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San Sebastián de los Reyes, Spain

Alaba J.,Fundacion Matia | Navarro A.,Fundacion Instituto Gerontologico Matia | Gonzalez M.F.,Fundacion Instituto Gerontologico Matia | Buiza C.,Fundacion Instituto Gerontologico Matia | And 2 more authors.
Revista de la Sociedad Espanola del Dolor | Year: 2011

The interest of researchers for the pain assessment and intervention in people with dementia is growing. Given the demographic trend to an increased aging population, increasing with pain conditions and progress in knowledge in the field of dementia, identify changes that occur in different brain areas involved in pain control. This review focuses on the changes that occur in the perception of pain in people with dementia as well as analyzing the most effective tools to identify, assess and treat pain in people with dementia. The comprehensive approach of pain should take into account carers, to prevent overload them and ensure the highest possible quality of life of patients.

Diaz-Veiga P.,Matia Instituto Gerontologico | Sancho M.,Matia Instituto Gerontologico | Garcia T.,Matia Instituto Gerontologico | Rivas E.,Centro Gerontologico Zubiaurre | And 6 more authors.
Revista Espanola de Geriatria y Gerontologia | Year: 2014

Introduction: The Model of Person Centered Care has attracted increasing interest for use in gerontology centers. Therefore, the contributions about its impact are scarce in our context. The objective of this paper is to establish the impact that the interventions associated with the Model of Person Centered Care in the «Etxean Ondo» Project have on the quality of life of residents with cognitive impairment. Material and methods: One hundred and ninetten residents with cognitive impairment were selected: 59 in the control group and 60 in the experimental group. Subjects in each group were sorted by cognitive impairment: mild or severe. Changes were implemented in the physical and organizational environments for the promotion of autonomy and wellbeing. Quality of life was assessed before and 6 months after intervention using the Fumat Scales (mild cognitive impairment) and Qualid (severe cognitive impairment). The t-Student test was used for comparison of means. Results: In intergroup comparisons, significant differences in the Fumat Scale for the control group with mild cognitive impairment were initially identified. These differences were not recorded in the post assessment. The experimental group with severe cognitive impairment was significantly improved in the Qualid Scale post assessment. In intragroup comparisons, significant improvements were evident in the quality of life of experimental subjects, both with severe cognitive impairment (Qualid) and mild (Fumat). Conclusions: The findings support the effectiveness of the interventions and identify methodological and conceptual issues that have been considered to analyze the Model of Person Centered Care efects. © 2014 Published by Elsevier España, S.L.U. on behalf of SEGG.

Garcia-Soler T.,Fundacion Instituto Gerontologico Matia INGEMA | Buiza Bueno C.,Fundacion Matia | Vaca Bermejo R.,Fundacion Instituto Gerontologico Matia INGEMA | Ansorena Urchegui X.,Fundacion Instituto Gerontologico Matia INGEMA
Revista Espanola de Geriatria y Gerontologia | Year: 2014

Introduction: As the level of cognitive impairment in people with dementia increases, it seems that the interventions aimed at this group do not obtain the expected results. Thus, it is clear that there is a need to develop specific assessment tools. One of the important aspects in people with dementia is the engagement, involvement in task and activities. Engagement is considered a quality of life and quality of care indicator. The aim of the study is to develop an Engagement recording tool for mapping people with dementia, and to obtain reliability measures. Method: The present paper aims to present the current development of engagement behaviours. The pilot study had a sample of 19 people distributed into two groups, which were observed in order to obtain inter-rater reliability measurements using the percentage of inter-rater agreement. Results: An observational mapping instrument was developed that achieved a high inter-rater reliability. Conclusion: The Engagement recording tool makes it possible to gather promising results on the effects of the interventions for people with severe dementia. On the other hand, these results point to the possibilities of more specific tools to assess the different interventions which aim is to improve quality of life and quality of care in people with dementia. © 2012 SEGG.

Beobide Telleria I.,Fundacion Matia | Alaba Trueba J.,Gerozerlan | Genua Goena M.I.,Fundacion Matia | Arriola Manchola E.,Fundacion Matia | And 3 more authors.
Revista Espanola de Geriatria y Gerontologia | Year: 2011

Introduction: Infection processes in gerontology centres (GC) are one of the main causes of mortality and aggravation of concomitant chronic diseases. An epidemiological surveillance system was set up to find out their magnitude and distribution. Material and methods: A prevalence study was conducted during the years 2006-2009 in 4 GCs of the Matia Foundation. Prevalence was measured by making an annual cut-off, recording: infection type, demographic data, risk factors and antibiotic use. The incidence was measured for two years in one GC as a pilot centre, recording: infection type and antibiotic use. Results: The prevalence in the GCs varied between 4.8% and 6.44%. The infection incidence density in the pilot study was between 3.45-5.77 infections per 1,000 resident days. The most common infection location and in this order were, respiratory, urinary and cutaneous. The incidence of respiratory infection is more statistically significant in the presence of dysphagia, malnutrition and COPD. However, no significant relationship was seen in the incidence of urinary infection with the different risk factors analysed. Conclusions: The frequency and repercussions of nosocomial infections in GCs demonstrate the need for intervention plans and the development of adequate prevention measures. © 2010 SEGG.

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