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A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities

Published online by Cambridge University Press:  05 December 2011

Susannah J. Runci ,
Barbara J. Eppingstall  and
Daniel W. O'Connor
Susannah J. Runci*
Affiliation:
Aged Mental Health Research Unit, School of Psychology and Psychiatry, Monash University, Cheltenham, Victoria, Australia
Barbara J. Eppingstall
Affiliation:
Aged Mental Health Research Unit, School of Psychology and Psychiatry, Monash University, Cheltenham, Victoria, Australia
Daniel W. O'Connor
Affiliation:
Aged Mental Health Research Unit, School of Psychology and Psychiatry, Monash University, Cheltenham, Victoria, Australia
*
Correspondence should be addressed to: Dr. Susannah J. Runci, Aged Mental Health Research Unit, Kingston Centre, Monash University, Warrigal Rd., Cheltenham VIC 3192, Australia. Phone: +61-3-92651700; Fax: +61-3-92651711. Email: Susannah.Runci@monash.edu.
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Abstract

Background: Older migrants with dementia and limited English language proficiency in residential care may have unmet needs for social interaction. This project compared verbal communication and prescribed psychiatric medication of Greek and Italian residents with dementia in ethno-specific and mainstream residential care.

Methods: Participants were 82 older Australians of Greek or Italian background who had been diagnosed with dementia and were residing in mainstream or ethno-specific care. Residents were observed and their language use was recorded. An assessment of cognitive impairment was conducted. A structured interview was held with a family member and a staff member.

Results: The observed rate of resident-to-resident communication was higher in the ethno-specific facilities. Staff-to-resident interaction rate did not differ between the facility types. Residents in ethno-specific care were prescribed antipsychotics at a significantly lower rate.

Conclusions: Residents with dementia and limited English language proficiency in mainstream care would benefit from greater opportunities to interact with peers in their own language. Prescribed medication should be monitored to ensure that these residents are not misinterpreted as “disruptive,” or are not actually more agitated due to difficulty in communicating their needs.

Keywords

nursing homesresidential carecognitive impairmentminority and diverse populationsGreek/Italian languagecommunicationpsychiatric medication
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 5 , May 2012 , pp. 733 - 741
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Australian Bureau of Statistics (2001). Census Dictionary: Concepts and Definitions. Canberra, Australia: Australian Institute of Health and Welfare.Google Scholar
Australian Bureau of Statistics (2002). Australian Social Trends 2002. Population Composition: Older Overseas-Born Australians. Canberra, Australia: Australian Bureau of Statistics.Google Scholar
Australian Institute of Health and Welfare (AIHW ) (2007). Older Australia at a Glance, 4th edn.. Cat no AGE52 Canberra, Australia: Australian Institute of Health and Welfare.Google Scholar
Benham, C. and Gibson, D. (2000). Independence in Ageing: The Social and Financial Circumstances of Older Overseas-Born Australians. Canberra, Australia: Department of Immigration and Multicultural Affairs and the Australian Institute of Health and Welfare.Google Scholar
Cohen-Mansfield, J. and Werner, P. (1997). Management of verbally disruptive behaviours in nursing home residents. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 52A, M369–M377.CrossRefGoogle Scholar
DPS (2001). DPS Guide to Aged Care Facilities: Victoria 2000–2001. South Australia: DPS Publishing.Google Scholar
Federal Interagency Forum on Ageing-Related Statistics (2010). Older Americans 2010: Key Indicators of Well-Being. Washington, DC: Government Printing Office.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E., McHugh, P. R. and Fanjiang, G. (2000). Mini-Mental State Examination User's Guide. Odessa, FL: Psychological Assessment Resources.Google Scholar
Garland, K., Beer, E., Eppingstall, B. and O'Connor, D. W. (2007). A comparison of two treatments of agitated behavior in nursing home residents with dementia: simulated family presence and preferred music. American Journal of Geriatric Psychiatry, 15, 514–521.CrossRefGoogle ScholarPubMed
Gibson, D., Braun, P., Benham, C. and Mason, F. (2001). Projections of Older Immigrants: People from Culturally and Linguistically Diverse Backgrounds, 1996–2026, Australia. (Aged care series no. 6) AIHW cat. No. AGE 18. Canberra: Australian Institute of Health and Welfare.Google Scholar
Goh, I., Low, L-F. and Brodaty, B. (2010). Levels and rates of depression among Chinese people living in Chinese ethno-specific and mainstream residential care in Sydney. International Psychogeriatrics, 22, 237–245.CrossRefGoogle ScholarPubMed
Jorm, A. F., Scott, R. and Jacomb, P. A. (1989). Assessment of cognitive decline in dementia by informant questionnaire. International Journal of Geriatric Psychiatry, 4, 35–39.CrossRefGoogle Scholar
Jorm, A. F. et al. (1995). The psychogeriatric assessment scales: a multidimensional alternative to categorical diagnoses of dementia and depression in the elderly. Psychological Medicine, 5, 447–460.CrossRefGoogle Scholar
Jorm, A. F., MacKinnon, A. J., Christensen, H., Henderson, A. S., Jacomb, P. A. and Korten, A. E. (1997). The psychogeriatric assessment scales (PAS): further data on psychometric properties and validity from a longitudinal study of the elderly. International Journal of Geriatric Psychiatry, 12, 93–100.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Lewis, I. D. and Kirchen, S. (1996). Dealing with ethnic diversity in nursing homes. InYeo, G. and Gallagher-Thompson, D. (eds.), Ethnicity and the Dementias (pp. 225–233). Washington, DC: Taylor and Francis.Google Scholar
Low, L-F. et al. (2009). Future research on dementia relating to culturally and linguistically diverse communities. Australasian Journal on Ageing, 28, 144–148.CrossRefGoogle ScholarPubMed
Multicultural Mental Health Australia (2004). In Their Own Right: Assessing the Needs of Carers in Diverse Communities. Canberra, Australia: Australian Government Department of Health & Aging.Google Scholar
Runci, S. J., O'Connor, D. W. and Redman, J. R. (2005a). Language needs and service provision for older persons from culturally and linguistically diverse backgrounds in south-east Melbourne residential care facilities. Australasian Journal on Ageing, 24, 157–161.CrossRefGoogle Scholar
Runci, S. J., Redman, J. R. and O'Connor, D. W. (2005b). Language use of older Italian-background persons with dementia in mainstream and ethno-specific residential care. International Psychogeriatrics, 17, 699–708.CrossRefGoogle ScholarPubMed
Sansoni, J. et al. (2007). Final Report: Dementia Outcomes Measurement Suite Project. Wollongong, Australia: Centre for Health Service Development, University of Wollongong.Google Scholar
van der Ploeg, E. S. and O'Connor, D. W. (2010). Effectiveness of personalised, one-to-one interaction using Montessori-type activities as a treatment of challenging behaviours in people with dementia: a crossover trial. BMC Geriatrics, 10, 3.CrossRefGoogle ScholarPubMed
Vincent, G. K. and Velkoff, V. A. (2010). The Next Four Decades. The Older Population in the United States: 2010 to 2050. Current Population Reports, P25–1138 Washington, DC: US Census Bureau.Google Scholar
Weiner, M. F., Martin-Cook, K., Svetlik, D. A., Saine, K., Foster, B. and Fontaine, C. (2000). The Quality of Life in Late-Stage Dementia (QUALID) scale. Journal of the American Medical Directors Association, 1, 114–116.Google ScholarPubMed