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A comparison of dementia care and policy in five Asian regions: A literature review
Younhee Kang(Younhee Kang),Dukyoo Jung(Dukyoo Jung),Jung Jae Lee(Jung Jae Lee),Sumalee Lirtmunlikaporn(Sumalee Lirtmunlikaporn ),Huei-Chuan Sung(Huei-Chuan Sung),Miyae Yamakawa(Miyae Yamakawa ),Yujin 한국노인간호학회 2023 노인간호학회지 Vol.25 No.2
Purpose: This review was comprised of an integrative analysis of the literature on the current state of dementia and related issues in Hong Kong, Japan, South Korea, Taiwan, and Thailand. Methods: Published reports and policy documents from MEDLINE, CINAHL, PubMed, and each government’s database were used in this review. Results: All five Asian regions are projected to become super-aged societies within 12 years, and the number of people with dementia has increased in these regions. All five regions have established dementia policies, which include improving dementia awareness, risk reduction, early diagnosis, and support programs for caregivers. However, there is a lack of information systems for sharing dementia data and research funding for dementia. Conclusion: It is necessary to establish a dementia committee for Asian regions to actively address the challenges posed by the upcoming super-aged societies and to complement the insufficient research. This review provides future directions for dealing with diverse dementia-related issues and can serve as the basis for forming an Asian dementia committee.
Makimoto, Kiyoko,Eun Ah Lee,,Kang, Younhee,Yamakawa, Miyae,Ashida, Nobuyuki,Kyung Rim Shin, SAGE Publications 2008 American journal of Alzheimer's disease and other Vol.23 No.2
<P><I>Background:</I> The availability of increasingly sophisticated technology has meant that ambulation can be measured with precision over an extended period. <I>Methods:</I> An integrated circuit tag-monitoring system was set up to measure the distance moved in a dementia care unit in Korea in 2006. Various indicators were developed to measure temporal patterns of ambulation over time, such as the median distance moved per hour and the percentage of hours moved. <I>Results:</I> 12 consecutive days of movement data were available for 8 subjects. The mean age of the subjects was 76 U00B1; 5.3 years. The median distance walked per day ranged from 206 to 976 m, and the percentage of hours with movement ranged from 28% to 81%. The changes in the activity level during daytime, evening, and nighttime also differed among the 8 subjects. <I>Discussion:</I> The indicators developed appeared to differentiate temporal patterns of movement in demented persons.</P>
Xiaoji Liu,Reiko Kanaya,Kazue Shigenobu,Kumiko Katsuma,Yasushi Takeya,Eriko Koujiya,Miyae Yamakawa,Shimpei Takahashi,Keigo Takiue 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): To examine the factors related to high expressed emotion in family members of people with dementia. Method(s): A cross-sectional research design was used. Interviews and questionnaires were employed, and the key family members of people with dementia were the participants. The first survey was administered to 24 individuals. Data collected include demographic details, the Family Attitude Scale (FAS), which assesses expressed emotion, and measures of caregiving burden and depression in family members. This study was approved by the Institutional Review Board of the institution we are affiliated with. And it was also supported by Nissei Foundation. Result(s): We show the preliminary results in this abstract although the number of participants is still increasing. Currently, 24 family members (8 male, 17 female) have participated in this study. The preliminary results indicate that nine had FAS scores above 40, which is the threshold for high Expressed Emotion (EE) in family members caring for persons with dementia, of potentially demented individuals. The nine participants with high EE were female, 66.7% were children of patient with dementia, 55.6% had depressive tendencies, 22.2% were identified as depressed, and 77.8% had a moderate to severe sense of burden. Conclusion(s): Factors influencing the high EE of family members of people with dementia could be related to their role in the family and their mental state. Early identification of risk factors might help in identifying and developing relevant interventions to prevent high EE in caregivers. The validity of this hypothesis will be further tested.
Keigo Takiue,Aya Tanaka,Hideki Ikuta,Huiting Wang,Eriko Kojiya,Yasushi Takeya,Miyae Yamakawa 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim: The purpose of this study was to identify discrepancies of perspectives in emergency transfer between the family of residents who experienced emergency transfer from a nursing home (NH) and the staff of the NH to an emergency department (ED). Method: This was a qualitative study using inductive qualitative content analysis. We conducted semistructured individual interviews between January and May 2021 at an NH in Osaka, Japan. Qualitative data focused on the appropriateness of emergency transfer. This study was approved by the Institutional Review Board of the institution to which we belong. Results: We selected four cases (swelling of the left greater trochanter, frequent bleeding, oral bleeding, and symptomatic epilepsy) of emergency transfers and interviewed the families (two daughters and two sisters) of the residents and the NH staff. The reason for the small number of cases is that the research was being conducted in real-time. The families and staff differed in perspectives on emergency transfer. Conflict two factors included “peaceful end of life” for the families and “transfer just in case” for the NH staff. The families hoped the residents would have a peaceful end of life. Meanwhile, NH staff stated that they often make transfer decisions just in case, against their best clinical judgment, because of convincing the family feeling anxiety. Conclusion: The discrepancies of perspectives on emergency transfer between families and staff were clarified. We plan to increase the number of cases in the future to further clarify the appropriateness of the emergency transfer from NH to the ED.