• Home
  • /
  • Topic
  • /
  • Other
  • /
  • Daycare
  • /
  • Barriers to Utilizing Adult Day Centers and Associated Factors on Alzheimer's Patients Literature Review
Verified Document

Barriers To Utilizing Adult Day Centers And Associated Factors On Alzheimer's Patients Literature Review

Alzheimer's Adult Daycare for Patients with Alzheimer's Disease

Barriers to Daycare Utilization:

Fortinsky, Richard H., Kulldorff, Martin, Kleppinger, Alison, and Kenyon-Pesce, Lisa. (2009). Dementia care consultation for family caregivers: Collaborative model linking an Alzheimer's association chapter with primary care physicians. Aging & Mental Health, 13(2), 162-170.

The study by Fortinsky et al. (2009) discusses some of the obstacles standing between family caregivers and the admission of their patients to daycare nursing communities. The purpose of the research is to evaluate strategies that might improve the willingness of family caregivers to work with these community services. In a consultation with 84 family caregivers, the study aims to determine what strategies might raise confidence in the capabilities of such services. Additionally, the study seeks to evaluate the responses of primary caregivers to the outcomes produced by this type of intervention. A third objective of the study would be to determine how successfully caregivers and voluntary community service providers are able to collaborate in the given intervention environment. According to the study, "the dementia care consultation intervention showed favorable effects on nursing home admission and on caregiver outcomes among intervention group caregivers more satisfied with the intervention, but there are important barriers to sustaining this collaboration between primary care physicians and a voluntary sector organization such as an Alzheimer's association chapter." (p. 162)

This contributes a clear understanding, in the present research, of the paths to overcoming barriers in use of such daycare services.

Hamilton, Edith M., Braun, Jean W., Kerber, Paul, Thurlow, Christine, and Schwieterman, Irma. (1996). Factors associated with family caregivers' choice not to use services. American Journal of Alzheimer's Disease and Other Dementias, 11(4), 29-38.

The study by Hamilton et al. (1996) addresses what might be considered a control group in a research discussion concerning patients with dementia and daycare services. Here, an evaluation is given on the reasons offered by primary caregivers for choosing not to utilize such services. In a discussion on the implications of the burden placed on primary caregivers in facilitating the needs of aging family members with dementia or Alzheimer's, this forms an important part of our understanding. Specifically, the study surveys 70 respondents among...

According to the study, "Personal competence, measured as perception of caregiving mastery, emerged as a significant factor in service nonuse. Caregiver gender and daily hours of caregiving, an environmental press factor combined with perception of mastery to most often correctly classify respondents' high and low adaptation." (p. 29) The resolution of this study is an important one within the context of the present research as well. Here, researchers resolve that it is necessary to focus on improving quality, training and competence among adult daycare service caregivers.
Benefits of Daycare Utilization:

Mossello, Enrico, Caleri, Veronica, Razzi, Elena, Di Ban, Mauro, Cantini, Claudia, tonon, Elisabetta et al. (2008). Day care for older dementia patients: Favorable effects on behavioral and psychological symptoms and caregiver stress. International Journal of Geriatric Psychiatry, 23(10), 1066-1072.

The study by Messello et al. (2008) offers a high level assessment of the benefits of daycare utilization for adults with dementia. The study focuses specifically on a comparative assessment of subjects with dementia admitted for daycare (DC) and those prescribed homecare (HC). The study was engaged across a 2-month period during which 30 patients in each of the prescribed groups was observed for a range of characteristics. The included characteristics would be cognitive and functional status, behavioral and psychological symptoms and psychotropic drug use. The specific priority for our research is the finding concerning behavioral and psychological symptoms. However, also of value to the present study is the reference made in the research to the burden placed on the primary caregiver. This is because a discussion of the benefits of daycare must include, in addition to a discussion on its benefits to the patient, its benefits to the caregiver. According to the findings for the study in question, "A 2-month period of DC assistance is effective in reducing behavioral and psychological symptoms of dementia patients and in alleviating caregivers' burden." (p. 1066) This is a promising finding, particularly as a formative assertion in deriving an actionable research hypothesis.

Vreugdenhil,…

Sources used in this document:
Cantegreil-Kallen, Inge, Turbelin, Clement, Angel, Pierre, Flahault, Aantoine, and Rigaud, Anne-Sophie. (2006). Dementia management in France: Health care and support services in the community. Dementia, 5(3), 317-326.

As study of community-based Alzheimer's support services in France lends greater insight into the obstacles preventing the optimization of care. According to the study by Cantegreil-Kallen (2006) et al., France provides a state-administered network of community-based services available to individuals suffering from Alzheimer's or dementia related to aging. While this federal oversight provides regulatory consistency and quality control, it may also be impeding the fullest possible effectiveness of community-based service contexts. According to the study in question, "Although GPs acknowledged carers' need for emotional support, only minimal levels of other interventions such as day care (12%) and psychotherapeutic interventions (12%) were prescribed. Reasons for under-use included non-availability and carers' reluctance to undergo psychotherapy. Lack of integrated community care services, insufficient information on services, lack of collaboration between health professionals and the frequent absence of a reliable carer were considered the most important barriers to the effective support of people with dementia in primary health care settings." (p. 317)

This confirms the general observation drawn from the preset research that while there are clear benefits to the employment of any form of daycare, community agencies often lack the resources or protocol to ensure that patients are given the best opportunity for the improvement of faculties as well as the improvement of long-term health outcomes.
Cite this Document:
Copy Bibliography Citation

Related Documents

Daycare Budgeting Scenario Northville, Located
Words: 893 Length: 3 Document Type: Term Paper

Since the proposed budget has come into a deficit, there is a need to balance the budget of the proposed program to enhance the financial sustainability of the project. Method to balance the Proposed Budget One of the methods employed to balance the budget is to calculate the revenue realized from children based on the current child/daycare ratio 8:1. The paper adjusts the entire child/daycare ratio to 8:1 as being revealed

Daycare Inclusion Support Plan: Punjabi Heritage Background
Words: 925 Length: 3 Document Type: Essay

Daycare Inclusion Support Plan: Punjabi Heritage Background In order to most successfully begin the inclusion process of a 3- to 5-year-old Punjabi child into a standard daycare facility located in the Brisbane Metropolitan Area, one must first understand all the facets of the Punjabi culture that may prove relevant in making the child's transition into the daycare one that is as smooth as possible. In order to begin the process of

Daycare Center Observations This Observation
Words: 612 Length: 2 Document Type: Term Paper

She ended the activity session by asking the group "OK, who wants to play bouncy ball again?" (referring to inflatable toys with handles meant for riding) and most of the children responded very enthusiastically. At the same time, the caretaker approached the two children who seemed more interested in continuing their computer game activity and gently asked them if they wanted to play bouncy ball again. At that time, she

Daycare Volunteer Experience I Volunteer Psychology Class
Words: 1018 Length: 3 Document Type: Essay

Daycare Volunteer Experience I volunteer psychology class a day care I write a reflection paper. Time working kids kind an experience. I paper I answer questions.1. In paragraph, explain service learning experience reinforced understanding enhanced learned? Include examples. Reflection paper: Volunteering at a daycare facility As part of my work for this psychology class, I chose to volunteer at a local daycare center. I had never worked with children before, so seeing how

Daycare on Children Effects of Day Care
Words: 2396 Length: 8 Document Type: Research Paper

Daycare on Children Effects of Day Care on Children The outcomes of children are greatly influenced by the various environments encountered by them, most importantly family and child care settings. This is the reason why there has been an increasing interest in research concerning the consequences of child care experiences on the development of children. The experiences at day care not only promote school readiness skills in children but the quality

Daycare on Children My Grandmother,
Words: 983 Length: 3 Document Type: Thesis

49). Research has found that children who go to daycare everyday and have to stay for long hours often become aggressive and don't mind adults well (Weitzman, 2006). They become uncooperative. Many of them get clingy because they are insecure. One author says that the children suffer "psychic distress" when they are constantly separated from their parents. Their health suffers because of so many children being all in one small

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now