItemNurse-led cognitive screening model for older adults in primary care(John Wiley & Sons, 2014-09-26) Yang, Yanni; Xiao, Lily Dongxia; Deng, Lanlan; Wang, Yan-Jiang; Li, Min; Ullah, ShahidAim The present study aimed to establish a nurse-led cognitive screening model for community-dwelling older adults with subjective memory complaints from seven communities in Chongqing, China, and report the findings of this model. Methods Screenings took place from July 2012 to June 2013. Cognitive screening was incorporated into the annual health assessment for older adults with subjective memory complaints in a primary care setting. Two community nurses were trained to implement the screening using the Mini-Mental State Examination and Montreal Cognitive Assessment. Results Of 733 older adults, 495 (67.5%) reported having subjective memory complaints. Of the 249 individuals who participated in the cognitive screening, 102 (41%) had mild cognitive impairment, whereas 32 (12.9%) had cognitive impairment. A total of 80 participants (78.4%) with mild cognitive impairment agreed to participate in a memory support program. Participants with cognitive impairment were referred to specialists for further examination and diagnosis; only one reported that he had seen a specialist and had been diagnosed with dementia. Conclusions Incorporating cognitive screening into the annual health assessment for older adults with subjective memory complaints was feasible, though referral rates from primary care providers remained unchanged. The present study highlights the urgent need for simple screenings as well as community-based support services in primary care for older adults with cognitive or mild cognitive impairments. Item以人为中心照护服务测评量表的研究进展(China Academic Journal Electronic Publishing House, 2013) Wang, Yan-Jiang; Xiao, Lily Dongxia; Wang (RN), Jing; De Bellis, Anita Marie; He, Guo-Ping【摘要】目前以人为中心的照护服务被广泛应用于医疗护理领域，国内外常用的以人为中心照护服务的测评量 表主要有两大类: 针对老年痴呆症患者的评定量表和用于老年护理的普适性量表。本文就以人为中心照护服务的测评 工具在老年护理和痴呆症照护中的应用及研究进展进行综述。应加强以人为中心照护服务测评量表的研究，发展并制 定出适合我国国情的量表，才能更好地评价照护服务的质量，同时为制定干预策略提供依据。 Abstract: Person - centered care is used widely in the field of medical care at present． There are mainly two categories of person - centered care assessment tools． One category is for the Alzheimer's disease，and the other is for the elderly care． In this paper we review the application of the person - centered care assessment tools in the elderly care and care for the patients with Alzheimer's disease，and the progress in research of the tools． It is necessary to enhance the research on person - centered care assessment tools so as to develop the tools that are suitable for our national conditions in order to assess the quality of care better and provide basis for the intervention.