Recent scoping reviews are published online Journal of Aging and the EnvironmentDiscovered that elderly people with dementia and cognitive impairment who live in subsidized homes face complex challenges.
A survey of 69 articles on this topic reveals a range of key issues that could lead to premature institutionalization, developing an ad hoc aging framework and increasing support for future research. The need for was emphasized.
“This tenant group faces a unique physical, mental, social, psychological and behavioral struggle that requires targeted services,” said Factor Inwen, lead author of the study. Helen Lamb, a recent graduate of the Faculty of Social Work (FIFSW) in Tash, said. “Healthcare professionals, policy makers, and key stakeholders need to work together to improve quality of life and reduce the risk of poor health for these vulnerable tenants.”
The author of the study consists of a team of five Master of Social Work students in the field of gerontology and is currently a graduate of the University of Toronto. Cognitive impairment Among the subsidized residents housing It was between 10% and 27%, but between 4% and 10% was dementia.
According to a survey Cognitive decline There is a risk of being placed in a nursing home prematurely.Elderly people in public housing with dementia are more likely to be hospitalized than all other low-income people senior citizen They are also seven times more likely to receive long-term care than other community-based older people.
“Some symptoms of dementia, such as poor personal hygiene and delusions, can be classified as destructive behavior,” said co-author Theodora Lee. “In addition, cognitively impaired people may face challenges in managing regular payments for rent, utilities and other invoices. These issues have been expelled from public housing. Dramatically increases the risk of being invoiced. ”
Eviction can eventually lead to the homeless. Unfortunately, as the scoping review revealed, the subsidized housing staff are not properly trained to screen tenants for dementia or refer them to the right ones. service..
“Most subsidized housing facilities are not designed with the aging population in mind,” says co-author Geoff Leigh. “We need more comprehensive services and onsite outreach programs to enhance the reputation and identification of these tenants.”
Many subsidized homeowners with cognitive deficits also dealt with severe physical restrictions. More than two out of five residents of public housing with cognitive impairment reported restrictions on activities of daily living such as changing clothes, bathing, and toileting. Cognitive deficits are exacerbated by physical disabilities such as vision and deafness, which seriously impede oral communication and access to adequate medical care. It can also endanger medical compliance. “Dementia gets worse Social isolation “The loss of social networks, poverty, poor health and prejudice against dementia all contributed to the lack of access to health care and services in this elderly group,” said co-author Nisha Mendonka. Stated.
Co-author Kelly Fleming pointed out the need to coordinate interdisciplinary service and funding assessments and programs to enhance tenant well-being. “Financial investment in home services and mods is fundamental. Our study also suggested attention to dedicated value. dementia housing. “
The authors argue that future studies need to focus on assessing the unique needs of this undervalued population. The results of this survey also have important implications for healthcare professionals, policy makers, and key stakeholders.
“Adopting an aging framework and coordinating and coordinating between home providers and governments in providing support services will help improve the fairness of life for subsidized home tenants who live with reduced awareness,” Helen said. say. Lamb.
Challenges Experienced by Helen R, Lam et al, Dementia or Cognitively Impaired Grant Residential Residents: Scope Review, Journal of Aging and the Environment (2021). DOI: 10.1080 / 26896218.2021.1963387
University of Toronto
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