Cognitive screening for older people in long-term care institutions in the Miranda do Corvo municipality, Portugal

Ciência & Saúde Coletiva, 24(11). https://doi.org/10.1590/1413-812320182411.07422018

Posted: 6 Feb 2020

See all articles by Fernanda Daniel

Fernanda Daniel

Instituto Superior Miguel Torga

Vanessa Fernandes

affiliation not provided to SSRN

Alexandre Silva

Universidade de Coimbra

Helena Espirito Santo

Instituto Superior Miguel Torga; Universidade de Coimbra - Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo- Comportamental

Date Written: May 1, 2018

Abstract

This study aimed to screen the cognitive profile elderly people living in long-term care institutions in the municipality of Miranda do Corvo by evaluating 174 participants with the Mini Mental State Examination (MMSE) (n=96) and the clinical dementia diagnosis (n=78). According to the MMSE, 41.7% of respondents had scores suggestive of cognitive impairment. The percentage rose to 67.8% (n=118) by adding the diagnosis of dementia reported in individual medical records to this result. The comparison of our results with those obtained nationwide showed that this proportion was significantly higher (p<0.001). The educational level was a predictive factor for MMSE scores (p=0.001). We can conclude that the high prevalence of suspected cognitive impairment and dementia revealed in our study should lead us to reflect on the quality of care provided and on the lack/scarcity of cognitive stimulation programs in long-term care institutions for seniors. Thus, it is imperative to implement regular cognitive assessment and to apply intervention programs for the preservation and improvement of the cognitive functioning of institutionalized elderly of deprived areas.

Keywords: Elderly, Institutionalization, Cognitive deficit, Cognitive screening

Suggested Citation

Daniel, Fernanda and Fernandes, Vanessa and Silva, Alexandre and Espirito Santo, Helena, Cognitive screening for older people in long-term care institutions in the Miranda do Corvo municipality, Portugal (May 1, 2018). Ciência & Saúde Coletiva, 24(11). https://doi.org/10.1590/1413-812320182411.07422018, Available at SSRN: https://ssrn.com/abstract=3519292

Fernanda Daniel

Instituto Superior Miguel Torga ( email )

Largo da Cruz de Celas nº1
Coimbra, Coimbra 3000-132
Portugal

Vanessa Fernandes

affiliation not provided to SSRN

Alexandre Silva

Universidade de Coimbra

Avenida Dias da Silva, 165
Coimbra, 3001-454
Portugal

Helena Espirito Santo (Contact Author)

Instituto Superior Miguel Torga ( email )

Largo da Cruz de Celas nº1
Coimbra, Coimbra 3000-132
Portugal
239404608 (Phone)

Universidade de Coimbra - Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo- Comportamental ( email )

Portugal

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