Identifying risks the safety of elderly patients with dementia: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7877

Keywords:

Aged; Alzheimer's disease; Dementia; Patient safety

Abstract

This is an integrative review study with the objective of identifying the risks to the safety of elderly patients with dementia. The research took place in the Medline, Bdenf and Lilacs databases, covering complete articles in electronic format, in english, Portuguese and Spanish in the period from 2015 to 2020. After the analysis according to the study criteria, 29 articles were selected that constituted the sample of this review. The risks found were analyzed from the perspective of patient safety and described in eight categories involving the international patient safety goals of the World Health Organization, the risks of functional losses related to cognitive deterioration, the risks of functional loss associated with psychological changes and behavioral of dementia and security risks associated with hospitalization. The identification of security risks for the elderly with dementia is fundamental for the management of safe care. The progression of cognitive deficit predisposes the elderly individual with dementia to risks that can be prevented or mitigated through the perspective of patient-centered care.

 

References

Anvisa. (2013). Assistência segura: Uma reflexão teórica aplicada a prática. Website da Agência Nacional de Vigilância Sanitária (Anvisa). http://www.saude.pr.gov.br/arquivos/File/0Seguranca_do_Paciente/Modulo_1Assist enciaSegura.pdf

Anvisa (2015). – RDC No 26, DE 02 DE JULHO DE 2015. 4. http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2015/rdc0026_26_06_2015.pdf

Abellard J, Rodgers C & Bales A.L. (2017). Balancing sexual expression and risk of harm in elderly persons with dementia. J Am Acad Psychiatry Law.45(4):485-492.

Assato, C P & Oliveira C R B. (2015) Psicofarmacos potencialmente inapropriados para idosos. Estudos interdisciplinaes Envelhecimento. 20 (3):687-701, dez.2015

Bantry White E & Montgomery P. (2016) Supporting people with dementia to walkabout safely outdoors: development of a structured model of assessment. Health Soc Care Community. 24(4):473-484. doi:10.1111/hsc.12226

Behrman S, Wilkinson P, Lloyd H & Vincent C. (2017) Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? Age and Ageing. May;46(3):518-521. DOI: 10.1093/ageing/afw220.

Berry B & Apesoa-Varano EC. (2017) Medication takeovers: Covert druggings and behavioral control in Alzheimer's. Soc Sci Med. 188:51-59. doi:10.1016/j.socscimed.2017.07.003

Cipriani G, Danti S., Picchi L, Nuti A & Di Fiorino M. (2020) Daily functioning and dementia. Dement Neuropsychol June.14(2): 93-102.

Coahran M, Hillier LM, Van Bussel L, et al. (2018) Automated Fall Detection Technology in Inpatient Geriatric Psychiatry: Nurses' Perceptions and Lessons Learned. Can J Aging. 37(3):245-260. doi:10.1017/S0714980818000181

Dourado M, Laks J, Rocha M., Soares C, Leibing A & Engelhardt E (2005) Consciência da doença na Demência Resultados preliminares em pacientes com doença de Alzheimer leve e moderada. Arq Neuropsiquiatr 2005;63(1):114-118

Dudevich A, Husak L, Johnson T & Chen A (2018). Safety and Quality of Care for Seniors Living with Dementia. Healthc Q.;21(3):12-15. doi:10.12927/hcq.2018.25708

Evans EA, Perkins E, Clarke P, Haines A, Baldwin A, & Whittington R. (2018). Care home manager attitudes to balancing risk and autonomy for residents with dementia. Aging Ment Health. 22(2):261-269. doi:10.1080/13607863.2016.1244803

Freitas E. V., Py L, Cançado F. A. X., Doll J. Gorzoni M. L. (2011). Tratado de Geriatria e Gerontologia. 3.ed. Ed Guanabara Koogan.

Green YS. Safety Implications for the Homebound Patient With Dementia. Home Healthc Now. 2018;36(6):386-391. doi:10.1097/NHH.0000000000000701

Grupo Anima Educação. (2014). Manual de Revisão Bibliográfica Sistemática Integrativa: A pesquisa baseada em evidências. Belo Horizonte. http://biblioteca.cofen.gov.br/wpcontent/uploads/2019/06/manual_revisao_bibliografica-sistematica-integrativa.pdf

Häikiö, Kristin; Sagbakken, Mette & Rugkåsa, Jorun.. (2019) Dementia and patient safety in the community: a qualitative study of family carers' protective practices and implications for services. BMC Health Serv Res ; 19(1): 635

Hunter KF, Parke B, Babb M, Forbes D & Strain L (2017). Balancing safety and harm for older adults with dementia in rural emergency departments: healthcare professionals' perspectives. Rural Remote Health.;17(1):4055. doi:10.22605/rrh4055

Hernández-Arroyo, M & Díaz-Madero A. (2016) Valoración del riesgo/benefício en el tratamiento de la enfermedad de Alzheimer. A propósito de una interacción. Revista Española de Geriatría y Gerontología Volume 51, Issue 4, Pages 191-195 Doi 10.1016/j.regg.2015.11.006

Hussain M, Ali T, Khan WA, Afzal M, Lee S & Latif K. (2015) Recommendations service for chronic disease patient in multimodel sensors home environment. Telemed J E Health.;21(3):185-199. doi:10.1089/tmj.2014.0028

Karuncharernpanit S, Hendricks J & Toye C. (2016) Perceptions of exercise for older people living with dementia in Bangkok, Thailand: an exploratory qualitative study. Int J Older People Nurs.;11(3):166-175. doi:10.1111/opn.12091

Luxford K, Axam A, Hasnip F, et al (2015). Improving clinician-carer communication for safer hospital care: a study of the 'TOP 5' strategy in patients with dementia. Int J Qual Health Care.;27(3):175-182. doi:10.1093/intqhc/mzv026

Lau WM, Chan TY & Szeto SL. ( 2019) Effectiveness of a home-based missing incident prevention program for community-dwelling elderly patients with dementia. Int Psychogeriatr. 31(1):91-99. doi:10.1017/S1041610218000546

Lee L & Molnar F. (2017) Driving and dementia: Efficient approach to driving safety concerns in family practice. Can Fam Physician.63(1):27-31.

Levy-Storms L, Cherry DL, Lee LJ & Wolf SM. (2017) Reducing safety risk among underserved caregivers with an Alzheimer's home safety program. Aging Ment Health.;21(9):902-909. doi:10.1080/13607863.2016.1181710

Ministério da Saúde. (2013a). Anexo 01: Protocolo para a Prática de Higiene das Mãos em serviços de Saúde. 37. https://proqualis.net/sites/proqualis.net/files/000002347fQHsQg.pdf

Ministério da Saúde. (2013b). Anexo 02: Protocolo de identificação do paciente. http://www.saude.gov.br/images/pdf/2014/julho/03/Protocolo---Identifica----o-do-Paciente.pdf

Ministério da Saúde. (2013c). Anexo 03: Protocolo de Segurança na Prescrição, Uso e Administração de Medicamentos.

https://edisciplinas.usp.br/pluginfile.php/4563327/mod_resource/content/1/2013%20Protocol o%20de%20seguran%C3%A7a.pdf

Ministério da Saúde. (2013d). Anexo 02: Protocolo Para Prevenção De Úlcera Por Pressão http://www.saude.gov.br/images/pdf/2014/julho/03/PROTOCOLO-ULCERA-POR-PRESS--O.pdf

Ministério da Saúde. (2013e). Anexo 01: Protocolo Prevenção De Quedas https://Proqualis.Net/Sites/Proqualis.Net/Files/Protocolo%20%20Preven%C3%A7%C3%A3o%20de%20Quedas.Pdf

Ministério da Saúde. (2013f). Portaria no. 529, de 1 de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP).

http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html

Ministério da Saúde, & Fundação Oswaldo Cruz. (2014). Documento de referência para o Programa Nacional de Segurança do Paciente.

http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_segura nca.pdf

Ministério da Saúde. (2016) Secretaria de Atenção à Saúde. Departamento de Atenção Hospitalar e de Urgência. Segurança do paciente no domicílio / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Hospitalar e de Urgência. – Brasília : Ministério da Saúde

http://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_domicilio.pdf

Miller, L. M., Whitlatch, C. J., Lee, C. S., & Lyons, K. S. (2018). Incongruent perceptions of the care values of hospitalized persons with dementia: a pilot study of patient-family caregiver dyads. Aging & mental health, 22(4), 489–496. doi.org/10.1080/13607863.2017.1280766

Montastruc F, Rouanet S, Gardette V, Rousseau V, Bagheri H & Montastruc JL (2015). Atropinic burden of prescriptions forms in patients with Alzheimer disease: a cross-sectional study in a French PharmacoVigilance Database. Eur J Clin Pharmacol.;71(7):891-895. doi:10.1007/s00228-015-1869-0

Mao HF, Chang LH, Yao G, Chen WY & Huang WN. (2015). Indicators of perceived useful dementia care assistive technology: Caregivers' perspectives. Geriatr Gerontol Int.;15(8):1049-1057. doi:10.1111/ggi.12398

Marinho C L, Nascimento V., Bonadiman B. S. R. & Torres S. R. F. (2020). Causas e consequências de quedas de idosos em domicílio. Braz. J. Hea. Rev., Curitiba, v. 3, n. 3, p. 6880-6896

North C. (2016) Comprehensive geriatric assessment of a mental health service user with safeguarding needs. Nurs Older People.;28(5):25-29. doi:10.7748/nop.28.5.25. s25

Oliveira MG, Amorim WW, Oliveira CRB, Coqueiro HL, Gusmão LC, Passos LC. (2016) Consenso brasileiro de medicamentos potencialmente inadequados para idosos. Geriatr Gerontol Aging. 10 (4): 168-181

Pastor DK, Arms T & Jones AL. (2018) Red Flags and Off Ramps: Providing Community Education About Driving and Dementia. Home Healthc Now.;36(5):319-323. doi:10.1097/NHH.0000000000000695

Rahja, M, Comans, T, Clemson, L, Crotty, M & Laver, K (2018) Are there missed opportunities for occupational therapy for people with dementia? An audit of practice in Australia. Australian Occupational Therapy Journal 65 Doi;10.1111/1440-1630.12514

Sharp, Catherine A; Schulz Moore, Jennifer S; McLaws & Mary-Louise. (2019) Two-Hourly Repositioning for Prevention of Pressure Ulcers in the Elderly: Patient Safety or Elder Abuse? J Bioeth Inq ; 16(1): 17-34.

Silva, M., Sá, L., & Sousa, L. (2018). Efcácia dos programas psicoeducacionais na sobrecarga nos familiares cuidadores de pessoas com demência: Revisão integrativa. Revista Portuguesa de Enfermagem de Saúde Mental (19), 54-60. doi: 10.19131/rpesm.0202

Sinvani L, Strunk A, Patel V, et al. (2019) Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study. Am J Alzheimers Dis Other Demen.;34(4):223-230. doi:10.1177/1533317519826272

Tudor Car, L., El-Khatib, M., Perneczky, R. et al. Prioritizing problems in and solutions to homecare safety of people with dementia: supporting carers, streamlining care. BMC Geriatr 17, 26 . doi:10.1186/s12877-017-0415-6

Taylor J, Hill H & Kay K. (2016) An integrated practice approach to mobility care for older people. Nurs Stand.;30(29):51-60. doi:10.7748/ns.30.29.51. s47

Thomas S. & Mackintosh S. (2016) Improvement of physical Therapist assessment of risk of falls in the hospital and discharge handover through an intervention to Modify clinical behavior. Phys Ther. 2016; 96:764–773.

Organização Mundial De Saúde (2016). Guia curricular de Segurança do paciente da Organização Mundial da Saúde. Edição multiprofissional/ Coordenação de Vera Neves Marra, Maria de Lourdes Sette. — Rio de Janeiro:

http://apps.who.int/iris/bitstream/handle/10665/44641/9788555268502-por.pdf;jsessionid=7C9AFB059B93BF3C036A55FBA7FC1C11?sequence=32

Organização Mundial De Saúde (2015) - Relatório mundial de envelhecimento e saúde. https://apps.who.int/iris/bitstream/handle/10665/186468/WHO_FWC_ALC_15.01_por.pdf;jsessionid=6F2D8D380265912B4B3F20F1918A240C?sequence=6

Organização Mundial de Saúde (2017) Global action plan on the public health response to dementia 2017–2025 ISBN 978-92-4-151348-7

https://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/

Yang YT & Kels CG. (2016) Does the Shoe Fit? Ethical, Legal, and Policy Considerations of Global Positioning System Shoes for Individuals with Alzheimer's Disease. J Am Geriatr Soc. 2016;64(8):1708-1715. doi:10.1111/jgs.14265

Who. 2018. Falls. Disponível em: https://www.who.int/news-room/fact-sheets/detail/falls

Published

01/09/2020

How to Cite

CALVO, D. das G. de M.; BRUM, A. K. R.; MESSIAS, C. M. Identifying risks the safety of elderly patients with dementia: integrative review. Research, Society and Development, [S. l.], v. 9, n. 9, p. e612997877, 2020. DOI: 10.33448/rsd-v9i9.7877. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7877. Acesso em: 20 apr. 2024.

Issue

Section

Review Article