LITERATURE REVIEW: COMPARISON OF THE TREATMENT OF INSTITUTIONALIZED PATIENTS EXHIBITING A DEGENERATIVE DEMENTIA IN SPECIALIZED CARE UNITS AND IN CONVENTIONAL EXTENDED STAY CARE UNITS BETWEEN 2006 AND 2016
M.A. SANCHEZ, P. DENORMANDIE, A. LETTY, L. JOSSERAN, S. SANCHEZ
Jour Nursing Home Res 2017;3:71-80
Introduction : The number of individuals living in designated lodgings for elderly individuals (DLEI) in France continues to increase, amounting to close to 9% of the individuals over the age of 75 in 2012. The aim of our work was hence to provide a review of the recent literature from 2006 to February 2016 regarding the treatment of institutionalized patients exhibiting a neurodegenerative illness in specialized care units compared to conventional care units, according to specific criteria for quality of life, maintenance of higher functions, and in terms of behavioral changes or loss of autonomy. Methods: This involved a selective literature review carried out by a digitally-assisted search. The selected studies had to be less than 10 years old at the time of the data collection. The articles had to be published in English, or in French so as to include published studies that specifically addressed features relating to the French care system. Only studies addressing differences in treatments between special (SCU) and non-Special (n-SCU) units were considered, the others being excluded. Results: To compare treatment in SCUs and in n-SCUs, the studies used validated current indicators for assessing quality of life, cognition, behavioral issues, as well as autonomy in each of the units. Use of medicinal therapeutics, hospitalization rates, and physical restraints were also often investigated. Our work focused on recent studies taking into account the latest measures put in place in DLEIs comprising SCUs. A literature review carried out in 2013 that took into account historical studies did not find that SCUs were generally better in regard to providing care for patients with dementias. Conclusion: In conclusion, by specifically considering only the more recent studies, this work has allowed knowledge of the merits of development of specialized units to be updated, particularly in terms of the treatment of dementias.
M.A. SANCHEZ ; P. DENORMANDIE ; A. LETTY ; L. JOSSERAN ; S. SANCHEZ (2017): Literature review: comparison of the treatment of institutionalized patients exhibiting a degenerative dementia in specialized care units and in conventional extended stay care units between 2006 and 2016. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2017.12