People with dementia living in the community what can interRAI data - - PowerPoint PPT Presentation

People with dementia living in the community – what can interRAI data tell us?

By Michelle Liu, Senior data analyst interRAI

What is interRAI

• Comprehensive clinical assessment instruments
• Best practice approach to assessing people’s needs
• Standardised and designed for specific groups
• Common language, common measures, common concepts
• www.interRAI.co.nz

2

interRAI = international Resident Assessment Instrument

interRAI assessments used in New Zealand

In the community:

• Contact Assessment (CA), a basic

screening assessment for people living in the community

• Community Health Assessment (CHA)

and Home Care Assessment (HC) for planning care and services in home and community-based settings

• Palliative Care Assessment (PC) for

community-based older adults where a palliative care focus is required.

In aged residential care:

• Long Term Care Facilities Assessment

(LTCF) for evaluating the needs, strengths and preferences of those in aged residential care.

3

Collect once – use many times

Research data repository

General information Services

Policy

Legal aspects Technical standards Metadata standards Quality standards

4

What interRAI tells us about people with dementia living in the community

5

What we are looking at

• Home Care assessments completed in 2017/18
• Assessments not clients
• Demographic characteristics
• Outcome measures
• Outcome scales
• Clinical Assessment Protocols (CAPs)

6

Demographic characteristics

7

• One in four Home Care clients had a diagnosis of Alzheimer’s

disease and/or other type of dementia

• 44% of diagnosed Home Care clients are between 75 to 84

years of age

• Men were 12.5% more likely to be diagnosed with dementia

(age adjusted)

• Māori (31%) and Pacific people (35%) are more likely to be

diagnosed with dementia (age adjusted)

Cognitive performance Scales

• This scale combines information on:
• 1. daily decision making
• 2. short term memory
• 3. making self understood
• 4. eating performance.
• The score ranges from 0 to 6 – the higher the score, the worse the

cognitive impairment.

8

Other health conditions

9

26% 17% 11% 14% 33% 22% 10% 13% 0% 5% 10% 15% 20% 25% 30% 35% Coronary heart disease Diabetes mellitus Anxiety Depression

Dementia & CPS>=3 No Dementia & CPS<3

Cognitive and mental health

10

13% 2% 6% 33% 34% 27% 22% 2% 6% 14% 28% 15%

0% 10% 20% 30% 40% 50% 60% 70% Dementia & CPS>=3 No Dementia & CPS<3 Dementia & CPS>=3 No Dementia & CPS<3 Dementia & CPS>=3 No Dementia & CPS<3 Behaviour CAP Communication CAP Mood CAP Prevent decline Facilitate improvement

Activities of daily living (ADL) self-performance hierarchy scale

11

16% 6% 10% 5% 8% 5% 2% 0%

0% 5% 10% 15% 20% 25% 30% 35% 40% Dementia & CPS>=3 No Dementia & CPS<3

3 - Extensive assistance required 4 - Maximal assistance required 5 - Very dependent 6 - Total dependence

Family support

12

2 4 6 8 10 12 14 16 Dementia & CPS>=3 No Dementia & CPS<3 # of hours Average hours of care and monitoring activity in 3 days

Strong relationship with family

13

91% 88% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Dementia & CPS>=3 No Dementia & CPS<3 Strong and supportive relationship with family

Family carers status

14

45% 16% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Dementia & CPS>=3 No Dementia & CPS<3 The primary family carer expresses feelings of distress, anger, or depression

Family carers status – cont.

15

38% 17% 0% 5% 10% 15% 20% 25% 30% 35% 40% Dementia & CPS>=3 No Dementia & CPS<3 The primary family carer is unable to continue in caring activities

Advance Care Plan (ACP) and Enduring Power of Attorney (EPOA)

16

3% 67% 4% 51% 0% 10% 20% 30% 40% 50% 60% 70% 80% ACP in place EPOA in place Dementia & CPS>=3 No Dementia & CPS<3

Like more data?

17

interRAI data visualisation: www.interRAI.co.nz/data

18

www.interrai.co.nz