Dementia care and quality of life in assisted living and nursing homes

Sheryl Zimmerman, Philip D. Sloane, Christianna S. Williams, Peter S. Reed, John S. Preisser, J. Kevin Eckert, Malaz Boustani, Debra Dobbs

Research output: Contribution to journalArticle

144 Citations (Scopus)

Abstract

Purpose: There are few empirical studies relating components of long-term care to quality of life for residents with dementia. This study relates elements of dementia care in residential care/assisted living (RC/AL) facilities and nursing homes to resident quality of life and considers the guidance this information provides for practice and policy. Design and Methods: We used a variety of report and observational measures of the structure and process of care and 11 standardized measures of quality of life to evaluate the care for and quality of life of 421 residents with dementia in 35 RC/AL facilities and 10 nursing homes in four states. Data were collected cross sectionally on-site, and we conducted a 6-month follow-up by telephone. Results: Change in quality of life was better in facilities that used a specialized worker approach, trained more staff in more domains central to dementia care, and encouraged activity participation. Residents perceived their quality of life as better when staff was more involved in care planning and when staff attitudes were more favorable. Better resident-staff communication was related to higher quality of life as observed and reported by care providers. Also, more stable resident-staff assignment was related to care providers' lower quality-of-life ratings. Implications: Improvement in resident quality of life may be achieved by improved training and deployment of staff.

Original languageEnglish
Pages (from-to)133-146
Number of pages14
JournalGerontologist
Volume45
Issue numberSPEC. ISS. 1
StatePublished - Oct 2005

Fingerprint

Nursing Homes
Dementia
Quality of Life
Assisted Living Facilities
Attitude of Health Personnel
Process Assessment (Health Care)
Long-Term Care
Telephone
Communication

Keywords

  • Long-term care
  • Observation
  • Residential care
  • Staff practices
  • Training

ASJC Scopus subject areas

  • Aging

Cite this

Zimmerman, S., Sloane, P. D., Williams, C. S., Reed, P. S., Preisser, J. S., Eckert, J. K., ... Dobbs, D. (2005). Dementia care and quality of life in assisted living and nursing homes. Gerontologist, 45(SPEC. ISS. 1), 133-146.

Dementia care and quality of life in assisted living and nursing homes. / Zimmerman, Sheryl; Sloane, Philip D.; Williams, Christianna S.; Reed, Peter S.; Preisser, John S.; Eckert, J. Kevin; Boustani, Malaz; Dobbs, Debra.

In: Gerontologist, Vol. 45, No. SPEC. ISS. 1, 10.2005, p. 133-146.

Research output: Contribution to journalArticle

Zimmerman, S, Sloane, PD, Williams, CS, Reed, PS, Preisser, JS, Eckert, JK, Boustani, M & Dobbs, D 2005, 'Dementia care and quality of life in assisted living and nursing homes', Gerontologist, vol. 45, no. SPEC. ISS. 1, pp. 133-146.
Zimmerman S, Sloane PD, Williams CS, Reed PS, Preisser JS, Eckert JK et al. Dementia care and quality of life in assisted living and nursing homes. Gerontologist. 2005 Oct;45(SPEC. ISS. 1):133-146.
Zimmerman, Sheryl ; Sloane, Philip D. ; Williams, Christianna S. ; Reed, Peter S. ; Preisser, John S. ; Eckert, J. Kevin ; Boustani, Malaz ; Dobbs, Debra. / Dementia care and quality of life in assisted living and nursing homes. In: Gerontologist. 2005 ; Vol. 45, No. SPEC. ISS. 1. pp. 133-146.
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