The effectiveness of interventions on the quality of life of people with major neurocognitive disorder (dementia) in residential long-term care: a systematic review protocol (original) (raw)
2014, The JBI Database of Systematic Reviews and Implementation Reports
Review question/objective The objective of this review is to answer the following question: Which interventions have the best outcomes related to improved quality of life of people with dementia in residential long-term care? In addition, this review will also define the components of the effective interventions. Background The recently revised Diagnostic and Statistical Manual of Mental Disorders (DSM-V) 1 utilizes the term "major neurocognitive disorder" to describe what has previously been known as dementia. However, given that this systematic review reflects previously published literature, the term "dementia" will be used. In 2013, over 35 million people around the world were estimated to have dementia. 2 The number of people worldwide with dementia is projected to increase to 65.7 million in 2030 and 115.4 million in 2050, which is approximately a doubling of sufferers every 20 years. 2 Dementia is a syndrome of progressive cognitive and functional deterioration which is incurable. 2 There are diverse symptoms and various levels of impairment depended on affected brain regions and types of dementia. Typical symptoms in the early phase of illness include memory loss, affected mood and behavior, and indications of depression. 3,4 In the intermediate phase, increased communication difficulties, behavior changes such as wandering, agitation and aggression can appear. In the last phase of dementia illness,
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